ASSESSMENT OF PARENTS' COMMITMENT TO SPECIFIC TREATMENT OF CHILDREN WITH TUBERCULOSIS
Abstract
One of the leading factors infl uencing the outcome of tuberculosis is the attitude of patients to longterm combination therapy. Children’s adherence to TB treatment is a problem that is not presented in domestic and foreign sources. Children with tuberculosis cannot fully appreciate the importance of adherence to therapy. The aim of the study was to assess the level of commitment of parents to anti-tuberculosis treatment of their children. On the basis of the tuberculosis department of St. Petersburg GBUZ DIB No. 3, an analysis of 30 case histories of children aged 2–13 years with an established tuberculosis infection requiring anti-tuberculosis treatment for at least 6 months was carried out. An anonymous questionnaire was conducted for the parents of patients, which included four blocks of information: data on awareness of tuberculosis infection, knowledge about the prevention of tuberculosis, determination of awareness of parents’ attitude to anti-tuberculosis treatment, as well as their personal attitude to people with tuberculosis and to their children. Parents of children with tuberculosis infections revealed an insuffi cient level of basic knowledge about tuberculosis (30.0%), about tuberculosis prevention measures (30.0%), the need to follow long-term comprehensive anti-tuberculosis treatment (37.5%), in some cases parents’ personal fear for their health (13.3%). A timely study of the factors leading to low adherence of parents to the treatment of their children will allow them to be corrected in a timely manner by conducting social and educational work and individual consultations, if necessary, providing psychological assistance.
References
Global tuberculosis report 2022. Geneva: World Health Organization; 2022. https://www.who.int/ teams/global-tuberculosis-programme/tb-reports/ global-tuberculosis-report-2022.
Лозовская М.Э., Васильева Е.Б., Клочкова Л.В. и др. Раннее выявление и профилактика туберкулеза в практике врача-педиатра. Учебно-методическое пособие для.студентов VI курса педиатрического факультета. Сер. Библиотека педиатрического университета. СПб.; 2022: 68.
Лозовская М.Э., Клочкова Л.В., Васильева Е.Б., Яровая Ю.А. Туберкулез у детей раннего возраста в современных условиях. Туберкулез и соци ально-значимые заболевания. 2018; 3: 77–8.
Лозовская М.Э., Васильева Е.Б., Клочкова Л.В. и др. Туберкулез. Учебное пособие. СПб.: СПб ГПМУ; 2017.
Яровая Ю.А. Социально-эпидемическая характеристика детей с различными проявлениями туберкулезной инфекции. Туберкулез и болезни легких. 2011; 5 (88): 25.
World Health Organization. Adherence to long- term therapies: evidence for action. WHO Library Cataloguing-in-Publication Data, Geneva, WHO. 2003; 211.
Николаев Н.А., Мартынов А.И., Скирденко Ю.П. и др. Управление лечением на основе приверженности: Алгоритмы рекомендаций для пациентов. Междисциплинарные рекомендации. Медицинский вестник Северного Кавказа. 2020; 15(4): 461–8.
Белостоцкий А.В., Касаева Т.Ч., Кузьмина Н.В., Нелидова Н.В. Проблема приверженности больных туберкулезом к лечению. Туберкулез и болезни легких. 2015; 4:4–9.
Пьянзова Т.В., Вежнина Н.Н. Мероприятия по повышению приверженности лечению больных туберкулезом в Российской Федерации. Медицина в Кузбассе. 2014; 3(13): 5–10.
Шерстнева Т.В., Скорняков С.Н., Подгаева В.А. и др. Пути формирования приверженности лечения больных туберкулезом. Уральский меди- цинский журнал. 2015; 8(131): 112–6.
Рыжков С.И., Глебова О.А., Шовкун Л.А. Факторы, влияющие на приверженность к лечению больных туберкулезом. Главный врач Юга России. 2017; 2(54): 72–4.
Батышева Т.Т. Быкова О.В., Виноградов А.В. Приверженность семьи и к лечению ребенка с неврологической патологией. Журнал неврологии и психиатрии им.С.С.Корсакова. 2012; 112(7-2): 56–63.
REFERENCES
Global tuberculosis report 2022. Geneva: World Health Organization; 2022. https://www.who.int/ teams/global-tuberculosis-programme/tb-reports/ global-tuberculosis-report-2022.
Lozovskaya M.E., Vasil'eva E.B., Klochkova L.V. i dr. Rannee vyyavlenie i profilaktika tuberkuleza v praktike vracha-pediatra. [Early detection and pre- vention of tuberculosis in the practice of a pedia- trician]. Uchebno-metodicheskoe posobie dlya studentov VI kursa pediatricheskogo fakul'teta. Ser. Biblioteka pediatricheskogo universiteta. Sankt-Pe- terburg; 2022: 68. (in Russian).
Lozovskaya M.E., Klochkova L.V., Vasil'eva E.B., Yarovaya Yu.A. Tuberkulez u detej rannego voz- rasta v sovremennyh usloviyah. Tuberkulez i so- cial'no-znachimye zabolevaniya. [Tuberculosis in young children in modern conditions. Tuberculosis and socially significant diseases]. 2018; 3: 77–8. (in Russian).
Lozovskaya M.E., Vasil'eva E.B., Klochkova L.V. i dr. Tuberkulez. Uchebnoe posobie. Sankt-Peterburg: SPbGPMU; 2017. (in Russian).
Yarovaya Yu.A. Social'no-epidemicheskaya harakteristika detej s razlichnymi proyavleniyami tuberkuleznoj infekcii. Tuberkulez i bolezni legkih. [Socio-epidemic characteristics of children with various manifestations of tuberculosis infection. Tuberculo- sis and lung diseases]. 2011; 5(88): 25. (in Russian).
World Health Organization. Adherence to long- term therapies: evidence for action. WHO Library Cataloguing-in-Publication Data, Geneva, WHO. 2003; 211.
Nikolaev N.A., Martynov A.I., Skirdenko Yu. P. i dr. Upravlenie lecheniem na osnove priverzhennosti: Algoritmy rekomendacij dlya pacientov. [Commit- ment-based treatment management: Recommendation algorithms for patients]. Mezhdisciplinarnye rekomendacii. Medicinskij vestnik Severnogo Kavkaza. 2020; 15(4): 461–8. (in Russian).
Belostockij A.V., Kasaeva T.Ch., Kuz'mina N.V., Ne- lidova N.V. Problema priverzhennosti bol'nyh tu- berkulezom k lecheniyu. Tuberkulez i bolezni leg- kih. [The problem of adherence of tuberculosis patients to treatment. Tuberculosis and lung di- seases]. 2015; 4: 4–9. (in Russian).
P'yanzova T.V., Vezhnina N.N. Meropriyatiya po povysheniyu priverzhennosti lecheniyu bol'nyh tuberkulezom v Rossijskoj Federacii. [Measures to increase adherence to the treatment of tuberculosis patients in the Russian Federation]. Medicina v Kuzbasse. 2014; 3 (13): 5–10. (in Russian).
Sherstneva T.V., Skornyakov S.N., Podgaeva V.A. i dr. Puti formirovaniya priverzhennosti lecheniya bol'nyh tuberkulezom. [Ways of forming adherence to the treatment of tuberculosis patients]. Ural'skij medicinskij zhurnal. 2015; 8(131): 112–6. (in Russian).
Ryzhkov S.I., Glebova O.A., Shovkun L.A. Fakto- ry, vliyayushchie na priverzhennost’ k lecheniyu bol’nyh tuberkulezom. [Factors influencing adherence to treatment of tuberculosis patients]. Glavnyj vrach Yuga Rossii. 2017; 2 54): 72–4. (in Russian).
Batysheva T.T., Bykova O.V., Vinogradov A.V. Priverzhennost’ sem’i i k lecheniyu rebenka s nevrologicheskoj patologiej. [Commitment of the family and to the treatment of a child with neurological pathology]. Zhurnal nevrologii i psihiatrii im.S.S.Korsakova. 2012; 112(7-2): 56–63. (in Russian).