RT Journal Article
SR Electronic
T1 Psychosocial wellbeing of patients with multidrug resistant tuberculosis voluntarily confined to long-term hospitalisation in Nigeria
JF BMJ Global Health
FD BMJ Publishing Group Ltd
SP e000006
DO 10.1136/bmjgh-2015-000006
VO 1
IS 3
A1 Olanrewaju Oladimeji
A1 Boniface Ayanbekongshie Ushie
A1 Ekerette Emmanuel Udoh
A1 Kelechi Elizabeth Oladimeji
A1 Olusoji Mayowa Ige
A1 Olusegun Obasanya
A1 Daisy Lekharu
A1 Olayinka Atilola
A1 Lovett Lawson
A1 Osman Eltayeb
A1 Mustapha Gidado
A1 Joyce M Tsoka-Gwegweni
A1 Chikwe A Ihekweazu
A1 Charles S Chasela
YR 2016
UL http://gh.bmj.com/content/1/3/e000006.abstract
AB Background and objective Patient isolation, which is a widely successful treatment strategy for tuberculosis (TB), has been suspected to have effects on patient psychosocial wellbeing. We assessed the psychosocial wellbeing of multidrug resistant TB (MDR-TB) patients in voluntary and isolated long-term hospitalisation in Nigeria.Methods 98 accessible and consenting patients in four drug-resistant treatment centres (University College Hospital and Government Chest Hospital, Ibadan; Mainland Hospital, Lagos, and Lawrence Henshaw Memorial Hospital, Calabar) were enrolled in this study. Data were collected using an 18-item psychosocial wellbeing questionnaire including sociodemographic characteristics. We used descriptive statistics to present demographic characteristics; the χ2 test was used to assess associations between psychosocial wellbeing and independent variables and the relationship was modelled using logistic regression.Results The mean age of respondents was 36.1±11.9 years and 63% were males. Respondents had been in hospital an average of 4.5±1.9 months. Females had more psychosocial concerns compared with males. The most common concerns recorded among respondents were concern that people will get to know that the respondent had a bad type of TB (70%), discontent with being separated from and longing for the company of their marital partner (72%), concerns that they may have taken too many drugs (73%), and displeasure with being unable to continue to engage in their usual social and economic activities (75%). Respondents who were employed had eight times the odds of having more psychosocial concerns than the median number among respondents. Respondents who were supported by their own families during hospitalisation experienced a lower burden of psychosocial concerns compared with those who were supported by third parties.Conclusions Prolonged hospitalisation resulted in significant psychosocial burden for the MDR-TB patients in our study centres. There is a need to consider alternative approaches that place less psychosocial burden on patients without compromising quality of care.