Tuberculosis Patients' Perspective of Quality of Care Provided By Nurses after Implementing Nursing Intervention at Chest GovernorateHospitals in Gharbia

Abstract

Tuberculosis (TB) is a significant global infectious disease, infecting 9.4 million patients in 2009 and nearly 14 million people living with the disease worldwide. The Aim of this study: Assess tuberculosis patients' perspective of quality of care provided by nurses after implementing nursing intervention at chest hospitals in Gharbia Governorate and evaluates the effect of educational intervention on nurse's knowledge and attitude regarding tuberculosis disease. Material and Methods: This study was conducted in Tanta and El Mahalla chest hospitals in Gharbia Governorate. The study sample included all old and newly diagnosed cases (at least two weeks on treatment) with TB, and 149 nurses form both chest hospitals. Data were collected through an interview sheet which includes socio-demographic characteristics, personal history of chronic diseases, patients' knowledge about TB and A questionnaire sheet include socio-demographic characteristics related to the nurses, the nurses' knowledge about tuberculosis and their attitude. Results: The majority of the interviewed patients were male (89.2%) and most of them (70.3%) were smoking patients. The attitude of the patients' regarding to performance of the TB facility was (59.8 %), while the total mean percent for patient attitude about the importance of the TB quality aspects was (100%). The majority of the studied nurses were Bachelor; the total score of nurses' knowledge was highly significant in pre and post intervention of educational program. Conclusion and Recommendations: There is a need for in-service training for staff to provide patients with effective counseling. Keywords: Tuberculosis, quality of care, performance of the TB facility, importance of the TB quality aspects.