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首页> 外文期刊>BMC Public Health >Health workers’ perceptions on where and how to integrate tobacco use cessation services into tuberculosis treatment; a qualitative exploratory study in Uganda
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Health workers’ perceptions on where and how to integrate tobacco use cessation services into tuberculosis treatment; a qualitative exploratory study in Uganda

机译：卫生工作者对在地点和如何将烟草整合到结核病治疗的地方和如何融入烟草的看法; 乌干达的定性探索性研究

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Tobacco use is associated with exacerbation of tuberculosis (TB) and poor TB treatment outcomes. Integrating tobacco use cessation within TB treatment could improve healing among TB patients. The aim was to explore perceptions of health workers on where and how to integrate tobacco use cessation services into TB treatment programs in Uganda. Between March and April 2019, nine focus group discussions (FGDs) and eight key informant interviews were conducted among health workers attending to patients with tuberculosis on a routine basis in nine facilities from the central, eastern, northern and western parts of Uganda. These facilities were high volume health centres, general hospitals and referral hospitals. The FGD sessions and interviews were tape recorded, transcribed verbatim and analysed using content analysis and the Chronic Care Model as a framework. Respondents highlighted that just like TB prevention starts in the community and TB treatment goes beyond health facility stay, integration of tobacco cessation should be started when people are still healthy and extended to those who have been healed as they go back to communities. There was need to coordinate with different organizations like peers, the media and TB treatment supporters. TB patients needed regular follow up and self-management support for both TB and tobacco cessation. Patients needed to be empowered to know their condition and their caretakers needed to be involved. Effective referral between primary health facilities and specialist facilities was needed. Clinical information systems should identify relevant people for proactive care and follow up. In order to achieve effective integration, the health system needed to be strengthened especially health worker training and provision of more space in some of the facilities. Tobacco cessation activities should be provided in a continuum starting in the community before the TB patients get to hospital, during the patients’ interface with hospital treatment and be given in the community after TB patients have been discharged. This requires collaboration between those who carry out health education in communities, the TB treatment supporters and the health workers who treat patients in health facilities.
机译：烟草用途与结核病（TB）的恶化和结核病治疗结果不良有关。在结核病治疗中整合烟草使用停止可以改善结核病患者之间的愈合。目的是探讨卫生工作者对乌干达的结核病治疗方案的卫生工作者的看法。在2019年3月和4月之间，在乌干达中央，东部，北部和西部乌干达的中部地区的九种设施中，在卫生工作者中，患者在患有结核病患者的卫生工作者中进行了九个焦点小组讨论（FGDS）和八个关键信息面试。这些设施是批量保健中心，综合医院和推荐医院。 FGD会话和访谈是录制的，转录逐字并使用内容分析和慢性护理模型作为框架进行分析。受访者强调，与TB预防一样，社区和结核病治疗超出了卫生设施，应该开始挪用烟草停止的融合，当人们仍然健康并扩展到他们回到社区时已经痊愈的人。需要与同行等不同组织协调，媒体和结核病治疗支持者。 TB患者需要定期跟进TB和烟草停止的自我管理支持。患者需要赋权了解他们的病情，并且需要参与他们的护理人员。需要在主要卫生设施和专业设施之间有效转介。临床信息系统应识别相关人员以主动护理和跟进。为了实现有效的整合，卫生系统需要加强尤其是卫生工作者培训和一些设施的更多空间。在CTB患者在患者与医院治疗的患者接触期间，应在社区开始前的连续核心戒烟活动，并在患有结核病患者出院后在社区中提供。这需要在社区进行健康教育的人之间合作，结核病治疗支持者和治疗卫生设施患者的卫生工作者。

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