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An exploration of patient perceptions of adherence to tuberculosis treatment in Tanzania

机译：探索坦桑尼亚患者对结核病治疗依从性的看法

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摘要

In this study, we aimed to explore patient perceptions of adherence to tuberculosis (TB) treatment and construct a theoretical model of treatment adherence behavior. We conducted semistructured interviews with 11 adherent patients from Tanzania whom we recruited by purposive sampling. The interview data were analyzed by content analysis. We found that the patient's intention to adhere is the most important determinant of adherence behavior. This intention is preceded by the decision to seek biomedical health care, and based on knowledge and beliefs about TB treatment and the motivation to be cured. The intention to adhere helps patients to cope with perceived barriers to adherence, such as socioeconomic difficulties, and to create an adherence-enabling environment in which the presence of social support plays an important role. Our preliminary adherence behavior model should be validated in larger, nonadherent patient populations and evaluated for its applicability to the development of adherence-promoting strategies.
机译：在这项研究中，我们旨在探讨患者对结核病（TB）治疗依从性的看法，并建立治疗依从性行为的理论模型。我们对11名来自坦桑尼亚的依从性患者进行了半结构化访谈，这些患者是我们通过有针对性的抽样方法招募的。通过内容分析来分析访谈数据。我们发现患者的坚持意愿是坚持行为的最重要决定因素。在此意图之前，决定寻求生物医学保健，并基于对结核病治疗的知识和信念以及治愈的动机。坚持意向有助于患者应对依从性所面临的障碍，例如社会经济困难，并创建一个能够促进依从性的环境，在这种环境中，社会支持的存在将发挥重要作用。我们的初步依从行为模型应在较大的非依从患者人群中进行验证，并评估其对发展依从性策略的适用性。

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