Title: Pulmonary Impairment after Tuberculosis: Perception of patients about their illness?- A Questionnaire Based Study

Authors: Dr Gajendra Vikram Singh, Dr Santosh Kumar, Dr Parul Mittal, Dr Komal Lohchab, Dr Hariharan, Dr Bhanu Pratap Pandey, Dr Achal Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v7i11.124

Abstract

Objective: To assess The Knowledge, Attitude and Practices of Patients regarding Pulmonary impairment after Tuberculosis

Materials and Method: We evaluated 93 patients suffering from pulmonary impairment after Tuberculosis presenting to S.N. Medical College, Agra for this study. Method of data collection was explained to the participants and informed consent was taken and confidentiality assured to all subjects to get their co-operation. A “predefined 19 questions formatted in standardized questionnaires” was used for the purpose of data collection from stable patients who can read, write and understand Hindi and were willing to participate in our study by using interview method. The data was organized, tabulated and analyzed by using descriptive and inferential statistics.

Observations: Out of 93 patients in study, majority of the patients had poor knowledge (75.5%), positive attitude was found only in (31%) and good adherence to treatment (Practice) was observed in only 19.2% respondent regarding their respiratory diseases. Overall KAP score was (1.7) poor.

Conclusion: We conclude that the majority of patients had poor KAP because they are suffering with respiratory diseases with is entirely different from their primary disease i.e Tuberculosis. Misconceptions and myths about etiology, management and prevention of this clinical entity are very common.  Like COPD, Asthma, Tuberculosis and lung cancer, awareness regarding post tuberculosis complication is not well addressed in general population. Importance of this disease also not got appropriate and serious place in various national and international guidelines of tuberculosis management. Sincere and sustained efforts are required to impart health education in these patients.

Keywords: Knowledge, Attitude, Practice, Pulmonary impairment.

References

  1. thehindu.com › News › States › Andhra Pradesh 01/07/2015
  2. WHO Global tuberculosis report 2019
  3. World Health Organization. Global Tuberculosis Report 2015.20th edition. Geneva, WHO, 2015.
  4. Standards for TB Care in India, Ministry of Health and Family Welfare tbcindia.gov.in/showfile.php?lid=306
  5. WHO Global tuberculosis report 2017 www.who.int/tb/publications/global_report/en/
  6. Pasipanodya et al. BMC Public Health 2010, 10:259
  7. Pasipanodya JG, Miller TL, Vecino M, Munguia G, Garmon R, Bae S, Drewyer G, Weis SE: Pulmonary Impairment After Tuberculosis. Chest 2007, 131:1817-1824.
  8. Pasipanodya JG, Miller TL, Vecino M, Munguia G, Bae S, Drewyer G, Weis SE: Using the St George's Respiratory Questionnaire to ascertain health quality in persons with treated pulmonary tuberculosis. Chest 2007, 132:1591-1598.
  9. Menezes AMB, Hallal PC, Perz-Padilla R, Jardin JRB, Muino A, Lopez MV, Valdivia G, Montes de Oca M, Talamo C, Pertuze J, Victora CG for the Latin American Project for the Investigation of Obstructive Lung Disease (PLATINO) Team: Tuberculosis and airflow obstruction: evidence from the PLATINO study in Latin America. EurRespir J 2007, 30:1180-1185.
  10. Singla Neeta, Singla Rupak, Fernandes Sheron, Behera Digamber. Post treatment sequelae of multidrug resistant tuberculosis patients. Indian J Tuberc 2009;56(4):206–12.
  11. Wilcox PA, Ferguson AD. chronic obstructive airways disease following treated pulmonary TB. Respir Med 1989;83:195–8.
  12. Hnzido E, Singh T, Churchyard G. Chronic Pulmonary function impairmentby initial and recurrent pulmonary tuberculosis following treatment. Thorax 2000;55:32–8
  13. Role Of Pulmonary Rehabilitation In Cases Of Pulmonary Impairment After Tuberculosis.Antriksh Srivastava, Vinisha Chandra, Mohan BandhuGupta,Gajendra Vikram Singh, Santosh Kumar. JIMI.July2017;11:39-45
  14. Kapoor SC. Pulmonary hypertension in pulmonary tuberculosis. Indian J Tuberc 1950;6:50‑
  15. Clinico-physiological profile of patients of pulmonary impairment after tuberculosis at a tertiary care centre. Gajendra Vikram Singh, Antriksh Srivastava, Vinisha Chandra, Santosh Kumar, Rishabh Goel.IJRMS.Sep.2018;6(9)
  16. Long R, Maycher B, Dhar A, Manfreda J, Hershfield E, Anthonisen N. Pulmonary tuberculosis treated with directly observed therapy: serial changes in lung structure and function. Chest 1998; 113: 933–943.
  17. Hnizdo E, Singh T, Churchyard G. Chronic pulmonary function impairment caused by initial and recurrent pulmonary tuberculosis following treatment. Thorax 2000; 55: 32–38.
  18. Pasipanodya J G, Miller T L, Vecino M, et al. Pulmonary impairment after tuberculosis. Chest 2007; 131: 1817–1824.
  19. Menezes A M, Hallal P C, Perez-Padilla R, et al. Tuberculosis and airflow obstruction: evidence from the PLATINO study in Latin America. EurRespir J 2007; 30: 1180–1185.
  20. Maguire G P, Anstey N M, Ardian M, et al. Pulmonary tuberculosis, impaired lung function, disability and quality of life in a high burden setting. Int J Tuberc Lung Dis 2009; 13: 1500–1506.
  21. Ross J, Ehrlich R I, Hnizdo E, White N, Churchyard G J. Excess lung function decline in gold miners following pulmonary tuberculosis. Thorax 2010; 65: 1010–1015.
  22. Myong J-P, Yoon H-K, Rhee C K, Kim H-R, Koo J-W. Risk factors for lung function impairment among the general nonsmoking Korean population. Int J Tuberc Lung Dis 2015; 19: 1019–1026.
  23. Ko Y, Lee Y-M, Lee H-Y, et al. Changes in lung function according to disease extent before and after pulmonary tuberculosis. Int J Tuberc Lung Dis 2015; 19: 589–595.
  24. Martin C J, Hallett W Y. The diffuse obstructive pulmonary syndrome in a tuberculosis sanatorium. II. Incidence and symptoms. Ann Intern Med 1961; 54: 1156–1164.
  25. Allwood B W, Myer L, Bateman E D. A systematic review of the association between pulmonary tuberculosis and the development of chronic airflow obstruction in adults. Respiration 2013; 86: 76-85.

Corresponding Author

Dr Parul Mittal

Department of T.B. & Chest Diseases, S.N. Medical College, Agra, India