PSYCHOSOCIAL STUDY ON TUBERCULOSIS

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PSYCHOSOCIAL STUDYON TUBERCULOSIS
CONDUCTED BY KARTIK PRAJAPATI
BHAVIK RANA
YESHA RAO
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INTRODUCTION

• T.B. is a chronic communicable disease. It
  is one of the biggest health problem of India.
  Prevalence of T.B. in India is 156/1lakh
  population.
• Apart from the agent and environment some
  social factors like age, sex, lack of education,
• poverty, lower SES also have their impact.
• Indian workers loose about 83 work days
  because of disease. This adds the economic burden
  on pt. as well as society.

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• About half of population under 20 years
  of age is infected with M. Tuberculosis which can
  turn out in full blown disease at any moment. So
  even the future is not safe.
• As TB is an infectious disease,
  misbelieves (coming from past) prevalent in
  society about its fatality and lack of education
  about T.B., the patients are neglected by
  society. This adds psychological stress on pt.
• Therefore we have selected this study to
  find out the effect of social factors on
  prevalence of T.B. and psychological changes in
  the patients of same disease.

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AIMS OBJECTIVES

• To know socio-demographic profile of TB patients.
• To know symptoms which bring patients to
  hospital.
• To find out past history of TB in study group.
• To know psychological problems amongst TB
  patients.
• To know perceptions regarding TB cure.
• To know practices of sputum disposal collection
  by TB patients.

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MATERIAL METHOD

• Study design cross sectional
• Study group 100 indoor patients of TB hospital,
  Astodia V.S.G.H.
• Sampling method T.B. patients admitted during
  April 2005-June 2005 were randomly selected
  interviewed personally. Data were collected with
  the help of pre tested pre designed proforma.
• Statistical analysis Proportions

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TIMELINE CHART

• 
  literature search
• 
  submission
• 
  analysis
• data
  entry
• data
  collection
• proforma
• 0 2 4 6 8 10 12 14 16 18 20
  
• TIME (WEEKS)

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RESOURCES
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OBSERVATIONS RESULTSsocio-demographic profile

• Age
• 28 patients belong to 15-19 years age group.

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• 2) Sex
• 61 patients are male.

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• 3) Education
• 63 patients are illiterate.
• 4) Marital status

83 patients under study are married.
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• 5) Occupation
• 59 patients are unskilled (e.g. laborers).

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• 6) Socio-economic status

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Fever(26), cough(27) weight loss(21) are the
main symptoms which bring patients to hospital.
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• 8) Past history
• 42 of patients have positive past h/o TB.

PAST HISTORY
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• 9) Psychological problems
• 74 patients suffer from psychological stress, in
  the form of anxiety, depression or loss of
  confidence.
• 39 patients have fear about their own health.
• 32 patients have suffered from economic loss.
• 28 patients feel change in their relationship
  with spouse family members.

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• 10) Patients perception about disease
• Most of people(69)believe that the disease is
  completely curable.

• 11) Sputum disposal
• 62 of pt. dispose their sputum in collector
  provided by hospital.
• Rest of pt. dispose their sputum
  indiscriminately.

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SUMMARY CONCLUSION

• The study concluded that,
• Age-wise distribution of population surveyed
  shows, 28 patients belong to 15-19 years age
  group.
• Most of the patients (61) under survey, are
  male.
• Education status of patients is very low. Most of
  them(63) are illiterate.
• 83 patients under study are married.
• Occupation pattern shows, major proportion of
  patients(59) are unskilled.
• 92 patients belong to lower (class 5 according
  to Modified Prasads classification)
  socio-economic class.
• Fever(26), cough(27) weight loss(21) are the
  main symptoms which bring patients to hospital.
• 42 of patients have positive past h/o TB.

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• 74 patients suffer from psychological stress, in
  the form of anxiety, depression or loss of
  confidence.
• 39 patients have fear about their own health.
• 32 patients have suffered from economic loss.
• 28 patients feel change in their relationship
  with spouse family members.
• Most of people(69)believe that the disease is
  completely curable.
• 62 of pt. dispose their sputum in collector
  provided by hospital.

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RECCOMONDATIONS

• Patients should be properly guided for sputum
  disposal.
• Psychological rehabilitation restoration of
  personal dignity confidence.
• Health education should be given to patients as
  well as their kin.

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THANK YOU