Perceptions of engagement in health care among patients with tuberculosis: a qualitative study
Jing Ren,1 Quanlei Li,2 Tianhua Zhang,3 Xiaomei Li,4 Shaoru Zhang,1,4 Jiaojiao Wright,2 Haini Liu,4 Zhongqiu Hua4 1School of Public Health, Health Science Center, Xi’an Jiaotong University, Xi’an, Shanxi, China; 2School of Nursing, Johns Hopkins University, Baltimore, MD, USA; 3...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2019-01-01
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| Series: | Patient Preference and Adherence |
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| Online Access: | https://www.dovepress.com/perceptions-of-engagement-in-health-care-among-patients-with-tuberculo-peer-reviewed-article-PPA |
| _version_ | 1819079725227704320 |
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| author | Ren J Li QL Zhang TH Li XM Zhang SR Wright JJ Liu HN Hua ZQ |
| author_facet | Ren J Li QL Zhang TH Li XM Zhang SR Wright JJ Liu HN Hua ZQ |
| author_sort | Ren J |
| collection | DOAJ |
| description | Jing Ren,1 Quanlei Li,2 Tianhua Zhang,3 Xiaomei Li,4 Shaoru Zhang,1,4 Jiaojiao Wright,2 Haini Liu,4 Zhongqiu Hua4 1School of Public Health, Health Science Center, Xi’an Jiaotong University, Xi’an, Shanxi, China; 2School of Nursing, Johns Hopkins University, Baltimore, MD, USA; 3Shaanxi Provincial Institute for Tuberculosis Control and Prevention, Xi’an, Shanxi, China; 4School of Nursing, Health Science Center, Xi’ an Jiaotong University, Xi’an, Shanxi, China Purpose: Adherence to treatment is cited as a key challenge in fighting tuberculosis (TB). Treatment of TB requires patients to actively engage in their care. The purpose of this study was to explore the perceptions of patients with TB regarding their engagement in health care.Patients and methods: The study was conducted in three medical wards in one hospital. Purposive sampling was used to recruit participants. Semi-structured, audiotaped interviews were conducted and analyzed using thematic analysis.Results: Twenty-three patients participated in the study. Four major themes emerged: 1) devaluing engagement; 2) interacting with health care providers (HCPs); 3) facing inability; and 4) seeking external support.Conclusion: The patients’ perceptions of their engagement in health care were generally negative. Paying attention to the preferences and needs of patients and making decisions accordingly are effective strategies for promoting patient engagement. Moreover, HCPs should be aware of their crucial role in helping patients make sense of what engagement is and how to engage. In the process of engagement, providers should establish effective interactions with patients and cooperate with family and peers. Keywords: tuberculosis, patient engagement, qualitative study, treatment adherence |
| first_indexed | 2024-12-21T19:33:33Z |
| format | Article |
| id | doaj.art-8f55a99be76a491f807668f4eeec7b89 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-21T19:33:33Z |
| publishDate | 2019-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-8f55a99be76a491f807668f4eeec7b892022-12-21T18:52:40ZengDove Medical PressPatient Preference and Adherence1177-889X2019-01-01Volume 1310711743517Perceptions of engagement in health care among patients with tuberculosis: a qualitative studyRen JLi QLZhang THLi XMZhang SRWright JJLiu HNHua ZQJing Ren,1 Quanlei Li,2 Tianhua Zhang,3 Xiaomei Li,4 Shaoru Zhang,1,4 Jiaojiao Wright,2 Haini Liu,4 Zhongqiu Hua4 1School of Public Health, Health Science Center, Xi’an Jiaotong University, Xi’an, Shanxi, China; 2School of Nursing, Johns Hopkins University, Baltimore, MD, USA; 3Shaanxi Provincial Institute for Tuberculosis Control and Prevention, Xi’an, Shanxi, China; 4School of Nursing, Health Science Center, Xi’ an Jiaotong University, Xi’an, Shanxi, China Purpose: Adherence to treatment is cited as a key challenge in fighting tuberculosis (TB). Treatment of TB requires patients to actively engage in their care. The purpose of this study was to explore the perceptions of patients with TB regarding their engagement in health care.Patients and methods: The study was conducted in three medical wards in one hospital. Purposive sampling was used to recruit participants. Semi-structured, audiotaped interviews were conducted and analyzed using thematic analysis.Results: Twenty-three patients participated in the study. Four major themes emerged: 1) devaluing engagement; 2) interacting with health care providers (HCPs); 3) facing inability; and 4) seeking external support.Conclusion: The patients’ perceptions of their engagement in health care were generally negative. Paying attention to the preferences and needs of patients and making decisions accordingly are effective strategies for promoting patient engagement. Moreover, HCPs should be aware of their crucial role in helping patients make sense of what engagement is and how to engage. In the process of engagement, providers should establish effective interactions with patients and cooperate with family and peers. Keywords: tuberculosis, patient engagement, qualitative study, treatment adherencehttps://www.dovepress.com/perceptions-of-engagement-in-health-care-among-patients-with-tuberculo-peer-reviewed-article-PPATuberculosisPatient EngagementQualitative Study |
| spellingShingle | Ren J Li QL Zhang TH Li XM Zhang SR Wright JJ Liu HN Hua ZQ Perceptions of engagement in health care among patients with tuberculosis: a qualitative study Patient Preference and Adherence Tuberculosis Patient Engagement Qualitative Study |
| title | Perceptions of engagement in health care among patients with tuberculosis: a qualitative study |
| title_full | Perceptions of engagement in health care among patients with tuberculosis: a qualitative study |
| title_fullStr | Perceptions of engagement in health care among patients with tuberculosis: a qualitative study |
| title_full_unstemmed | Perceptions of engagement in health care among patients with tuberculosis: a qualitative study |
| title_short | Perceptions of engagement in health care among patients with tuberculosis: a qualitative study |
| title_sort | perceptions of engagement in health care among patients with tuberculosis a qualitative study |
| topic | Tuberculosis Patient Engagement Qualitative Study |
| url | https://www.dovepress.com/perceptions-of-engagement-in-health-care-among-patients-with-tuberculo-peer-reviewed-article-PPA |
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