Resilience of the partners of long term hospitalised patients with multidrug-resistant (MDR) and extreme drug-resistant (XDR) tuberculosis (TB)
- Authors: Smith, Louise
- Date: 2013
- Subjects: Multidrug-resistant tuberculosis , Health Belief Model , Hospital patients
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10007 , http://hdl.handle.net/10948/d1020913
- Description: Patients diagnosed with Multidrug-resistant(MDR) and Extreme drug-resistant (XDR) tuberculosis (TB) have to be hospitalised for a period of six to twelve months, according to the MDR/XDR Policy Guidelines on the treatment of drug-resistant TB – until the patient recovers, and is no longer infectious. There are factors associated with both the patients’ and their partners’ (spouses) resistance to long-term hospitalisation. This has resulted in several acts of violence against the hospital property and members of the health-care team. However, there are a small number of partners who assist the health-care team – by ensuring compliance from the patients and providing their continued support to the patient – despite their own risk of being infected with MDR and XDR TB. This qualitative study was aimed at exploring and describing the resilience factors that have been observed amongst a small number of partners of patients with MDR and XDR TB at an in-patient treatment centre in Port Elizabeth. The research design was exploratory, descriptive and contextual in nature; and the researcher interviewed eight spouses or live-in partners of patientsfor this study, until data saturation was achieved. The data were collected through semi-structured interviews; and the data analysis was conducted, according to the eight steps proposed by Tesch model of data analysis (in Creswell, 1998).Guba’smodel of trustworthiness was used to assess the data collected during the interviews. The findings from this study will inform the health-care team on methods of how the support of the patients’ partners could be mobilised in the holistic treatment plan of MDR and XDR TB patients in an in-patient treatment centre.
- Full Text:
- Date Issued: 2013
Factors influencing university students' use of HIV voluntary counselling and testing services : an analysis using the health belief model
- Authors: Musemwa, Shingisai
- Date: 2011
- Subjects: Health Belief Model , AIDS (Disease) , College students
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9867 , http://hdl.handle.net/10948/1448 , Health Belief Model , AIDS (Disease) , College students
- Description: Human Immune Virus (HI)V /Acquired Immune Deficiency Syndrome (AIDS) has emerged as the most devastating epidemic that the world has experienced. Voluntary counselling and testing (VCT) has proven to be an effective way of preventing and controlling HIV. South African universities provide free VCT services on their campuses; however, these facilities are underused. The study’s objectives were to use the components of the health belief model (HBM) to explore and describe the factors that influenced the decision made by university students who have gone for VCT. The sample consisted of five male students. Data was collected through one-on-one in depth interviews, which were recorded. Data was analysed using thematic analysis, and the components of the HBM were used as codes for the data. Themes were generated for each component. The results indicated that perceived severity, perceived benefits and cues to action played a role in influencing the participants’ decision to go for VCT. In addition, results show that perceived susceptibility had little influence on their decision to go for VCT. Even though participants acknowledged barriers to VCT, they reported that the perceived benefits for VCT outweighed the barriers, and the decision to go for VCT was made. Participants suggested that to increase uptake of VCT on their campus, the university could improve current VCT campaigns, introduce rewards for VCT and introduce couples VCT.
- Full Text:
- Date Issued: 2011