Experiences of patients on short term drug resistant tuberculosis regimen at Nelson Mandela District TB Specialist Hospital
- Authors: Sempe, Thabo Benedict
- Date: 2021-08
- Subjects: Multidrug-resistant tuberculosis
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22940 , vital:53224
- Description: The purpose of this research study was to explore and describe the experiences of patients on short-term drug resistant TB treatment in a TB specialist hospital situated in Nelson Mandela District. Patients on XDR-TB treatment face many challenges which include side effects which they find hard to tolerate and they end up stopping the treatment. Socio-economic difficulties of concern include delayed social assistance from the government to support their families, particularly when they are breadwinners. A qualitative, descriptive, explorative contextual design was used in this research study. A non-probability convenience sampling method was employed. The target population for this study consisted of those DR-TB patients who were on short-term regimen and semi-structured individual interviews were conducted. There were twelve participants who voluntary participated in the research study although the first interview was a pilot study. Ethical principles were adhered to throughout the study. A total of seven themes and twenty-seven sub-themes arose during the data analysis and were fully discussed. Confidentiality and anonymity was ensured throughout this research. The research findings showed that the participants shared positive experiences in as far as being able to easily access the health care service. Most participants were moved through a range of emotions which included shock. They felt heartbroken about the devastation and the disruptive nature of this illness to themselves and their family lives and, more seriously, were fearful of the morbidity and mortality thoughts which pervaded their thoughts but their health improved when drug resistant TB treatment was initiated. Many of the participants found it easy to disclose to their friends as they knew they could count on their support at the best and worst of times in their treatment journey. In conclusion the participants provided suggestions regarding their support needs on the journey to recovery from DR-TB. The researcher provided certain recommendations as far as the challenges expressed by the participants and these will contribute to strengthening the DR-TB adherence strategies. , Thesis (MPH) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-08
- Authors: Sempe, Thabo Benedict
- Date: 2021-08
- Subjects: Multidrug-resistant tuberculosis
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22940 , vital:53224
- Description: The purpose of this research study was to explore and describe the experiences of patients on short-term drug resistant TB treatment in a TB specialist hospital situated in Nelson Mandela District. Patients on XDR-TB treatment face many challenges which include side effects which they find hard to tolerate and they end up stopping the treatment. Socio-economic difficulties of concern include delayed social assistance from the government to support their families, particularly when they are breadwinners. A qualitative, descriptive, explorative contextual design was used in this research study. A non-probability convenience sampling method was employed. The target population for this study consisted of those DR-TB patients who were on short-term regimen and semi-structured individual interviews were conducted. There were twelve participants who voluntary participated in the research study although the first interview was a pilot study. Ethical principles were adhered to throughout the study. A total of seven themes and twenty-seven sub-themes arose during the data analysis and were fully discussed. Confidentiality and anonymity was ensured throughout this research. The research findings showed that the participants shared positive experiences in as far as being able to easily access the health care service. Most participants were moved through a range of emotions which included shock. They felt heartbroken about the devastation and the disruptive nature of this illness to themselves and their family lives and, more seriously, were fearful of the morbidity and mortality thoughts which pervaded their thoughts but their health improved when drug resistant TB treatment was initiated. Many of the participants found it easy to disclose to their friends as they knew they could count on their support at the best and worst of times in their treatment journey. In conclusion the participants provided suggestions regarding their support needs on the journey to recovery from DR-TB. The researcher provided certain recommendations as far as the challenges expressed by the participants and these will contribute to strengthening the DR-TB adherence strategies. , Thesis (MPH) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-08
Knowledge and attitudes of women regarding cervical cancer and papanicolau smear screening in Caleb Motshabi, Bloemfontein
- Authors: Gwavu, Zintle
- Date: 2021-08
- Subjects: Cervix uteri -- Cancer -- South Africa , Pap test
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21816 , vital:51795
- Description: The aim of the study was to explore the knowledge and attitudes of women in Caleb Motshabi location regarding cervical cancer and Papanicolaou (Pap) smear screening in order for district management to develop a health education programme on cervical cancer and the benefits of screening. Cervical cancer amongst women worldwide has been identified as the fourth most common cancer. A qualitative descriptive explorative contextual design was employed in this research study. A non-probability purposive sampling method was used. Women between the ages of 18-60 years’ old who reside in Caleb Motshabi location were the target population. Four focus group interviews were conducted. The groups consisted of four to six participants grouped together to discuss the matter. Ethical principles were maintained as well as the concept of trustworthiness throughout this study. Data analysis was done using Tesch’s approach to open coding in qualitative research. A total of seven themes and eight sub-themes arose during the analysis of the data and were completely discussed. The findings suggest that the majority of the participants were aware of cervical cancer and Pap smear, but they lacked knowledge of what cervical cancer is or its causes. Although some of the participants had done a Pap smear in their lifetime, knowledge about how and the reasons the procedure is done still lacked. The majority of participants had received information about Pap smear procedure from peers rather than from health care workers. A significant finding was the fact that the participants who had done the procedure were open to attending regular screenings since they had experience on how it is performed. In conclusion It was recommended that educational programmes relating to cervical cancer and Pap smear screening be intensified in the area. This can be done through increasing awareness programmes in the communities and during clinic visits. To try and increase the uptake of the Pap smear screening it was also recommended that mobile clinics should be introduced to encourage women in the communities. , Thesis (MPH) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-08
- Authors: Gwavu, Zintle
- Date: 2021-08
- Subjects: Cervix uteri -- Cancer -- South Africa , Pap test
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21816 , vital:51795
- Description: The aim of the study was to explore the knowledge and attitudes of women in Caleb Motshabi location regarding cervical cancer and Papanicolaou (Pap) smear screening in order for district management to develop a health education programme on cervical cancer and the benefits of screening. Cervical cancer amongst women worldwide has been identified as the fourth most common cancer. A qualitative descriptive explorative contextual design was employed in this research study. A non-probability purposive sampling method was used. Women between the ages of 18-60 years’ old who reside in Caleb Motshabi location were the target population. Four focus group interviews were conducted. The groups consisted of four to six participants grouped together to discuss the matter. Ethical principles were maintained as well as the concept of trustworthiness throughout this study. Data analysis was done using Tesch’s approach to open coding in qualitative research. A total of seven themes and eight sub-themes arose during the analysis of the data and were completely discussed. The findings suggest that the majority of the participants were aware of cervical cancer and Pap smear, but they lacked knowledge of what cervical cancer is or its causes. Although some of the participants had done a Pap smear in their lifetime, knowledge about how and the reasons the procedure is done still lacked. The majority of participants had received information about Pap smear procedure from peers rather than from health care workers. A significant finding was the fact that the participants who had done the procedure were open to attending regular screenings since they had experience on how it is performed. In conclusion It was recommended that educational programmes relating to cervical cancer and Pap smear screening be intensified in the area. This can be done through increasing awareness programmes in the communities and during clinic visits. To try and increase the uptake of the Pap smear screening it was also recommended that mobile clinics should be introduced to encourage women in the communities. , Thesis (MPH) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-08
Psychosocial impact of mental illness on family caregivers of mental healthcare users in Mangaung District
- Authors: Leburu, Maria
- Date: 2021-08
- Subjects: Home care services -- South Africa -- Mangaung -- Psychological aspects , Caregivers -- South Africa -- Mangaung
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21770 , vital:51750
- Description: The purpose of this research study was to describe the psychosocial impact of mental illness on family caregivers of mental health care users in Mangaung district in order to explore strategies to empower mental health care users and their families to understand and to cope with mental illness problem. A qualitative, descriptive explorative and contextu al design was employed. A nonprobability, purposive sampling method was used to select participants. The target population was family caregivers from Mangaung district, whose ages were 18 years and above who were caring for mentally ill patients in their homes or admitted to a psychiatric institution. . Five focus group interviews were conducted but the first one was a pilot study. Ethical principles were maintained throughout the study as well as the concepts of trustworthiness were applied. Tesch’s approach to open coding in qualitative research was applied during data analysis. A total of six themes and twentynine sub-themes arose during data analysis and were fully discussed. Confidentiality and anonymity was ensured throughout the study. The findings suggested that most of the participants suffered psychosocial problems like stress, depression, stigma and financial constraints, although one participant indicated that she has accepted her situation of caregiving. In conclusion participants suggested that support groups should be established and awareness programmes should be put in place for community members to avoid stigmatising and laughing at caregivers, care users and family members. , Thesis (MPH) -- Faculty of Health Sciences, Public Health, 2021
- Full Text:
- Date Issued: 2021-08
- Authors: Leburu, Maria
- Date: 2021-08
- Subjects: Home care services -- South Africa -- Mangaung -- Psychological aspects , Caregivers -- South Africa -- Mangaung
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21770 , vital:51750
- Description: The purpose of this research study was to describe the psychosocial impact of mental illness on family caregivers of mental health care users in Mangaung district in order to explore strategies to empower mental health care users and their families to understand and to cope with mental illness problem. A qualitative, descriptive explorative and contextu al design was employed. A nonprobability, purposive sampling method was used to select participants. The target population was family caregivers from Mangaung district, whose ages were 18 years and above who were caring for mentally ill patients in their homes or admitted to a psychiatric institution. . Five focus group interviews were conducted but the first one was a pilot study. Ethical principles were maintained throughout the study as well as the concepts of trustworthiness were applied. Tesch’s approach to open coding in qualitative research was applied during data analysis. A total of six themes and twentynine sub-themes arose during data analysis and were fully discussed. Confidentiality and anonymity was ensured throughout the study. The findings suggested that most of the participants suffered psychosocial problems like stress, depression, stigma and financial constraints, although one participant indicated that she has accepted her situation of caregiving. In conclusion participants suggested that support groups should be established and awareness programmes should be put in place for community members to avoid stigmatising and laughing at caregivers, care users and family members. , Thesis (MPH) -- Faculty of Health Sciences, Public Health, 2021
- Full Text:
- Date Issued: 2021-08
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