| Abstract: | The trend of having Tuberculosis has been rising for the past few years. According to current domestic Tuberculosis complete treatment rate, the rate was at 77.1% in 1996, but it dropped down to 74.24% in 2000. Complete treatment rate is hard to improve as easy as imagination. Tuberculosis patients need to be treated at least 6 months from taking medical treatment to complete treatment; moreover, good medical service quality will improve patient?s satisfaction and influence patient willing to re-seek medical advice. Therefore, the purpose of this research is not only to understand fundamental of Tuberculosis patient?s individual characteristic, personal healthy realization, and distribution of medical correlation, but compare patient?s difference of Tuberculosis knowledge at the disease control centers which located at the area of north, midland, south, and east. Also, discuss the influence elements of entire Tuberculosis patient?s satisfaction for treatment service.
This research is base on disease control center?s new Tuberculosis record between June and November in 2001. The records distribute into complete treatment and non-complete treatment groups to be observed for 18 months. According to new individual patient that add monthly from each areas, we collect the amount of 550 valid samples from ratio sampling.
This research is not only gathering a initial statistics, but using chi-square test and MANOVA for analyzing relationship of satisfaction between each variables and whether complete treatment. Besides, using multiple regression to discuss the influence elements of entire Tuberculosis patient?s satisfaction.
The research result shows that there are two primary reasons for patient to complete treatment from Tuberculosis such as self willpower and doctor?s reminder with encouragement. On the other hand, uncomfortable with medicine, self sense of recovery, and variety of medicine are the factors of unsuccessful recovery. In addition to recovery rate in all areas, east region has the highest point, but all of the areas are not much difference. Obviously, Tuberculosis patients have different disease cognitions in all areas. East patients have the highest cognitions, whereas south patients have the lowest. The frequency of public health nurses? concern and help has distinct diversity cognition within each area of patients. The proportion of frequency nurse concern to degree of help given by nurse is representing a positive relation. Multiple regression indicates that the elements to influence Tuberculosis patient?s satisfaction are whether complete treatment, gender, age, effect of treatment and service attitude by doctor, frequency of public health nurses? concern and help, and cognition of using medicines.
Tuberculosis patients think that the primary reasons for complete treatment are self willpower and family assistance. Furthermore, doctor?s reminder with encouragement is another critical factor. Due to eastern patients have higher cognition on disease, the disease education in eastern is much more successful than other areas. This success can be provided to other areas for reference. Patient?s cognition and complying behavior are major effect of treatment, but doctors also play a leading role during Tuberculosis treating process. This research result displays the most obvious influence of Tuberculosis patient?s satisfaction is doctors? treating effect. Therefore, it emphasizes the relationship between doctor and patient is very important on treating Tuberculosis. Improving patient?s willing to seek medical advice, so as to reach complete treatment target earlier. |
