Difficulties of treatment of patients with tuberculosis and medical recommendations performed by them

摘要

Purpose?—?To?study?the?reasons?influencing?the?treatment?of?patients.?Material?and?Methods?—?Anonymous?questioning?of?patients?with?tuberculosis?in?number?of?584?people?being?on?treatment?in?antituberculosis?hospitals,?92?phthisiopulmonologists?and?144?therapists?of?Volgograd?was?performed.?Results?—?The?conducted?research?testifies?that?patients?with?tuberculosis?consider?that?they?observe?medical?recommendations?completelyin?76.5%?of?cases,?and?the?opinion?of?medical?workers?was?completely?opposite,?only?4.3%?of?phthisiopulmonologists?and?2.8%?of?therapists.?Most?doctors?were?sure?that?medical?recommendations?were?carried?out?by?only?a?half?of?tuberculosis?patients?that?was?told?by?4.4%?of?phthisiopulmonologists?and?31.3%?of?therapists.?Conclusion?—?Commitment?formation?to?treatment?at?patients?with?tuberculosis?should?be?carried?out?taking?into?account?those?difficulties?ad?problems?which?are?specified?by?patients,?and?also?critical?evaluation?of?performance?by?patients?of?the?medical?recommendations?influencing?the?result?of?treatment.?At?the?solution?of?medical?problems?phthisiopulmonologists?did?not?pay?enough?attention?to?influence?of?psychological?factors,?taking?into?account?available?gender,?age?and?educational?level?of?the?patient?that?compels?to?look?for?new?ways?of?interaction?of?phthisiopulmonologists?and?psychoherapists?in?development?of?the?individual?plan?of?treatment?and?rehabilitation?of?every?patient?with?tuberculosis.