Relationship between Anxiety and Non-Adherence to Tuberculosis Treatment among Patients in Selected Chest Clinics in Mombasa County, Kenya
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Date
2023
Authors
Osoo, Victor Okello
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
Non-adherence to anti tuberculosis therapy continues to be a major impediment to the
control and management of Tuberculosis (TB) despite many efforts that have been put
in place by government. Government initiatives to treat TB include ongoing training
for medical personnel and providing free TB drugs in all government facilities. Nonadherence
to TB treatment will result to increase the burden of health care, morbidity
and mortality. Many drug related factors have been noted to contribute to nonadherence
to TB and other chronic ailments. However little has been done on
relationship between anxiety and non-adherence. This study sought to find out the
relationship between anxiety and Non-adherence to TB treatment. The study was
guided by the following objectives; to find out the level of Non-adherence to TB
treatment among TB patients, to determine the level of anxiety among TB patients, to
establish the effect of anxiety on Non-adherence to TB treatment and to identify
intervention measures that would mitigate anxiety among TB patients. The study was
anchored on the care-seeking behavior theory and rational emotive theory and
adopted Correlation research design. The study population was 5,000 TB patients in
Mombasa county; Nasiuma’s formula was used to get a sample size of 400 patients.
Questionnaire was used to collect quantative and qualitative data. The researcher used
content experts to establish validity of the instruments while reliability used test then
re-test method to check for consistency. Quantative data was analyzed using
descriptive statistics namely; Frequency, percentages and Pearson moment of
correlation and SPSS version 23. The study revealed 83% of the respondent’s
experienced moderate non-adherence, 12.2% low non-adherence while 4.8% had high
incidences of non-adherence, the study established that 51.3% of the respondents
experienced mild anxiety, 27.2% moderate anxiety while 21.5% had severe anxiety
,the study found that association between the non-adherence and anxiety was not
significant finally the study found out that the respondents had a clue on what would
help mitigate their anxiety thus reduce incidences of non-adherence. More than thirty
percent indicated that information, counseling and social support would be helpful in
management of anxiety about tuberculosis treatment hence mitigate non-adherence to
TB treatment. The study concludes that that there is non-adherence to TB treatment
and a relationship exist between anxiety and non-adherence. The study recommended
that the role of counselors and psychologists be emphasized in reducing nonadherence.
Description
A Research Project Submitted to the School Of Law, Arts
and Social Sciences in Partial Fulfillment of the
Requirement for the Award of the Degree of Master of
Arts (Counseling Psychology) Kenyatta University
Keywords
Anxiety, Tuberculosis Treatment, Patients, Chest Clinics, Mombasa County, Kenya