Purpose
Health behavior is important for the treatment of tuberculosis patients. This study aims to clarify the concept of health behavior in tuberculosis patients.
Methods
We used Rodger's evolutionary concept analysis method. A literature search was performed using the NDSL, NAL, RISS, PubMed, ProQuest, CINAHL, Web of Science and Cochrane Library published in Korean and English language from January 2015 to April 2021. After applying inclusion and exclusion criteria, a total of 69 articles were selected for final analysis.
Results
The analysis showed that five attributes determine health behavior concepts: willpower, the choice for every moment, counterbalance, overcoming, and multi-level multi-causal processes.
Conclusion
This study shows that health behavior in tuberculosis patients has evolved into a patient-centered approach in an evolutionary context. The results of this study will contribute to the development of intervention access and management programs for health care providers, including nurses.

Purpose
The purpose of this study was to verify the mediating effect of self-care performance between Self-Care Efficacy (SCE) and Health-Related Quality of Life (HRQoL) among patients on primary treatment for pulmonary tuberculosis.
Methods
A structured self-report survey was conducted with 143 patients on primary treatment for pulmonary tuberculosis. The collected data were analyzed using descriptive statistics, analysis of variance, Pearson correlation coefficient, hierarchical multiple linear regression, and Sobel test.
Results
There were significant correlations between participants’ SCE and self-care performance (r=.62, p<.001), SCE and HRQoL (r=.44, p<.001), and self-care performance and HRQoL (r=.54, p<.001). Self-care performance completely mediated the relationship between SCE and HRQoL (z=3.72, p<.001).
Conclusion
It is necessary to develop interventions for reinforcing SCE, focusing on low self-care groups, to ultimately improve the HRQoL of patients on primary treatment for pulmonary tuberculosis.

Citations

• Correlation of self-efficacy and medication adherence with treatment continuity among tuberculosis patients in East Java, Indonesia
  Karyo Karyo, Ah Yusuf, Ilya Krisnana, Nursalam Nursalam, Miftahul Munir, Tri Yunita Fitria Damayanti, Kusno Ferianto, Ahmad Daniel
  Healthcare in Low-resource Settings.2025;[Epub]     CrossRef
• Validity and reliability of the Korean caregiver contribution to self-care chronic illness inventory
  Juhee Lee, Eunyoung Kim, Misook Chung, Insun Yeom
  Scientific Reports.2023;[Epub]     CrossRef
• Effects of Depression, Social Support of Tuberculosis Patients on Self-care
  Go Un Lee, Hye Kyung Lee
  Journal of Korean Academy of Community Health Nursing.2022; 33(4): 456.     CrossRef
• Factors affecting quality of life in low‐income overweight and obese women: The mediating effects of health‐promoting behaviors
  Ju‐Hee Nho, Hye Young Kim, Eun Jin Kim
  Worldviews on Evidence-Based Nursing.2022; 19(3): 201.     CrossRef

PURPOSE
This study aimed to explore medication adherence and its related factors, stigma, self-efficacy, and sense of coherence in patients with tuberculosis.
METHODS
A cross-sectional survey was conducted with a convenience sample of 130 adult outpatients with tuberculosis at a university hospital in Busan during from May 1 to August 21, 2017. The data were collected using structured questionnaires comprising research instruments measuring medication adherence, stigma, self-efficacy, and sense of coherence and face-to-face interviews and medical records for treatment delays and participant characteristics. The SPSS/WIN 22.0 program for descriptive statistics, Pearson's correlation coefficients and stepwise multiple regression were used to analyze the data.
RESULTS
The mean score for medication adherence was 4.86±1.48. The factors related to medication adherence in adult outpatients with tuberculosis were stigma (β=−.23, p=.004), self-efficacy (β=.20, p=.036), perceived family support (β=.19, p=.012), and alcohol (β=−.19, p=.021), which explained 38.9% of the variance in medication adherence.
CONCLUSION
The study results suggest that a nursing intervention must be designed to reduce stigma, improve self-efficacy, promote family support, and stop alcohol consumption in order to enhance the medication adherence in adult patients with tuberculosis. Efforts need to educate and encourage tuberculosis patients to adhere strictly to their drugs and conduct various campaigns against the negative perception of tuberculosis.

Citations

• Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic
  Bongsil Lim, Min Young Kim
  The Korean Journal of Rehabilitation Nursing.2023; 26(2): 87.     CrossRef
• Health-Related Quality of Life Based on EQ-5D Utility Score in Patients With Tuberculosis: A Systematic Review
  Hae-Young Park, Hyo-Bin Cheon, Sun Ha Choi, Jin-Won Kwon
  Frontiers in Pharmacology.2021;[Epub]     CrossRef
• Factors Associated with Medication Adherence among the Elderly with Chronic Diseases
  Sook Hee Kang, Eun Ko
  Korean Journal of Adult Nursing.2021; 33(2): 189.     CrossRef
• THE EFFECT VIDEO MEDIA PSYCHEDUCATION ON ANXIETY LEVELS AND SELF EFFICACY OF TUBERCULOSIS PATIENTS IN THE TREATMENT AT PARU CENTER RSUD CILACAP
  Rosi Arista
  Critical Medical and Surgical Nursing Journal.2020; 9(1): 34.     CrossRef

PURPOSE
The purpose of this study was to identify the mediating effects of self-efficacy and family support in the relationship between illness perception and health behaviors among patients with tuberculosis.
METHODS
A descriptive, cross-sectional study was conducted with 219 patients with tuberculosis from one general hospital in D city in Korea. The participants took medication over a two months period. Data were collected from four self-reported questionnaires including Health behaviors Questionnaire and Family Support Questionnaire. Of the four questionnaires, Venereal Disease Education Health Belief Model Scales and Health Belief Model Scales were modified for this study population with tuberculosis. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression analysis using SPSS statistics 23.0 program.
RESULTS
A positive correlation existed between health behaviors and illness perception (r=0.80, p < .001), self-efficacy (r=0.66, p < .001), and family support (r=0.73, p < .001). Self-efficacy and family support had partial mediating effect on the relationship between illness perception and health behaviors.
CONCLUSION
Theses results indicated that in order to improve the health behaviors of patients with tuberculosis, it is necessary to develop a management plan that focuses not only on the illness perception but also on the self-efficacy and the role of the family support.

Citations

• Effects of illness perception on negative emotions and fatigue in chronic rheumatic diseases: Rumination as a possible mediator
  Yanxia Lu, Xia Jin, Li-Wei Feng, CSK Tang, Michelle Neo, Roger C Ho
  World Journal of Clinical Cases.2022; 10(34): 12515.     CrossRef
• Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
  Hyun Ju Lee, Jiyoung Park
  Korean Journal of Adult Nursing.2020; 32(3): 305.     CrossRef
• Qualitative Analysis of the Disease Experience of Korean Older Men With Chronic Obstructive Pulmonary Disease
  Kisook Kim, Ji Woon Ko, Sangbong Choi
  Journal of Gerontological Nursing.2020; 46(2): 49.     CrossRef
• Emotional Intelligence, Problem Solving Ability, Self Efficacy, and Clinical Performance among Nursing Students: A Structural Equation Model
  Mi Sook Kim, Sue Kyung Sohn
  Korean Journal of Adult Nursing.2019; 31(4): 380.     CrossRef

PURPOSE
This study identified the reasons why tuberculosis (TB) patients withhold treatment in a bid to develop a assessment scale to select patients who needs nursing intervention in the early stage and decrease the risk of discontinuation of treatment. Sample: There were two samples. A sample of 191 patients with TB and having primary treatment and a second sample of N who were under re-treatment.
METHODS
The study design included qualitative and quantitative methods. Qualitative data were collected from in-depth interviews of TB patients under re-treatment. The quantitative data were collected from 191 patients with TB under primary treatment.
RESULTS
Exploratory factor analysis revealed 11 factors explaining 69.6% of total variance. These factors were categorized into four subgroups. A depression scale was used to establish concurrent validity. The depression scale had a positive relationship (r=54) with the discontinuing of primary treatment. The internal consistency reliability for the four subgroups was over .84. The confidence coefficient was Cronbach's alpha.95. The final scale was a self-reported four Likert scale including 50 items.
CONCLUSION
Reliability and validity was established for the scale and the scale can be used to examine the risk of treatment discontinuation for TB. The scale is an important resource for nursing interventions in identifying and treating high risk clients.

Citations

• Identifying Predictors of Unfavorable Treatment Outcomes in Tuberculosis Patients
  Ji Yeon Lee, Jun-Pyo Myong, Younghyun Kim, Ina Jeong, Joohae Kim, Sooim Sin, Yunhyung Kwon, Chieeun Song, Joon-Sung Joh
  International Journal of Environmental Research and Public Health.2024; 21(11): 1454.     CrossRef
• Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic
  Bongsil Lim, Min Young Kim
  The Korean Journal of Rehabilitation Nursing.2023; 26(2): 87.     CrossRef
• Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
  Hyun Ju Lee, Jiyoung Park
  Korean Journal of Adult Nursing.2020; 32(3): 305.     CrossRef

PURPOSE
To describe the performance in the health-promoting lifestyle and to identify the major factors affecting the health-promoting relationships between self care behaviors and health promoting lifestyle profile in patients with pulmonary tuberculosis. METHOD: A convenience sample for this study was 172 pulmonary tuberculosis patients who have taken TB medications in urban city. The HPLP-ll was selected to measure the concept of health- promoting lifestyle because of the number of research studies conducted using both the original HPLP and the revised HPLP-ll. The statistical methods used in this study were t-test, ANOVA, Pearson correlations, and multiple regression. RESULT: The differences of the HPLP-ll were found to have a significance of age, marital status, education level, and health service center. The level of self care behaviors was related positively to the level of health promoting lifestyle and their subcategories. Based on stepwise multiple regression analysis, the model that predicted factors included self care behaviors, age, health service center and education. CONCLUSION: After decades of decreasing rates, TB has reemerged as a serious national problem in Korea. The careful clinical management and more national concern of TB may help to improve the outcomes of many patients. The findings of this study suggest that TB patients who are more fulfilled in health-promoting lifestyles and self-care behaviors may be able to make better decisions regarding positive health-promoting behaviors.