May 2017 Vol. 5 No.5

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Original Research Article

Impact of an Instructional Program on Specific Health-Related Quality of Life concerning Tuberculosis Patients among A sample in Baghdad City

¹Abdulkhaleq A. Ali Ghalib Al-Naqeeb and ²Rabab M. Atiyah

¹College of Health & Medical Technology/Baghdad-Iraq
²Al-SWUIRH Sector for Primary Health Care, Wassit Health Directorate, Ministry of Health

*Corresponding Author’s Email: abdulkhaliq.alnaqeeb@yahoo.com

Accepted May 15, 2017

Abstract

This research aimed to assessing specific health-related quality of life for pulmonary tuberculosis patients before and after applying the suggested instructional program, and to find out relationships among distribution of an overall assessment specific quality of life improvement and socio-demographic characteristics variables. Self-controlled design to studying effectiveness of applying instructional program on specific quality of life for pulmonary tuberculosis patients among sample size (65) patients from primary health care centers/AL-Sadur City sector-the consultation clinic of chest and respiratory diseases at AL-Rusafa health directorate and Ibn-Zuhr Hospital at Baghdad city. An instructional program has been applied with an approach of pre-test and post-test for checking improvements on the study sample concerning specific quality of life. This study applied questionnaire format of “Evaluation of a Cough-Specific Quality-of-Life”, questionnaire which were published at “Chest Journal official Publication of American College of Chest Physicians”, and consists (28) items. The methods used descriptive statistics (Observed frequencies, percentages, mean of score, standard deviation, relative sufficiency, and Stem–Leaf plot method) to evaluate the specific QoL-Improvements, as well as inferential statistical methods are used such that (Wilcoxon Signed Rank, McNemar, and Analysis of covariance (ACNOVA)). Results shows that studied disease is classified to indigence diseases, which clear the effectiveness of crowding index and poor socio-economic status on the disease incidence. Suggested of instructional program shows a highly stating of improvements with pulmonary tuberculosis patients and results illustrated that most of questionnaire’s items are assigned meaningful improvements significantly at p-values <0.01 due to the effectiveness which were obtained positively by the suggested of instructional program application which are included “Physical, Psychological, Functional, Emotional, Extreme well-being, Personal Safety, and Specific QoL”, except of “Functional” main domain, since no significant different are accounted at P-value >0.05, rather than simply improvement are assigned positively. Suggest to applied the instructional program in all consultation clinic for chest and respiratory disease and its coordinator tuberculosis units after training specialized staff, reducing the crowding index and enhancing the economic status for patients through governmental commitment by offering financial supports and food supplements to all patients, we suggest to do similar researches about this subject in the future.

Key words: Pulmonary Tuberculosis Disease, Cough-Specific Quality-of-Life, TB instructional program, Health- Related Quality of Life, Specific-Quality-of-Life