\u2019n Eenvoudige en kostedoeltreffende vroe\u00ebpasi\u00ebnt-interaksieproses kan help verseker dat Suid-Afrikaners by wie TB in hospitale gediagnoseer word, voortgesette sorg ontvang nadat hulle na klinieke vir TB-behandeling en vir registrasie in plaaslike behandelingsregisters verwys is. <\/p>\n\n\n\n
So \u2019n proses is veral belangrik in \u2019n \u2019n land met \u2019n ho\u00eb TB-lading en waar sowat 20% van gediagnoseerde pasi\u00ebnte in Kaapstad byvoorbeeld nie op \u2019n betroubare wyse in die nasionale TB-behandelingsregister ingesluit is en dikwels nie suksesvol met klinieke vir behandeling in verbinding geplaas is nie. <\/p>\n\n\n\n
D\u00edt is volgens \u2019n nuwe studie wat deur navorsers van die Desmond Tutu TB-sentrum aan die Universiteit Stellenbosch onderneem is.<\/p>\n\n\n\n
Di\u00e9 studie, \u201cEarly interactions with newly diagnosed TB patients in hospital can support linkage to care\u201d, is onlangs in die eweknie-beoordeelde, ooptoegang-tydskrif Public Health Action<\/span> gepubliseer.<\/p>\n\n\n\n Dit het onder meer behels dat die navorsers \u2019n vroe\u00eb interaksieproses in werking gestel het vir volwassenes by wie TB tussen Augustus 2020 en Maart 2021 in \u2019n distrikshospitaal in Kaapstad gediagnoseer is. <\/p>\n\n\n\n Di\u00e9 pasi\u00ebnt-interaksieproses, wat daarop gefokus het om pasi\u00ebnte se kontakbesonderhede by te werk, het praktiese inligting verskaf en die pasi\u00ebnte die geleentheid gegee om vrae te stel. Dit het ook ten doel gehad om pasi\u00ebnte se gesondheidsuitkomste te verbeter. <\/p>\n\n\n\n Navorsers kon pasi\u00ebnte se kontakbesonderhede deur die interaksieproses bevestig, TB- en gesondheidsinligting verskaf, inligting oor toegang tot sorg by klinieke oordra en pasi\u00ebnte se vrae in hul huistaal beantwoord.<\/p>\n\n\n\n Die navorsers wys daarop dat die versuim in Suid-Afrika om individue by wie TB gediagnoseer is, in verbinding met sorgdienste te plaas, steeds \u2019n belangrike tekortkoming in die TB-sorg-kaskade is. <\/p>\n\n\n\n \u201cVergeleke met mense wat by prim\u00eare gesondheidsorgfasiliteite (PGS-fasiliteite) gediagnoseer word, het mense wat in hospitale gediagnoseer word, gewoonlik bykomende steun nodig om in verbinding met PGS-dienste vir TB geplaas te word. Daar is egter \u2019n kleiner moontlikheid dat diegene wat in hospitale gediagnoseer word, geregistreer sal word \u00f3f in verbinding met sorgdienste geplaas sal word. \u2019n Vorige studie het getoon dat 85% van pasi\u00ebnte in Kaapstad wat sterf nadat hulle nie toegang tot sorg bekom het nie, in hospitale gediagnoseer is. Dit beteken vroe\u00eb ingryping in hierdie stadium is van deurslaggewende belang.<\/p>\n\n\n\n \u201cOns het gevind dat die kontakbesonderhede van die meeste pasi\u00ebnte op l\u00eaer onvoldoende was en die interaksieproses het tot bygewerkte inligting gelei. Die insameling van bygewerkte kontakbesonderhede het beteken dat akkurate inligting oorgedra kon word aan PGS-fasiliteite, gemeenskapsgesondheidswerkers en ander openbare gesondheidsinisiatiewe soos kontaknaspoorders, om pasi\u00ebnte op te spoor nadat hulle ontslaan is en hulle te help om die nodige sorg te bekom. <\/p>\n\n\n\n \u201cPasi\u00ebnte het die geleentheid waardeer om meer oor hul diagnose te leer en vrae te vra. Die interaksie het ook aan hulle \u2019n mate van outonomie gebied om besluite oor hul gesondheid te neem, onder meer waar om toegang tot TB-behandeling te kry. Hulle het praktiese en gesondheidsinligting in hul huistaal verwelkom.<\/p>\n\n\n\n \u201cDie implementering van di\u00e9 stap-tot-stap-proses kan pasi\u00ebnte help om hul diagnose beter te verstaan en hulle in staat stel om hul eie gesondheid beter te bestuur, wat in ooreenstemming is met die pasi\u00ebntgesentreerde sorgbenadering wat in die W\u00eareldgesondheidsorganisasie (WGO) se End TB-strategie voorgestel word,\u201d voeg die navorsers by.<\/p>\n\n\n\n Hulle s\u00ea die implementering van \u2019n pasi\u00ebnt-interaksieproses as deel van roetinesorg is \u2019n lewensvatbare strategie om die vroe\u00eb inisi\u00ebring en registrasie van TB te fasiliteer, asook om pasi\u00ebnte wat in hospitale gediagnoseer word, in verbinding met sorgdienste te plaas. <\/p>\n\n\n\n \u201cAfskoon die implementering van gedetailleerde en omvattende pasi\u00ebnt-interaksieprogramme veelvuldige voordele inhou, kan sulke programme arbeidsintensief en tydrowend wees.<\/p>\n\n\n\n \u201cAs \u2019n vroe\u00eb interaksieproses deel van die pasi\u00ebnt-ontslagproses kan uitmaak en personeel gebruik kan word wat reeds by die ontslag betrokke is, sal hierdie proses kostedoeltreffend gemaak kan word en tyd bespaar word. Dit sal egter bygewerkte en beskikbare data oor TB-diagnoses verg.\u201d<\/p>\n\n\n\n Die navorsers benadruk die behoefte aan toekomstige studies wat die redes vir die vertraging in die verbinding met sorg kan ondersoek, asook kan evalueer hoe laekoste-interaksies mense kan help by wie TB onlangs in \u2019n hospitaal gediagnoseer is, maar nie binne 30 dae n\u00e1 ontslag met sorg by \u2019n PGS-fasiliteit verbind is nie. Hulle meen daar is boonop \u2019n behoefte aan groter bewustheid van TB-simptome en dat pasi\u00ebnte in staat sal wees om so gou moontlik gesondheidshulp te soek..<\/span> Die studie is deur die Bill & Melinda Gates-stigting ondersteun.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":" \u2019n Eenvoudige en kostedoeltreffende vroe\u00ebpasi\u00ebnt-interaksieproses kan help verseker dat Suid-Afrikaners by wie TB in hospitale gediagnoseer word, voortgesette sorg ontvang nadat hulle na klinieke vir TB-behandeling en vir registrasie in plaaslike 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