Poster Presentation
Friday, 21 July 2006
10:00 AM - 10:30 AM
Friday, 21 July 2006
3:00 PM - 3:30 PM
This presentation is part of : Poster Presentations III
Risk Factors and Medication Adherence of Pulmonary Tuberculosis in Military
Nai-wen Chang, BS, MS, Nursing Department, National Defense Medical Center, Taipei, Taipei, Taiwan and Kwua-Yun Wang, RN, MS, School of Nursing, National Defense Medical Center, National Defense University, Taipei, Taiwan.
Learning Objective #1: relize the risk factors of tuberculosis.
Learning Objective #2: relize the variables related to medication adherence of tuberculosis.
Tuberculosis remaines one of the foremost causes of death among communicable diseases throughout the world. In 2000, up to102,000,000 newly diagnosed tuberculosis cases were reported, and around 3,500,000 cases died from the disease. The epidemiology of tuberculosis varied from place to place, among which South Asia and Africa have the highest incidence. Tuberculosis is a specific problem in military due to characteristics of military culture and enviroments, for instance, the enclosed enviroments can speed up tuberculosis from an index case. There has been lack of understanding of tuberculosis incidence in Taiwan. The purpose of this study is to identify risk factor of tuberculosis and the variables related to medication adherence  in military.

This study was a descriptive, correlational, and case contrast design. The newly diagnosed tuberculosis subjects reported by the forth and fifth degree military hospitals that were recruited by purposive sampling from Jan. 2004 to Dec. 2004. Questionnaires used in this study included a demographic data sheet, a psychosocial questionnaire, knowledge questionnaire , health belief questionnaire, and medication adherence questionnaire. Data were analyzed by arithmetic mean, standard deviation, percentage, Pearson correlation, t-test, Chi-Square tests.

The major findings of this study showed that cigarette smoking was a risk factor of tuberculosis(pƒ0.05), but not income, duration of military active duty, province, marital status, and alcohol drinking. A statistically significant relationship was demonstrated between social support and medication adherence in tuberculosis subjects. There was also a significant association between motivation and medication adherence(pƒ0.05).The remaining variables did not significantly correlate with  medication adherence .

In conclusion, this study showed that cigarette smoking as a risk factor for tuberculosis . Social support and motivation showed the statistically significant positive correlation with medication adherence.

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