| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 105 === Background: Tuberculosis (TB) is a major cause of death worldwide and Swaziland is one of the countries with highest rates of TB. Patients with Drug-resistant are feared by nurses because of the infectiousness nature of the diseases and its resistance to drugs. This fear is thought to lead to poor nurse caring behaviors which patients perceive as stigma.
Purpose: To examine (1) the relationship between patients’ perceptions of nurse caring and tuberculosis related stigma (2) the predictors of tuberculosis related stigma among patients with drug-resistant TB in Swaziland.
Methods: In this descriptive cross-sectional study, 84 patients with drug-resistant TB completed a demographic data sheet, Lee-Hsieh at el., (2004) Caring behavior measurement and Van Rie at el., (2008) Tuberculosis related stigma scale.
Results: The patients reported a poor perception of nurse caring behaviors frequency (x̅ =2.52±.41), and a high level of perceived TB related stigma (x̅ = 30.20±9.31). Only the “gender” and “monthly income” variables had a significant mean difference in nurse caring behaviors (p< .05). There were no demographic factors associated with TB related stigma. There was a significant correlation between the perception of nurse caring behaviors and TB stigma among patients with drug resistant TB (r= -.709, p< 0.01). Hierarchical Multiple Regression revealed that “Sincerity, Empathy & Respect” and “Professional caring behavior” can predict TB related stigma (F= 42.24, p< 0.01), explained variance of 52.8% with “Sincerity, Empathy & Respect” being the strongest (β = -.599).
Conclusion: Nurse caring behaviors can predict how patients perceive stigma, thus emphasis on caring behaviors education on nurses is needed to reduce TB stigma among patients with drug-resistant TB. Once patients have a lower perception of stigma, they have a higher possibility of adhering to TB treatment.
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