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. 2015 Apr 25;17(4):e20277. doi: 10.5812/ircmj.17(4)2015.20277

Table 2. Factors Affecting Adherence to Treatment a.

Number Issues Related to Patients’ Experience of Tuberculosis Treatment Using DOTS Factors Affecting Adherence
1 Individual factors Acceptance of the illness, its treatment of awareness, lack of knowledge of the dangerous side effects of drugs used to treat, non-compliance, knowing that the treatment is cost-free for the patient, not be scared of failure, fear of stigma, no use of tobacco, alcohol, and drugs which may lead to treatment failure, abstain from drug use because of the lack of employment problems and social tensions, failure to stop medication due to side effects, such as redness, taste, or urine changes, itching, etc., no fear of illness and worries that he is not married, select medications provided by health centers and not another drug, taking care of the family (wife and children) with their adherence.
2 Changing attitudes and beliefs about treatment of tuberculosis patients Patients statements to change the attitudes and beliefs of patients on TB treatment, including the belief of having appropriate medications, health centers, convinced that the monitoring staff for health improvement is more appropriate, to ensure effective and correct use of regular medication.
3 Laws protecting patients’ Rules for the support of patients with TB disease, in which the following points were considered: ensuring patient confidentiality and his lack of social and work prejudice, for his legal support of the premium of his rights.
4 Role of health care professionals and system About the role of healthcare personnel, medical healthcare system, patients were referred to the following points: The role of staff in the health sector, especially education about treatment, the number of patients taking drugs and dealing appropriately with patients, providing adequate space for patients to service information and to patients on DOTS strategy.
5 Social factors Patients suitable for the role of social factors in a patient with tuberculosis, patients avoid stigmatization by society and family, and healthcare avoidance for inappropriate behavior and personal encounters with appointed personnel.
6 Financial cost of TB disease Patients on TB treatment informed of the role of the financial costs of free drug; Sputum tests and x-rays; Knowledge of the patient’s illness causes social and economic problems that are not addressed, especially for the patient paid work, he noted.

aAbbreviations: DOTS, directly observed treatment short-course; TB, tuberculosis.