Abstract
Background: Tuberculosis (TB) caused by Mycobacterium tuberculosis is one of the top 10 causes of death worldwide. Despite the global impact of TB and treatment received, a gap persists between treatment and quality of life of the patients especially in resource limited countries. This study therefore evaluated the health related quality of life of TB patients and the different factors influencing their quality of life at the post intensive phase of their treatment in the Fako division of the South-West Region of Cameroon. Methods: A hospital based cross sectional study was carried out in 4 tuberculosis treatment centers, namely two regional (Buea and Limbe) and two district (Tiko and Muyuka) hospitals in Fako Division between June and July 2017. One hundred and sixty-seven TB patients were enrolled in the study and relevant information from them was gathered using the SF-36 questionnaire. Various aspects such as their perception of the disease, their socio-demographics and socio-economics conditions were evaluated. Results: Of the 167 participants enrolled in the study, 95 (56.9%) were male and 72 (43.1%) were female. One hundred and thirty-three (79.6%) of the 167 participants were affected by pulmonary tuberculosis and 34 (20.4%) by extra-pulmonary tuberculosis. Fifty-five (32.9%) were HIV positive and 90 (53.9%) had been receiving treatment for 4 - 6 months, 73 (43.7%) for 1 - 3 months and 4 (2.4%) for 7 - 9 months. The lowest and highest scores were recorded on the role limitation due to emotional problems scale (30.54 ± 35.36), and on the social functioning scale (47.68 ± 16.33) respectively. There was a significant difference (p = 0.021), between pulmonary and extra pulmonary tuberculosis (49.15 ± 16.08 vs. 41.91 ± 16.25) on the social functioning. Financial difficulty restraining drug collection affected the general health perception (p = 0.003), vitality (p = 0.007), emotional well-being (p Conclusion: The quality of life of the TB patients in the study area was generally poor. Counselling of diagnosed TB patients and provision of financial assistance through a social package can improve the acceptance of the disease during their treatment period to avoid default and relapse.
Highlights
Tuberculosis (TB) infection compounded by antimicrobial resistance is the leading cause of death from a single infectious disease agent worldwide and a major contributor of death among people with Human Immunodeficiency Virus (HIV) [1]
Considering that active TB disease exerts a substantial toll on quality of life (QoL) ranging from somatic symptoms related to disease and treatment to psychological distress from social isolation and stigmatization [9] [10] [11], this study assessed the factors influencing the QoL as well as the perception of the participants about their disease conditions, and the predictors of low QoL scores of tuberculosis patients who were on the continuation phase of their treatment in the Fako Division of the South West Region of Cameroon
Our study shows that participants with low socioeconomic status had a substantial correlation with HRQOL, because they had a low perception of their health [10]
Summary
Tuberculosis (TB) infection compounded by antimicrobial resistance is the leading cause of death from a single infectious disease agent worldwide and a major contributor of death among people with Human Immunodeficiency Virus (HIV) [1]. TB treatment has a positive impact on its prevalence and has averted 49 million deaths globally between 2000 and 2015 [4]. This study evaluated the health related quality of life of TB patients and the different factors influencing their quality of life at the post intensive phase of their treatment in the Fako division of the South-West Region of Cameroon. One hundred and sixty-seven TB patients were enrolled in the study and relevant information from them was gathered using the SF-36 questionnaire. Various aspects such as their perception of the disease, their socio-demographics and socio-economics conditions were evaluated. The lowest and highest scores were recorded on the role limitation due to emotional problems scale
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