SATISFACTION WITH INPATIENT TREATMENT IN PULMONARY TUBERCULOSIS PATIENTS WITH DIFFERENT PSYCHOLOGICAL STATUSES

Objective: to assess satisfaction with inpatient treatment in pulmonary tuberculosis (TB) patients considering their psychological statuses. Materials and methods. We studied 188 pulmonary TB patients aged 33.9 ± 10.5 years; out of them 65.4% were new TB cases, 28.2% – retreatment cases, 6.4% – relapse cases. We assessed patient satisfaction with treatment using a questionnaire. The specifically tailored questionnaire included 14 parameters divided into 4 blocks which reflected the level of patient satisfaction with facility conditions, work of medical personnel, quality of medical services, and psychological comfort of patients. Each parameter could gain from 0 to 10 scores. From 0 to 4 scores were referred to low satisfaction levels, 5–9 scores – intermediate satisfaction, and 10 scores – high satisfaction. The assessment of patient psychological status was conducted using the Symptom Checklist-90-R (SCL-90-R). Results. Impaired psychological status in hospitalized patients has a negative effect on patient satisfaction with treatment. High intensity of experienced distress during inpatient treatment poses a risk of the development of psychological disadaptation and reduces adherence to treatment. Psychological support to a TB patient in hospital should be beyond individual work and include new formats which consider a psychologist’s assistance in patient adaptation to inpatient treatment and organization of more efficient communication in the patient-doctor dyad.