A Study to Identify the Factors Influencing Quality of Life in Patients With Pulmonary Tuberculosis and to Develop A Self Instructional Module to Enhance the Quality of Life of Patients with Pulmonary Tuberculosis in Selected Dots Centres of Delhi

Background TB is global. The WHO estimates that two billion people ? one third of the world's population ? are infected with Mycobacterium tuberculosis, the bacillus that causes the disease. Quality of life is an outcome measure worth considering for achieving a holistic approach measuring the impact of treatment to maximize the quality of life of the individual suffering from tuberculosis and also identify various factors which could have impact on quality of life due to disease condition and its treatment. In recent years, the evaluation of health related quality of life has emerged as an important and useful tool for studying the efficiency of medical therapies and not their benefits. Aim 1. To assess the QOL 2. To identify the factors influencing quality of life in patients with pulmonary tuberculosis. 3. To find the relationship of quality of life with following selected factors i. e age, sex, marital status, family, living room in a family, family member, family income, religion, locality, education status, occupation, ventilation, type of house, fuel for cooking, source of information, contracted TB, concurrent illness with TB. 4. To develop a self instructional module to enhance the quality of life of a patients with pulmonary tuberculosis. Material and methods The research approach adopted for the study was, ?descriptive survey? with ?co- relational design. ? and conducted at DOTS centres of Delhi under the branch of MCD Chest Clinic, Nehru Nagar. Purposive sampling technique was employed to select the sample subjects. The sample size consisted of 100 patients. A structured interview schedule was used to identify the factors influencing QOL. Section I consisted of demographic data and section II identified factors which assess the quality of life, it include diagnosis issues, medication issues, social support and functioning, health behaviour, and accessibility of health provision. Results The significant findings of the study were 26% of the pulmonary tuberculosis patients were in the level of best QOL, 61% were in the level of moderate quality of life and 13% of the pulmonary tuberculosis patients were in the level of poor quality of life. The mean QOL score was 94.1 and the standard deviation was 13.95. The mean percentage score of identified factors which affected QOL includes diagnosis issues (61.42%), social support (61.47%), health behaviour (70.31%) and medication issues (77.78%) were in moderate quality of life and accessibility of health care provision (98.60%) were in best quality of life of pulmonary tuberculosis patients. And SIM was developed and distributed to the patients. Conclusion The findings showed that pulmonary tuberculosis had a substantial and encompassing impact on patients' quality of life. So developed self instructional module which provide health education to improve the quality of life of pulmonary tuberculosis patients.