Effects of an Integrated Rehabilitation Program on Fatigue in Patients with Pulmonary Tuberculosis
Issued Date
2023-01-01
Resource Type
eISSN
22288082
Scopus ID
2-s2.0-85156128029
Journal Title
Siriraj Medical Journal
Volume
75
Issue
4
Start Page
290
End Page
298
Rights Holder(s)
SCOPUS
Bibliographic Citation
Siriraj Medical Journal Vol.75 No.4 (2023) , 290-298
Suggested Citation
Nguantad S., Puwarawuttipanit W., Lekdamrongkul P., Rongrungruang Y. Effects of an Integrated Rehabilitation Program on Fatigue in Patients with Pulmonary Tuberculosis. Siriraj Medical Journal Vol.75 No.4 (2023) , 290-298. 298. doi:10.33192/smj.v75i4.260846 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82482
Title
Effects of an Integrated Rehabilitation Program on Fatigue in Patients with Pulmonary Tuberculosis
Author's Affiliation
Other Contributor(s)
Abstract
Objective: This study aimed to assess the effect of a six weeks integrated rehabilitation program on fatigue in pulmonary tuberculosis patients. Materials and Methods: Sixty-eight participants were diagnosed with pulmonary tuberculosis receiving antituberculosis drugs treated for two weeks or more and have experienced fatigue. Participants were randomly selected into experimental and control groups with 34 participants each. The experimental group received usual care plus an integrated rehabilitation program that consisting of walking exercises (perform at least three times a week, light to moderate intensity and 20-30 min in duration), nutrition education and management of adverse reactions from antituberculosis drugs, and support from healthcare workers through the LINE application for a period of six weeks. The control group received the usual care with given the option to engage in activities to reduce their own fatigue for a period of six weeks. Fatigue symptoms were assessed with PFS-12 at baseline, at week 3 and week 6 and using the Repeated measure ANOVA for statistical analysis. Results: The study found that the experimental group had a lower mean fatigue score at week 3 than at the baseline. At week 6, the mean fatigue score decreased significantly compared that at the baseline and compared to the control group with statistical significance (F = 9.698, p <.001), while no statistically significant differences were found in the control group (F = 1.687, p =.200) Conclusion: The integrated rehabilitation program statistically and significantly reduced the levels of fatigue in pulmonary tuberculosis in 3-6 weeks. Registration number: This study was registered at the Thai Clinical Trials Registry (TCTR20221202001).