Difficulties of treatment of patients with tuberculosis and medical recommendations performed by them

Purpose - To study the reasons influencing the treatment of patients. Material and Methods - Anonymous questioning of patients with tuberculosis in number of 584 people being on treatment in antituberculosis hospitals, 92 phthisiopulmonologists and 144 therapists of Volgograd was performed. Results - The conducted research testifies that patients with tuberculosis consider that they observe medical recommendations completely in 76.5% of cases, and the opinion of medical workers was completely opposite, only 4.3% of phthisiopulmonologists and 2.8% of therapists. Most doctors were sure that medical recommendations were carried out by only a half of tuberculosis patients that was told by 54.4% of phthisiopulmonologists and 31.3% of therapists. Conclusion - Commitment formation to treatment at patients with tuberculosis should be carried out taking into account those difficulties and problems which are specified by patients, and also critical evaluation of performance by patients of the medical recommendations influencing the result of treatment. At the solution of medical problems phthisiopulmonologists did not pay enough attention to influence of psychological factors, taking into account available gender, age and educational level of the patient that compels to look for new ways of interaction of phthisiopulmonologists and psychotherapists in development of the individual plan of treatment and rehabilitation of every patient with tuberculosis.