Nursing care for patients with pulmonary tuberculosis at Ban Fang Hospital patients : 2 Case Study.

Abstract

      This study examines newly registered patients with pulmonary tuberculosis, identified by sputum-based bacterial cultures, at the Tuberculosis Clinic of Ban Fang Hospital, Ban Fang District, KhonKaen Province. The objective of this study is to compare treatment plans, nursing diagnoses, nursing planning, and nursing outcomes. This includes reducing the stigma against monks suffering from tuberculosis, and using the acquired knowledge to develop models for caring for tuberculosis patients in the community, by selecting two patients with pulmonary tuberculosis. Specific variations, differing in gender, age, health behaviors, residence, transmission patterns, and signs and symptoms, share a common characteristic: anX-pert MTB detected result and a diagnosis of Tuberculosis of lung Data collection began between September 1, 2025, and ended March 31, 2026. Data was collected through interviews, physical examinations, observation, and medical record review. Data was analyzed by comparing health patterns.

      The findings showed that patient 1 was a Buddhist monk with pulmonary tuberculosis, and patient 2 was a member of the general public with pulmonary tuberculosis. Complete data collection on the patients' health status ensured sufficient quality information for diagnosis, nursing planning, treatment, evaluation of nursing outcomes, and monitoring and prevention of infection spread in the community. The results showed that using a treatment plan process, coupled with reducing self-stigma among fellow monks and community members, as well as adjusting the care model within the temple, fostered understanding. Regarding community and temple transmission, emphasizing that "tuberculosis is curable" helped patients shift from fear to understanding. Monks and lay people suffering from pulmonary tuberculosis had quick and safe access to treatment.