Nursing Care for Patient with Multiple Drugs Resistant Having COVID-19 Infection in Outpatient Department: A Case Study

Abstract

Multidrug-resistant tuberculosis significantly increases worldwide. The covid-19 pandemic in 2020-2022, is an important factor in increasing the severity of tuberculosis (TB) due to the weakening of the caring process and TB patients are more susceptible to infection. This study aims to identify the progress of the disease, nursing diagnosis, nursing care plan, and nursing outcomes in multidrug-resistant tuberculosis patients who received treatment at the tuberculosis clinic, outpatient department, Bangplee Hospital. The included patient was infected with COVID-19 in combination. The study period was from October to December 2022. The data was collected from the medical records, patient interviews, and participant observations. The collected data were reviewed by a multidisciplinary and expert team, which found that patient had anxiety problems with relapsing pulmonary tuberculosis. In the case of multidrug-resistant tuberculosis, patient fear of incurable disease and worry that family members will be infected with drug-resistant tuberculosis. The nursing care process was provided physically, mentally, emotionally, socially, and economically. Nurses play an essential role in reducing the severity of the disease, preventing the spread of multidrugresistant infections to families and communities. Patients with continuous treatment were cured and gained quality of life. In this study, the nursing guideline for multidrug-resistant TB
patients infected with Covid-19 is developed  effectively.