i PREVENTIVE BEHAVIOR OF FAMILY MEMBERS WITH TUBERCULOSIS PATIENT IN THE CITY OF BACOOR

__________________________ A Thesis Presented to the Faculty of College of Health And Related Sciences _________________________ In Partial Fulfillment Of the requirement in Nursing Research _________________________

By: Peralta, Sheline Shane S. Presas, Jessica M.

2014

ii APPROVAL SHEET

This thesis hereto entitled; PREVENTIVE BEHAVIOR OF FAMILY MEMBERS WITH TUBERCULOSIS PATIENT IN THE CITY OF BACOOR Prepared and submitted by Peralta, Sheline Shane S., and Presas, Jessica M., in partial fulfillment of the requirements for the Nursing Research has been examined and is recommended for acceptance and approval for ORAL EXAMINATION.

MR. PAULO MANUEL L. MACAPAGAL Adviser Approved by the Committee on Oral Examination with a grade of PASSED on _____________________.

Accepted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Nursing.

DR. ROBERT C. SOMBILLO, RN,RM Dean

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ACKNOWLEDGEMENT The researchers are sincerely grateful to the supportive people who prodded and pushed them into completing the thesis, without their guidance and their financial support, the success of this study would not be possible. Among these people are the following. To our Alma Mater from where we have learned so many things in which we were able to apply during our research. To our respected Dean, Dr. Robert C. Sombillo, for giving some insights on how to improve our study. To our dearest professor/ adviser, Paulo Manuel L. Macapagal, for guiding us all throughout our study and for having a long patience and understanding and for his unending support in making this thesis possible. To the city the health officer in Bacoor City, Dr. Reynaldo San Luiz III, for accepting our proposal for this study and for his support and guidance. To the community nurse, Ms. Iren Mateo, for her support and help throughout the thesis making and for her continuing guidance in performing the teachings. To our friend/ thesis mate, Joana Florida, for helping and guiding us throughout the thesis and for her unending support and dedication and for being such a great leader during NRES1. Again, thank you. To the panel of judges, who we're constantly helping us in making this study successful Ms. Cynthia Acosta , Ms . Joy Colindres , and Mr. Raffy Salinas And finally to our dearest family, who are always there through the good times and the bad times and for supporting us until the very end and for the financial support as well.

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OLIVAREZ COLLEGE Title : PREVENTIVE BEHAVIOR OF FAMILY MEMBERS WITH

------------------TUBERCULOSIS PATIENT IN THE CITY OF BACOOR Author : Peralta, Sheline Shane S. Presas, Jessica M. Degree School Adviser : : : Bachelor of Science in Nursing Olivarez College Mr. Macapagal ABSTRACT The study sought to contribute on the disease prevention and to lessen the number of TB cases in Bacoor City; and to determine the effectiveness of face to face education in improving the adherence on the management and preventive behavior on Tuberculosis and also to explore the preventive behavior within the household and the Cullion Foundation that the health center provides to the community residence. The study was made in the school year 2013-2014 with works which began in December 2012. The actual interviews were conducted during the month of May 2013. Specifically, the study answered the following sub-problems: 1. What is the demographic profile of the respondents in terms of: a. Age b. Gender

v c. Educational attainment d. Type of work e. Proximity of house to the nearest health clinic 2. What is the awareness of the family towards tuberculosis in terms of: a. Its communicability b. Its modes of transmission c. Its symptoms d. Its prevention e. Its cure 3. What are the preventive behaviors among family members with tuberculosis?

vi TABLE OF CONTENTS PAGE Title Page Approval Sheet Acknowledgement Abstract Table of Contents Questionnaire Letters to the community List of Tables List of Figures i ii iii iv vi viii xii xx xxv

CHAPTER I. THE PROBLEM AND A REVIEW OF RELATED LITERATURE Introduction Background of the study Review of Related Literature and Studies Theoretical Framework Conceptual Framework Statement of the Problem Hypothesis Significance of the Study Scope and Delimitation of the Study Definition of Terms II. METHODOLOGY Research Design Research Locale Research Instrument 36 36 38 1 1 3 29 30 32 32 33 34 34

vii Data Gathering Procedure Sampling technique Statistical Treatment III. IV. INTERPRETATION OF DATA SUMMARY, CONCLUSION AND RECOMMENDATION Summary Conclusion Recommendation 52 54 55 39 39 40 42

viii Questionnaire I. Kindly fill in the questions below: Name (optional): Age Gender Civil Status : : [ ] Male : [ ] Single [ ] Female [ ] Married [ ] Widowed

Type of Work : Educational Background [ ] Elementary Graduate [ ] Elementary Undergraduate [ ] Highschool Graduate [ ] Highschool Undergraduate [ ] College Graduate [ ] College Undergraduate [ ] Vocational Course Graduate

Proximity of the house to the nearest health center:

II. Instruction: Check on the box corresponding to your answer. What is the awareness of the respondents towards Tuberculosis: 5- Fully aware 4- Aware but requires minimal supervision 3- Some awareness and requires some supervision 2- Very little awareness and requires full assistance 1- Not aware at all

ix AWARENESS ON THE EXISTENSE AND COMMUNICABILITY OF TUBERCULOSIS: 5 TB is a communicable disease TB is a preventable disease with the use of proper measures. TB is a disease that chooses no age to infect. A person who had a long interaction with TB has a possibility of having TB. The most hazardous period for development of clinical disease is the first 6-12 months after infection AWARENESS ON THE TRANSMISSION OF THE DISEASE: 5 Close contact with someone who has active TB Residence in overcrowded, substandard housing or institutions (e.g long term care patients, psychiatric patients, prison inmates) Immunocompromised (e.g elderly, cancer, corticosteroid therapy and HIV) Patients with pre-existing medical conditions including diabetes, chronic renal failure, silicosis, and malnourishment Immigrants from countries with a high incidence of TB Occupation (e.g health care workers) Coughing is the most efficient way of transmitting the disease. 4 3 2 1 4 3 2 1

AWARENESS ON THE SIGN AND SYMPTOMS OF TUBERCULOSIS: 5 4 3 2 1

x Cough for two or more weeks duration Fever Sputum expectoration Significant weight loss Hemoptysis or recurrent blood-streaked sputum Chest and/or back pains not preferable to any musculoskeletal disorders Sweat with chills Fatigue Shortness of breath AWARENESS ON THE PREVENTION OF SPREADING TUBERCULOSIS 5 Having the TB patient to stay at home. Having the TB patient to sleep in a room alone during the first weeks of treatment. Ventilation of the room. (e.g open windows) Proper garbage disposal of the personal things used by the TB patient. Using of a face mask. 4 3 2 1

III. Instruction: check on the box corresponding to your answer. What is the preventive behavior of the family towards TB: 5- Always 4- Very Often

xi 3- Sometimes 2- Rarely 1- Never 5 Having the TB patient wear a face mask at all times Proper garbage disposal Having the windows open for proper ventilation. Proper hand washing Frequent house cleaning Exposing of things used by the whole family under the sun Eating of nutritious foods Avoiding of overcrowded places Keeping the window and the door open for the vibrancy of the sunlight 4 3 2 1