scholarly journals Hubungan Pengetahuan, Perilaku dan Lingkungan Rumah dengan Kejadian Transmisi Tuberkulosis Paru di Wilayah Kerja Puskesmas Bandarharjo Semarang

2019 ◽  
Vol 18 (2) ◽  
pp. 81
Author(s):  
Siti Thomas Zulaikhah ◽  
Ratnawati Ratnawati ◽  
Neng Sulastri ◽  
Eli Nurkhikmah ◽  
Novi Dian Lestari

Latar belakang: Tuberkulosis paru adalah penyakit menular yang disebabkan oleh bakteri mycobacterium tuberculosis masih menjadi masalah kesehatan. Tingginya angka kejadian TB paru dapat dikarenakan adanya faktor tingkat pengetahuan yang rendah, perilaku kesehatan yang buruk dan lingkungan rumah seperti ventilasi, pencahayaan, kelembaban, kepadatan hunianyang tidakmemenuhi syarat. Tujuan penelitian ini untuk mengetahui variabel paling dominan berhubungan dengan transmisi kejadian TB paru di Wilayah Kerja Puskesmas Bandarharjo Kota Semarang.Metode: Desain penelitian observasional dengan pendekatan case control. Subjek penelitian terdiri dari 40 kasus dan 40 kontrol. Kasus merupakan penderita TB paru di Puskesmas Bandarharjo yang didiagnosis secara klinis dan laboratorik BTA positif dan tercatat dalam medical record dari bulan Agustus 2016 sampai Agustus 2017,kontrol merupakan tetangga kasus yang tidak terdiagnosis TB paru BTA positif dan anggota keluarga tidak menderita TB paru BTA positif. Teknik sampling menggunakan proporsional random sampling. Data yang terkumpul dianalisis dengan uji univariat menggunakan distribusi frekuensi, uji bivariat menggunakan Chi Square, uji Multivariat menggunakan Regresi logistik ganda. Hasil : Hasil uji bivariat variabel lingkungan yang terdiri dari luas ventilasi (p=0,000); kepadatan hunian (p=0,000); kelembaban (p=0,001); pencahayaan (p=0,001); suhu (p=0,001), sedang hasil variabel pengetahuan (p=0,002) dan perilaku (p=0,005). Hasil analisis multivariat variabel pengetahuan (OR=3,776); kepadatan hunian (OR=4,476); kelembaban (OR=4,030); pencahayaan (OR=3,635); suhu (OR=3,064); pengetahuan (OR=6,374); perilaku (OR=3,525).Simpulan: Lingkungan rumah, pengetahuan dan perilaku berhubungan dengan kejadian TB paru di wilayah kerja puskesmas Bandarharjo Semarang dan faktor yang paling dominan berhubungan adalah pengetahuan. ABSTRACTTitle: Relationship Knowledge, Behavior and Household Environmentwith the Transmission Insidence Pulmonary Tuberculosis in the Work Area of Bandarharjo Health Center SemarangBackground: Pulmonary tuberculosis, an infectious disease caused by the bacterium Mycobacterium tuberculosis remains a health problem. A higher incidence of pulmonary TB has been associated with low level of knowledge, poor health behavior and household environment such as ventilation, lighting, humidity, residential density. The purpose of this study was to identify the most dominant factor associated with the transmission pulmonary TB in the Bandarharjo Health Center in Semarang.Methods: The research was an observational one with a case control study. The case and the control of this research were both using 40 respondents. The case was patients clinically diagnosed with pulmonary TB and has a laboratory BTA+ and documented in the medical record from August 2016 to August 2017. The control was a neighbor of cases with no BTA+ (acid resistant bacilli) pulmonary TB and history of family no BTA+ of pulmonary TB. The proportional random sampling was applied. The collected data were analyzed using univariate test of frequency distribution, bivariateof Chi Square, multivariate oflogistic regression.Results: Bivariate test of environmental variables consisting of ventilation area (p = 0.000); occupancy density (p = 0.000); humidity (p = 0.001); lighting (p = 0.001); temperature (p = 0.001), while the results of the knowledge variable (p = 0.002) and behavior (p = 0.005). The multivariate analysis showed variable of knowledge (OR = 3.776); residential density (OR = 4.476); humidity (OR = 4.030); lighting (OR= 3.635); temperature (OR = 3.064); knowledge (OR = 6.374); behavior (OR = 3.525).Conclusion: The household environment, knowledge and behavior were related to the transmission incidence of pulmonary tuberculosis in the working area of Bandarharjo health center and the most dominant factor was knowledge.

2021 ◽  
Vol 1 (2) ◽  
pp. 538-547
Author(s):  
Fitri Zulfa Hayati ◽  
Nurhapipa Nurhapipa ◽  
Nila Puspita Sari

Tuberkulosis Paru merupakan penyakit menular yang disebabkan oleh bakteri Mycobacterium tuberculosis. Kejadian penyakit Tuberkulosis Paru di Puskesmas Rejosari Kota Pekanbaru merupakan kasus tertinggi di kota pekanbaru sebanyak 798 kasus. Tujuan penelitian ini secara umum untuk mengetahui hubungan kondisi fisik rumah dan status gizi dengan insiden penyakit tuberkulosis paru. Penelitian ini adalah analitik kuantitatif dengan pendekatan Case Control. Populasi kasus dalam penelitian ini yaitu seluruh penderita Tuberkulosis Paru. Sampel penelitian yaitu 18 responden kelompok kasus dan 72 responden kelompok kontrol dengan menggunakan teknik Simple random sampling. Lokasi penelitian dilakukan di Wilayah Kerja Puskesmas Rejosari Kota Pekanbaru pada bulan Juli – Agustus 2020. Alat ukur yang digunakan yaitu kuesioner, roll meter, lux meter, dan timbangan berat badan. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi Square. Hasil uji statistik hubungan dari setiap variabel semuanya berhubungan dengan insiden penyakit tuberkulosis paru, yaitu variabel luas ventilasi (p = 0,002, OR = 7,857), kepadatan hunian (p = 0,003, OR = 5,500), pencahayaan (p = < 0,05, OR = 8,500), dan status gizi (p = 0,001, OR = 10,818). Diharapkan kepada tim pencegah dan pengendalian penyakit tuberkulosis paru Puskesmas Rejosari meningkatkan penyuluhan atau pemahaman langsung kepada masyarakat penderita TB paru serta membentuk dan melatih kader – kader untuk penanggulangan Tuberkulosis Paru. Diharapkan masyarakat selalu membuka jendela agar udara dan cahaya dapat masuk ke dalam rumah serta menjaga pola makan yang seimbang dan sehat. Pulmonary Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis. The incidence of pulmonary tuberculosis in Rejosari Primary Health Center Pekanbaru City is the highest case in Pekanbaru city with 798 cases. The purpose of this study in general was to determine the relationship between the physical condition of the house and nutritional status with the incidence of pulmonary tuberculosis. This research is a quantitative analytic with a Case Control approach. The populations of cases were all patients with pulmonary tuberculosis. The research sample was 18 respondents in the case group and 72 respondents in the control group using the simple random sampling technique. The research location was carried out in the Rejosari Public Health Center, Pekanbaru City in July - August 2020. The measuring instruments used were questionnaires, roll meters, lux meters, and weight scales. Data analysis was performed univariate and bivariate using the Chi Square test. The statistical test results of the relationship between each variable were all related to the incidence of pulmonary tuberculosis, namely the variable area of ventilation (p = 0.002, OR = 7.857), occupancy density (p = 0.003, OR = 5,500), lighting (p =0.05, OR 8.5)and nutritional status (p = 0.001, OR = 10.818). It is hoped that the team for preventing and controlling pulmonary tuberculosis at the Rejosari Community Health Center will increase direct education or understanding to people with pulmonary tuberculosis and form and train cadres to control pulmonary tuberculosis. It is hoped that people will always open windows so that air and light can enter the house and maintain a balanced and healthy diet.


2018 ◽  
Vol 3 (3) ◽  
pp. 449
Author(s):  
Fadhita Rizkilla ◽  
Riski Novera Yenita

<p><em>This study aims to determine the Relationship of the house physical condition and behavior of family with incident of Acute Respiratory Infection (ARI) in the workplace UPTD Health center Siak district Siak. This type of research is quantitative with cross sectional design. This research was conducted toward community inthe workplace UPTD Health center Siak especially Kampung Rempak Village with a sample of 302 house. The sampling technique in this study using the simple random sampling. The data were analyzed by Chi Square statistic test on house physical condition on the occurrence of ARI value of p value 0,002 ≤ value of α (0,05) and family behavior toward ISPA value p value 0,001 ≤ value α (0,05), hence can be drawn conclusion that there is a significant relationship between independent variable and dependent variable. If p value&gt; α value (0,05,  it can be concluded that there is a significant relationship between the independent variabel and dependent variabel. Whereas if the p value &gt; α value (0,05) it can be concluded that there is no relationship between the independent variabel and dependent variabel. The conclusion of this discussion there is his relationship of the house physical condition and behavior of family with incident of Acute Respiratory Infection (ARI) in the workplace UPTD Health center Siak district Siak.</em></p><p><em><br /></em></p><p>Penelitian ini bertujuan untuk mengetahui hubungan kondisi fisik rumah dan perilaku keluarga dengan kejadian Infeksi Saluran Pernapasan Akut (ISPA) di wilayah kerja UPTD Puskesmas Siak Kabupaten Siak. Jenis penelitian ini adalah <em>kuantitatif </em>dengan desain <em>Cross Sectional</em>. Penelitian ini dilakukan terhadap masyarakat di wilayah kerja UPTD Puskesmas Siak khususnya kelurahan Kampung Rempak dengan sampel 302 rumah. Teknik pengambilan sampel dalam penelitian ini menggunakan <em>simple random sampling.</em> Analisis data dilakukan dengan menggunakan uji statistik <em>Chi Square</em> pada kondisi fisik rumah terhadap kejadian ISPA nilai p value 0,002 ≤ nilai α (0,05) dan perilaku keluarga terhadap kejadian ISPA nilai p value 0,001 ≤ nilai α (0,05), maka dapat ditarik kesimpulan bahwa terdapat hubungan yang bermakna antara variabel independen dan variabel dependen. Jika p value &gt; nilai α (0,05), maka dapat disimpulkan bahwa tidak ada hubungan antara variabel independen dan dependen. Kesimpulan yang diperoleh dari pembahasan ini adanya hubungan kondisi fisik rumah dan perilaku keluarga dengan kejadian Infeksi Saluran Pernapasan Akut (ISPA) di wilayah kerja UPTD Puskesmas Siak Kabupaten Siak.</p>


2021 ◽  
Vol 3 (2) ◽  
pp. 261-272
Author(s):  
Indra Wijaya

ABSTRACT: THE CORRELATION OF KNOWLEDGE AND FAMILY SUPPORT WITH SPUTUM EXAMINATION IN PATIENTS WITH SUSPECTED TB IN THE WORK AREA OF BRABASAN HEALTH CENTER IN MESUJI  Introduction: Achievement of positive smear pulmonary TB findings in Lampung Province, which is 38%, has not reached the MSS target. Brabasan health center as many as 28 cases. As for the case of death at the Brabasan Community Health Center during 2017, there were 5 patients with pulmonary TB who died. the purpose knowing the relationship of knowledge and family support with sputum examination in patients with suspected TB in the work area of Brabasan Health Center in Mesuji Regency in 2020Method: This type of research is quantitative, analytical survey research design with cross sectional approach. The population was all patients with suspected TB as many as 332 respondents, a sample of 182 respondents was taken by proportional random sampling. Univariate (frequency distribution) and bivariate data analysis used the chi square test.Results:. It is known that of 182 respondents, most did not conduct an examination, namely 110 (60.4%) respondents, 112 knowledge (61.5%) respondents were poor, and negative family support was 94 (51.6%) respondent. There is a knowledge relation (P-Value 0,000; OR 17,625). and family support (P-Value 0, 020; OR 2,142) with sputum examination in suspected TB patients in the Brabasan Community Health Center in Mesuji Regency in 2020Conclusion: There is a relationship between knowledge and family support with sputum examination in suspected TB patients in the Brabasan Community Health Center in Mesuji Regency in 2020. Health promotion in the form of posters, banners, leaflets, baligo about the concept of compliance and other health concepts Keywords: Knowledge, family support, sputum examination       INTISARI: HUBUNGAN PENGETAHUAN DAN DUKUNGAN KELUARGA DENGAN PEMERIKSAAN DAHAK PADA PENDERITA SUSPEK TBC DI WILAYAH KERJA PUSKESMAS BRABASAN KABUPATEN MESUJI TAHUN 2020 Pendahuluan: Capaian angka penemuan penderita TB Paru BTA positif di Provinsi Lampung yaitu 38% masih belum mencapai target SPM, Berdasarkan laporan tahunan Dinas Kesehatan Kabupaten Mesuji  tahun 2017 angka penemuan pasien TB paru BTA (+) di Puskesmas Simpang pematang sebanyak 55 kasus, terendah di Puskesmas Brabasan  sebanyak 28 kasus. Sedangkan untuk kasus kematian di Puskesmas brabasan  selama tahun 2017 terdapat 5 orang pasien TB Paru yang meninggal. Tujuan penelitian diketahui hubungan pengetahuan dan dukungan keluarga dengan pemeriksaan dahak pada penderita suspek TBC di wilayah kerja Puskesmas Brabasan Kabupaten Mesuji tahun 2020.Metode: Jenis penelitian kuantitatif, rancangan penelitian survey analitik pendekatan cross sectional. Populasi adalah seluruh pasien suspek TB  sebanyak 332 responden, sampel sebanyak 182 responden diambil secara proportional random sampling.  Analisa data secara univariat (distribusi frekuensi) dan bivariat menggunakan uji  chi square.Hasil:.Diketahui bahwa dari 182 responden, sebagian besar tidak melakukan pemeriksaan yaitu sebanyak 110 (60,4%) responden, pengetahuan kurang baik sebanyak 112 (61,5%) responden, dan  dukungan keluarga negatif sebanyak 94 (51,6%) responden. Ada hubungan pengetahuan (P-Value 0,000; OR 17,625). dan dukungan keluarga (P-Value 0, 020; OR 2,142) dengan pemeriksaan dahak pada penderita suspek TBC di wilayah kerja Puskesmas Brabasan Kabupaten Mesuji tahun 2020Kesimpulan : Ada hubungan pengetahuan dan dukungan keluarga dengan pemeriksaan dahak pada penderita suspek TBC di wilayah kerja Puskesmas Brabasan Kabupaten Mesuji tahun 2020. Promosi kesehatan baik dalam bentuk poster, banner, leaflet, baligo tentang konsep kepatuhan maupun konsep kesehatan lainnya Kata kunci : Pengetahuan, dukungan keluarga, pemeriksaan dahak


2018 ◽  
Vol 3 (2) ◽  
pp. 75
Author(s):  
Dina Mariana ◽  
Miftah Chairani Hairuddin

The home environment is one of the potential factors in the spread of Pulmonary Tuberculosis incidence. This study aims to analyze the environmental risk factors of the incidence of Pulmonary Tuberculosis in the working area Puskesmas Binanga Mamuju 2016. The study design is a case-control study. Sample size of 93 with a comparison between case and control 1: 2. TB case sample 31 patient and control sample 62 people. TB cases are pulmonary TB patients and controls, not the lungs. The data were collected by interview using questionnaire. Bivariate statistic test using Odds Ratio with α = 0,05. The results showed that residential density (OR 1.969, 95% CI: 0.641 - 6.049), Ventilation (OR 1.492, 95% CI: 0.576-3.863), and Lighting (OR 6.471, 95% CI: 0.795 - 52.6) significant to the incidence of pulmonary TB.


2019 ◽  
Vol 55 (2) ◽  
pp. 139
Author(s):  
Susilowati Andajani

About 2 billion people in the world are infected with latent TB, and 5-10% of them will develop into active TB. The purpose of this study was to analyze the relationship between nutritional status, behavior, duration of work, comorbidities, and workplace ventilation with the incidence of latent pulmonary TB. This type of research is an observational cross sectional analytic, a sample of research of poly TB analysts and nurses from 13 health centers in Surabaya, a sample of 30 people. Statistical analysis with Chi Square and t-2 test samples were free with a=0.05. The results of this study are: The proportion of latent TB incidence is (46.70%) and 85.71% of them are women. None of the respondents detected DM, and none of the history had HIV, silicosis or hepatitis. All workplace ventilation is not good. There was no relationship between nutritional status, behavior, duration of work and the incidence of latent pulmonary TB. The conclusions from the study are, 1) The proportion of health center health workers affected by latent pulmonary TB infection is 46.70%, 2) There is no relationship between nutritional status, length of work, and behavior of health center health workers in Surabaya with latent pulmonary TB incidence. The highest incidence of latent pulmonary TB occurred in those with a working period of five years or more, with the highest education in D3 medical analysts/akper. All workplace ventilation is not good. The highest incidence of latent pulmonary TB (42.86%) in employees at the PRM Health Center (microscopic referral health center).


2021 ◽  
Vol 55 (2) ◽  
pp. 139
Author(s):  
Susilowati Andajani

About 2 billion people in the world are infected with latent TB, and 5-10% of them will develop into active TB. The purpose of this study was to analyze the relationship between nutritional status, behavior, duration of work, comorbidities, and workplace ventilation with the incidence of latent pulmonary TB. This type of research is an observational cross sectional analytic, a sample of research of poly TB analysts and nurses from 13 health centers in Surabaya, a sample of 30 people. Statistical analysis with Chi Square and t-2 test samples were free with a=0.05. The results of this study are: The proportion of latent TB incidence is (46.70%) and 85.71% of them are women. None of the respondents detected DM, and none of the history had HIV, silicosis or hepatitis. All workplace ventilation is not good. There was no relationship between nutritional status, behavior, duration of work and the incidence of latent pulmonary TB. The conclusions from the study are, 1) The proportion of health center health workers affected by latent pulmonary TB infection is 46.70%, 2) There is no relationship between nutritional status, length of work, and behavior of health center health workers in Surabaya with latent pulmonary TB incidence. The highest incidence of latent pulmonary TB occurred in those with a working period of five years or more, with the highest education in D3 medical analysts/akper. All workplace ventilation is not good. The highest incidence of latent pulmonary TB (42.86%) in employees at the PRM Health Center (microscopic referral health center).


Author(s):  
Dian Indahwati Hapsari ◽  
Ria Risti Komala Dewi ◽  
Selviana Selviana

ABSTRAKStunting merupakan salah satu permasalahan kesehatan yang menyumbang angka cukup besar di Kabupaten Sintang Provinsi Kalimantan Barat dengan prevalensi mencapai 44,1% pada Tahun 2017. Puskesmas Darajuanti merupakan Puskesmas di wilayah 3T ( Tertinggal, Terdepan, dan Terluar) yang menduduki peringkat pertama kejadian stunting khususnya di Kecamatan Sintang dengan prevalensi sebesar 27,02% pada Tahun 2017. Tujuan penelitian adalah untuk mendapatkan faktor determinan kejadian stunting pada balita di Wilayah Kerja Puskesmas Darajuanti Kabupaten Sintang. Desain penelitian menggunakan observasional analitik dengan pendekatan cross sectional. Populasi adalah seluruh balita usia 24 – 59 bulan di wilayah kerja Puskesmas Darajuanti. Sampel diambil dengan metode proportional random sampling dengan jumlah sampel 72 responden. Instrumen penelitian ini menggunakan kuisioner dengan teknik wawancara, observasi dan pengukuran dengan menggunakan microtoice. Analisis data bivariate menggunakan uji chi square dan multivariat menggunakan uji regresi logistik ganda. Hasil penelitian menunjukkan terdapat hubungan antara KEK dengan kejadian stunting (p value = 0.029), riwayat ASI eksklusif dengan kejadian stunting ( p value = 0,002), pola asuh dengan kejadian stunting (p value = 0,021 personal hygiene dengan kejadian stunting ( p value = 0,011), sedangkan tidak terdapat hubungan antara pengetahuan dengan kejadian stunting (p value = 0,593) dan riwayat imunisasi dasar dengan kejadian stunting (p value = 1,000). Hasil analisis multivariat menunjukkan variabel yang paling dominan adalah personal hygiene (OR: 12,027) dan (p value = 0.003). Kesimpulan penelitian ini adalah faktor yang paling dominan mempengaruhi kejadian stunting adalah personal hygiene.Kata-kata Kunci: Stunting, balita, Puskesmas DarajuantiABSTRACTStunting is one of the health problems that contributes to a large number in West Kalimantan. Especially in Sintang District, the prevalence reached 44.1% in 2017. Darajuanti Community Health Center is a health center that was ranked first in the stunting incidence in Sintang Subdistrict with a prevalence of 27.02% in 2017. The purpose of this study was to obtain the determinants of stunting occurrence in toddlers in the Darajuanti Community Health Center Working Area in Sintang District. The study design used observational analytics with a cross sectional approach. The population is all toddlers aged 24 - 59 months in the Dara Juanti Community Health Center work area. Samples were taken by proportional random sampling method with a sample of 72 respondents. The instrument of this study used a questionnaire with interview techniques, observation and measurement. Data analysis using chi square test. The results showed there was a relationship between KEK and the incidence of stunting (p value = 0.029), history of exclusive breastfeeding with the incidence of stunting (p value = 0.002), parenting with the incidence of stunting (p value = 0.021 personal hygiene with the incidence of stunting (p value = 0.011 ), whereas there is no relationship between knowledge with the incidence of stunting (p value = 0.593) and history of basic immunization with the incidence of stunting (p value = 1,000) The results of multivariate analysis showed that the most dominant variable was personal hygiene (OR: 12,027) .The conclusion of this study was that the most dominant factor affecting the incidence of stunting was personal hygiene.Keywords: Stunting, toddlers, Puskesmas Darajuanti


2018 ◽  
Author(s):  
Sabirin B. Syukur

The proportion of patients with smear-positive pulmonary TB in 2012 that 141 people (1:56%) of the total population were found smear-positive and amounted to 130 people (1.44%) of the total population. From the data Bolangitang Health Center in 2012 it is known that there is a population of 9,027 souls 189 (2.09%) were estimated economic suspected pulmonary TB and the suspected when examined totaled 180 people (1.99%). While in 2013 the number of TB patients increased again that 157 people (1:59%) of the total population. Formulation of the problem ie what are the factors associated with the incidence of pulmonary tuberculosis in Puskesmas Bolangitang Mongondow Bolaang North In 2013?. The purpose of the study to determine the factors associated with the incidence of pulmonary tuberculosis in Puskesmas Bolangitang Bolaang North Mongondow.The research design used in this study is the design of the study is descriptive and analytical research methods research is conducted with the main objective to create a picture / relationship about a situation objectively. The survey results revealed that the value of alpha chi square 38.000 with α = 0.000&gt; 0.05 means that there is a relationship between age and the incidence of pulmonary tuberculosis. Chi-square value of 18,661 with a significant level of α = 0.000&gt; 0.05 means that there is a relationship between poverty and the incidence of pulmonary tuberculosis. Chi-square value of 16,765 with a significant level of α = 0.000&gt; 0.05 means that there is a relationship between poverty and the incidence of pulmonary tuberculosis. Based on the results of research and discussion, it can be concluded that age, poverty and the environment associated with the incidence of pulmonary tuberculosis in Puskesmas Bolangitang Bolaang North Mongondow.


2021 ◽  
Vol 3 (2) ◽  
pp. 261-272
Author(s):  
Indra Wijaya

ABSTRACT: THE CORRELATION OF KNOWLEDGE AND FAMILY SUPPORT WITH SPUTUM EXAMINATION IN PATIENTS WITH SUSPECTED TB IN THE WORK AREA OF BRABASAN HEALTH CENTER IN MESUJI  Introduction: Achievement of positive smear pulmonary TB findings in Lampung Province, which is 38%, has not reached the MSS target. Brabasan health center as many as 28 cases. As for the case of death at the Brabasan Community Health Center during 2017, there were 5 patients with pulmonary TB who died. the purpose knowing the relationship of knowledge and family support with sputum examination in patients with suspected TB in the work area of Brabasan Health Center in Mesuji Regency in 2020Method: This type of research is quantitative, analytical survey research design with cross sectional approach. The population was all patients with suspected TB as many as 332 respondents, a sample of 182 respondents was taken by proportional random sampling. Univariate (frequency distribution) and bivariate data analysis used the chi square test.Results:. It is known that of 182 respondents, most did not conduct an examination, namely 110 (60.4%) respondents, 112 knowledge (61.5%) respondents were poor, and negative family support was 94 (51.6%) respondent. There is a knowledge relation (P-Value 0,000; OR 17,625). and family support (P-Value 0, 020; OR 2,142) with sputum examination in suspected TB patients in the Brabasan Community Health Center in Mesuji Regency in 2020Conclusion: There is a relationship between knowledge and family support with sputum examination in suspected TB patients in the Brabasan Community Health Center in Mesuji Regency in 2020. Health promotion in the form of posters, banners, leaflets, baligo about the concept of compliance and other health concepts Keywords: Knowledge, family support, sputum examination       INTISARI: HUBUNGAN PENGETAHUAN DAN DUKUNGAN KELUARGA DENGAN PEMERIKSAAN DAHAK PADA PENDERITA SUSPEK TBC DI WILAYAH KERJA PUSKESMAS BRABASAN KABUPATEN MESUJI TAHUN 2020 Pendahuluan: Capaian angka penemuan penderita TB Paru BTA positif di Provinsi Lampung yaitu 38% masih belum mencapai target SPM, Berdasarkan laporan tahunan Dinas Kesehatan Kabupaten Mesuji  tahun 2017 angka penemuan pasien TB paru BTA (+) di Puskesmas Simpang pematang sebanyak 55 kasus, terendah di Puskesmas Brabasan  sebanyak 28 kasus. Sedangkan untuk kasus kematian di Puskesmas brabasan  selama tahun 2017 terdapat 5 orang pasien TB Paru yang meninggal. Tujuan penelitian diketahui hubungan pengetahuan dan dukungan keluarga dengan pemeriksaan dahak pada penderita suspek TBC di wilayah kerja Puskesmas Brabasan Kabupaten Mesuji tahun 2020.Metode: Jenis penelitian kuantitatif, rancangan penelitian survey analitik pendekatan cross sectional. Populasi adalah seluruh pasien suspek TB  sebanyak 332 responden, sampel sebanyak 182 responden diambil secara proportional random sampling.  Analisa data secara univariat (distribusi frekuensi) dan bivariat menggunakan uji  chi square.Hasil:.Diketahui bahwa dari 182 responden, sebagian besar tidak melakukan pemeriksaan yaitu sebanyak 110 (60,4%) responden, pengetahuan kurang baik sebanyak 112 (61,5%) responden, dan  dukungan keluarga negatif sebanyak 94 (51,6%) responden. Ada hubungan pengetahuan (P-Value 0,000; OR 17,625). dan dukungan keluarga (P-Value 0, 020; OR 2,142) dengan pemeriksaan dahak pada penderita suspek TBC di wilayah kerja Puskesmas Brabasan Kabupaten Mesuji tahun 2020Kesimpulan : Ada hubungan pengetahuan dan dukungan keluarga dengan pemeriksaan dahak pada penderita suspek TBC di wilayah kerja Puskesmas Brabasan Kabupaten Mesuji tahun 2020. Promosi kesehatan baik dalam bentuk poster, banner, leaflet, baligo tentang konsep kepatuhan maupun konsep kesehatan lainnya Kata kunci : Pengetahuan, dukungan keluarga, pemeriksaan dahak


2020 ◽  
Vol 14 (3) ◽  
pp. 420-428
Author(s):  
Heny Noor Wijayanti ◽  
Didik Tamtomo ◽  
Nunuk Suryani

BCG vaccines, nutritional status, home environment and incidence of pulmonary tuberculosis among under five childrenBackground: Tuberculosis in children is an infectious disease in the respiratory tract that is difficult to detect, but its impact is sufficient to affect the child's development and health status of the child and even cause death. Therefore, it is necessary to take preventive measures by understanding the risk factors for the occurrence of tuberculosis in children, namely not receiving BCG vaccines, poor nutritional status and an unhealthy home environment.Purpose: To determine the relationship between BCG vaccines, nutritional status and home environment with the incidence of pulmonary TB disease in children under five at BKPM Semarang.Method: This study is an analytic observational study with a case control approach. The population of this study is all children under 5 years of age who are currently undergoing treatment at BKPM Semarang. The sample size in this study was 60 respondents consisting of two groups: 30 case groups and 30 control groups. Univariate analysis used percentage analysis, while bivariate analysis used Chi Square test (p = 0.05) and multivariate analysis used logistic regression.Results: There was no relationship between BCG vaccines and the incidence of pulmonary TB disease in children under five (p = 0.076; OR = 2.111). There is a relationship between nutritional status and the incidence of pulmonary tuberculosis in children under five (p = 0.000; OR = 2.750). Home environment: There is a relationship between occupancy density and the incidence of pulmonary TB disease in children under five (p = 0.000; OR = 7.538).Conclusion: Statistically, there is no significant between BCG vaccinesrelationship with the incidence of pulmonary TB disease in children under five. Several factors such as; Nutritional status and environmental conditions are closely related to the incidence of pulmonary TB.Keywords: Toddler; Pulmonary TB; BCG vaccines; Nutritional status; Home environmentPendahuluan: Tuberkulosis pada anak merupakan salah satu penyakit infeksi pada saluran pernafasan yang sulit terdeteksi, namun dampaknya cukup mempengaruhi perkembangan anak dan status kesehatan anak bahkan dapat menimbulkan kematian. Oleh karena itu, perlu dilakukan tindakan pencegahan dengan memahami faktor-faktor yang beresiko untuk terjadinya kejadian Tuberkulosis pada anak yaitu belum mendapatkan imunisasi BCG, status gizi yang kurang dan lingkungan rumah yang kurang sehat.Tujuan: Diketahui hubungan antara pemberian imunisasi BCG, status gizi dan lingkungan rumah dengan kejadian penyakit TB paru pada anak Balita di BKPM Semarang.Metode: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan case control. Populasi penelitian ini yaitu seluruh anak yang usianya dibawah 5 tahun yang sedang melakukan pengobatan di BKPM Semarang. Besar sampel dalam penelitian ini adalah 60 responden yang terdiri dari dua kelompok: 30 kelompok kasus dan 30 kelompok kontrol. Analisis univariat digunakan analisis prosentase, sedangkan analisis bivariat digunakan uji Chi Square (p = 0,05) dan analisis multivariat digunakan regresi logistik. Hasil: Tidak ada hubungan antara pemberian imunisasi BCG dengan kejadian penyakit TB paru pada anak balita (p = 0,076; OR = 2,111). Ada hubungan antara status gizi dengan kejadian penyakit TB paru pada anak balita (p = 0,000; OR = 2,750). Lingkungan rumah: Ada hubungan antara kepadatan hunian dengan kejadian penyakit TB paru pada anak balita (p = 0,000; OR = 7,538).Simpulan: Secara statistik pemberian imunisasi BCG, tidak ada hubungan yang signifikan bermakna dengan kejadian penyakit TB paru pada anak balita. Beberapa faktor seperti; status gizi dan kondisi lingkungan rumah sangat berhubungan dengan kejadian penyakit TB paru 


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