scholarly journals Pengalaman Klien TB Paru yang Menjalani Pengobatan Fase Intensif di Puskesmas Taji Kabupaten Magetan

2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
RR Dian Tristiana ◽  
Richa Kumalasari ◽  
Makhfudli Makhfudli
Keyword(s):  
Phenomenological Approach ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Intensive Phase ◽  
Pulmonary Tb ◽  
Interview Method ◽  
Qualitative Research Design ◽  
Tb Treatment ◽  
Depth Interview ◽  
Mdr Tb

Introduction: Pulmonary TB clients who undergoing intensive phase treatment often feel sad, bored, reject conditions, useless and helpless, complaining about changes in conditions experienced. This study aims to describe the experience of pulmonary TB clients who undergoing intensive phase treatment in Taji Community Health Center of Magetan DistrictMethod: This research used qualitative research design of phenomenological approach with in-depth interview method on 15 participants with inclusion criteria for pulmonary TB clients aged ≥16 years, new clients were diagnosed with pulmonary TB, clients had undergone intensive phase pulmonary TB treatment for 1 month. While the exclusion criteria for pulmonary TB clients who are pregnant, TB-HIV, MDR TB, extrapulmonary TB, clients with comorbidities such as diabetes mellitus, hypertension, schizophrenia, and other chronic diseases. Data analysis in this study used technique nine steps Colaizzi.Result: This research used qualitative research design of phenomenological approach with in-depth interview method on 15 participants with inclusion criteria for pulmonary TB clients aged ≥16 years, new clients were diagnosed with pulmonary TB, clients had undergone intensive phase pulmonary TB treatment for 1 month. While the exclusion criteria for pulmonary TB clients who are pregnant, TB-HIV, MDR TB, extrapulmonary TB, clients with comorbidities such as diabetes mellitus, hypertension, schizophrenia, and other chronic diseases. Data analysis in this study used technique nine steps Colaizzi.Conclusion: The experience of pulmonary TB clients who undergoing intensive phase treatment needs of various support from themselves and others such as family, neighbors, friends, and health workers to overcome the obstacles transversed. It is hoped that this research could be the basis for further research on health promotion and sustainable accompaniment to pulmonary TB clients who undergoing intensive phase treatment by involving family and community.

Barriers and Supports in Empowering Parents Care for Children with Cancer

2021 ◽  
Vol 8 (2) ◽  
pp. 145-152
Author(s):  
Dina Rasmita
Keyword(s):  
Parental Attitudes ◽  
Sampling Technique ◽  
Phenomenological Approach ◽  
Structured Interview ◽  
Parent Empowerment ◽  
Children With Cancer ◽  
Interview Method ◽  
Qualitative Research Design ◽  
Parental Characteristics ◽  
Depth Interview

Cancer that occurs in children does not only affect children, but also parents. Parents experience anxiety, stress, fear of losing their children, and helplessness in caring for their children, so that parents are less than optimal in caring for their children. Parent empowerment can increase parents' knowledge, confidence, and ability to care for their children. Previous research found several obstacles to parent empowerment carried out by nurses so that parent empowerment was not optimal in its implementation. Knowing barriers and supports in implementation of parent empowerment in caring for children with cancer can support implementation of parent empowerment to be more optimal. The purpose of this study was to explore barriers and supports in parent empowerment in caring for children with cancer based on the nurse's perception. The design of this study was qualitative research design with a phenomenological approach. The data was collected by in-depth interview method using semi-structured interview guidelines on six nurses who were selected by purposive sampling technique. The data analysis was carried out by thematic analysis with the analysis stage according to Colaizzi. The results of this study were resulted in four themes, namely parental attitudes, parental characteristics, attitudes of nurses, availability of nurses and facilities. This study concluded that implementation of empowering parents to care for children with cancer became more optimal by knowing the barrier and supports in empowering parents care for children with cancer and nurses could make more effective planning in caring for children with cancer.

scholarly journals Studi Fenomenologi Tentang Resiliensi Lansia Pasca Tsunami: Studi Kualitatif

2020 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Angga Riski Wijaya ◽  
Elida Ulfiana ◽  
Eka Misbahatul Marah Has
Keyword(s):  
The Elderly ◽  
Phenomenological Approach ◽  
Lessons Learned ◽  
Vulnerable Groups ◽  
Positive Thinking ◽  
Interview Method ◽  
Qualitative Research Design ◽  
Depth Interview ◽  
Need Support ◽  
The Face

Introduction: Tsunami cause many disadvantages such as the emergence of trauma and stress on society. Victims included in the category of vulnerable groups experiencing depression after the tsunami, namely the elderly. Resilience is a psychological ability that must be possessed by the elderly to survive in the face of change when their environment continues to change. This study aims to determine the resilience of post-tsunami elderly.Method: This study used a qualitative research design with a phenomenological approach with in-depth interview method for 10 participants. Data analysis in this study uses the Collaizzi nine-step techniqueResult: The results of this study found sixteen themes, namely: 1) When a Tsunami Comes, 2) Actions When a Tsunami, 3) Feelings When a Tsunami Occurs, 4) Losses Due to Tsunami, 5) Feelings at Evacuation Posts, 6) How to Adjust, 7 ) How to Build Confidence, 8) Sources of Inspiration, 9) Efforts to Eliminate Trauma, 10) Positive Thinking, 11) Giving Support, 12) Daily Activities, 13) Lessons Learned from Tsunami, 14) Staying in the Surrounding Environment, 15 ) Staying Energetic, 16) Helping ResidentsConclusion:  Post-tsunami elderly need support from families and communities to have good resilience and activities to eliminate trauma. It is hoped that this research can be the basis for further research on post-disaster resilience of the elderly.

scholarly journals Six-year trend and risk factors of unsuccessful pulmonary tuberculosis treatment outcomes in Thai Community Hospital

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Sakarn Charoensakulchai ◽  
Chaiyapun Lertpheantum ◽  
Chanapon Aksornpusitpong ◽  
Peeranut Trakulsuk ◽  
Boonsub Sakboonyarat ◽  
...  
Keyword(s):  
Risk Factors ◽  
Community Hospital ◽  
Previous History ◽  
Treatment Quality ◽  
Intensive Phase ◽  
Loss To Follow Up ◽  
Pulmonary Tb ◽  
Tb Treatment ◽  
Monitoring Tools ◽  
Unsuccessful Treatment

Abstract Objective Tuberculosis (TB) is a major cause of morbidity and mortality globally. Despite efforts to eliminate TB in Thailand, the incidence rate has declined slowly. This study aimed to identify the incidence and risk factors of unsuccessful pulmonary TB treatment (failed, died and loss-to- follow up) in a community hospital in Chachoengsao Province, Thailand from 1st January 2013 to 31st December 2019. Results A total of 487 patients were eligible for the study. The incidence of unsuccessful treatment was 21.67/100 population person year. Risk factors of unsuccessful pulmonary TB treatment were unemployment (adjusted hazard ratio (AHR) 3.12, 95%CI 1.41–6.86), HIV co-infection (AHR 2.85, 95%CI 1.25–6.46), previous history of TB (AHR 2.00, 95%CI 1.04–3.81), positive sputum AFB at the end of the intensive phase (AHR 5.66, 95%CI 2.33–13.74), and sputum AFB was not performed at the end of the intensive phase (AHR 18.40, 95%CI 9.85–34.35). This study can be utilized to improve prevention and intervention of TB treatment by strengthening public health system on treatment quality especially TB patient monitoring tools or methods easy for accessing to patients in communities.

scholarly journals The implementation of health istithaah to the pilgrims with tuberculosis: a cross-sectional study in Jakarta, Indonesia

2020 ◽  
Vol 29 (2) ◽  
pp. 198-203
Author(s):  
Ibnu Mas'ud ◽  
Ujainah Zaini Nasir ◽  
Ceva Wicaksono Pitoyo ◽  
Ikhwan Rinaldi
Keyword(s):  
Secondary Data ◽  
Cross Sectional Study ◽  
Sputum Smear ◽  
Sectional Study ◽  
District Health ◽  
Cross Sectional ◽  
Intensive Phase ◽  
Health Team ◽  
Tb Treatment ◽  
Mdr Tb

BACKGROUND Based on the regulation of the Indonesian Ministry of Health No. 15 of 2016 about health istithaah for the Hajj, patients with tuberculosis (TB) can be categorized into ineligible or temporarily ineligible pilgrims. This study aimed to know the characteristics of pilgrims with TB and determined their level of fitness for fulfilling the health istithaah. METHODS A cross-sectional study of pilgrims from Jakarta who were receiving TB treatment during the Hajj in 2018 was conducted with consecutive sampling. The secondary data was collected from the Hajj Integrated Computer Health System 2018, TB registered form, and six-minute walk test (the fitness level data) conducted by the District Hajj Health Team at district health centers in DKI Jakarta and Pondok Gede before the Hajj embarkation in June–July 2018. The questionnaire to the Indonesian Hajj Health Team during pilgrimage was also included as additional data. RESULTS Thirty-one pilgrims received TB treatment and completed the intensive phase of TB treatment, but 29 pilgrims had no symptoms. Among them, 2 patients had MDR-TB. Most of them were male aged ≥40 years old. Twelve pilgrims with TB have a sufficient fitness. All pilgrims were able to run the pillars of the Hajj. CONCLUSIONS Pilgrims with TB, including MDR-TB, who had completed the intensive phase with a negative sputum smear test were declared eligible for the Hajj with assistance.

scholarly journals Gambaran Kepatuhan Minum Obat Pada Pasien TB Paru : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1863-1874
Author(s):  
Pinaka Swasti Ratu Suryantari ◽  
I Irnawati
Keyword(s):  
Literature Review ◽  
Keyword Search ◽  
Pill Count ◽  
World Health ◽  
Drug Resistant ◽  
Pulmonary Tb ◽  
Tb Treatment ◽  
The World ◽  
Mdr Tb ◽  
Elementary School Education

AbstractCompliance in treatment and taking Anti Tuberculosis Drugs (OAT) in pulmonary TB Patients is very necessary for consistency in increasing the success rate of treatment. Pulmonary TB Treatment must be done regularly. Otherwise, resistance to Anti Tuberculosis Drugs (OAT) will occur, the duration of taking the drug will be longer, and there will be an increase in the dose consumed. Especially, it is about an adherence to take OAT in patients with Multy-Drug Resistant (MDR) TB and TB with HIV. To find out the description of medication adherence in pulmonary TB patients and and characteristics in pulmonary TB patients. This study used a literature review design. The pill count compliance measurement method was conducted through a keyword search and used 5 articles from Google Scholar, ProQuest, and PubMed published in 2017 – 2021. From the 5 articles reviewed, the results showed that most of the respondents were male (68% or 314 respondents). The education level of most of the respondents was elementary school education (34% or 105 respondents). Most of the respondents were employed (62% or 164 respondents). Compliance with taking medication in pulmonary TB patients was 322 (70%) compliant, given intervention was 159 (92%) compliant, without intervention was 163 (56%) compliant, MDR TB non-adherent was 105 (95%), and TB with HIV 135 was (86%) complied. Compliance with taking Anti Tuberculosis Drugs (OAT) in pulmonary TB patients must be continuously improved and maintained to achieve the World Health Organization's target of increasing the success of pulmonary TB treatment consistently at results of 90%.Keywords: Compliance, Taking Medicines, TB Drugs, Pill Count, and Pulmonary TB AbstrakKepatuhan dalam pengobatan dan minum Obat Anti Tuberkulosis (OAT) pada pasien TB Paru sangat diperlukan konsistensinya dalam meningkatkan angka keberhasilan pengobatan. Pengobatan TB Paru harus dilakukan secara teratur, jika tidak akan terjadi resistensi pada Obat Anti Tuberkulosis (OAT), semakin lama durasi minum obat dan terjadi peningkatan dosis yang dikonsumsi. Terutama kepatuhan minum OAT pada pasien TB Multy Drug Resistant (MDR) dan TB dengan HIV. Mengetahui gambaran kepatuhan minum obat pada pasien TB Paru dan karakteristik pada pasien TB Paru. Desain Literature Review dengan metode pengukuran kepatuhan pill count melakukan pencarian melalui kata kunci dan menggunakan 5 artikel dari database hasil penulusuran elektronik pada Google Cendekia, ProQuest, Pubmed yang dipublish pada tahun 2017 – 2021. Dari 5 artikel yang di review di dapatkan hasil responden pada artikel sebagian besar berjenis kelamin laki – laki yaitu 314 (68%). Tingkat pendidikan responden sebagian besar berpendidikan SD yaitu 105 (34%), dan sebagian besar responden bekerja yaitu 164 (62%). Kepatuhan minum obat pada pasein TB dengan mengabaikan intervensi yang diberikan yaitu 322 (70%) patuh, diberikan intervensi 159 (92%) patuh, tanpa intervensi yang diberikan 163 (56%) patuh, TB MDR tidak patuh 105 (95%), dan TB dengan HIV 135 (86%) patuh. Kepatuhan minum Obat Anti Tuberkulosis (OAT) pada pasien TB Paru harus terus ditingkatkan dan dipertahankan untuk mencapai target World Heatlh Organisation dalam meningkatkan keberhasilan pengobatan TB Paru secara konsisten pada hasil ≥ 90%.Kata kunci: Kepatuhan; Minum Obat; Obat TB; Pill Count; dan TB Paru

scholarly journals Adherence to the MDR-TB intensive phase treatment protocol amongst individuals followed up at central and peripheral health care facilities in Uganda - a descriptive study

2020 ◽  
Vol 20 (2) ◽  
pp. 625-632
Author(s):  
Joseph Mukasa ◽  
Edward Kayongo ◽  
Ismael Kawooya ◽  
Deus Lukoye ◽  
Alfred Etwom ◽  
...  
Keyword(s):  
Health Facility ◽  
Treatment Protocol ◽  
Health Care Facilities ◽  
Good Adherence ◽  
Intensive Phase ◽  
Household Contacts ◽  
Tb Treatment ◽  
Resource Limited ◽  
National Tuberculosis ◽  
Mdr Tb

Background: Following initiation of MDR-TB treatment, patients have a choice to receive follow up DOT supervision at either the central initiating facility or at a peripheral facility. Objectives: We describe the adherence patterns of MDR-TB patients undergoing DOT supervision at the two health facility categories during intensive phase of treatment. Methods: We used a retrospective cohort of patients initiated on MDR TB treatment at Mulago National Referral Hospital between 2014 and 2016. We extracted data from the National Tuberculosis and Leprosy Program records and analysed these using STATA V14. Results: Majority (84.01%) of the patients received their DOT supervision from the peripheral facilities. Males made up 62.1% of patients, and 91.2% had had their household contacts screened for MDR-TB. 26.5% of the patients on peripheral DOT supervision had good adherence to treatment protocol compared to 0% among patients on central initiating health fa- cility DOT supervision. Among the patients with good adherence, 24.1% had contacts screened for MDR-TB as compared to 3.6% with poor adherence. Conclusion: More patients preferred MDR-TB DOT supervision at peripheral facilities, which had better adherence to the treatment protocol compared to the central initiating facility. Younger people and those with household contacts screened had better adherence to the treatment protocol, highlighting areas for targeted interventional programs for MDR-TB in resource limited settings. Keywords: MDR-TB; adherence; central initiating; peripheral health facility; DOTS; SORT IT.

scholarly journals Predictors of Intensive Phase Treatment Outcomes among Patients with Multi-Drug Resistant Tuberculosis in Zaria, North-Western Nigeria

2020 ◽  
Vol 32 (2) ◽  
pp. 95-107
Author(s):  
A. Oyefabi ◽  
B. Adelekan ◽  
E. Adetiba ◽  
L. Emmanuel ◽  
O. Jimoh
Keyword(s):  
Treatment Outcome ◽  
Treatment Outcomes ◽  
Successful Treatment ◽  
Treatment Success ◽  
Case Fatality ◽  
Training Centre ◽  
Intensive Phase ◽  
Tb Treatment ◽  
Resistant Tuberculosis ◽  
Mdr Tb

Background: The emergence of multidrug-resistant tuberculosis (MDR-TB) is a threat to successful TB treatment outcomes in developing nations like Nigeria. This study determined the predictors of intensive phase treatment outcomes in MDR-TB patients in Zaria, Nigeria.Methods: This was a retrospective cross-sectional review of the records of 124 MDR-TB patients registered between September 2012 and August 2017 at the National Tuberculosis and Leprosy Training Centre, Saye, Zaria. Data were analyzed using IBM SPSS version 25.0 and the StataCorp STATA/SE 14.Results: The median age (IQR) of the respondents was 32 (15) years. The gene Xpert test detected Mycobacterium Tuberculosis (MTB) and rifampicin resistance (RIF) in 119 (96.0%) cases. The treatment success rate was 97 (78.2%). MDR-TB and HIV co-infection rate was 17 (13.7%) while the case fatality rate was 16.1%. Bivariate analysis showed that being male (p=0.001), not currently in marital union (p=0.01) and positive smear results at 1 month (p=0.027)) were significantly associated with treatment success. Multivariate logistic regression showed that the odds for successful treatment outcome was 4 times higher for the MDR-TB patients who were employed than the unemployed (AOR= 3.98, 95% CI= 1.15-13.74). No significant relationship between MDR-TB-HIV comorbidity (AOR=1.89, 95% CI=0.44-8.19), MDR-TB susceptible to Isoniazid (AOR= 0.49, 95% CI =0.15-1.56) and successful treatment outcome.Conclusion: Unemployment was a predictor of poor treatment outcome in this study. Cause-specific mortality due to the MDR TB was high in this setting. We advocate for optimization of access to treatment and social support system, especially for the female patients. Keywords: Gene Xpert; Intensive phase; MDR-TB; Treatment outcomes; Nigeria.

scholarly journals Fears, Aspirations, and Hopes: A Springboard of Life for Domestically Abused Children

2014 ◽  
Vol 16 (1) ◽  
Author(s):  
Arvin A. Andacao ◽  
Maria Gloria R. Lugo ◽  
Danilo R. Pajo
Keyword(s):  
Support Groups ◽  
Domestic Abuse ◽  
Group Discussion ◽  
Phenomenological Approach ◽  
Abused Children ◽  
Female Victims ◽  
Qualitative Research Design ◽  
Depth Interview ◽  
Key Informant Interview ◽  
Interpretative Sociology

The youth are the hope of the native land. Unfortunately, children in homes where there is domestic violence are more likely to be abused or neglected. This is one of the most prevalent and rampant quandaries in the society which requires critical attention of a victim. Thus, a study was conducted to determine the demographic profile, forge fears, aspirations and hopes as voices of domestically abused children and produce programs to possibly heal the victims. Guided by the qualitative research design and interpretative sociology orientation, the phenomenological approach was primarily used in the study. Information was generated by the researchers through in-depth interview, key informant interview, and focus group discussion utilizing self-made questionnaire. The findings revealed that 90 percent of informants were minor age, all female victims and suffered domestic abuse. The results on the fears, aspirations, and hopes as springboard of their existence showed positive indication with the victims to fulfill their desires. However, government and other support groups were hunted. Hence, the study concludes that aspirations and hopes were constant goal of the victims and their fears were poignant blueprint to their opening or preference of destiny. Further, this study identified various programs needed by the victims to completely attain their aspirations of life.Keywords—  Social Sciences, domestic abuse, fears, aspirations, hopes, qualitative design, phenomenological approach, Philippines

scholarly journals Nurse’s Experiences in Implementing an Islamic Care Nursing Practice in Sharia-based Hospital Yogyakarta: A Phenomenological Study

2021 ◽  
Vol 9 (T4) ◽  
pp. 182-188
Author(s):  
Shanti Wardaningsih ◽  
Aldina Puput Junita
Keyword(s):  
Patient Satisfaction ◽  
Phenomenological Study ◽  
Phenomenological Approach ◽  
Spiritual Experiences ◽  
Interview Method ◽  
The People ◽  
Nursing Services ◽  
Level Of Satisfaction ◽  
Depth Interview ◽  
Improve Patient

BACKGROUND: Caring is the concept of a basic approach in nursing. It is an action that affects the level of satisfaction in hospitalized patients. Caring practice is very important for patient satisfaction. If it is in accordance with patient expectations, it will be considered as satisfying nursing services. However, in reality, there are still many nurses who have not shown caring practice toward patients and there may be some nurses who do not have time to listen to patients, provide comfort, or other caring actions. Nurses are considered to be noble professions as they are the people who take care and help the patients. The noble profession can be seen through the practice of the nurse such as caring actions which can improve patient satisfaction, especially Islamic caring, which is to include Islamic values in the hospital regardless of the patient’s status. AIM: This study aims to explore the experiences of nurses in implementing Islamic caring practices at the Islamic Hospital in Yogyakarta. METHODS: This study used a qualitative method with a phenomenological approach. The data collection conducted in this study was an in-depth interview method. The number of participants in this study was six nurses who worked at PKU Muhammadiyah Yogyakarta Hospital and Nur Hidayah Hospital, Yogyakarta. RESULTS: The results of this study showed four main themes regarding the experience of nurses in implementing Islamic caring practices at the Islamic Hospital in Yogyakarta. CONCLUSION: The four main themes are nurse’s spiritual experiences, sharia-based services, attitudes toward Islamic caring practices, and the support and the barrier in carrying out Islamic caring practices.

scholarly journals Immunological recovery in patients with pulmonary tuberculosis after intensive phase treatment

2018 ◽  
Vol 46 (9) ◽  
pp. 3539-3551
Author(s):  
Xuejiao Luo ◽  
Furong Wu ◽  
Jun Ma ◽  
Heping Xiao ◽  
Haiyan Cui
Keyword(s):  
Interleukin 2 ◽  
Serum Levels ◽  
Sputum Smear ◽  
Intensive Phase ◽  
Pulmonary Tb ◽  
Immune Parameters ◽  
Tb Treatment ◽  
Soluble Interleukin 2 Receptor ◽  
Immunological Recovery ◽  
Factor Α

Objectives This study aimed to examine the change and significance of immune parameters in patients with sputum smear-positive pulmonary tuberculosis (TB) after 2 months of intensive phase anti-TB treatment. Methods The immune parameters of 232 cases of sputum smear-positive pulmonary TB were detected before and after 2 months of intensive phase anti-TB treatment and compared with 50 cases from healthy volunteers (controls). The T lymphocyte cell population in peripheral blood was detected using flow cytometry. Serum levels of interleukin (IL)-1β, soluble interleukin-2 receptor, IL-6, and tumour necrosis factor-α were measured by ELISA. Results After 2 months of intensive phase anti-TB treatment, a reduction in the percentage of CD4+ T cells showed a significant restoration similar to that of controls. Moreover, after intensive anti-TB treatment, serum levels of IL-1β, soluble interleukin-2 receptor, IL-6, and tumour necrosis factor-α were significantly decreased compared with before treatment. Additionally, serum levels of IL-1β and IL-6 showed a diminished recovery compared with controls. Conclusions Our findings suggest immunological recovery in patients with pulmonary TB after intensive phase treatment. Therefore, serum cytokine levels are considered potential host biomarkers for monitoring the response of treatment for pulmonary TB.

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