Effect of Self Management Education on Knowledge and Self Efficacy of pulmonary TB Clients in Timor Tribal Community

2021 ◽  
Vol 8 (1) ◽  
pp. 085-093
Author(s):  
Muhammad Saleh Nuwa ◽  
Stefanus Mendes Kiik
Keyword(s):  
Pulmonary Tuberculosis ◽  
Health Center ◽  
Self Efficacy ◽  
Management Education ◽  
Demographic Data ◽  
Community Empowerment ◽  
Self Management ◽  
Tribal Community ◽  
Validity And Reliability ◽  
Pulmonary Tb

Background: Pulmonary  Tuberculosis (TB) disease is still the main cause of death among the poor with low knowledge. Knowledge and self efficacy are the keys to the successful management of pulmonary TB. Objective: The purpose of this study was to investigate the effect of self management education (SME) by emphasizing the five pillars of TB management on knowledge and self efficacy of pulmonary TB clients in the Timor tribal community in Kupang, Indonesia. Methods: This quasi experimental study was conducted on 30 primary pulmonary tuberculosis patients who undergoing treatment for 6 months. The research was conducted from January to October 2020 in the working area of the Naibonat Community Health Center, Kupang Regency. Data were collected using a questionnaire on demographic data, knowledge and self efficacy which had been tested for validity and reliability.. Data were analyzed by the Paired T-test with SPSS 21.  Results: The mean score of pre test knowledge and self efficacy of clients with pulmonary TB, respectively, 5.23 ± 1.04 and 4.77 ± 1.07 increased significantly to 6, 33 ± 1.18, and 7.13 ± 0.94 on the post test (P <0.001). Conclusion and recommendation: giving SME by emphasizing the five pillars of pulmonary TB management increases the knowledge and self-efficacy of pulmonary TB clients in the Timor tribal community. The recommendation of this study is that SME interventions can be used as one of the nursing interventions in the public health center in community empowerment based pulmonary TB management

scholarly journals PENGARUH DIABETES SELF MANAGEMENT EDUCATION (DSME) BERBASIS APLIKASI WHATSAPP TERHADAP SELF EFFICACY PADA PASIEN DM TIPE 2 DI PUSKESMAS HAMPARAN PERAK

2021 ◽  
Vol 4 (2) ◽  
pp. 128-139
Author(s):  
Agnes Silvina Marbun ◽  
Rinco Siregar ◽  
Karnirius Harefa ◽  
Theresia Yuni Florensia Sinabutar
Keyword(s):  
Self Efficacy ◽  
Management Education ◽  
Medical Condition ◽  
Statistical Tests ◽  
Demographic Data ◽  
The Self ◽  
Self Management ◽  
P Value ◽  
Type 2 Dm

Diabetes mellitus (DM) is one of the biggest health problems in the world because every year there is an increase in cases. In addition to the increasing number, DM is also known to cause many complications which are divided into two, namely acute complications and chronic complications. The emergence of complications and leading to death in DM patients is due to the low self-efficacy and self-care behavior of DM patients themselves. Self-efficacy is an important factor that is defined as a patient's confidence in maintaining and improving his medical condition. Seeing the importance of self-efficacy in the care of DM patients, increasing patient self-efficacy is needed, namely through the Diabetes Self Management Education (DSME) program. The purpose of this study was to determine the effect of the WhatsApp-based DSME application on the self-efficacy of Type 2 DM patients. This type of research is a Quasy Experiment and the sampling technique used in this study is purposive sampling (Non-Probability sampling). The research design used was Pre-Experiment With Only one Group Pretest - Postest Design. The number of samples was 22 DM type 2 patients. Demographic data collection through questionnaires distributed via google form. The statistical test used was the Paired t test. The results of statistical tests found that there was an effect of WhatsApp-based DSME on the self-efficacy of Type 2 DM patients, with a p value of 0.000 (p <0.05). This shows that there is an effect of WhatsApp-based DSME on the self-efficacy of Type 2 DM patients at the Hamparan Perak Community Health Center.

scholarly journals Self-Management Education for the Quality of Life of Patients with Pulmonary Tuberculosis

2020 ◽  
Vol 4 (1) ◽  
pp. 10-19
Author(s):  
Eppy Setiyowati ◽  
Umi Hanik ◽  
Ni Njoman Juliasih ◽  
Achmad Wahdi
Keyword(s):  
Quality Of Life ◽  
Pulmonary Tuberculosis ◽  
Management Education ◽  
Sampling Technique ◽  
Drop Out ◽  
Self Management ◽  
Future Research ◽  
Control Group ◽  
Pulmonary Tb

Introduction: Treatment for pulmonary tuberculosis (TB) may become a problem when the patients show no adherence to the treatment and feel bored with its long duration. This condition may lead to the drop out in the treatment.  Therefore, this study aimed at analyzing the effects of self-management education on the quality of life of patients with pulmonary TB.  Method: The design of this study is quasi-experiment conducted in 3 Puskesmas (Community Health Center), in which 150 respondents was divided into 2 groups: 75 respondents in the control group and 75 respondents in the treatment group. They were chosen as the samples by using simple random sampling technique. The data were collected by conducting pretest to measure the quality of life, doing intervention through self-management education, and finally providing posttest. Furthermore, the data were analyzed by using Mann Whitney U test and Wilcoxon signed rank test.Result: Change in perceptions that this disease is infected by Mycobacterium tuberculosis, the right place for the treatment is Puskesmas or hospitals, and a high hope for the cure needs supports form the family and medical workers  Conclusion, self-management education increases the quality of life of the patients with pulmonary TB. The future research is expected to analyze their life expectancy more deeply.

scholarly journals Effects of self-management education programmes on self-efficacy for osteoarthritis of the knee: a systematic review of randomised controlled trials

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Daisuke Uritani ◽  
Hitoshi Koda ◽  
Sho Sugita
Keyword(s):  
Health Professionals ◽  
Self Efficacy ◽  
Randomised Controlled Trials ◽  
Management Education ◽  
Self Management ◽  
Controlled Trials ◽  
Face To Face ◽  
Knee Oa ◽  
Wide Range ◽  
Randomised Controlled

Abstract Background Enhancing self-efficacy to manage symptoms and functions is an important aspect of self-management for patients with knee osteoarthritis (OA). Many reports have investigated the effects of self-management education programmes for arthritis patients. However, a study that exclusively focuses on patients with OA in the same joints is required to clarify the effects of self-management programmes because individuals with knee OA experience physical and psychological difficulties different from those experienced by individuals with other arthritis diseases. Furthermore, previous studies have reported a wide range of delivery styles of self-management education programmes. This systematic review aimed to evaluate the effects of group-based and face-to-face self-management education programmes conducted by health professionals targeting self-efficacy for knee OA exclusively. Methods The MEDLINE, CENTRAL, EMBASE, CINAHL, Web of Science, and PEDro databases were searched to identify quantitative measures used in randomised controlled trials (RCTs) to assess the effects of self-management education programmes targeting self-efficacy in patients with knee OA. We included studies in which medical professional-delivered self-management education programmes were conducted in a group-based and face-to-face manner in community or outpatient settings. Results Seven RCTs from five countries were included in this review. Our retrieved studies included various types of self-management education programmes such as cognitive behavioural counselling, pain management education, physical education, weight management education, and arthritis self-efficacy management education, and control arms. They assessed various aspects of self-efficacy, including pain, physical function, arthritis symptoms excluding pain, weight management, mobility, and self-regulation. The total score of the Arthritis Self-Efficacy Scale was also measured. Some studies have reported beneficial effects of group-based and face-to-face self-management education programmes on self-efficacy for management of pain and other symptoms and for self-regulatory, knee OA. However, the results of the included studies were varied and inconsistent. Conclusions The current review only included seven studies, and there was a wide range of clinical heterogeneity among these studies. Thus, the effects of group-based and face-to-face self-management education programmes conducted by health professionals on self-efficacy for knee OA exclusively are inconclusive to date. Therefore, high-quality studies are required to provide significant information on clinicians, patients, and healthcare professionals in the future.

scholarly journals Influence of Health Belief Model and Motivation with Prevention of Pulmonary Tuberculosis Transmission in Public Health Center Gurah Kediri Regency

2021 ◽  
Vol 4 (2) ◽  
pp. 219-226
Author(s):  
Nanang Muhibuddin ◽  
Endah Susanti ◽  
Astri Yunita
Keyword(s):  
Pulmonary Tuberculosis ◽  
Health Center ◽  
Health Belief Model ◽  
Health Workers ◽  
Health Belief ◽  
Reciprocal Relationship ◽  
Pulmonary Tb ◽  
Tuberculosis Transmission ◽  
Belief Model ◽  
Belief Models

Tuberculosis is a health problem, both in terms of mortality or mortality, and the incidence rate of disease or morbidity. This infectious disease is mostly caused by the germ mycobacterium tuberculosis. The purpose of this study is to find out the influence of health belief models and motivation with the prevention of pulmonary tuberculosis transmission. The design used in the study is correlational analytics with a cross sectional method approach. While the sample in this study which is Some people with pulmonary tuberculosis (TB) in Gurah Health Center with BTA (+) as many as 22 respondents. The research instrument used is a questionnaire. Spearman Rhodengan test analysis of the level of significanceα=0.05, so as to be able to answer the purpose of the study. Based on Spearman Rho correlation statistical test, obtained p 0.001 result for health belief model and p 0.021, which means that the values p 0.001 and 0.021 < 0.05. From the results obtained that H1 received which means there is an influence of health belief model and motivation with the prevention of pulmonary tuberculosis transmission in Gurah Health Center Kediri Year 2020. It was concluded that the prevention of transmission of Pulmonary TB disease can be improved reciprocal relationship between health workers, families and sufferers with self-awareness of the adverse effects of Pulmonary TB disease.

The Relationship between Smoking Behavior and the Incidence of Tuberculosis at the Medan Sunggal Public Health Center

2021 ◽  
Vol 2 (1) ◽  
pp. 97-104
Author(s):  
Andre Christian Ginting ◽  
Andrico Napolin Lumbantobing
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Pulmonary Tuberculosis ◽  
Health Center ◽  
Smoking Behavior ◽  
Sources Of Information ◽  
Limit Values ◽  
Pulmonary Tb ◽  
Public Health Center ◽  
The Relationship

A B S T R A C TIntroduction Tuberculosis is an infectious disease caused by bacteria in the form ofrods (bacilli) known as Mycobacterium tuberculosis. This disease is included as achronic infectious disease. The causes of the increase in TB cases each year are stillvarious. One of them is smoking behavior. A person who smokes will have twice therisk of contracting TB. This study aims to determine the relationship between smokingbehavior and the incidence of pulmonary tuberculosis in the work area of the MedanSunggal Puskesmas in 2019. Methods This study is an analytical study with a crosssectional design. The population of this study were patients with pulmonary TB in thework area of the Medan Sunggal Public Health Center in 2019. The sample size usedwas 104 people who had met the inclusion and exclusion criteria. In the second study,the data collection tool was through the Puskesmas medical records. Data analysis wasperformed using the statistical test is chi square. Results the result showed that therewas a relationship between smoking behavior and the incidence of pulmonarytuberculosis in Medan Sunggal Public Health Center with an OR (95% CI) value of105,125 (13,280-832,161), which means that respondents who smoke will have105,125 times the risk of suffering from pulmonary tuberculosis compared to non-smoking respondents. From the results of 95% CI, it can be seen that the lower limitand upper limit values (CI values) not include 1.00, so the results of the study arestatistically significant at the value of α = 0.001. Conclusion. Smoking behavior hasan insignificant relationship with the incidence of pulmonary tuberculosis at MedanSunggal Puskesmas in 2019. It is recommended that the primary care should providesupport and sources of information about smoking habits, especially for patients whohave been diagnosed with pulmonary TB.

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
Keyword(s):  
Pulmonary Tuberculosis ◽  
Health Center ◽  
Random Sampling ◽  
Case Control ◽  
Dominant Factor ◽  
Residential Density ◽  
Chi Square ◽  
Pulmonary Tb ◽  
Household Environment ◽  
And Behavior

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.

Effectiveness of Diabetes Self-Management Education in Community Health

2019 ◽  
Vol 12 (1) ◽  
pp. 96-101
Author(s):  
Keila Brown ◽  
Loretta T. Lee ◽  
Cynthia Selleck
Keyword(s):  
Community Health ◽  
Health Center ◽  
Low Income ◽  
Management Practices ◽  
Management Education ◽  
Community Health Center ◽  
Retrospective Chart Review ◽  
Self Management ◽  
Diabetes Knowledge ◽  
Improvement Project

BackgroundDiabetes self-management education (DSME) programs utilize a multidisciplinary, skills-based approach allowing participants to make self-management choices and follow a comprehensive plan of care, improving their glycemic control.ObjectiveThe purpose of this quality improvement project was to evaluate the effectiveness of DSME on the reduction of hemoglobin A1c (HgbA1c) and body mass index (BMI) in overweight/obese community health center patients.MethodsThe free program met 2 hours weekly for 6 consecutive weeks. A retrospective chart review was conducted to compare baseline to post-session HgbA1c and BMI 12 weeks after completion of the program. Pre- and post-session surveys were also conducted to assess improved diabetes knowledge and confidence.ResultsMean HgbA1c decreased by 1.6% (p = .003) 12 weeks after completion of the program; however, BMI remained unchanged (p = .582). Diabetes knowledge and confidence also improved significantly following DSME (p = .000 and p = .001, respectively).ConclusionsThe study demonstrated that a reduction in HgbA1c levels and an increase in diabetes knowledge and confidence can occur in low income, community health center patients following participation in DSME.Implications for NursingCommunity health center patients who have access to free DSME can improve their health, self-efficacy, and diabetes self-management practices.

scholarly journals Diagnostic challenges and Gene-Xpert utility in detecting Mycobacterium tuberculosis among suspected cases of Pulmonary tuberculosis

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251858
Author(s):  
Shaila Kabir ◽  
M. Tanveer Hossain Parash ◽  
Nor Amalina Emran ◽  
A. B. M. Tofazzal Hossain ◽  
Sadia Choudhury Shimmi
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Pulmonary Tuberculosis ◽  
Predictive Value ◽  
Demographic Data ◽  
Nucleic Acid Amplification ◽  
Age Group ◽  
Cross Sectional ◽  
Care Clinic ◽  
Pulmonary Tb ◽  
Smear Negative

The incidence of pulmonary tuberculosis (PTB) can be reduced by preventing transmission with rapid and precise case detection and early treatment. The Gene-Xpert MTB/RIF assay is a useful tool for detecting Mycobacterium tuberculosis (MTB) with rifampicin resistance within approximately two hours by using a nucleic acid amplification technique. This study was designed to reduce the underdiagnosis of smear-negative pulmonary TB and to assess the clinical and radiological characteristics of PTB patients. This cross-sectional study included 235 participants who went to the Luyang primary health care clinic from September 2016 to June 2017. The demographic data were analyzed to investigate the association of patient gender, age group, and ethnicity by chi-square test. To assess the efficacy of the diagnostic test, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were calculated. The area under the curve for sputum for both AFB and gene-Xpert was analyzed to compare their accuracy in diagnosing TB. In this study, TB was more common in males than in females. The majority (50.71%) of the cases belonged to the 25–44-year-old age group and the Bajau ethnicity (57.74%). Out of 50 pulmonary TB cases (smear-positive with AFB staining), 49 samples were positive according to the Gene-Xpert MTB/RIF assay and was confirmed by MTB culture. However, out of 185 smear-negative presumptive cases, 21 cases were positive by Gene-Xpert MTB/RIF assay in that a sample showed drug resistance, and these results were confirmed by MTB culture, showing resistance to isoniazid. In comparison to sputum for AFB, Gene-Xpert showed more sensitivity and specificity with almost complete accuracy. The additional 21 PTB cases detection from the presumptive cases by GeneXpert had significant impact compared to initial observation by the routine tests which overcame the diagnostic challenges and ambiguities.

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