scholarly journals Relationship between the Role of Nursing Educators with Compliance and Lung Tuberculosis Control Patients in Medika Mulia Hospital

Author(s):  
Citra Dewi Ayu Trisnawati

<em>The compliance control of Lung Tuberculosis patients to Poli Paru is influenced by several factors one of which is the Hospital environmental factors (doctors, nurses, midwives, and other health teams). Nurses are a profession very close to patients, one of the approaches used by nurses is the role of the nurse as an Educator. The purpose of this study was to know the relationship between the role of the Nurse Educator with the compliance control of pulmonary tuberculosis patients in Medika Mulia Hospital, Tuban. The method used in this research was the correlation analytic method with a cross-sectional research design. The research in this study involved 66 pulmonary TB patients in Pulmonary Medika Mulia Hospital of Tuban with the determination of the sample using a systematic random sampling method. Data collection was carried out by questionnaire using </em>Spearman rho<em> test data analysis. From the results of the analysis obtained data with a significance value of 0.003 (p &lt;0.05) which means there was a positive relationship between the role of Educator nurses with compliance with Lung Tuberculosis patient compliance. Therefore, HI was accepted, namely the close relationship between the role of the Educator nurse and the compliance control of Lung Tuberculosis patients in the Pulmonary Poli Medika Mulia Hospital, Tuban.</em><em> The results of this study provided input to nurses in the development of nursing knowledge, specifically the role of nurses as educators in the Pulmonary Poli Medika Mulia Hospital of Tuban to improve control compliance in pulmonary TB patients.</em>

2019 ◽  
Vol 1 (2) ◽  
pp. 176-185
Author(s):  
Christine Vita Gloria ◽  
Zulmeliza Rasyid ◽  
Sherly Vermita W ◽  
Elmia Kursani ◽  
Bizanti Umayyah

This study aims to see whether the determinants are related to treatment compliance for pulmonary tuberculosis patients at the 2019 health center. This type of research is a quantitative observational cross-sectional design. The results showed that with a P value of 0.05, there was a significant relationship between knowledge (P value = 0.005 and POR = 14.276), attitudes (P value = 0.506 and POR = 1.615), family support (P value = 0.038 and POR = 1,961), the role of health workers (P values = 0.026 and POR = 4.440), with medication adherence for pulmonary tuberculosis patients. Conclusions, of the 4 variables there are 3 variables related to adherence to taking pulmonary TB drugs in the Work Area of the Siak Hulu II Health Center, namely knowledge, family support, and the role of health workers and 1 unrelated variable, attitude.   Keywords: Obedience, Medicine, Lung Tuberculosis


2018 ◽  
Vol 14 (1) ◽  
pp. 81-89
Author(s):  
Nita Yunianti Ratnasari ◽  
Susana Nurtanti

The total number of pulmonary tuberculosis cases found in Wonogiri district up to Trimester III in 2017 was 602 new cases. Adherence to patient treatment is one of the decisive factors in the success of therapy, but adherence to treatment by pulmonary TB patients is often low. This study aims to evaluate the compliance of treatment of pulmonary tuberculosis patients in Selogiri District Health Center Wonogiri regency. The design of this study used cross-sectional descriptive analysis with data collector in the form of questionnaire as primary data and patient treatment card (Form TB 01) as secondary data. Population of all pulmonary TB patients treated at Selogiri Public Health Center, registered from January 2016 to December 2017. Sampling by total sampling technique. Result of research from 23 total respondents during treatment showed that the number of respondents who adhere to TB treatment was smaller than the non-compliant respondent, that is 10 respondents (43,47%) obedient while respondent did not obey 13 (56,52%). The conclusion of this study there is no relationship between sociodemographic factors, knowledge, drug side effects, history of other diseases, availability of transportation and the role of families and officers with compliance to treatment of pulmonary tuberculosis patients in Selogiri Health Center. This study shows the high rate of non-adherence treatment of lung TB patients.


2020 ◽  
Vol 14 (1) ◽  
pp. 1
Author(s):  
Septiyani Putri ◽  
La Ode Alifariki ◽  
Fitriani Fitriani ◽  
Mubarak Mubarak

Pulmonary tuberculosis is still a significant health problem in Indonesia; the high rate of pulmonary tuberculosis sufferers causes by the patient's non-compliance factor in taking the drug, allowing resistance and recurrence. Support for the role of medicine intake supervisors has a significant role in increasing compliance with medication for pulmonary tuberculosis patients. The purpose of this research was to determine the relationship between the role of medicine intake supervisors and medication compliance for pulmonary tuberculosis (TB) patients. This research used observational analytic with cross-sectional research design, was conducted in February-March 2019. The sampling method used consisted of 30 respondents using total sampling. WHO analysis used statistical tests with a significant level of α <0.05. The independent variable of this study was the role medicine intake supervisor and the dependent variable was medication compliance for pulmonary tuberculosis patients. Supervisor is that it has a proper role of 26 (86.7%) respondents and those who have fewer roles as many as 4 (13.3) respondents. Respondents who were obedient to taking medicine were 24 (80.0%) respondents, and those who did not obey took medicine as many as 6 (20.0%) respondents. The results of the Fisher Exact statistics show that there is a relationship between the role of medicine intake supervisors (OBSERVER) and medication compliance to patients with pulmonary tuberculosis in p-value = 0.001 (p-value <0.05). This study concludes that the better the role of supervisors taking medication (OBSERVER), the more obedient patients are in taking medication.


2012 ◽  
Vol 10 (1) ◽  
pp. 40-43 ◽  
Author(s):  
S Aryal ◽  
A Badhu ◽  
S Pandey ◽  
A Bhandari ◽  
P Khatiwoda ◽  
...  

Background The patients suffering from tuberculosis are receiving shame and unfair treatment from the people living around them within their own society attending DOTS clinic of Dharan municipality. Objective To assess the stigma experienced by tuberculosis patients and to find out the association between stigma experienced by Tuberculosis patient and the selected variables (socio-demographic characteristics, clinical profile and illness experience). Methods Descriptive Cross Sectional study was done among sixty tuberculosis patients. Stratified random sampling was used to select the main center and sub center of Tuberculosis treatment and population proportionate simple random sampling using lottery method was done. Data was collected using predesigned, pretested performa from Explanatory Model Interview Catalogue developed by World Health Organization. Results The study revealed that 63.3% of the subjects were stigmatized. There was association between stigma and variables such as occupation, monthly family income and past history of Tuberculosis. There was also association of stigma with treatment phase, category of the patient and past outcome of illness. Conclusion Due to lack of knowledge and awareness about Tuberculosis, many patients were stigmatized. Efforts should be made to educate the public about Tuberculosis to reduce stigma experienced by Tuberculosis patients and improve the compliance of the patient. KATHMANDU UNIVERSITY MEDICAL JOURNAL  VOL.10 | NO. 1 | ISSUE 37 | JAN - MAR 2012 | 48-52 DOI: http://dx.doi.org/10.3126/kumj.v10i1.6914


2021 ◽  
Vol 9 (1) ◽  
pp. 57
Author(s):  
Ni Made Mertaniasih ◽  
I Gede Yogi Prema Ananda ◽  
Soedarsono Soedarsono ◽  
Deby Kusumaningrum

Tuberculosis diagnosis is an important component in decreasing TB incidence and prevalence. Because of the difficulty to collect sputum in some cases, urine specimens are used as it is easier to garner. One of the biomarkers in urine that can be used to diagnose pulmonary TB is IP-10, which can be represented by the CXCL10 gene. The study aims to determine the accuracy of diagnosis based on detection of the CXCL10 gene in urine as a biomarker for the patients with suspected pulmonary TB in Dr. Soetomo Hospital in Surabaya from November 2019 until March 2020. Thus, this is an observative laboratory research with a cross-sectional study. CXCL10 gene was examined using PCR for 36 urine samples, and then, the data, together with the medical records of clinical manifestations of pulmonary TB, GeneXpert MTB /RIF, blood count, and thorax radiograph, were processed using IBM SPSS Statistics 26. The results of the GeneXpert MTB/RIF and thorax radiograph criteria show positive results of pulmonary TB, which were 44.4% and 69.4% respectively. CXCL10 gene was not found in all urine of healthy people (negative), while 2.8% (1/36 samples) positive CXCL10 gene was found in a patient with positive GeneXpert, also with negative clinical manifestations and urine culture. In this study, the accuracy of diagnosis based on detection of the CXCL10 gene in urine for diagnosis of active pulmonary TB was 2.8%. Future research is needed to improve the methods, among them are bigger size of urine samples and clearer medical history of patients. 


Author(s):  
Joko Susanto ◽  
Jusak Nugraha ◽  
Soedarsono Soedarsono

Tuberculosis remains a global health burden. Mycobacterium tuberculosis infection causes humoral and cellularresponses. Macrophages of patients with pulmonary tuberculosis evolve M1 polarization that blocks infection orimmunosuppressive M2, promoting tissue repair mediated by IL-4, IL-10, and IL-13. Previous research showed a decrease ofIL-4R and IL-10 expression in lung macrophages of anti-TB drug resistance. A molecular test can detectrifampicin- resistance. There has been no study, which showed the difference in serum IL-4 levels in rifampicin-sensitive andrifampicin-resistant tuberculosis patients. This study aimed to determine the difference between circulating IL-4 levels inrifampicin-sensitive and rifampicin-resistant pulmonary tuberculosis patients. This cross-sectional observational studyconsecutively recruited subjects based on positive molecular and acid-fast bacilli microscopic examination from MDR-TBClinic of the Dr. Soetomo Hospital between December 2018 to March 2019. Subjects were classified into arifampicin-sensitive and rifampicin-resistant group. On ELISA measurement, IL-4 data were analyzed with SPSS version 17.Mann-Whitney U test and ROC analysis tests were performed, and p < 0.05 was significant for α=0.05 (95% CI). There wassignificant difference between rifampicin-sensitive group (420±281 pg/mL) and rifampicin-resistant group(253±279 pg/mL) (p=0.014). Receiver operating characteristics analysis showed AUC 0.70, the sensitivity of 81.5%, thespecificity of 63.6%, and the cut-off value of 235.6 pg/mL. There was a significantly higher level of circulating IL-4 in therifampicin-sensitive group than the rifampicin-resistant group. IL-4 level in healthy subjects should be measured as thenormal value in the population. Immunology and metabolic parameters should be performed to increase samplehomogeneity. Further study was also needed to understand the IL-4 role in rifampicin resistance of lung tuberculosispatients in the Indonesia population.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Yenni Yenni

Community Health Nursing (PERKESMAS) is about scope with unification with nursing and public health with support active. This activities kinds of promotion and preventif in a manner of continuty without disregard service currative and rehabilitative all of and integrated. Direction for individually, family, human and publik the first of unity whole from the proses of nursing. Based on the first study at Puskesmas Lubuk Tarok, it’s knew that strata of outonomy family is KM II 96 KK (66,2%), and KM III is 49 KK (33,8%). The purpose of observeris for know related roles of nurse,tool and infrastructure with outonomy family it do at Puskesmas Lubuk Tarok district Sijunjung regency at 2016. This reseach the kind of deskriptive and analitic to approach cross sectional study, the methode chi-square. The way of sample with use simple random sampling. The reseach of population about 171 KK and sample 63 peoples. The tool of using is quiz and checklist. The product reseach can be role of nursing PERKESMAS minus (60,3%), the tools and infrastructure PERKESMAS is not enough from (85,70%), and level the family low (68,3%). Based on chi-square can be related about role of nurse the higher level family the value (<em>p</em> = 0,025). Kind of tools and infrastructure with level higher family with value (<em>p</em> = 0,023). So the value is <em>p</em> &lt; ɑ (0,005). So, can make summary related based on role of nurses and tools and infrastructure PERKESMAS  with level higher family in this program PERKESMAS.The for it is can summary responden can make message healthy from nurses of PERKESMAS in our daily life and useful for nursing and healthy.


2021 ◽  
Vol 2 (1) ◽  
pp. 60-70
Author(s):  
Erfan AR. Lainjong

Pulmonary Tuberculosis (pulmonary TB) is an infectious airborne disease caused by the bacterium Mycobacterium tuberculosis, which affect the lower respiratory tract. Education level, smoking, income, and family history were known as risk factors for pulmonary TB. The purpose of this study was to determine the determinants associated with pulmonary TB in the outpatient department of Anutapura General Hospital, Palu. This research was an analytical study with a cross-sectional design. The independent variables in this study were the level of education, smoking status, income, and family contact history, while the dependent variable was pulmonary TB. We enrolled 43 respondents with accidental sampling method. Data analysis using univariate and bivariate analysis. The results showed that there was a relationship between education level and pulmonary TB (p = 0.024), smoking status and pulmonary TB (p = 0.004), income and pulmonary TB (p = 0.001), and family contact history with pulmonary TB (p = 0.001).There is a relationship between education level, smoking status, income, and family contact history with pulmonary TB. It is suggested to the health workers of RSU Anutapura Palu to increase understanding and knowledge of patients regarding the prevention and transmission of pulmonary TB disease.


2017 ◽  
Vol 1 (2) ◽  
pp. 3-10
Author(s):  
Farkhanda Noureen ◽  
Abdur Rehman ◽  
Asif Hanif

Background: Tuberculosis is a global pandemic which affects millions of people every year. The treatment of tuberculosis consists of simultaneous use of several drugs for a prolonged period of time, therefore anti-tuberculosis treatment induced toxicity is a real problem. It is the most common side effect leading to interruption of therapy. Wide variations have been found in the reported incidence of hepatotoxicity during short-course chemotherapy. This study was conducted to determine the frequency of ATT induced hepatotoxicity in pulmonary TB patients.Methodology: This descriptive, cross-sectional study was conducted at Gulab Devi Chest Hospital Lahore from November 2015 to January 2016. Total 137 pulmonary TB patients were included in this study according to inclusion and exclusion criteria. Data of patients was collected by Questionnaire. Blood samples were taken and LFTs were done. Data was analyzed by using SPSS version 16.Results: Data of 137 patients was taken in the study. Out of which 60 (43.8%) were male and 77 (56.2%) were female. The mean age was 40.59±16.57. 45 (32.8%) patients out of 137, develop hepatotoxicity while 92 (67.2%) shows normal patterns of liver function. 22 (16.1%) patients out of 137 showed elevation of serum bilirubin levels.Conclusion: ATT induced hepatotoxicity is a frequent complication in Pulmonary Tuberculosis patients. So, all patients put on ATT must be followed up for at least the initial month. The patients and the treating physicians must be well-educated about the adverse effects of the ATT, its early recognition and management.


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