scholarly journals PENGARUH KEPATUHAN DAN MOTIVASI PENDERITA TB PARU TERHADAP TINGKAT KESEMBUHAN PENGOBATAN DI PUSKESMAS TANJUNG MORAWA KABUPATEN DELI SERDANG TAHUN 2017

2018 ◽  
Vol 1 (1) ◽  
pp. 31-36
Author(s):  
Reni Aprinawaty Sirait ◽  
Imelda J Verawati Lubis

Tuberculosis (TB) is one of the infectious disease remains a significant health problem forpeople the world till now, including Indonesia. Tanjung Morawa Health Center is clinicthat the lowest cure rate of 34 health centers in Deli Serdang district. The number ofpatients with Pulmonary TB positive BTA at Deli Serdang district by the Year 2014 manyas 142 people with cure rate 75,79% In year 2015, there were 124 patients withPulmonary TB positive BTA but cure rate 63,5%.. This means decreasing of cure ratein Deli Serdang district and did not reach the target yet was set at least 85%. This type ofresearch using explanatory research aims to explain the effect of adherence andmotivation cure level of pulmonary tuberculosis treatment at Tanjung Morawa . Thepopulation were all patients with positive BTA pulmonary TB with a sample size of 21people. The results of bivariat statistic test showed variables which influence treatment ofPulmonary TB cure rate, patient compliance (p=0.002), the family support/PMO(p=0.003) and staff support (p=0.008). For increase TB patients awareness need IECabout pulmonary tuberculosis diseases, extension or counseling patients that patientsmore understand about their diseases and responsible on their recovery.

2019 ◽  
Author(s):  
Edza Aria Wikurendra

Tuberculosis is still the main infectious disease in the world and is increasingly becoming a concern with the presence of HIV / AIDS. In the Ministry of Health's Strategic Plan for 2015-2019, infectious diseases are one of the main priorities that must be addressed to realize a Healthy Indonesia. The number of cases of pulmonary tuberculosis in Indonesia is reported to be 130 / 100,000, every year there are 539,000 new cases and the number of deaths is around 101,000 per year, the incidence rate of pulmonary tuberculosis cases is about 110 / 100,000 people. This paper aims to reveal the problem of influential factors and efforts that must be made in controlling pulmonary TB disease. This paper is made by tracing research reports / articles related to the incidence of pulmonary TB. And then a selection of the collected reports is carried out, so that 20 selected journals / articles can be reviewed. From selected reports, determined aspects that indicate the factors that caused the incidence of pulmonary TB and TB prevention efforts were carried out. Various efforts have been made through various approaches to treat or at least reduce the incidence of TB. Such as network model strategy programs and others are expected to provide healing and prevent transmission. But in the implementation in the field, the success of treatment and prevention with this strategy experienced several obstacles that did not provide maximum results.


2019 ◽  
Vol 10 (2) ◽  
pp. 46-51
Author(s):  
Peppy Octaviani

ABSTRACT Pulmonary tuberculosis (TB) is a contagious pulmonary infectious disease that is still a health problem in the world, especially developing countries. Tuberculosis has been proclaimed by WHO (World Health Organization) as Global Emergency since 1992. The purpose of this study is to find out what physical characteristics are at risk of tuberculosis in DKT Hospital Purwokerto. The research design used in this study was a descriptive study with a cross-sectional approach to determine the characteristics of pulmonary TB patients who were adherent to treatment and those who did not comply with treatment at the DKT Hospital in Purwokerto. This research was conducted at the DKT Purwokerto Hospital in May 2018. The samples studied in this study were pulmonary TB patients who were obedient to treatment and non-compliance with treatment at the DKT Purwokerto Hospital for the period of 1 January - 30 December 2017 that met the sample criteria. The results of the study have no relationship between age and the results of sputum examination at the Purwokerto DKT Hospital (p value = 0.286), there is no relationship between sex with the results of sputum examination at DKT Purwokerto Hospital (p value = 0.261).                                                                                                                           Keywords: Pulmonary TBC, Characteristics, Phlegm Examination  


2019 ◽  
Vol 10 (2) ◽  
pp. 40-45
Author(s):  
Peppy Octaviani

ABSTRACT Pulmonary tuberculosis (TB) is a contagious pulmonary infectious disease that is still a health problem in the world, especially developing countries. Tuberculosis has been proclaimed by WHO (World Health Organization) as Global Emergency since 1992. The purpose of this study is to find out what physical characteristics are at risk of tuberculosis in DKT Hospital Purwokerto. The research design used in this study was a descriptive study with a cross-sectional approach to determine the characteristics of pulmonary TB patients who were adherent to treatment and those who did not comply with treatment at the DKT Hospital in Purwokerto. This research was conducted at the DKT Purwokerto Hospital in May 2018. The samples studied in this study were pulmonary TB patients who were obedient to treatment and non-compliance with treatment at the DKT Purwokerto Hospital for the period of 1 January - 30 December 2017 that met the sample criteria. The results of the study have no relationship between age and the results of sputum examination at the Purwokerto DKT Hospital (p value = 0.286), there is no relationship between sex with the results of sputum examination at DKT Purwokerto Hospital (p value = 0.261).                                                                                                                           Keywords: Pulmonary TBC, Characteristics, Phlegm Examination  


2021 ◽  
Vol 2 (1) ◽  
pp. 97-104
Author(s):  
Andre Christian Ginting ◽  
Andrico Napolin Lumbantobing

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.


2018 ◽  
Vol 2 (2) ◽  
pp. 77-92
Author(s):  
Tsuraya Mumtaz ◽  
Agung Priyo Utomo

Tuberculosis (TB) is an infectious disease caused by Mycobacterium Tuberculosis. Untill now, TB is still one of the main problems in many countries, especially developing countries. Indonesia ranked second as the country with the highest TB cases in the world in 2015, where most cases were found in Java. This study was conducted to model the number of new pulmonary TB cases in Java by considering the spatial aspects using Geographically Weighted Negative Binomial Regression (GWNBR). GWNBR method was chosen  because the data used in this study are overdispered. The result showed that the population density and percentage of healty homes were not significantly influential in each region. While the number of puskesmas, the percentage of smokers, the percentage of good PHBS, the percentage of diabetes mellitus, and the percentage of less IMT were significant in some regions. In general, the GWNBR model was better for modelling the number of new pulmonary TB cases than negative binomial regression and GWPR.


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Nurmadya Nurmadya ◽  
Irvan Medison ◽  
Hafni Bachtiar

AbstrakTuberkulosis (TB) paru masih menjadi masalah utama kesehatan global di dunia. Pada tahun 2011, Indonesia berada di posisi keempat dengan jumlah penderita TB terbanyak di dunia. Dalam upaya penanggulangan TB, Indonesia telah mengadopsi strategi DOTS sejak tahun 1995. Berdasarkan laporan tahunan Dinas Kesehatan Kota Padang tahun 2011, angka keberhasilan pengobatan di Puskesmas Padang Pasir yaitu 71,43% dan angka ini belum mencapai target nasional. Penelitian ini bertujuan untuk mengetahui hubungan pelaksanaan strategi DOTS dengan hasil pengobatan TB paru di Puskesmas Padang Pasir Kota Padang. Jenis Penelitian ini adalah analitik dengan desain cross sectional study. Data dikumpulkan melalui wawancara kepada responden menggunakan kuisioner yang kemudian di analisis melalui uji Chi-Square. Hasil uji statistik Chi-Square menunjukkan adanya hubungan antara pelaksanaan komitmen oleh petugas kesehatan (p-value : 0,000), pelaksanaan pemeriksaan dahak (p-value: 0,005, ketersedian OAT (p-value : 0,002) dengan hasil pengobatan TB paru. Hasil uji statistik pada peranan PMO (p-value : 0,185) dan pencatatan pelaporan penderita TB paru (p-value 0,184) menunjukkan tidak terdapat hubungan dengan hasil pengobatan TB paru.Kata kunci: tuberkulosis paru, DOTS, hasil pengobatanAbstractTuberculosis (TB) remains a major problem pulmonary global health in the world. In 2011, Indonesia was in fourth position with the highest number of TB patients in the world. InTB controlefforts, Indonesia hasadopted theDOTS strategysince 1995.Based on the annual report of Padang City Health Department in 2011, the treatment success rate in Padang Pasir Health Center is 71.43% and this figure has not reached the national target. The study aims to determine the relationship implementation of the DOTS strategy with pulmonary TB treatment success in health centers Padang Padang Pasir.This type of study design was cross-sectional analytic study. Data were collected through interviews with respondents using a questionnaire which was then analyzed by chi-square test. The results of the chi -square statistical tests showed that the implementation of commitments by health workers (p - value: 0.000), the implementation of sputum examination (p - value : 0.005), availability of OAT (p - value : 0.002) have a correlation with the results of treatment of pulmonary tuberculosis . While results statistical tests on the role of the PMO (p - value : 0.185) reporting and recording of pulmonary TB patients (p– value : 0.184) showed there was no correlation with the results of treatment of pulmonary tuberculosis.Keywords: pulmonary tuberculosis, DOTS, treatment success


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Aldira B. Pratama ◽  
Arthur E. Mongan ◽  
Mayer F. Wowor

Abstract: Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium Tuberculosis. Drugs that given to the TB patients such as isoniazid, pyrazinamide, ethambutol, streptomycin, and rifampicin. Rifampicin and streptomycin can damage the kidneys and can changes in the urine specific gravity. This study aims to describe the specific gravity of urine in adult pulmonary TB patients in the department of Prof. Dr. R. D. Kandou Manado. This research uses descriptive observational method by means of random consecutive sampling to obtain data on the weight of the urine in adult pulmonary TB patients conducted in October-November 2016 in the department Prof. Dr. R. D. Kandou Manado. The sample used is a urine sample from pulmonary TB patient with inclusion criteria. The result of urine specific gravity test that obtained from 30 patients with pulmonary tuberculosis, 27 patients (90%) with the results of 1010-1025, 1 patient (3.33%) with the results of the urine specific gravity ≤1.005, and 2 patients with the results of the urine specific gravity ≥ 1030. outpatients have an average urine specific gravity higher than inpatients. Overview urine specific gravity in this study largely still in the normal range.Keywords: pulmonary tuberculosis, Urinalysis, urine specific gravity Abstrak: Tuberkulosis (TB) adalah suatu penyakit infeksi kronik yang disebabkan oleh Mycobacterium tuberculosis. Obat yang diberikan pada pasien TB meliputi isoniazid, pirazinamid, etambutol, streptomisin, dan rifampisin. Rifampisin dan streptomisin dapat merusak ginjal dan dapat menyebabkan perubahan berat jenis urin. Penelitian ini bertujuan untuk mengetahui gambaran berat jenis urin pada pasien TB paru dewasa di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini menggunakan metode deskriptif observasional dengan cara random consecutive sampling untuk mendapatkan data tentang berat jenis urin pada pasien TB paru dewasa yang dilakukan pada oktober-november 2016 di RSUP. Prof. Dr. R. D. Kandou Manado. Sampel yang digunakan adalah sampel urin sewaktu pasien TB paru yang memenuhi kriteria yang telah ditentukan. Hasil pemeriksaan berat jenis urin yang didapatkan dari 30 pasien TB paru, 27 pasien (90%) dengan hasil 1.010-1.025, 1 pasien (3,33%) dengan hasil berat jenis urin ≤1.005, dan 2 pasien dengan hasil berat jenis urin ≥1.030. pasien rawat jalan mempunyai rerata berat jenis urin lebih tinggi daripada pasien rawat inap. Gambaran berat jenis urin pada penelitian ini sebagian besar masih pada rentang normal. Kata kunci: tuberkulosis paru, urinalisis, pemeriksaan berat jenis urin


1970 ◽  
Vol 3 (1) ◽  
Author(s):  
Noor Indyah Rachmawati ◽  
Suryani S ◽  
Chandra Isabella

TB paru masih menjadi masalah kesehatan di Indonesia dan dunia. Upaya pengendalian TB paru menjadi perhatian dunia dan menjadi salah satu indikator dalam pencapaian tujuan pembangunan global. Peran keluarga dalam pengobatan TB paru sangat besar yaitu sebagai PMO, pemberi dukungan psikis dan menciptakan lingkungan yang sehat untuk mencegah penularan. Keluarga yang mempunyai anggota keluarga menderita TB paru sering mendapat stigma negatif sehingga bisa menyebabkan kegagalan dalam merawat pasien. Penelitian ini dilakukan untuk mengetahui gambaran kebutuhan psikososial keluarga yang mempunyai anggota keluarga menderita TB Paru di RS X. Jenis penelitian deskriptif kuantitatif dengan total sampling keluarga pasien TB Paru yang sedang dirawat sebanyak 57 orang. Hasil penelitian menunjukkan bahwa seluruh responden membutuhkan kebutuhan psikososial yang meliputi kebutuhan interaksi sosial, emosi, pengetahuan dan spiritual. Kebutuhan psikososial yang paling banyak dibutuhkan adalah dalam hal pengetahuan. Hal ini menunjukkan bahwa pengetahuan sangat berpengaruh terhadap peran keluarga sebagai PMO dan dalam merawat anggota keluarganya yang menderita TB paru. Kebutuhan dengan nilai persentase tertinggi adalah dalam hal spiritual pada item adanya harapan untuk kesembuhan anggota keluarga yang menderita TB paru. Berdasarkan hasil penelitian ini, diharapkan RS X berupaya meningkatkan pemenuhan kebutuhan psikososial keluarga, dengan cara menambah frekuensi penyuluhan, mengembangkan metode pemberian informasi untuk menguatkan pengetahuan atas informasi yang diberikan, kemudahan konsultasi dengan teknik konseling dapat diberikan untuk meningkatkan pengetahuan dan partisipasi keluarga dalam program pengobatan. Kata kunci: Kebutuhan psikososial, keluarga, TB Paru. Family’s Psychosocial Needs of Pulmonary Tuberculosis Patients AbstractPulmonary TB is still a public health problem in Indonesia and the world. Efforts in controlling TB desease are becoming a focus of the world and become one of the indicators in achieving global development goals. A families roles in TB treatment is very important as Supervisors to take medicine, giving psychological support and create a healthy environment to prevent desease spread. A family that has a member with TB desease oftenly receaved negative stigma hance it could result in treatment failure. This study was conducted to describe family’s psychosocial needs among pulmonary tuberculosis patients at X Hospital. This study is descriptive quantitative, using total sampling technique with family respondents pulmonary TB patients are being cared for as many as 57 people. The results showed that all respondents required psychosocial needs include the need for social interaction, emotional, knowledge and spiritual. This shows that the knowledge is very influential toward a families roles as Supervisor to take medicine and in caring for family members who suffer from tuberculosis. Needs with the higest percentage in terms of spiritual item is hope to recover from TB. Based on these results, it is expected X Hospital seeks to improve the fulfillment of the families psychosocial needs by way of to increase the frequency of health information, developed a method of providing information to strengthen knowledge on the information provided, ease of consultation with counseling techniques can be given to increase family participation in treatment programs. Key words: Family, psychosocial needs, pulmonary TB.


2021 ◽  
Vol 16 (1) ◽  
pp. 12
Author(s):  
Dyan Kunthi Nugrahaeni ◽  
Lala Rosmalaningrum

Pulmonary tuberculosis (TB) is a global health problem and has become the leading cause of death. Tuberculosis eradication is inhibited due to the tendency of patients to not complete the TB treatment. The purpose of this study was to determine the relationship between knowledge, nutritional status, oral medication adherence, and family support as risk factors for pulmonary tuberculosis treatment failure. The design of this study is that of case-control, and this study involved samples of pulmonary TB patients who were declared not cured after treatment (14 people), and control samples of pulmonary TB patients who were declared cured (28 people). The data were obtained through measurements of nutritional status and interviews, while treatment failure was based on data from the TB 01 form. Data was analysed using univariable and bivariable analyses, and the magnitude of risk factors was based on the odds ratio (OR) and 95% confidence interval (CI). The results showed that the factors associated with failure of pulmonary TB treatment are knowledge (p = 0.022; OR = 6.6; 95% CI = 1.48 - 29.36), nutritional status (p = 0.005; OR = 9.16; 95% CI = 2.11 - 39.85), and medication adherence (p = 0.003; OR =11.0; 95% CI = 2.37 - 54.14), whereas the unrelated factor is family support (p = 0.47). It is recommended to provide counselling, nutritional guidance, medication assistance, and family support to patients during the treatment period for pulmonary tuberculosis.                                                                                                                        Keywords: treatment failure, knowledge, nutritional status, compliance


Lontara ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 49-56
Author(s):  
Tuty Widyanti ◽  
Effendy Rasiyanto ◽  
Anita Anita ◽  
Vindrawati Mooduto

Pulmonary Tuberculosis (TB) is an infectious disease of the respiratory tract of the lungs caused by the bacterium Mycobacterium tuberculosis. To treat the disease by using Anti Tuberculosis Drugs (ATD) which is used for 4-6 months. Treatment time that is long enough can affect the kidneys which have an effect until the occurrence of impaired kidney function. One of the important prognostic factors to evaluate the effect of ATD is by observing kidney function using laboratory indicators such as urea examination. This study aims to determine the description of the results of urea levels in pulmonary TB patients who take ATD with the type of literature study research and data collection with library techniques. The samples in this study were journals and scientific papers related to pulmonary TB patients who took ATD with a total of 6. The method used in this study was a literature study. The results of the study were obtained based on the results of a review of 5 literatures, obtained from 167 samples, obtained normal urea levels as many as 112 (67.1%) samples and urea levels which increased by 55 (32.9%) samples so that it can be concluded that patients with tuberculosis (TB) In the lungs, especially those taking ATD, some have normal urea levels and some have an increase.


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