GAMBARAN PENGETAHUAN PASIEN TUBERKULOSIS PARU DALAM TERAPI DIET TKTP DI RUANG RAWAT INAP RUMAH SAKIT SANTA ELISABETH MEDAN.

Pulmonary Tuberculosis is a contagious disease directly caused by TB germs. The main symptoms are sputum mixed with blood, decreased appetite, and decreased BB. BB decrease can reach 10%. Condition of TB patient can be recovered by consuming nutritious food. The importance of attention to food intended for people with infectious diseases, especially Pulmonary TB patients include the availability of energy substances, proteins, fats and carbohydrates provided by the hospital. Goal: : To describe the knowledge of lung tuberculosis patients in TKTP diet therapy In the inpatient room of Santa Elisabeth medan hospital. Methods: This case study method is a descriptive type. Result: The results of this study indicate the knowledge of pulmonary TB patients about TKTP diet is good as much as 80% and enough as much as 20%. So knowledge of lung TB patients at Santa Elisabeth Hospital Medan is good. Conclusion: For nurse to help information about TKTP diet in Lung TB patient.

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Penerapan Fisioterapi Dada dan Batuk Efektif Terhadap Ketidakefektifan Bersihan Jalan Nafas Pada Pasien Tuberculosis Paru

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.919 ◽

2021 ◽

Vol 1 ◽

pp. 1706-1712

Author(s):

Melinia Febriyani ◽

Firman Faradisi ◽

Nuniek Nizmah Fajriyah

Keyword(s):

Pulmonary Tuberculosis ◽

Scientific Paper ◽

Chest Physiotherapy ◽

Case Study Method ◽

Descriptive Case Study ◽

Tuberculosis Patients ◽

Airway Clearance ◽

Night Sweats ◽

The Subject

AbstractPulmonary tuberculosis is a chronic bacterial infection by the bacillus Myobacterium tuberculosis. This disease causes the patient to cough with phlegm or coghing up blood, shortness of breath, chest pain, night sweats and decreased appetite. The purpose of this scientific paper is ti describe nursing care for pulmonary tuberculosis patients with ineffective airway clearance problems. This research uses a descriptive case study method with the subject of two pulmonary tuberculosis patients who experience ineffective airway clearance problems in Pelutan Pemalang Village. The chest physiotherapy and effetive coughing actions were carried out for three days, twice a day, morning and evening. The results showed that the effective chest physiotherapy and coughing were able to overcome the ineffectiveness of airway clearance. Therefore, it can be concluded that the effective chest and cough physiotherapy is considered effective against ineffective airway clearance in pulmonary tuberculosis patients. For this reason, nurses are expected to be able to provide effective chest and cough physiotherapy therapy to help overcome the ineffectiveness of airway clearance in pulmonary tuberculosis patients.Keywords: Effective Cough and Chest Physiotherapy, Ineffective Airway Clearing AbstrakTuberculosis paru merupakan penyakit infeksi bakteri menahun yang disebabkan oleh basil myobacterium tuberculosis. Penyakit ini menyebabkan pasien batuk disertai dahak atau batuk berdarah, sesak nafas, nyeri pada daerah dada, keringat pada malam hari dan penurunan nafsu makan. Tujuan dari Karya Tulis Ilmiah ini untuk menggambarkan asuhan keperawatan pada pasien tuberculosis paru dengan masalah ketidakefektifan bersihan jalan nafas. Rancangan Karya Tulis Ilmiah ini menggunakan metode studi kasus deskriptif dengan subjek dua pasien tuberculosis paru yang mengalami masalah ketidakefektifan bersihan jalan nafas di Kelurahan Pelutan Pemalang, dilakukan tindakan fisioterapi dada dan batuk efektif dilakukan selama tiga hari dikerjakan dua kali sehari pagi dan sore. Hasil pemberian fisioterapi dada dan batuk efektif berhasil mampu mengatasi ketidakefektifan bersihan jalan nafas. Kesimpulan : fisioterapi dada dan batuk efektif dinilai efektif terhadap ketidakefektifan bersihan jalan nafas pada pasien tuberculosis paru. Untuk itu diharapkan perawat dapat memberikan terapi fisioterapi dada dan batuk efektif untuk membantu mengatasi ketidakefektifan bersihan jalan nafas pada pasien tuberculosis paru.Kata kunci: Fisioterapi Dada dan Batuk Efektif, Ketidakefektifan Bersihan Jalan Nafas

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Kualitas Hidup Pasien Tuberkulosis Paru yang Mengalami Stigma Diri (Quality of Life Pulmonary Tuberculosis Patients With Self Stigma))

Jurnal Kesehatan Holistic ◽

10.33377/jkh.v3i2.50 ◽

2019 ◽

Vol 3 (2) ◽

pp. 17-27

Author(s):

Yunita Sari

Keyword(s):

Quality Of Life ◽

Pulmonary Tuberculosis ◽

Descriptive Study ◽

Negative Influence ◽

Questionnaire Data ◽

Average Quality ◽

Tuberculosis Patients ◽

Pulmonary Tb ◽

Life Score

Pulmonary tuberculosis (TB) is a chronic disease that can bring about the sufferer's self-stigma and also affect his quality of life. A number of studies report that living with TB has a negative influence on the quality of life of sufferers even with or without self-stigma. The purpose of this study was to identify the quality of life of TB patients who experienced self-stigma. This research is a descriptive study, sample were 31 pulmonary TB patients. Data was collected using a questionnaire. Data analyzed by using frequency distribution and percentage. The researcher first screened TB patients who experienced self-stigma. The results showed that 25 people (80.64%) respondents experienced mild self-stigma. A total of 9 respondents (36%) had a quality of life score in the good category and as many as 16 respondents (64%) had enough category with an average quality of life score is 56.57. While respondents who had moderate self-stigma were 6 people (19.36%) with a good quality of life score was 1 person (16.67%) and enough category quality of life score were 5 people (83.33%) with an average quality of life score is 49.92.

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IL-4 Level in Rifampicin-Sensitive and Rifampicin-Resistant Lung Tuberculosis Patients

INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY ◽

10.24293/ijcpml.v27i1.1606 ◽

2020 ◽

Vol 27 (1) ◽

Author(s):

Joko Susanto ◽

Jusak Nugraha ◽

Soedarsono Soedarsono

Keyword(s):

Pulmonary Tuberculosis ◽

Operating Characteristics ◽

Mycobacterium Tuberculosis Infection ◽

Cross Sectional ◽

Tuberculosis Patients ◽

Lung Tuberculosis ◽

Characteristics Analysis ◽

Resistant Group ◽

The Difference ◽

Sensitive Group

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.

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Determinan Kepatuhan Minum Obat Pasien Tuberkulosis Paru

Jurnal Kesmas Asclepius ◽

10.31539/jka.v1i2.919 ◽

2019 ◽

Vol 1 (2) ◽

pp. 176-185

Author(s):

Christine Vita Gloria ◽

Zulmeliza Rasyid ◽

Sherly Vermita W ◽

Elmia Kursani ◽

Bizanti Umayyah

Keyword(s):

Pulmonary Tuberculosis ◽

Health Center ◽

Family Support ◽

Health Workers ◽

Treatment Compliance ◽

P Value ◽

Cross Sectional ◽

Tuberculosis Patients ◽

Lung Tuberculosis

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

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772. Factors Associated With Healthcare Delay of Active Pulmonary Tuberculosis After Hospitalization

Open Forum Infectious Diseases ◽

10.1093/ofid/ofy210.779 ◽

2018 ◽

Vol 5 (suppl_1) ◽

pp. S276-S277

Author(s):

Jaijun Han ◽

Se Yoon Park ◽

Jebyung Park ◽

So Young Lee ◽

Gil Eun Kim ◽

...

Keyword(s):

Pulmonary Tuberculosis ◽

Infectious Diseases ◽

Early Recognition ◽

Multivariate Logistic Regression Analysis ◽

Hospitalized Patients ◽

Pulmonary Tb ◽

Active Pulmonary Tuberculosis ◽

Factors Associated ◽

Delayed Recognition ◽

Significant Factors

Abstract Background Hospitals are undesirable reservoirs for a respiratory outbreak. Active pulmonary tuberculosis (TB) can be readily transmitted among hospitalized patients. Early recognition of pulmonary TB is an essential priority against transmission. The aim of this study was to evaluate factors associated with delayed identification of pulmonary TB in hospital settings. Methods Medical records of newly diagnosed TB patients admitted to a referral hospital from January 2015 through December 2017 were reviewed. Delayed recognition of pulmonary TB was defined as failure to initiate airborne isolation within the first 3 days after admission. We analyzed clinical, microbiological, radiological, and healthcare factors associated with delayed recognition of pulmonary TB. Patients who were not suspected of having active pulmonary TB had no remarks about TB on their initial chest radiograph interpretation by radiologists. Multivariate logistic regression analysis was performed with significant factors included. Results A total of 136 patients were analyzed who had positive sputum acid-fast bacilli (AFB) cultures. Of these, 45 (33%) patients were isolated 3 days after admission and had longer days of exposure before isolation (median 9, interquartile range [IQR] 6–14, P < 0.001) in comparison to others (median 0, IQR 0–1). Patients with older age (odds ratio [OR] = 1.04, 95% confidence interval [CI] 1.01–1.08, P = 0.01), patients who were admitted to departments other than infectious diseases or pulmonology (OR = 6.23, 95% CI 2.17–17.89, P = 0.001) and patients who were not suspected of having active pulmonary TB by radiologists (OR = 11.36, 95% CI 4.11–31.39, P < 0.001) were more likely to have delayed recognition of pulmonary TB. Conclusion In a country with intermediate TB prevalence, better awareness for pulmonary TB is required for all hospitalized patients who are admitted to departments other than infectious diseases or pulmonology. Although active pulmonary TB is not suspected by a radiologist, sputum AFB smear, and culture are necessary when new lesions are present in chest radiographs. Disclosures All authors: No reported disclosures.

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FAKTOR FAKTOR YANG MEMPENGARUHI KEJADIAN TB PARU DAN UPAYA PENANGGULANGANNYA

10.31227/osf.io/r3fmq ◽

2019 ◽

Author(s):

Edza Aria Wikurendra

Keyword(s):

Infectious Disease ◽

Pulmonary Tuberculosis ◽

Infectious Diseases ◽

Influential Factors ◽

Pulmonary Tb ◽

Treatment And Prevention ◽

The World ◽

Success Of Treatment ◽

Selection Of ◽

Made In

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.

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Effect of Giving Cohi Fish Biscuits and Vitamin C on the Weight of Patients with Pulmonary Tuberculosis in Percut Sei Tuan District in 2019

International Journal of Science and Healthcare Research ◽

10.52403/ijshr.20210423 ◽

2021 ◽

Vol 6 (2) ◽

pp. 126-132

Author(s):

Eka Ariska Lubis ◽

Albiner Siagian ◽

Zulhaida Lubis

Keyword(s):

Body Weight ◽

Vitamin C ◽

Pulmonary Tuberculosis ◽

Test Body ◽

Control Group ◽

Control Group Design ◽

Food Ingredients ◽

Tuberculosis Patients ◽

Pulmonary Tb ◽

Quasi Experimental

The condition of patients with pulmonary tuberculosis (TB) with poor nutritional status will slow down the healing period. Overcoming malnutrition in pulmonary tuberculosis patients is carried out by providing supplementary food (PMT), especially those based on local food ingredients. In addition to needing additional foods rich in macro nutrients, TB sufferers also need micronutrients that can trigger increased body immunity, such as vitamin C. This study aims to see the effect of giving cohi fish biscuits and vitamin C on the weight of patients with pulmonary tuberculosis in Percut Sei Tuan District in 2019. The design of this study was a quasi experimental pretest-posttest control group design which was carried out in Percut Sei Tuan District, Deli Serdang Regency, North Sumatra starting from May-July 2019. Subjects were 52 new cases of pulmonary tuberculosis patients with malnutrition who were divided into three groups: 16 people in the first group who received 100 g/day of cohi fish biscuits, 16 people in the second group who received 100 g/day of cohi fish biscuits and 500 mg/day of vitamin C, and 20 people in the control group. The treatment was carried out for 30 days. Giving 100 grams of cohi fish biscuits contributed 583.29 kcal of calories, 15.32 grams of carbohydrates, 25.54 grams of protein and 46.65 grams of fat. Statistical test using one-way ANOVA, the results obtained were no difference in pre-test weight of patients with pulmonary TB (p=0.616), there was no difference in post-test body weight of patients with pulmonary TB (p=0.674), there was a difference in changes in patient weight. Pulmonary TB (p=0.00). There was an increase in body weight in the second group of 0.7 kg, and even though there was no increase in body weight in the first group, giving cohi fish biscuits was able to withstand the weight loss compared to the control group. The conclusion of this study is that cohi fish biscuits and vitamin C can be an alternative to PMT to increase the weight of patients with TB. Keywords: Cohi Fish Biscuits, Vitamin C, Pulmonary Tuberculosis (TB).

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Profil Penderita Penyakit Tuberkulosis Paru BTA Positif yang Ditemukan di BP4 Lubuk Alung periode Januari 2012 – Desember 2012

Jurnal Kesehatan Andalas ◽

10.25077/jka.v3i2.69 ◽

2014 ◽

Vol 3 (2) ◽

Author(s):

Eni Yulvia Susilayanti ◽

Irvan Medison ◽

Erkadius Erkadius

Keyword(s):

Health Care ◽

Pulmonary Tuberculosis ◽

Medical Records ◽

Medical Center ◽

Pulmonary Diseases ◽

Sputum Smear ◽

Tuberculosis Patients ◽

Pulmonary Tb ◽

Suspected Tuberculosis ◽

History Of

AbstrakTuberkulosis masih merupakan masalah kesehatan di Indonesia karena prevalensi yang masih tinggi,i terutama di negara berkembang. Karena penyebarannya yang tinggi, maka perlu diketahui bagaimana profil penderita penyakit ini agar penularannya bisa diminimalkan. Tujuan dari penelitian ini adalah untuk mengetahui profil penderita tuberculosis paru BTA positif yang berobat di Balai Pengobatan Penyakit Paru (BP4) Lubuk Alung periode 1 Januari 2012 – 31 Desember 2012. Penelitian ini bersifat deskriptif retrospektif. Instrumen yang digunakan adalah data dari rekam medik di Balai Pengobatan Penyakit Paru (BP4) Lubuk Alung sejak 1 Januari 2012 – 31 Desember 2012. Populasi yang ada seluruhnya dijadikan subjek penelitian. Kemudian dilakukan pencatatan dari beberapa variabel yang diteliti. Hasil penelitian ini menunjukkan bahwa dalam periode tersebut jumlah penderita yang berobat ke BP4 Lubuk Alung adalah 19.440 orang, sebanyak 3.224 orang diantaranya suspek. Penderita BTA (+) 1.109 orang. Jenis kelamin laki-laki (70,8%) lebih banyak dari perempuan. Usia terbanyak adalah 21-30 tahun (23,2%). Daerah asal terbanyak adalah Kab. Padang Pariaman (29,4%). Derajat kepositifan BTA sputum terbanyak berupa positif tiga (+3) adalah (44,2%). Tipe penderita terbanyak merupakan penderita kasus baru sebanyak (91,7%). Keluhan terbanyak yang dirasakan ketika berobat adalah batuk (99%). Sebanyak (13,4%) memiliki penyakit penyerta selain tuberkulosis. Riwayat penggunaan obat sebelumnya sebanyak (11,3%). Sebanyak (99%) dirujuk ke puskesmas dan unit pelayanan kesehatan terdekat. Berdasarkan pendataan profil penderita TB Paru BTA Positif bisa dilihat paling banyak adalah derajat (+3) dan dirujuk ke unit pelayanan terdekat.Kata kunci: profil, tuberkulosis paruAbstractTuberculosis is still a health problem in Indonesia because the prevalence is still high, especially in developing countries. Due to the speed of spread, it is necessary to know the profile of people who suffer from this disease, so the transmission can be minimized. The purpose of this study was to determine the profile of positive acid-fast-bacilli (BTA) in pulmonary tuberculosis patients who seek treatment at Medical Center for Pulmonary Diseases (BP4) Lubuk Alung during the period 1 January 2012-31 December 2012.This is a descriptive retrospective study by taking the data from medical records in BP4 Lubuk Alung. Using the enterety of the population. The results of this study indicate that in this period the number of people who went to BP4 Lubuk Alung were 19.440 people, 3.224 of them suspected tuberculosis. Patients with BTA (+) was 1.109 people. We found male 70.78%. Most are 21-30 years of age 23.2%. The area of origin mostly from Kab. Padang Pariaman 29.4%. The degree of sputum smear positivity mostly positive three (+3) was 44.2%. Type of most patients are people with new cases 91.7%. Most complaints was cough 99%. A total of 13.44% had concomitant diseases other than tuberculosis. History of previous anti tuberculosis drugs (OAT) we found in 11.3%. And 99% are referred to hospitals and health care units nearby. Based on the data collection, profile of positif pulmonary TB patients is (+3) and mostly referred to the nearest health center and service unit.Keywords:profile, pulmonary tuberculosis

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Frequency of Hepatotoxicity in Pulmonary Tuberculosis Patients taking Anti-Tuberculosis Therapy

The International Journal of Frontier Sciences ◽

10.37978/tijfs.v1i2.18 ◽

2017 ◽

Vol 1 (2) ◽

pp. 3-10

Author(s):

Farkhanda Noureen ◽

Abdur Rehman ◽

Asif Hanif

Keyword(s):

Pulmonary Tuberculosis ◽

Early Recognition ◽

Cross Sectional Study ◽

Common Side Effect ◽

Real Problem ◽

Cross Sectional ◽

Tuberculosis Patients ◽

Pulmonary Tb ◽

Global Pandemic ◽

Short Course Chemotherapy

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

International Journal of Multi Discipline Science (IJ-MDS) ◽

10.26737/ij-mds.v3i2.1398 ◽

2020 ◽

Vol 3 (2) ◽

pp. 52

Author(s):

Citra Dewi Ayu Trisnawati

Keyword(s):

Tuberculosis Patient ◽

Compliance Control ◽

Cross Sectional ◽

Nursing Educators ◽

Tuberculosis Patients ◽

Pulmonary Tb ◽

Lung Tuberculosis ◽

Close Relationship ◽

Role Of Nursing

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 Spearman rho test data analysis. From the results of the analysis obtained data with a significance value of 0.003 (p <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. 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.

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