Analysis of Internal and External Motivation Affecting the Adherence of Tuberculosis Patients Treatment in Public Health Center

Author(s):  
Wiwik Rakhmawaty ◽  
W Mielka Ratna Kusuma ◽  
J Anisa Binta ◽  
W Ratna Dwi
2018 ◽  
Vol 25 (1) ◽  
pp. 36-44
Author(s):  
Suryani Suryani ◽  
S. Effendi ◽  
Refin Herizon

The impact and dangers  of  Pulmonary Tuberculosis  incidence is causing death. In Bengkulu province in 2011 there were 1.565 cases of  pulmonary  tuberculosis in 2012  there were 1,670 cases of pulmonary tuberculosis in 2013 there were 2.671 cases of pulmonary tuberculosis and in 2014 there were 2.014 cases of pulmonary tuberculosis this showed that pulmonary tuberculosis was still high. The purpose of this study was to study the relationship of PMO role with                         the success of the treatment of pulmonary tuberculosis patients in working area of Sukamerindu Public Health Center Bengkulu. The type of research used was                 an analytic survey, with Cross Sectional research design. Population in this research was all patient of pulmonary tuberculosis in working area of  Sukamerindu Public Health Center Bengkulu which had treatment 5 months amounted to 36 people in 2015. Samples taken by using total sampling which amounted to 36 people. Data analysis was done by univariate and bivariate analysis using uni Chi-Square (χ2). The results of this study were 41 patients with pulmonary tuberculosis,  20 people (55.6%)  had good role of  PMO, and there were 30 people (83.3%) who had successful treatment, there was a significant relationship between the role of PMO with successful treatment of patients with pulmonary tuberculosis with moderate category. It was  suggested to the related institution to improve and supervise the cadre of  (PMO) so that the success of   the treatment of pulmonary tuberculosis will  increasing. Keywords : drug  supervisor (PMO), successful  treatment, pulmonary  tuberculosis  patients 


2020 ◽  
Vol 7 (2) ◽  
pp. 1-5
Author(s):  
Erlina ◽  
Dewi Erna Marisa ◽  
Ahmad Syaripudin

The number of tuberculosis sufferers is increasing, 13.6%, an increase in 2016 in West Java. Cirebon City is one of the 3 cities with the highest TB prevalence, in West Java in 2017. sufferers often experience coughs that interfere with the fulfillment of sleep needs. Prolonged tuberculosis treatment often causes anxiety for patients. This study aims to determine the relationship between anxiety and sleep quality in tuberculosis patients. This study used a descriptive correlation research design with a cross sectional approach. The population in this study were tuberculosis patients in the Sitopeng Public Health Center in Cirebon, the sample in this study was 32 respondents and the sampling technique used in this study was the total sampling instrument used in the form of a questionnaire sheet. The results of univariate analysis, 24 respondents (75.0%) experienced no anxiety, 2 respondents (6.3%) mild anxiety, 2 respondents (6.3%) moderate anxiety, 2 respondents (6.3%) severe anxiety and 2 respondents (6.3%) severe anxiety %). Sadang patients with tuberculosis who experienced sleep disorders as many as 26 respondents (81.3%) experienced good sleep quality, and those who experienced poor sleep quality were 6 respondents (18.8%). Bivariate analysis with the results of statistical tests using the chi square test showed the p-value (p = 0.009; α = 0.05), there was a relationship between anxiety and sleep quality. The conclusion of this study is that the higher the anxiety, the worse the sleep quality in tuberculosis sufferers.


2021 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Ayu Putri Utami ◽  
Fajar Ariyanti

Tuberculosis is a chronic disease that requires prolonged medication and slow recovery, hence the problem that often occurs is the patients’ medication compliance. This study is aimed to identify the Description of the Medication Compliance for Tuberculosis Patients with Quote TB Light in Public Health Center. The method of this study was quantitative descriptive using cross sectional design with 92 patients from February to March 2020. The results showed that 51% of tuberculosis patients had complied with the medication. Based on the dimensions of Quote TB Light, the majority of patients have a good perception regarding: TB services (93.65%); the information received is appropriate (100%); health workers when providing consultations (100%); the availability of infrastructures (66%); the service provided by health workers is appropriate (74.5%); the affordability of TB medication is good (100%); and the attitude of health workers (100%). The conclusion is that the description of the medication compliance of tuberculosis patients based on Quote TB Light is good, but it is necessary to improve the quality of services on health workers’ capability and competence, to make improvements and consistent interventions in waiting time, and to pay attention to the infrastructure in order to provide the comfort for patients.


2021 ◽  
Vol 4 (1) ◽  
pp. 42-49
Author(s):  
Herlia Sumardha Nasution ◽  
Purnama Handayani ◽  
Rizki Noviyanti Harahap

Pulmonary TB is an infection caused by mycobacterium tuberculosis. These bacteria infect the lungs. Patients usually experience symptoms of a prolonged cough to bloody cough, decreased appetite, weight loss. This study aims to determine the effect of giving etawa milk on weight gain in pulmonary tuberculosis patients at Tanjung Rejo Public Health Center. This study used a research design with a quasi-experimental approach and one group pre and post-test design. The population was in this study was pulmonary tuberculosis patients. until as many as 30 people. The results of patients with pulmonary tuberculosis, the majority of pre-milk etawa, the weight of 45 kg pulmonary tuberculosis patients were 5 people (33.5%) and weight of 43 kg multi-drug resistant patients were 4 people (26.7%). The results of patients with pulmonary tuberculosis, the majority of post milk etawa, the weight of 47 kg pulmonary tuberculosis patients were 7 people (46.7%) and weight of 45 kg multi-drug resistant patients were 5 people (33.3%). Pulmonary tuberculosis patients (0.049) and multi-drug resistant patients (0.047) there is an effect of giving etawa milk on weight gain in pulmonary tuberculosis and multi-drug resistant patients at the Tanjung Rejo Public Health Center, Deli Serdang Regency, 2020. The results showed that giving etawa milk can improve appetite which results in body weight. It is recommended for patients to participate in practicing the efficacy of etawa milk for the traditional treatment of pulmonary TB disease.


2020 ◽  
Vol 2 (2) ◽  
pp. 73-80
Author(s):  
Juli Andri ◽  
Henni Febriawati ◽  
Yusuf Randi ◽  
Harsismanto J ◽  
Asih Dewi Setyawati

The purpose of this study was to see how the management of pulmonary tuberculosis treatment. This research uses a qualitative approach. The results showed that 1 in 3 tuberculosis patients did not comply with tuberculosis treatment in the working area of the Sukamerindu Public Health Center, Bengkulu City. Factors that support treatment non-compliance are the lack of knowledge of tuberculosis treatment guidelines. In conclusion, patients who do not comply are caused because they feel he is already healed and are lazy to take more medicine at the Sukamerindu Health Center, PMO already understands his duties as a PMO.   Keywords: Compliance with Medication, Drug Giver, PMO, Pulmonary Tuberculosis


2021 ◽  
Vol 5 (1) ◽  
pp. 127-132
Author(s):  
Fathorrahman Fathorrahman ◽  
Ratna Wardani

Tuberculosis is a disease caused by the bacterium Mycobacterium Tuberculosis where a third of the world's population is estimated to have been infected by the disease and has become the center of world attention with many control efforts that have been carried out, incidents that have attracted the attention of health workers in the form of death , although the death rate has decreased, new TB cases continue to increase this is caused by the lack of education and undisciplined behavior by tuberculosis sufferers. The purpose of this study is knowledge and behavior of taking medication before health education, knowledge and behavior of taking medication after health education and analyzing the effect of health education on the application of the Health Belief Model theory on knowledge and behavior of taking medication in tuberculosis patients in the working area of ​​the Batang-Batang Health Center. This research is a quantitative pre-experimental approach with a cross sectional survey design on 100 tuberculosis patients at the Batang-Batang Health Center, Sumenep Regency, the sample was taken using a simple random sampling method. Data collection uses a data collection format, a parametric test type questionnaire with interval data type using a Likert scale with a range of 1, then the data is analyzed using paired T test and linear regression test. The results showed that almost all respondents had knowledge before being given sufficient education category as many as 85 respondents (85%) and almost all respondents had behavior before being given sufficient education category as many as 86 respondents (86%), almost all respondents had knowledge after being given education at good category as many as 97 respondents (97%) and almost all respondents have behavior after being given education in the good category as many as 99 respondents (99%) and there is a relationship between Health Belief Theory on knowledge and drug-taking behavior in tuberculosis patients in the working area of ​​Batang-Batang Public Health Center. Conclusion: There is a relationship between Health Belief Theory on knowledge and behavior of taking medication for tuberculosis patients in the working area of ​​Batang-Batang Public Health Center. With the patient's knowledge that is still lacking, it can be improved by providing adequate information/education, especially about tuberculosis related causes, signs and symptoms, treatment and prevention including how to take the right medicine.


2018 ◽  
Vol 5 (3) ◽  
pp. 178-181
Author(s):  
Suprajitno Suprajitno ◽  
Nunung Rahayu Ningsih

Family support covered informational support, instrumental support, emotional support, and appraisal support needed tuberculosis patients, including support of nutrition fulfillment.  The study aimed to know the correlation of information obtained and the family support to the fulfillment of nutrition of tuberculosis patients. The study used correlation design. The sample was the family of tuberculosis patient of first category who was registered to Public Health Center of Blitar city. The sample was 44 respondents selected by simple random sampling. The data collection used the close-ended questionnaire that was developed based on the theory of social support. The result showed that families who had ever received information about nutrition fulfillment was 11.4% (5 families) and had not ever received information was 88.6% (39 families); and the family support to the fulfillment of nutrition of tuberculosis patients of first category was in the category of supportive (59.1%) and non-supportive family was 40.9% (18 families). The correlation value of the Kendall Tau-b was 0.298 (p = 0.014). The family support for the fulfillment of nutrition of tuberculosis patients of first category who support was caused by the information obtained, while who did not support was caused by lack of information about the importance of nutrition fulfillment of tuberculosis patient. A weak correlation was caused by families who had received information about nutrition fulfillment for tuberculosis patients was very little, consequently the support given by the patient as a reward as a family member who was sick was also little. It is recommended that health workers at the Public Health Center give of health education regularly to the family in every drug taking.


2020 ◽  
Vol 7 (3) ◽  
pp. 279-285
Author(s):  
Nita Yunianti Ratnasari ◽  
Putri Halimu Husna ◽  
Marni Marni ◽  
Susana Nurtanti ◽  
Tantut Susanto

AbstractObjectiveThis study aimed to identify the influence of predisposing, enabling, and reinforcing factors and the adherence to medication behavior among tuberculosis patients in Selogiri Wonogiri Public Health Center.MethodsThis study employed a descriptive cross-sectional research design. A questionnaire was used to collect primary data. Secondary data were obtained from patient treatment cards (Form TB 01). This research was carried out at Selogiri Health Center from November to December 2017. The participants were patients, both new and old patients, who had completed their treatment in the last 2 months or more, recorded from January 2016 to December 2017. A total sampling technique was used in this study. Logistic regression analysis was used to analyze the influence of predisposing, enabling, and reinforcing factors and the adherence to medication among tuberculosis patients.ResultsThe results of logistic regression analysis indicated that there were four independent variables that have a significant relationship with treatment variables, namely education (odds ratio (OR) = 0.025; 95% confidence interval (CI) = 0.001–0.039); knowledge (OR = 3.37; 95% CI = 0.19–57.71); type of drug (OR = 0.448; 95% CI = 0.012–16.07), and means of transportation (OR = 25.77; 95% CI = 1.33–500.47).ConclusionsEducation, knowledge, type of drug, and means of transportation influence medication compliance among tuberculosis patients. Therefore, supporting patients during medication program of tuberculosis is needed to improve their adherence medication during multidrug therapy.


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