Analysis of Factors Affecting the Success of Pulmonary TB Treatment in the Working Area of Puskesmas Sukaramai, Pakpak Bharat District
DOI:
https://doi.org/10.59680/ishel.v2i3.1359Keywords:
Knowledge, Family Motivation, Adherence to Taking Medication, Side Effects of Medication, Distance to Health Services, Successful TreatmentAbstract
Tuberculosis disease is still a global problem at this time, the WHO (World Health Organization) report in 2023, there were 9.6 million people in the world suffering from pulmonary tuberculosis and 1.5 million of them died. While the number of cases of pulmonary TB at the Sukaramai Health Center in 2023 was 321 total cases and 43 people recovered. The purpose of the study was to analyze the factors that influence the success of Pulmonary TB treatment in the Sukaramai Puskesmas Working Area, Royal District, Pakpak Bharat Regency. The research design used Analytical Survey method with Cross Sectional approach. The population in this study were all TB patients who sought treatment at the Sukaramai Health Center, namely 101 patients, all of whom were sampled using the total population technique. Data analysis used univariate analysis, bivariate with chi-square test and multivariate with logistic regression. The results of logistic regression research show that there is an influence of knowledge p = 0.000, family motivation p = 0.001 adherence to taking medicine p = 0.003 and side effects of drugs p = 0.010. While the dominant factor that influences the success of Lung TB treatment is knowledge p = 0.000 with an Exp(B) value of 60.141, meaning that knowledge has 60 times the risk compared to other variables. The conclusion of this study is that there is an influence of knowledge, family motivation, adherence to taking medication and side effects of drugs on the successful treatment of Pulmonary TB in the Working Area of ??the Sukaramai Health Center, Royal District, Pakpak Bharat Regency and variables that do not affect the distance of health services. It is recommended for patients with pulmonary tuberculosis to be more independent in undergoing pulmonary tuberculosis treatment, active in field counseling activities and using social media as a promotional medium, conducting home visits to patients' homes in an effort to monitor drug compliance in order to increase the acceleration of healing of pulmonary tuberculosis disease which is for their own health and the health of the family around them.
References
Acmadi, U. F. (2014). Basics of environmentally based diseases. Mold-4. Jakarta: Rajawali Press.
Alsagaff, H., Hood, et al. (2014). Basics of lung disease (2nd ed.). Surabaya: Airlangga University Press.
Bahar, A. (2015). Pulmonary tuberculosis. In S. Soeparman (Ed.), Textbook of internal medicine (Vol. II). Jakarta: FKUI Publishing House.
Dhewi, G. I. (2021). The relationship between knowledge, patient attitudes, and family support and compliance with taking medication in pulmonary TB patients at BKPM Pati. (Unpublished thesis). STIKES Telogorejo, Semarang.
Friedman, M. M. (2010). Textbook of family nursing: Research, theory and practice. Jakarta: EGC.
Happi, M., Santoso, S. D. R. P., Wijaya, A., & Prasetyo, J. (2021). The relationship between family support and the success of pulmonary TB treatment in the pulmonary polyclinic at Jombang District Hospital. Well Being Journal, 6(2), 94–105.
Indonesian Ministry of Health. (2016). Tuberculosis: Find treatment until healed. Jakarta: Indonesian Ministry of Data and Information Center.
Indonesian Ministry of Health. (2020). National guidelines for tuberculosis management medical services. Jakarta: Indonesian Ministry of Health.
Kozier, B. (2015). Textbook of clinical nursing practice (5th ed.). Jakarta: EGC.
Merzistya, A. N. A., & Rahayu, S. R. (2019). Incidents of dropping out of treatment for pulmonary tuberculosis patients. Higeia: Journal of Public Health Research and Development, 2(3), 298–310.
North Sumatra Provincial Health Service (Dinkes Provsu). (2022). Health profile of North Sumatra Province in 2022. Retrieved from https://www.depkes.go.id/resources/download/profil/PROFIL_KES_PROVINSI_2017/02_Sumut_2020.pdf
Notoatmodjo, S. (2012). Health research methodology. Jakarta: Rineka Cipta.
Notoatmodjo, S. (2014). Health promotion and health behavior. Jakarta: Rineka Cipta.
Pakpak Bharat District Health Service. (2023-2024). Profile of the Sukaramai Health Center.
Republic of Indonesia Ministry of Health. (2023). RI health profile for 2023. Retrieved from http://www.depkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-Indonesia-2015.pdf
Safri, F. M. (2020). Analysis of factors associated with medication compliance in pulmonary TB patients based on the health belief model in the Umbulsari Community Health Center working area, Jember Regency. Journal of Nursing, 3(2), 12-20.
Sela, P., Rona, F., & Fadli, S. (2023). The influence of knowledge on the success of treatment for tuberculosis in the Telaga Biru Community Health Center area. Tambusa Health Journal, 4(4), 1-10. ISSN: 2774-5848.
Shargie, E. B., & Lindtjorn, B. (2020). Determinants of treatment adherence among smear-positive pulmonary tuberculosis patients in Southern Ethiopia. PLoS Medicine, 4(2), 0280–0287.
Tukayo, I. J. H., Hardyanti, S., & Madeso, M. S. (2020). Factors influencing compliance with taking anti-tuberculosis medication in pulmonary tuberculosis patients at the Waena Community Health Center. Papuan Journal of Tropical Nursing, 3(1), 145–150. https://doi.org/10.47539/jktp.v3i1.104
Widyastuti. (2020). Factors associated with treatment compliance with pulmonary TB patients at the Pekalongan City Community Lung Health Center. (Unpublished thesis). Semarang State University.
Wijono. (2010). Health service quality management. Surabaya: Airlangga University Press.
World Health Organization (WHO). (2023). Global tuberculosis report 2023. Retrieved from http://search.who.int//global+tuberculosis+report&ie=utf8&site=who&client=_en_r&proxystylesheet=_en_r&output=xml_no_dtd&oe=utf8&getfields=doctype
