Tuberculosis (TB) is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. The incidence of tuberculosis in Indonesia is high because the success rate of tuberculosis treatment has decreased which causes the chain of transmission continues to occur. The main government programs to decrese the incidence and increasing the success treatment with the Directly Observed Treatment (DOTS) program. One important indicator of the DOTS program to assessing the success of tuberculosis treatment is the conversion of positive AFB sputum to negative at the end of the intensive phase of treatment. AFB sputum conversion to negative at the end of the intensive phase of treatment is influenced by several internal factors such as level of education and income, gender, adherence, patient's nutritional status, and comorbidities. Then external factors can also influence the AFB sputum conversion in anti-tuberculosis treatment such as environmental conditions, smear positivity, drug taking supervisors (PMO), and availability of drugs in health facilities.
AbstrakLatar Belakang: Indonesia menduduki peringkat ke-3 jumlah penderita Tuberkulosis (TB) terbanyak di dunia, serta angka kematian TB setiap tahunnya sekitar 20% dari jumlah penderita TB baru. Pengobatan pada TB paru rentan untuk terjadi putus berobat (drop out) yang bisa disebabkan oleh beberapa faktor, salah satunya adalah kepatuhan dalam berobat. Ketidakpatuhan terhadap pengobatan dapat disebabkan oleh berbagai faktor meliputi faktor predisposisi (Usia, jenis kelamin, tingkat pendidikan, dan pekerjaan), faktor pendorong (efek dari OAT), dan faktor penguat (dukungan keluarga, petugas kesehatan dan pelayanan kesehatan).Tujuan: Studi ini dilakukan untuk mengetahui adanya hubungan antara tingkat pendidikan dengan kepatuhan berobat penderita TB paru di Wilayah Kabupaten Lamongan.Metode: Studi ini menggunakan desain cross sectional dengan teknik pengambilan sampel yaitu simple random sampling pada 55 pasien TB paru drop out serta 55 pasien TB paru sembuh dari tahun 2016-2018 di Wilayah Kabupaten Lamongan. Pengambilan data menggunakan rekam medis dari Dinas Kesehatan.Hasil: Hasil uji statistik menggunakan Koefisien Kontingensi terhadap hubungan tingkat pendidikan dan kepatuhan berobat pada pasien TB menunjukkan nilai yang signifikan p: 0,026 (p<0,05)Kesimpulan: Hasil penelitian ini menunjukkan adanya hubungan antara tingkat pendidikan dengan kepatuhan berobat penderita TB paru.Kata Kunci : Tuberkulosis paru, Tingkat pendidikan, Kepatuhan berobat Abstract: Background: Indonesia ranks 3rd in the number of tuberculosis (TB) cases in the world, and the annual TB mortality rate is around 20% of the number of new TB cases. Treatment of pulmonary TB is prone to drop out, which can be caused by several factors, one of which is adherence to treatment. Non-adherence to treatment can be caused by various factors, including predisposing factors (age, gender, education level, and occupation), driving factors (effects of OAT), and reinforcing factors (family support, health workers and health services).Aim: This study was conducted to determine the relationship between education level and compliance with pulmonary tuberculosis treatment in Lamongan Regency.Methods: This study used a cross sectional design with a simple random sampling technique of 55 pulmonary TB patients dropping out and 55 pulmonary TB patients recovering from 2016-2018 in Lamongan Regency. Retrieving data using medical records from the Health Office.Results: The results of statistical tests using the Contingency Coefficient on the relationship between education level and treatment compliance in TB patients showed a significant value of p: 0.026 (p <0.05).Conclusion: The results of this study indicate a relationship between the level of education and adherence to treatment of pulmonary TB patients.
Background: Indonesia is a developing country with a high maternal mortality rate (MMR) and perinatal mortality, the third highest in ASEAN and the second highest in the South East Asian Nation Regional Organization. In pregnancy hypertension has been proven that oxidants, especially if increased fat peroxide will damage endothelial cells called endothelial dysfunction. Vasospasm that occurs also induces platelet integration and endothelial damage which adds to the contribution in maintaining platelet dysfunction and triggering the use of platelets. Thrombocytopenia is the most important sign of the severity of preeclampsia.Objective: to determine the comparison of platelet levels in patients with preeclampsia with eclampsia.Methode: This study was observational cross sectional method. The sample in this study was a total sampling, using purposive sampling of patients with preeclampsia and eclampsia at the Wiyung Sejahtera Hospital in January-December 2019. The instrument used was using secondary data of medical records of patients.Results: Patients with preeclampsia have a minimum platelet level of 301,000/mm3, a maximum of 415,000/mm3, and an average of 351,733.33/mm3 with a standard deviation of 33,552.66/mm3. Patients with eclampsia have a minimum platelet level of 122,000/mm3, a maximum of 281,000/mm3, and an average of 209,200/mm3 with a standard deviation of 42,465.45/mm3. There are significant differences in platelet levels of patients with preeclampsia with eclampsia(p <0.05)..Conclusion: there is a significant difference between the platelet levels of patients with preeclampsia and eclampsia.
Background: Satisfaction is a feeling that the consumers feel when the service they receive meets or surpass their expectations. Public satisfaction with health care services is still a significant issue for health institutions in improving the service quality. Despite various efforts that health care providers have made, some residents in an area were unsatisfied with the health services in their environment.Objective: To determine the effect of the dimensions of health service quality on patient satisfaction at the Primary Health Care 1 Melaya, Jembrana, BaliMethod: Analytical observational study, a cross-sectional design. The total sample was 70 respondents. Data collection was performed using questionnaires. Multiple linear regression was used to analyze the average value of patient satisfaction based on the five dimensions of quality of health care.Result: The dimensions of tangibility, responsiveness, assurance, and empathy have a significance value (p<0.05), while the reliability dimension has no significance value (p>0.05). So the formula used to predict patient satisfaction with health services received is as follows:y = 0,352+0,295*X1–0,104*X2–0,201*X3+0,334*X4+0,180*X5The dimension of health services that has the largest influence on the satisfaction of inpatients is assurance. Patients feel assured and satisfied when the health workers communicate their expertise and competencies before doing their work.Conclusion: Tangibility, reliability, responsiveness, and assurance were four of five dimensions of health services that have significantly influenced the satisfaction of inpatients.
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