ABSTRAKTuberkulosis adalah penyakit menular yang disebabkan oleh Mycobacterium tuberculosis. WHO mengemukakan pada tahun 2014 diketahui bahwa terdapat 9,6 juta orang di dunia terinfeksi TB. Di Indonesia terdapat 647 kasus TB per 100.000 populasi penduduk. Jawa Timur menempati posisi kedua sebagai penyumbang kasus TB terbesar setelah Jawa Barat. Kota Surabaya merupakan kabupaten dengan tingkat kasus TB Tertinggi di Jawa Timur. Indikator keberhasilan pengobatan TB yang digunakan secara nasional adalah Success Rate. Capaian Success Rate kota Surabaya tahun 2015 adalah 79,21% sedangkan standar nasional SR adalah ≥ 85%. Capaian SR Puskesmas Tanah Kalikedinding mengalami penurunan dari tahun ke tahun yaitu 82,01% pada tahun 2013, 81,2% pada tahun 2014 dan 68,33% pada tahun 2015. Salah satu penyebab rendahnya capaian SR adalah kegagalan Pengobatan TB. Ada beberapa hal yang menjadi penyebab kegagalan pengobatan TB salah satunya adalah adanya insidensi DM pada penderita TB. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh DM terhadap keberhasilan pengobatan TB. Desain penelitian adalah Cross Sectional. Sampel yang digunakan adalah 55 Penderita TB Paru di Puskesmas Tanah Kalikedinding. Uji Statistik yang digunakan adalah regresi logistik dengan α = 0,05. Hasil regresi logistik p = 0,012 berarti ada pengaruh antara DM dengan keberhasilan pengobatan TB Paru di Puskesmas Tanah Kalikedinding Surabaya. Nilai OR = 2,056 diartikan bahwa penderita TB tanpa DM memiliki kemungkinan sembuh 2,056 kali lebih besar dibandingkan dengan penderita TB dengan DM. Screening DM pada awal pengobatan TB, pengobatan yang tepat serta pemantauan pengobatan merupakan langkah yang dapat dilakukan oleh Puskesmas Tanah Kalikedinding Surabaya untuk meminimalkan kejadian kegagalan pengobatan TB dengan DM. ABSTRACTTuberculosis is an infection disease caused by Mycobacterium tuberculosis. According to WHO in 2014 among 9,6 billion people in the word infected TB. In Indonesia there are 647 cases at 100.000 population. Est Jawa had the both contributor of TB cases after West Java. Surabaya is the district with the highest level TB case in East Java. National indicator of successful treatment is Success Rate. SR throughout Surabaya district in 2015 is 79.21%, (national standard ≥ 85%). Tanah Kalikedinding primary health care had SR decreased 82.1%, 81.2% and 68.33%. Failure TB Treatment caused low these SR. One of the caused of this, is high level of diabetes mellitus incident. The purpose of this research to fi nd the infl uence of diabetes mellitus to successful of TB Treatment. The study design is cross sectional, the sample used were 55 pulmonary tuberculosis patients at Tanah Kalikedinding Primary Health Care. Statistic test used logistic regression with α = 0.05.The result of logistic regression p = 0.012 means that there is infl uence between diabetes mellitus with the successful treatment of Pulmonary Tuberculosis. OR value = 2.056 means that patient pulmonary tuberculosis without diabetes mellitus has the possibility recover 2.056 times gr...
Background: Indonesia is the third-highest rank country for tuberculosis. Many studies already compared the effectiveness of the Directly Observed Treatment-Short (DOTS) course with self-administered therapy (SAT) in tuberculosis treatment and pointed out that DOTS did not improve the succession rate (SR) significantly. The participation of a tuberculosis treatment supporter that has an important rule in the DOTS strategy to improve the patients’ adherence in taking treatment should be reviewed.Aims: The study aims to analyze the determination of environmental factors in the effectiveness of tuberculosis treatment which can lead to the program improvement issue.Method: This research was a cross-sectional study conducted by involving 55 of 121 tuberculosis patients. The sampling frame was tuberculosis patients who were reported under the first and third quarters in Primary Healthcare Center of Tanah Kalikedinding as it had failed to reach the succession rate during 2012-2015.Results: These findings indicated that the social environment of tuberculosis patients significantly contributed to their adherence to taking medicine. It showed that tuberculosis treatment supporters had an essential role in maintaining the patients’ adherence. Tuberculosis treatment supporters who lived in one roof with the patient tended to get 2.265 times risk to be contagious. This study also pointed out that the physical environment had the highest determination in the success rate of treatment.Conclusion: Modifying the physical environment of tuberculosis patients can be the greater alternative program to fight tuberculosis rather than the tuberculosis treatment supporters. Tuberculosis treatment supporters must be provided with universal protection due to their high-risk position to be contagious.Keywords: treatment adherence, DOTS, patient environment, treatment effectiveness.
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