Effect of Nursing Terapeutic Communication (Spiritual Approach) Onperception, Cortisol and HSP70 Family Members with High Risk of TB Infection

Abstract

Tuberculosis is an infectious disease. Preventive efforts are needed, so that, the members of a familywho live under one roof (high risk family members) of tuberculosis patients are not easily infected by thedisease. Family is involved only as a drug consumption controller. So far, there has been no effort to maintainand improve the health of high risk family members. The objective of this study was to elaborate the effect ofnursing therapeutic communication on perception, cortisol and HSP70 of pulmonary tuberculosis high riskfamily members. A pre-experimental study was conducted using one group pre-test and post-test design.Samples obtained were 20 respondents using random sampling. The independent variable in this study wastherapeutic communication (dimension of knowledge on transmission prevention and spiritual) while thedependent variable were perception (knowledge and spiritual dimensions), cortisol and HSP70. Data werecollected using questionnaire and observation sheet and were tested using paired t-test. After the therapeuticcommunication, there was an improvement in perception (p = 0.000), cortisol reduction (p = 0.0005) andincrease of HSP70 (p = 0.004). There was significant difference in perception, cortisol level and HSP70 levelbefore and after therapeutic communication. Therapeutic communication was able to improve the respondent’sperception and the immunity of tuberculosis high risk family members. Recommendations to prevent TBtransmission in Public Health Center of Wonokromo were; Undergoing therapeutic communication (knowledgeon transmission prevention and spiritual in TB high risk family members, so that, their immunity will improveand become not easily being infected and providing training to the nurses in order to improve the elements oftherapeutic communication capability.