Relationship Between Proactive Coping and Self-Care Management in Patient with Pulmonary Tuberculosis

Dr Tintin Sukartini, M.Kes,Laily Hidayati, M.Kep,Febrina Ramadhani S.Kep

doi:10.20473/jn.v12i2.6035

Abstract

Introduction: Patient with pulmonary tuberculosis not only experience physical problems but also face psychosocial problems and it can get worse during the treatment phase that gives impact on patients’ self-care. In order to prevent further impacts on patients, proactive coping is needed. This study was aimed to identify the relationship between proactive coping and self-care management in pulmonary tuberculosis patients.Methods: This study was a cross-sectional research. As many as 105 respondents taken with consecutive sampling technique. The inclusion criteria of respondent were pulmonary tuberculosis patients both in intensive and continuous phase. This research was conducted in three primary public health care center in Surabaya, East Java, Indonesia. The variables were proactive coping that was measured by Proactive Coping Inventory (PCI) and self-care management that was measured by Self-care Management questionnaire. The data was analyzed using Spearman test.Results: This study showed that proactive coping had a positive correlation with self-care management in patients with pulmonary tuberculosis (p= 0.000; r= 0,848).Conclusion: This study shows a strong correlation between the variables, whereas the higher the level of proactive coping, the better the self-care management in pulmonary tuberculosis patients. Further research can find out the factors that influence the proactive coping in pulmonary tuberculosis patients thus can improve the self-care behavior.

Highlights

Patients with pulmonary tuberculosis experience physical problems and face psychosocial problems, and this can get worse during the treatment phase that has an impact on the patients’ self-care
The results of this study indicate that there was a strong correlation between proactive coping with self-care management in pulmonary tuberculosis patients
High proactive coping rates have an impact on the patient's self-care or self-care measures. This indicates that the higher proactive coping level of patients with pulmonary tuberculosis makes the level of self-care management increase

Summary

Introduction

Patients with pulmonary tuberculosis experience physical problems and face psychosocial problems, and this can get worse during the treatment phase that has an impact on the patients’ self-care. This study aimed to identify the relationship between proactive coping and self-care management in pulmonary tuberculosis patients. Results: This study showed that proactive coping had a positive correlation with self-care management in patients with pulmonary tuberculosis (p= 0.000; r= 0,848). Conclusion: This study shows a strong correlation between the variables, where the higher the level of proactive coping, the better the self-care management in pulmonary tuberculosis patients. Further research can find out the factors that influence proactive coping in pulmonary tuberculosis patients, which can improve the self-care behaviour. Tuberculosis (TB) is a contagious bacterial infectious disease which has become a global concern This disease is a major public health problem in Indonesia a government program of TB control has been carried out over the last few decades. Many means to control tuberculosis have already been undertaken and the incidents and deaths from tuberculosis have declined, but the worldwide death toll from tuberculosis is still high at 1.8 million people in 2016 (WHO, 2017)

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Conclusion