The Behavior of TB-DM Patients in Controlling Blood Sugar Concentration in Medan City Community Health Center

Abstract

North Sumatra is the region with the highest prevalence of pulmonary tuberculosis in Indonesia, 759 per 100,000 population aged > 15 years. The male group had a higher prevalence of TB than women (1,083 versus 461). The incidence of pulmonary tuberculosis in Medan is still high (129 per 100,000 population). This showed that the burden of TB in Indonesia is still high. Patients with type 2 diabetes are more susceptible to pulmonary TB than non-DM, even though they get good nutrition and were established socio-economically. This is because microorganisms grow well in high blood glucose concentrations when the body is weak and DM complications. Pulmonary infection worsens DM and increases blood sugar concentration (BSC). This study aims to analyze the behavior of TB-DM patients in all Community Health Centers in Kota Medan in controlling the BSC. The design of this study was a cross-sectional study with a population of all TB-DM patients who took medication at the Medan City Community Health Center. The sampling technique used accidental sampling for two months with a sample size of 68 respondents. Data collection was done by interviewing the TB-DM patients. The results showed that people aged ≥40 years and most were men with low education. Respondents' knowledge about DM was low, respondents' knowledge about TB-DM was high, while respondents' attitudes and behavior were good. The chi-square analysis test showed no relationship between knowledge about DM and the behavior of TB-DM patients. There was no relationship between knowledge about TB-DM and the behavior of TB-DM patients, but there was a relationship between the attitudes and behavior of TB-DM patients.