TB Sufferers Research Articles

Gambaran Dukungan Sosial Keluarga Pada Pasien Tb Paru Rumah Sakit Harapan Pematangsiantar

Tuberculosis is a disease caused by the bacterium Mycobacterium tuberculosis as an acid-resistant bacteria (BTA), which attacks the respiratory organs of the lungs and even to all parts of the body, this is what makes TB patients feel helpless, therefore it is necessary to have family support intact bio, psycho, social and spiritual are important factors for the success of TB treatment and accelerate the healing process. This study aims to identify features of family social support for pulmonary TB sufferers at Harapan Siantar Hospital in 2023. The research method used is descriptive. The research population is 65 respondents, with a total sampling technique. The instrument used is a questionnaire. The results showed that 47 people (72.3%) had good family social support, and 18 people (27.7%) had enough. It is hoped that families and health services will continue to accompany family members who have TB to speed up the healing process.

024. Case Report: Giant Cell Tumor Intravertebra

Background: Giant cell tumor is a rare neoplasm that most frequently occurs at the end of long bones and accounts for approximately 5% of all primary bone tumors in adults. The prevalence of spinal giant cell tumors is estimated at 2%–15% of all spinal giant cell tumors. However, Giant cell tumor is a rare finding in the spine, especially in the pediatric population. Case: A 6-year-old male patient presented with back pain that had spread to both legs for 1.5 years and had worsened in the past 4 months. The pain is intermittent. The patient also felt tingling in the waist and legs, which then turned into a thickening feeling from the waist to the toes since the last 6 months. The patient also complained of weakness in both legs since 1 year ago. Currently the patient is only on bed rest. The patient cannot walk but can still stand with assistance. Defecation and urination remain within normal limits. History of previous trauma (-) Prolonged cough (-), bed wetting (-), headache (-), seizures (-), decreased consciousness (-), progressive weight loss (-), nausea (-) vomiting (-), history of contact with TB sufferers (-). Conclusion: Complete resection of tumor by laminectomy was performed successfully followed by spinal fusion with a pedicle screw. The screws were placed correctly at all four levels of Vertebrae. The decision was made to give stability for spine and it was scheduled to remove the pedicle screw one year follow-up after surgery. Histopathology results showed characteristic findings of giant cell tumor.

EXPOSURE TO THE PHYSICAL CONDITIONS OF THE HOME ENVIRONMENT WITH PULMONARY TB DISEASE IN KALUMATA VILLAGE

Background: Pulmonary TB is included in the ten highest disease categories yearly in almost all health centers in Ternate City, North Maluku. In certain age groups, pulmonary TB can be a cause of death. Environmental factors, especially the physical environment of the house, can be determinants of pulmonary TB disease. Purpose: This study aimed to determine the incidence of pulmonary TB if exposed to the physical environment of the house and the home environment. Methods: This research is observational with a case-control study design. She was held in the Coastal Area of ​​Kalumata Village, Ternate City. The number of samples in this study were all pulmonary TB sufferers. Data were collected from observations, interviews, and measurements to determine exposure to the physical environment of the house and the incidence of pulmonary TB. The chi-square test is used to determine the relationship between the variables studied. Results: The study's statistical results showed that all the variables did not significantly relate to the incidence of pulmonary tuberculosis associated with the physical condition of the house (p-value = 1.00 (> ɑ = 0.05). Conclusion: There is no relationship between the incidence of pulmonary TB and the house's physical condition.

Faktor-Faktor yang Berhubungan dengan Kejadian TB Paru pada Anak di Poliklinik RSUD Embung Fatimah

Pulmonary TB in children is an infection caused by the germ Mycobacterium Tuberculosis. Pulmonary TB is transmitted from human to other human through the air when a BTA positive pulmonary TB sufferer talks, sneezes or coughs and indirectly the sufferer emits phlegm splashes in the air and there are ±3000 phlegm splashes containing germs. This research was conducted to determine the factors associated with the incidence of pulmonary TB in children at the Embung Fatimah Regional Hospital Polyclinic. The research method is descriptive with a cross sectional design. The sample consisted of 34 pediatric TB patients at the Embung Fatimah Regional Hospital Polyclinic using a sampling technique, namely total sampling. Data were processed using the chi square test. The results of this study show that there is no significant relationship between BCG immunization status and the incidence of pulmonary TB in children (P value of 0.450 > 0.05), there is a significant relationship between contact with TB sufferers and the incidence of TB in children (P value of 0.021 > 0.05), and there is a significant relationship between family smoking status and TB sufferers and the incidence of TB in children (P value of 0.014 > 0.05). It is hoped that the role of nurses can overcome the problem of childhood TB through health promotion and increasing immunization coverage for children in the community.

Student Synergy in Community Stage Field Practice and Cadre Collaboration Against Tuberculosis: Puskesmas Karyawangi Village-West Bandung

Tuberculosis is an aerosol infectious disease caused by Mycobacterium tuberculosis. WHO estimated that there are 10.6 million individuals in the world suffering from TB disease in 2021; reversing the downward trend that had occurred slowly over the previous years. The global TB mortality rate in 2021, with an estimate of 1.6 million people, has also increased compared to 1.4 and 1.5 million deaths in 2019 and 2020. Therefore, the problem of TB disease needs to be of concern to all parties, including nurses. One of the things community nurses can do is provide health education to the community to prevent the increasing number of TB sufferers. The aim of this final scientific work is to examine the factors that increase the risk of TB in the people of Karyawangi Village, Parongpong District, West Bandung Regency and to provide community nursing interventions according to the problems found. Based on the results of interviews and observations conducted on 40 families from RW 7, 9, 12 and 14; it was found that 92.5% of families lacked knowledge about TB, 87.5% of families had at least 1 member who smoked cigarettes at home, 62.5% of families did not regularly open the windows of the house, and 55% of families did not regularly consume vegetables and fruit. Based on these findings, health education was carried out with the aim of inviting residents to know about TB and practice healthy & clean living which can help prevent TB disease.

Gambaran Jumlah Leukosit Pada Penderita Suspek So TB Paru di Rumah Sakit Patuh Patut Patju

Leukocyte examination is carried out to describe disease events or processes in the body, aspecially infectious diseases such as tuberculosis bacteria can attack immune system cells, including leukocytes. Bacteria can survive and reproduce in leukocytes. Pulmonary TB sufferers before treatment saw an increases in leukocyte levels, indicating the formation of many leukocytes to fight bacteria in the phatocytosis process. On of the laboratory tests used to support the diagnosis of tuberculosis is an examination of the leukocyte count. This study aimed to determine the description of the number of leukocytes in patients with Suspected SO Pulmonary TB at The Patuh Patut Patju Hospital Untuk. This study design is descriptive case study research. Sampling technique was carried out using accidental sampling technique and 30 respondents obtained. The results of this study showed that the average leukocyte levels of patients with suspected SO Pulmonary TB were 9,643/μl, with 13 people (1+), 12 people (2+), 5 people (3+). The highest average leukocyte count was found in the female gender, age group 56-65 years and on 5 months treatment

Hubungan Stigma Diri dengan Tingkat Stres Pada Pasien TB Paru di Rumah Sakit Khusus Paru Sumatera Utara Tahun 2023

Background: Self-stigma is a negative feeling experienced by pulmonary TB sufferers which causes feelings of shame and shunning, so they tend to limit themselves when interacting with other people, and can result in tension from within themselves due to stress. Objective: To determine the relationship between self-stigma and stress levels in pulmonary TB patients at the North Sumatra Specialized Lung Hospital in 2023. Method: Using quantitative research with a cross sectional design. The total population is 1105, the sampling technique is purposive sampling, with a total sample of 47 respondents. The instrument used was a questionnaire. Results: The low category of self-stigma was 21 respondents (45%), the medium category was 17 respondents (36%), the high category was 9 respondents (19%), the stress level was in the light category as many as 18 respondents (38%), the medium category was 16 respondents (34%) and the weight category was 13 respondents (28%). The results of the Spearman Rank (rho) statistical test obtained a value of r = (0.432) and p (value) = 0.001 (p<0.05). Conclusion: These results indicate that there is a relationship between self-stigma and the stress level of pulmonary TB patients at the Special Lung Hospital in North Sumatra.

The Relationship between Leukocyte Counts and BMI Values in Patients with BTA-Positive Pulmonary Tuberculosis

Leukocytes are a component of white blood cells which play a role in helping the body fight various infectious diseases. Leukocytes are part of the immune system. While an increased number of leukocytes indicates an inflammatory process, in the case of tuberculosis, the entry of M. Tuberculosis in the body causes the number of leukocytes to increase as a response to the body's immunity. This prompted researchers to be interested in examining the relationship between the number of leukocytes and the BMI value in pulmonary TB sufferers with BTA positive at the Kutorejo Community Health Center, Mojokerto Regency. The population and sample in this study were all patients with pulmonary TB with positive BTA at the Kutorejo Community Health Center, with the number of samples taken from the total population of 25 respondents, this sampling used a total sampling technique. The independent variable used was TB sufferers with positive BTA while the dependent variables were leukocyte count and BMI value. To prove the existence of a relationship between these two variables, a statistical test was carried out using the Spearman correlation test. The results of the research show that there is no relationship between the number of leukocytes and the BMI value in pulmonary TB sufferers with BTA positive at the Kutorejo Community Health Center, Mojok-erto Regency. This is confirmed by the results of the Spearman correlation test analysis which obtained a sig value. = 0.199 (α < 0.05).

Influence analysis supportive educational nursing towards knowledge about TB disease in pulmonary TB sufferers

Influence analysis supportive educational nursing towards knowledge about TB disease in pulmonary TB sufferers

Analisis Faktor Keberhasilan Pengobatan Penderita TB-Paru Di RSU Imelda Pekerja Indonesia Tahun 2023

To achieve recovery, TB sufferers must have self-confidence about how serious the condition and symptoms of the disease are and the impact on daily life. So that TB sufferers are able to carry out treatment for a long period of time and TB sufferers have the confidence to recover from the disease. The aim to be achieved in this research is to analyze the success factors for treatment of pulmonary TB sufferers at the Imelda Workers Indonesian RSU in 2023.
 This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study were all category I pulmonary tuberculosis patients who visited the Imelda Workers Indonesian Hospital from January to September 2023, a total of 118 people were sampled using the accidental sampling method while the sample was 91 people. Data analysis was carried out using univariate, bivariate and multivariate analysis.
 Based on the results of the chi-square test, it is known that patient success influences knowledge, family support, supervision of taking medication and support from health workers with a value of p = 0.001, meaning that there is an influence of knowledge, family support, supervision of taking medication and support from health workers on the success of TB treatment. Lungs. From the results of the multivariate analysis, it is known that the most influential variable in this study is the medication monitoring variable with an OR value of 15.104.
 The conclusion in this study is that medication-taking supervisors are the dominant factor influencing the success of pulmonary TB treatment at the Indonesian Imelda Workers RSU. The advice given is in the form of instructions for using a daily insulated medicine box, using a smart calendar during treatment which is brought to you every time you come for treatment and in the current digital era, using the mHealth application is also very helpful in providing TB information notifications and reminders to take medication regularly for sufferers and PMOs.

Strategi Pengelolaan Zakat dalam Pencapaian Sustainable Development Goals (SDGs)

<p><em>This research aims to find out about how the zakat management strategy implemented by LAZISMU Pekalongan Regency in achieving Sustainable Development Goals (SDGs). LAZISMU Pekalongan Regency is one of the credible zakat institutions proven by four times obtaining WTP (unqualified) status. The data collection techniques used in this research include observation, documentation and interviews related to LAZISMU's profile, the potential of LAZISMU's zakat collection through service offices, and the strategy of managing zakat funds related to the achievement of SDGs in the fields of economy, education, and health services. The results showed that in 2022 LAZISMU Pekalongan Regency was able to collect zakat funds amounting to 8 billion. In its management, LAZISMU is able to direct its zakat funds to intersect with sustainable development programs such as economic empowerment, education and health. LAZISMU's economic programs include empowering and providing capital to MSMEs such as training, providing capital assistance, or carts, the farmer rise program, the makeup corner program. In the field of education, there are kindergarten to doctoral scholarships, Teacher Care, LAZISMU go to Campus, and Sang Surya Scholarships. While in the health sector, assistance is provided to patients who cannot afford it, providing free ambulance services for the poor, BPJS health for those not covered by BPJS, preventing and caring for stunting, TB and HIV care in the form of providing food assistance for resistant TB sufferers where most people affected by the disease are people who are classified as poor. Therefore, the role of LAZISMU through the management of zakat funds is very important to continue to be improved in order to create sustainable development for the welfare of the community.</em></p>

Penyuluhan Tentang Prilaku Hidup Bersih Dan Sehat Dalam Pencegahan Penyakit Menular Di Kelurahan 26 Ilir Palembang

One of the preventive measures to prevent infectious diseases is the implementation of family PHBS. Family PHBS includes giving birth assisted by health workers, giving the baby exclusive breast milk, weighing the baby every month, the baby getting basic immunizations, using clean water, the family following the family planning program, hypertension sufferers taking medication regularly, TB sufferers being treated regularly, all family members registered with JKN , family members with mental disorders are not neglected, use healthy latrines, and do not smoke in the house.

The trial of sending short message service multidrug-resistant tuberculosis patients in Indonesia: the chance to increase knowledge and motivation.

Multidrug-Resistant Tuberculosis (MDR TB) is a threat for the future control of TB disease. In Indonesia, the success rate of MDR TB patient recovery is still very low, following the still low recovery rate of TB patients. This paper aims to discuss the trial result of message delivery containing knowledge and motivation to the MDR TB sufferers. There are about 34 MDR TB patients participating in this research. During the research, everyone received a message in their handphone or the handphone of their family members every day, contained information on medication and motivation to comply with the medication. At the end of the research, the measurement on knowledge and attitude, on the compliance with medication, and on the compliance with laboratory examinations was conducted. The results were compared with the assessment before this intervention was conducted. Out of 32 patients that managed to complete the intervention, the average means of their knowledge and attitude increased significantly. The average mean of knowledge before the intervention was 9.74 to become 10.94, and the average mean of attitude was from 7.06 to become 18.47 (P<0.05). Meanwhile, the medication compliance score and the laboratory examination compliance score also changed significantly (P<0.05). SMS delivery routinely even in a short period of time managed to change knowledge and motivation of MDR TB sufferers. To conclude, it is necessary to develop recent technology effort in order to scaling-up MDR TB patients. Existing social channels in the community must be used intensively to reduce this disease negative impact.

VARIATIONS IN THE PHYSICAL CONDITION OF HOUSES WITH THE RISK OF TUBERCULOSIS IN THE WORKING AREA OF THE BILALANG HEALTH CENTER BOLAANG MONGONDOW NORTH SULAWESI

Mycobacterium Tuberculosis, generally attacks the lungs and outside the lungs. The house functions as a livable place to live. The house functions as a place to live, which is healthy and comfortable, a source of inspiration for its residents so that they can increase their productivity. House construction and an environment that does not meet health requirements are risk factors for disease transmission. Tuberculosis is closely related to the physical condition of the house. Research objective: to determine variations in the condition of the physical quality of the house with the risk of Tuberculosis. Type of Quantitative Research with a Case Control approach carried out during June-July 2023. The population is the community in eight villages in the work area of ??the Bilalang Health Center in 2022 who suffer from TB, namely 20 respondents with a control sample of 20 people, a total sample of 40 respondents. Implementation: observation, interviews, measurements of the physical variables of the respondent's house: residential density, humidity, lighting and ventilation. Data analysis using univariate, bivariate, Chi-Square test statistics. Test results, chi square there is a relationship between physical variations of houses and the risk of Tuberculosis in the work area of ??the Bilalang Bolaang Mongondow Community Health Center, North Sulawesi with residential density p value = 0.005 OR value 7.000 95 % CI (1.739-28.179), Humidity p value = 0.026 OR 5.571 95 % CI (1.420 – 21.860), lighting p value = 0.026 OR value 5.571 95 % CI (1.420 – 21.860), and ventilation p value = 0.009 OR value 8.500 95 % CI (1.861 – 38.817). In conclusion, there is a significant relationship between occupant density, humidity, lighting, house ventilation and the risk of Tuberculosis. Suggestion; For pulmonary TB sufferers, it is best to open the bedroom window to let sunlight enter, so that it is free of bacteria. Community Health Center officers provide education about the risks and prevention of tuberculosis.

Persistensi Pendampingan Keluarga Terhadap Anggota Keluarga yang Sakit Sebagai Pencegahan Penularan Mycobacterium Tuberkulosis di Serdang Bedagai

The increasing burden of TB is caused by poverty, the failure of TB activities which has been caused by inadequate political commitment and funding, the unavailability of services in the community causing reduced problem innovation and inappropriate diagnosis, reduced supply of medicines and reduced reporting of tuberculosis sufferers, lack of surveillance, minimal discourse on recording and reporting cases, treatment management and unreported movement of people. The method used was descriptive observational with 20 participants who were families of tuberculosis sufferers at the Serdang Bedagai health center. The PkM team provided the material in question: 1) Understanding family persistence, 2) The importance of family in accompanying TB sufferers, 3) How to prevent transmission, and 4) Patient compliance in taking medication. Results after carrying out the activity 1) Understanding family persistence, the majority of them were good, 18 people, 2) The importance of families accompanying TB sufferers, the majority of them were good, 19 people, 3) Ways to prevent transmission, the majority were good, 19 people, 4) Compliance with patients in taking medication, the majority were good, 19 person. The persistence of family assistance to sick family members as a means of preventing the transmission of mycobacterium tuberculosis shows improvement and skills because people have a great desire to treat and prevent the occurrence of tuberculosis in family members at home.

The Relationship Between Family Motivation and The Role of Health Workers With Adherence to Treatment for TB Patients at Puskesmas Pagar Jati

The high incidence of TB in Indonesia is one of them caused by the lack of family motivation and the role of health workers in the healing process of TB disease, many TB sufferers do not finish treatment due to non-compliance in consuming drugs in large quantities and for a long time. TB disease if not treated immediately can have a bad impact on the sufferer himself or family around him because TB can spread quickly and can endanger health and can cause death. The purpose of this study was to see if there is a relationship between motivation and the role of health workers on adherence in treatment. The research method used a cross sectional design, data was taken by distributing questionnaires, samples of 30 people who had been determined according to research criteria, data were tested with Chi square (alpa 0.05). The test results showed that there was a relationship between family motivation and TB patient treatment adherence p value 0.00 and there was a relationship between the role of health workers and TB treatment adherence p value 0.01. It is recommended that TB sufferers must remain enthusiastic in carrying out treatment and remain obedient in taking drugs in order to achieve maximum recovery.

Related Factors with BTA Positive Conversion on Sufferer Tuberculosis

Tuberculosis is an infectious disease chronic Which caused by Mycobacterium tuberculosis. Objective study: To analyze related factors _ with BTA positive conversion on Pulmonary TB sufferers at the Community Health Center Biau Regency Buol. The study was implemented in the Work Area Public Health Center Biau Regency Buol. Sample in study This is sufferers of Tuberculosis undergoing lung _ treatment. The study takes place with a selection of 45 people. Research This is analytical survey research with a design. Population is the whole object to be researched. Population in study This is all pulmonary TB sufferers undergoing treatment for more than 2 months; the sample study totaled 45 people using the total sampling technique. Results findings show A relationship between treatment adherence and BTA-positive conversion in tuberculosis sufferers with p-value = 0.044. There is a relationship between family support and BTA-positive conversion in tuberculosis sufferers with a p-value = 0.001. There is no relationship between support from health workers and BTA positive conversion in tuberculosis sufferers with p-value = 0.581, there is a relationship between knowledge and BTA Positive conversion in tuberculosis sufferers with p-value = 0.000, there is a relationship between access to health services and BTA positive conversion in tuberculosis sufferers with p-value = 0.035, there is no relationship between preventive behavior and positive BTA conversion in tuberculosis sufferers at Biau Community Health Center, Buol Regency with p-value = 0.561. This study concludes that family support has a risk of 66,442 times the incidence of BTA-positive conversion in pulmonary TB sufferers.

Health Education in Communities with Pulmonary TB Sufferers Prevention of Infectious Risk

Pulmonary Tuberculosis is an infectious disease that is transmitted by Mycobacterium tuberculosis. Until now, Pulmonary Tuberculosis is still one of the main public health problems in the world, even though efforts to control Tuberculosis have been carried out in various countries. This disease, if left untreated, will cause death. The purpose of health promotion is to socialize self-prevention from TB. Lung. This community service uses a quantitative approach by using a questionnaire sheet as an instrument to find out the experiences of patients who have pulmonary TB and other communities to prevent it early. The post-test value with an average of 89% of participants answered correctly, higher than the pre-test value of 62%. The knowledge of the community at the Pertiwi Makassar city Health Center increased between 70-80% after being given counselling on self-prevention from TB Lung. The counselling used only with the lecture and demonstration method made the community understand self-prevention from TB Lung. The conclusion is that the posttest results show that the community’s knowledge is better than the posttest that has been done.

THE EFFECTIVENESS AND SAFETY OF BEDAQUILINE-CONTAINING REGIMENS IN THE TREATMENT OF PATIENTS WITH MULTI-DRUG RESISTANT TUBERCULOSIS (MDR-TB): A SYSTEMATIC LITERATURE REVIEW

Objective: MDR-TB is a life-threatening infectious disease. In recent years, RR/MDR TB sufferers have increased by 10% from 186,883 patients in 2018 to 206,030 in 2019. The success rate of treatment for RR/MDR-TB patients only reaches 57% globally. WHO has recommended bedaquiline for treatment of MDR-TB as the first drug in an all-oral regimen designed to maximize treatment outcomes. Purpose: to describe the efficacy and safety of a bedaquiline-containing regimen for the treatment of MDR-TB. Methods: Pubmed, Science Direct, and Embase online databases were used to obtain data published in the last five years where literature searches were carried out independently by researchers. The keywords used in this search are combined with the Boolean operator "AND", namely (bedaquiline) AND (multidrug resistant) AND (effectiveness). Results: Eight studies met the inclusion criteria, demonstrating a higher conversion rate of sputum cultures on the bedaquiline containing regimen between 74%-95.8% with a mean time to culture conversion between 39 days-3 months. The majority of studies reported an adverse effect of QT prolongation in patients treated with bedaquiline. Conclusion: This systematic review showed that bedaquiline is effective and safe for use in the treatment of MDR-TB. However, serious side effects of QT prolongation occurred in some respondents who were treated with bedaquiline, so an effective and efficient monitoring and surveillance system is needed to ensure best practice in the treatment of MDR-TB.

Analysis of the Role of Family Support in Treatment Compliance of Pulmonary Tuberculosis Clients

Pulmonary tuberculosis is a deadly infectious disease caused by Mycobacterium tuberculosis. Pulmonary tuberculosis is very easily resistant to drugs, so treating it takes a long time. In the process of treatment, the role of the family is needed as the closest unit to the patient to supervise. This study aimed to determine the relationship between the part of family support and adherence to treatment of pulmonary tuberculosis clients. The research design used was analytic descriptive research with a cross-sectional study approach. The sample in this study was 30 people, who were taken using the total sampling technique—data analysis using Chi-square on SPSS. The results showed that the role of a good family was 53.3% and less was 46.7%. The frequency of client compliance is 80% and 20% non-compliant. The results of the statistical test showed that the p-value was smaller than the ? value, which meant that there was a relationship between the role of family support and adherence to treatment for pulmonary tuberculosis clients in the working area of ??the Wara Public Health Center, Palopo City, South Sulawesi Province, Indonesia. The long process of treating pulmonary TB will result in boredom and boredom in patients. Therefore, the family has an important role in monitoring and increasing the motivation of pulmonary TB patients to remain consistent in the treatment process. As the frontline in disease prevention and rehabilitation, health workers must always be active in providing health education to the community, especially to families of pulmonary TB sufferers, about the importance of family support in the patient's treatment process.