Search Repository Universitas Fort De Kock

Penyakit TB Paru merupakan pengobatan jangka panjang untuk mencapai kesembuhan. WHO 2016, kasus kematian TB Paru laki-laki 5,4 juta jiwa, perempuan 3,5 juta, 1 juta pada anak. Kabupaten pasaman barat merupakan urutan ke 8 penyumbang kasus TB Paru terbanyak di provinsi sumatera barat. Jumlah pasien di poli paru RSUD Pasaman barat mengalami peningkatan 3 tahun terakhir yaitu tahun 2016 (35 kasus), tahun 2017 (37 kasus) dan tahun 2018 (40 kasus). Tujuan penelitian ini untuk mengetahui factor determinan kepatuhan minum obat pasien TB Paru di poli paru RSUD pasaman barat. Jenis penelitian ini observasi analanalitik dengan pendekatan cross sectional. Populasi penelitian adalah semua pasien yang masih aktif mengkonsumsi OAT sebanyak 40 orang. Pengambilan sampel menggunakan acidental sampling dengan sampel 40 orang. Pengumpulan data pada penelitian ini menggunakan lembaran kuesioner. Analisis data meliputi analisis univariat dan bivariat menggunakan uji chi-square. Hasil analisa data univariat diketahui 13 (32,5%) responden yang tidak patuh, 55,5 % peran PMO baik, 62,5% peran petugas baik, 50% dukungan keluarga kurang baik, 75% keyakinan tinggi. Hasil bivariat ada hubungan antara PMO nilai p=0,013 dan OR=7,91, peran petugas p= 0,041 dan OR =4,57, kepercayaan dan keyakinan p=0,006 dan OR= 9,33, dengan kepatuhan minum obat pasien TB Paru. Hasil multivariat kepercayaan dan keyakinan p= 0,006 dan OR = 7, 198. Dapat disimpulkan bahwa PMO, peran petugas, dukungan keluarga, kepercayaan dan keyakinan berhubungan signifikan dengan kepatuhan minum obat pasien TB Paru. Untuk itu diharapkan petugas kesehatan agar dapat meningkatkan edukasi kepada pasien agar pemahaman pasien tentang pengobatan TB Paru meningkat, serta keluarga dan PMO dapat memberikan peran yang maksimal dalam pengawasan pengobatan pasien TB Paru.

Pulmonary TB needs long-term treatment to cure. Pasaman Barat regency is the eighth largest cases of pulmonary TB in West Sumatra found. The number of pulmonary polyclinic patients in Pasaman Barat Hospital has increased in the last 3 years, in 2016 (35 cases), 2017 (37 cases) and 2018 (40 cases). The purpose of this research was to determineThe Determinant Factors of Pulmonary TB Medicine Compliance in Lung Poly of Pasaman Barat District Hospital, 2019. The type of this research was observational analytic with cross sectional approach. The populationswere 40 patients who actively consuming OAT. By using incidental sampling,40 people were chosen as the samples. The data were collected through questionnaire sheets. Then, it was analyzed by univariate and bivariate analysis by using the chi-square test. The results of univariate analysis revealed that 13 (32.5%) respondents were non-compliant. Then, 55.5% of them had good PMO roles. Next, 62.5% of the respondents had good officers' roles. After that, 50% of the respondents had poor family support. Then, 75% of them had high confidence. Moreover, bivariate results obtained that there was a correlation between PMO (p = 0.013 and OR = 7.91), role of officers (p = 0.041 and OR = 4.57), trust and confidence (p = 0.006 and OR = 9, 33), toward medicine compliance for pulmonary TB patients. In short, it can be concluded that PMO, the role of officers, family support, trust and confidence are significantly related to medicine compliance for pulmonary TB patients. For this reason, it is expected that health workers toimprove education to patients by expanding their understanding of pulmonary TB treatment, and families and PMOs can provide a maximum role in monitoring the treatment of patients with pulmonary TB.