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Journal : Manuju : Malahayati Nursing Journal

Analisis Determinan Kejadian Tuberkulosis di Puskesmas Martapura 1 (Studi Kasus Berdasarkan Karakteristik Responden dan Penilaian Biokimia) Nafila, Nafila; Setia, Lisa; Ramdhani, Aulia; Riyana, Adies
Malahayati Nursing Journal Vol 6, No 8 (2024): Volume 6 Nomor 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i8.15690

Abstract

ABSTRACT Pulmonary tuberculosis (TB) is an infectious disease that is still a public health problem, especially in developing countries, including Indonesia. The problems faced relate to disease, discovery, treatment, and also treatment failure. The aim of this study was to determine whether there was a relationship between respondent characteristics and biochemical assessment and the incidence of tuberculosis. This research uses a quantitative cross sectional method with purposive sampling technique. The research results were obtained from 76 respondents, most of whom did not experience pulmonary TB 46 (60.5%), most of them were of productive age 52 (68.4%), male 43 (56.6%), highly educated 40 (52, 6%), good knowledge 56 (73.7%), sputum BTA (+) 54 (71.1%), normal hemoglobin level 40 (52.6%), normal leukocytes 59 (77.6%) and normal platelets 65 (85.5%). There is a relationship between age (p-value = 0.045), gender (p-value = 0.032), education (p-value = 0.013), knowledge (p-value = 0.000), sputum BTA (p-value = 0.001), levels hemoglobin (p-value = 0.000), leukocyte levels (p-value = 0.007), platelet levels (p-value = 0.021) with the incidence of pulmonary TB. Knowledge is the variable most related to the incidence of pulmonary TB (p-value 0.001 and OR=10.105)  Keywords: Tuberculosis, Biochemistry, Determinants, Respondents   ABSTRAK Tuberkulosis (TB) paru merupakan penyakit menular yang masih menjadi masalah kesehatan masyarakat khususnya di negara berkembang, termasuk Indonesia. Tujuan dari penelitian ini adalah untuk mengetahui apakah ada hubungan antara karakteristik responden dan penilaian biokimia dengan kejadian tuberkulosis. Penelitan ini menggunkan metode kuantitatif cross sectional dengan Teknik purposive sampling. Hasil penelitian didapatkan dari 76 responden sebagian besar tidak mengalami kejadian TB paru 46 (60,5%), sebagian besar berumur produktif 52 (68,4%), berjenis kelamin pria 43 (56,6%), berpendidikan tinggi 40 (52,6%), berpengetahuan baik 56 (73,7%), sputum BTA (+) 54 (71,1%), kadar hemoglobin normal 40 (52,6%), leukosit normal 59 (77,6%) dan trombosit normal 65 (85,5%). Ada hubungan umur (p-value = 0,045), jenis kelamin (p-value = 0,032), pendidikan (p-value = 0,013), pengetahuan (p-value = 0,000), sputum BTA (p-value = 0,001), kadar hemoglobin (p-value = 0,000), kadar leukosit (p-value = 0,007), kadar trombosit (p-value = 0,021) dengan kejadian TB paru. Pengetahuan menjadi variabel yang paling berhubungan dengan kejadian TB paru (p- value 0,001 dan OR=10,105 Kata Kunci: Tuberkulosis, Biokimia, Determinan, Responden
Evaluasi Program TB Paru di Puskesmas Martapura 1 Kabupaten Banjar Hidayat, Rahmat; Prihandini, Yustin Ari; Nafila, Nafila; Ramadhani, Aulia; Riyana, Adies; Khaira, Dicky Septiannoor; Bandawati, Bandawati
Malahayati Nursing Journal Vol 7, No 5 (2025): Volume 7 Nomor 5 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i5.18719

Abstract

ABSTRACT Tuberculosis (TB) is a serious global health issue caused by Mycobacterium tuberculosis. In South Kalimantan, the province ranks seventh in the number of cases, with Puskesmas Martapura 1 recording 1,364 cases of pulmonary TB in 2022. Evaluating the TB program at this health center is essential for identifying the strengths and weaknesses of program implementation. The study was conducted at Puskesmas Martapura 1 in Banjar District in 2023. A qualitative research method was employed to assess the evaluation of the pulmonary TB program at Puskesmas Martapura 1. The input components of the pulmonary TB program at Puskesmas Martapura 1 were found to be suboptimal. There were limitations in the examination facilities, as TCM testing could not be performed at this health center. The process components of the pulmonary TB program were also not optimal, with record-keeping and reporting, as well as cross-checking, often not conducted timely. In terms of output, while the case detection rate met the target, the conversion and cure rates did not meet the targets set by the Banjar District Health Office. The error rate at Puskesmas Martapura 1 was 1.8%. To improve the success of the pulmonary TB program at Puskesmas Martapura 1 in Banjar District, several improvements are necessary. A weekly checklist cross-checking schedule should be established to prevent the accumulation of documents that can occur when checks are conducted quarterly. Daily record-keeping and reporting should also be implemented after patients complete their treatment to avoid report backlogs. Additionally, planning for patients who miss their treatments is essential to ensure they do not default on their medication and complete their treatment courses. Keywords: Tuberculosis, Evaluation of TB Program, TCM, Community Health Center  ABSTRAK Tuberkulosis (TB) adalah masalah kesehatan global serius yang disebabkan oleh Mycobacterium tuberculosis. Di Kalimantan Selatan, provinsi ini menempati posisi ketujuh dalam jumlah kasus. Puskesmas Martapura 1 mencatat 1.364 kasus TB Paru pada 2022. Evaluasi program TB di Puskesmas ini penting untuk mengidentifikasi kekuatan dan kelemahan pelaksanaan program. Penelitian dilaksanakan di Puskesmas Martapura 1 Kabupaten Banjar tahun 2023. Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian kualitatif karena untuk mengetahui Evaluasi Program TB Paru di Puskesmas Martapura 1 Kabupaten Banjar tahun 2023.  Penelitian dari komponen input dalam program TB Paru di Puskesmas Martapura 1 belum optimal. Terdapat keterbatasan fasilitas pemeriksaan TCM tidak dapat dilakukan di Puskesmas Martapura 1. Hasil dari komponen proses dalam program TB Paru di Puskesmas Martapura 1 belum optimal. Pencatatan dan pelaporan serta Cross check sering kali tidak tepat waktu sesuai jadwal. Sedangkan output dalam program TB di Puskesmas Martapura 1 dalam angka penemuan kasus sudah mencapai target sedangkan angka konversi dan angka kesembuhan belum mencapai target yang disediakan oleh Dinas Kesehatan Kabupaten Banjar. Error rate di Puskesmas Martapura 1 Kabupaten Banjar sebesar 1,8 persen. Dalam upaya meningkatkan keberhasilan program TB Paru di Puskesmas Martapura 1 Kabupaten Banjar maka diperlukan perbaikan yaitu dengan dibuat jadwal checklist cross check setiap minggunya agar tidak terjadi penumpukan berkas jika dilakukan pertiga bulan sekali. Juga diperlukan perbaikan dengan melakukan pencatatan dan pelaporan setiap harinya setelah pasien selesai pengobatan agar tidak terjadi penumpukan laporan. Dan diperlukan pula perencanaan terhadap pasien yang mangkir dalam pengobatan agar pasien tersebut tidak mangkir dari pengobatan dan menyelesaikan pengobatannya. Kata Kunci: Tuberkulosis, Evaluasi Program TB, TCM, Puskesmas