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ASUHAN KEPERAWATAN ANAK THALASEMIA DENGAN DIAGNOSA PRIORITAS KETIDAKEFEKTIFAN PERFUSI JARINGAN PERIFER Ana Farida Ulfa; Edi Wibowo
Jurnal EDUNursing Vol 1, No 2 (2017): September - Maret
Publisher : Universitas Pesantren Tinggi Darul Ulum

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Abstract

Abstract  Thalassemia is a chronic descent disease, where clients with thalassemia will experience a continuous decrease in Hb. This condition causes thalassemia clients to undergo regular hospitalization to obtain blood transfusions. Currently, tansfusion is the best treatment of thalassemia.This research uses qualitative method with case study approach. The researcher chose the research sample with the sampling quota. Researchers perform nursing care on 2 clients thalasemia who are undergoing inpatient at RSUD Jombang.The results show that the priority problem in thalassemia clients is peripheral tissue perfusion ineffectiveness. This problem occurs because the decrease in client Hb levels that cause oxygen supply to the entire body tissue is disrupted. The examination results on both clients showed low Hb levels. Implementations performed for both clients are: observation of vital signs, including capillary refill observation (CRT), blood transfusion administration, nutrition and activity settings. The results of evaluation on clients 1 and 2 found that in addition to transfusion of nutrition and activity management is also very necessary in clients with thalassemia, so it is important that health education given to his family Keywords: nursing care, thalassemia, peripheral tissue perfusion effectiveness
Pengaruh Terapi Musik Terhadap Penurunan Tingkat Kecemasan Anak Prasekolah Yang Mengalami Hospitalisasidi Paviliun Seruni Rsud Jombang Ana Farida Ulfa; Kurniawati Kurniawati
coba Vol 3 No 2 (2015): Mei 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.141 KB) | DOI: 10.32831/jik.v3i2.51

Abstract

Hospitalizationis a process by which aplannedor emergency reasons, so the children had to be hospitalized can cause children to experience anxiety. To over come anxiety management can be given psychotherapy, one of which is with music therapy. The purpose ofthis study was todetermine the effect of music therapy to decrease anxiety levels pre- school children who experienced hospitalization in Hospital Jombang Chrysan the mum Pavilion. This study uses the approach Quasy Experiment pretest-posttestdesign with control group. With a total sample of 14 children (2 groups) using purposive sampling technique. Data was collected through observation and then tabulated using data coding and tested using Mann Whitney and Wilcoxon with α = 0.05 significance level. The results of the analysis wilcoxon obtained p valueof 0.015, p value<α (0.015 <0.05) and Mann- Whitney obtained p valueof 0.007, p value<α (0.007<0.05). So there is the effect of music therapy on reducing anxiety levels preschoolers who experienced hospitalization in Hospital Jombang Chrysan the mum Pavilion. The conclusion that can bedrawn from this studyis the effect of music therapy on anxiety levels pre-school children who experienced hospitalization in Hospital Jombang Chrysan the mum Pavilion.
PROGRAM KEMITRAAN MASYARAKAT (PKM) PENINGKATAN KUALITAS HIDUP PASIEN THALASEMIA DI KABUPATEN JOMBANG: Community Partnership Program (Pkm) Improving Life Quality Of Thalasemic Patients In Jombang District ANA FARIDA ULFA; Pujiani Pujiani; edi wibowo
Jurnal Pengabdian Masyarakat Kesehatan Vol. 5 No. 1 (2019): JPM | Maret 2019
Publisher : LPPM - STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (141.441 KB) | DOI: 10.33023/jpm.v5i1.247

Abstract

Pengabdian masyarakat ini bertujuan meningkatkan kualitas hidup pasien thalasemia di kabupaten Jombang. Seperti kita ketahui, thalasemia merupakan penyakit kronis yang memiliki dampak sangat komplek. Tidak hanya aspek biologis, tetapi juga pada aspek psikologis dan sosial. Jumlah thalasemia di Kabupaten Jombang yang menjalani tranfusi rutin di RSUD Jombang adalah 27 anak, dan sekitar 10 anak menjalani transfusi rutin di RSUD dr. Soetomo Surabaya. Selama ini dukungan yang didapatkan anak thalasemia masih sebatas pada permasalahan fisik. Masalah psikologi dan sosial seperti harga diri rendah, ketidakmampuan mengikuti pendidikan seperti anak-anak yang sehat, dan adanya putus sekolah belum mendapat perhatian baik dari pemerintah maupun dari masyarakat. Metode yang digunakan dalam pengabdian masyarakat ini adalah kegiatan pendampingan, seminar / parenting, terapi aktifitas kelompok untuk mengatasi masalah bio-psiko-sosio dan spiritual. Pelaksanaaan kegiatan dilakukan dimasyarakat di desa Kwaron Diwek, FIK Unipdu Jombang dan RSUD Jombang.
PENURUNAN RESPON MALADAPTIF PADA ANAK PRA SEKOLAH MENGGUNAKAN STORY TELLING BOOK : SERI PEMASANGAN INFUS DI RSUD KABUPATEN JOMBANG Ana Farida Ulfa, Siti Urifah
Adi Husada Nursing Journal Vol 3 No 1 (2017): Adi Husada Nursing Journal
Publisher : STIKes Adi Husada

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Abstract

Asuhan keperawatan pada anak, umumnya memerlukan tindakan invasif seperti injeksi atau pemasangan infus. Pemasangan infus merupakan salah satu tindakan medis yang banyak menimbulkan masalah pada pasien anak. Komunikasi yang spesifik dibutuhkan agar anak bisa memiliki koping yang adaptif saat dilakukan asuhan keperawatan. Salah satu bentuk komukasi yang spesifik adalah menggunakan Story Telling: Seri Pemasangan Infus, komunikasi car ini akan menyebabkan respon maladaptif anak berkurang dan kecemasan menurun. Penelitian ini menggunakan desain penelitian Quasy Experiment Pretest-Postest Control Group, populasinya adalah anak usia prasekolah, jumlah sampel 16 orang dengan menggunakan purposive sampling. Pengumpulan data dilakukan dengan metode observasi dan selanjutnya ditabulasi dengan menggunakan distribusi frekuensi dan uji statistik dengan t-test dengan tingkat kemaknaan a = 0,05. Hasil penelitian menunjukkan nilai signifikansi 0,00 yang artinya ada pengaruh pemberian story telling: seri pemasangan infus terhadap penurunan respon maladaptif pada usia prasekolah di RSUD Jombang. Bercerita merupakan satu media yang terapeutik untuk mengungkapkan perasaan anak saat mengalami kecemasan, mengalihkan perasaan nyeri dan relaksasi. Faktor yang memepengaruhi terhadap efektifitas terapi ini adalah usia dan jenis kelamin, pada usia yang lebih dewasa proses adaptasi lebih mudah dan pada anak perempuan memiliki sikap sosial yang lebih baik, kehangatan dan adaptasi terhadap perubahan. Kata kunci: Story telling , respon maladaptif, anak prasekolah ABSTRACT Nursing care in children, generally require invasive procedure such as injection or infusion. Infusion is one of the medical treatment that given to solve problems in pediatric patients. Specific communication is needed so the children can have adaptive coping time of nursing care. One form of specific commucation is using the Story Telling: Infusion Installation Series, this effective communication will lead to reduce child maladaptive responses and decrease anxiety. This research used a study design quasy Experiment Pretest-Posttest Control Group Design, the population are preschool-aged children, the number of samples of 16 people by using purposive sampling. The data collection was done by observation and then tabulated using frequency distribution and statistical test t-test with significance level  = 0.05. The results show the significant value of 0.00 which means that there is the effect of storytelling: the series infusion to decrease the response aladaptif at preschool age in hospitals of Jombang. Storytelling is a therapeutic medium to express feelings of children when experiencing anxiety, distract feelings of pain and relaxation. Factors that affect the treatment efektifitass are age and sex, the more mature age adaptation process easier and the girls have better social attitude, warmth and adaptation to change. Keywords: story telling, maladaptive response, preschooler. DAFTAR PUSTAKA Arikunto, Suharsimi. (1998). Prosedur Penelitian Suatu Pendekatan Praktek. Edisi Revisi IV. Jakarta: PT. Rineka Cipta Ariyanti, Fitri. Bermain, Apa dan Mengapa. http://www.klik_auladi.com (2005). Biblioterapi. http://azayaka.wordpress.com, Tanggal 29 Februari 2008. Behrman, Richard E dan Robert M. Kliegman. (1999). Ilmu Kesehatan Anak Nelson. Jakarta: EGC. Brunner & Suddarth. (2002). Buku Ajar Keperawatan Medikal Bedah. Vol. 1. Jakarta: EGC. Capernito, Lynda Juall. (2001). Buku Saku Diagnosa Keperawatan. Jakarta: EGC. Elias, Maurica J. (2000). Cara-cara Efektif Mengasuh Anak dengan EQ; Mengapa Penting Membangun Disiplin Diri, Tanggungjawab, dan Kesehatan Emosional Anak-anak Pada Masa Kini. Bandung: Kaifa. Hayden, Torey. Phenomenology of Bibliotherapy in Modifying Teacher Punitiviness. http://www.torey-hayden.com Hidayat, A, dkk. (2005). Buku Saku: Praktikum Kebutuhan Dasar Manusia. Jakarta: EGC Hurlock, Elizabeth B (2000). Psikologi Perkembangan: Suatu Pendekatan Sepanjang Rentang Kehidupan. Jakarta: Erlangga. Hurlock, Elizabeth B (2000). Perkembangan Anak Edisi 6. Jakarta: Erlangga. Kozier, et al. (1995). Fundamental Of Nursing: Concepts, process and practice 5th California : Addison- Wesley. Munasih (2007). Pengaruh pemberian terapi bermain terhadap respon kecemasan pada toddler di ruang anak RSD Bapelkes Jombang. Universitas Pesantren Tinggi Darul ’Ulum Jombang. Mutholib, Abdul (2008). Depresi pada Anak. http://www.tempointeraktif.com tanggal 10 Maret. Notoatmodjo, Soekidjo (2002). Metodologi Penelitian Kesehatan. Edisi Revisi. PT. Jakarta: Rineka Cipta. Nurachmah, dkk. (2000). Buku Saku: Prosedur Keperawata Medikal Bedah. Jakarta: EGC. Nursalam, (2001) dan Pariani. Pendekatan Riset Keperawatan. Jakarta: EGC. Nursalam, (2003). Konsep Dan Penerapan Metode Penelitian Ilmu Keperawatan : Pedoman Skripsi, Tesis Dan Instrumen Penelitian Keperawatan. Jakarta: Salemba Medika. Nursalam, (2005) dan Ekawati. Asuhan Keperawatan Bayi dan Anak (Untuk Perawat Dan Bidan). Edisi I. Jakarta: Salemba Medika. Pearce, John (2000). Mengatasi Kecemasan dan Ketakutan Anak: Kiat Membantu Anak Melawan Ketakutan dan Mengembangkan Percaya Diri. Jakarta: Arcan. Perpustakan al-Hurriyyah, (2006). Biblioterapi : Penyembuhan dengan Membaca. http://www.ahperpus.multiply.com, Tanggal 17 Maret 2008. Potter dan Perry. (2006). Buku Ajar Fundamental Keperawatan : Konsep, Proses dan Praktik. Vol 2. Jakarta: EGC. Rocca, et.al. (1998). Seri Pedoman Praktis: Terapi Intravena. Edisi 2. EGC: Jakarta. Sacharin, rosa M. (1996). Editor : IG. N. Gde Yasmin Asih, SKp. Psinsip perawatan pediatric, Edisi 2. Jakarta: EGC. Snyder, Mariah. (1992). Independent Nursing Interventions. Canada: Delmar Publisher Inc. (1995). Editor : IG. N. Gde Ranuh. Tumbuh kembang anak. Jakarta: EGC. (2002). Metode Penelitian Administrasi. Bandung: Alfabeta. Supartini, Y. (2004). Editor : Monica Ester. Buku ajar konsep dasar keperawatan anak. EGC : Jakarta. Tabloid Aura. (2008). Depresi dan Buku. http://www.sivalintar.com, Tanggal 25 Januari Warsiki, G. Kecemasan Pada Anak. http://www.kalbe.co.id Weinstein, S (2001). Buku Saku: Terapi Intravena. Edisi 2. Jakarta: EGC. Wong D.L, (1995) & whaley, L.F. Nursing care of infant and children. Charida company, united states of America. Wong D.L, (2003). Editor : Sari Kurniaingsih. Alih bahasa : Monica Ester. Pedoman klinis keperawatan pediatric. Edisi 4. Jakarta: EGC Yusuf, Syamsu. (2002). Psikologi Perkembangan Anak dan Remaja. Bandung: Rosda. Zein, Asmar Yetty dan Eko Suryani. (2005). Psikologi Ibu dan Anak. Yogyakarta: Fitramaya. Download Full Text PDF >>
PERSEPSI PASIEN TERHADAP PERILAKU CARING PERAWAT DALAM MELAKUKAN ASUHAN KEPERAWATAN DI RSUM JOMBANG Ana Farida Ulfa; Nurul Nurul Khoirun Nisa
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) Vol 10 No 1 (2018): Hospital Majapahit
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (432.064 KB) | DOI: 10.5281/zenodo.3514583

Abstract

Nursing is one of professional service that has a paradigm or nursing model that includes four components: human, health, environment and nurse itself. Caring is not just an emotional feeling or simple behavior, nurse performance especially in caring behavior becomes very important in influencing service quality and patient satisfaction especially in hospital. The purpose of this study is to describe the patient's perception about caring behavior of nurses in nursing service at Rumah Sakit Unipdu Medika (RSUM). This research use qualitative research design, with phenomological approach. Data obtained by indeep interview to 10 participants who are undergoing hospitalization in RSUM Jombang. The results of the study illustrate that all participants were not able to provide answers related to patient perceptions of caring nurses behavior, this is because the client has never heard the term caring. In general, however, the patient's expectation of the nurse's attitude in providing nursing care is that the nurse must be able to care for the patient as a parent caring for their child, caring for her sincerely, capable of doing the right, competent, disciplined, empathetic, counseling and health education, competent, frequent visits to patients. Nurses should always improve the knowledge and skills in nursing care, so as to provide comprehensive care and plenary as a form of caring behavior nurse.
PENGARUH PENDIDIKAN KESEHATAN METODE DEMONSTRASI TERHADAP PELAKSANAAN CUCI TANGAN PADA PENUNGGU PASIEN Triventiningtyas Triventiningtyas; Ana Farida Ulfa; Diah Ayu Fatmawati
Jurnal EDUNursing Vol. 5 No. 2 (2021): September 2021 - Maret 2022
Publisher : Universitas Pesantren Tinggi Darul Ulum

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Abstract

Abstract               Nosocomial infections can occur considering that hospitals as health care centers are warehouses of infectious pathogens "microbes". On the other hand, health workers can also be a source, in addition to the patient's family passing by, medical equipment and the hospital environment itself. Health education is a series of efforts aimed at influencing other people, ranging from individuals, groups, families and communities to carry out handwashing behavior. This study aims to determine the effect of health education demonstration method on the implementation of handwashing of patient caretakers at Asoka  of Jombang Hospital. The research design in this study is a quasi experiment. The population in this study were all the caretakers of High Care Unit patients at the Asoka, Jombang Hospital, an average of 70 people per month. The sampling technique used is purposive sampling. A sample of 40 people. The research variable consisted of the independent variable, namely health education, demonstration method using a questionnaire and the dependent variable, namely the implementation of handwashing for the patient waiting by using a questionnaire. Furthermore, the analysis was tested using the wilcoxon statistical test with = 0.05. The results of this study indicate that the implementation of handwashing of patient attendants in the treatment group was almost entirely good, 31 respondents (77.5%), the implementation of handwashing of patient attendants in the half control group was sufficient, as many as 20 respondents (50%). The results of the wilcoxon test obtained 0.000 < 0.005. The conclusion in this study is the effect of health education demonstration method on the implementation of handwashing of patient caregivers at the Asoka Pavilion, Jombang Hospital. Keyword : health education, demonstration method, hand washing 
Pemberian Makanan Tambahan Modifikasi Terhadap Status Gizi Balita Mamik Ratnawati; Ririn Probowati; Monika Sawitri Prihatini; Septi Fitrah Ningtyas; Ana Farida Ulfa
Jurnal Health Sains Vol. 4 No. 2 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i2.801

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The occurrence of malnutrition in children is not only due to the nutritional content of the food served, but also caused by the occurrence of health problems, so that the ability to endure and dream of eating will be reduced and susceptible to disease so that the child can experience malnutrition. The purpose of this study was to compare the nutritional status of children under five before and after being given a modified supplementary diet. The research method uses a quasi-experimental research design with pre-test - post-test design with treatment. The sample is a number of toddlers in Puton Village, Diwek District, Jombang Regency. The study was conducted for 4 weeks by providing additional modified food to toddlers with nutritional problems. The sample by means of total sampling. The dependent variable in this study is the ability to provide additional modified food, the independent variable is the nutritional status of children under five. Data analysis using t-test. The results showed that most (70%) nutritional status of children under five improved after being given additional modified food. This study is expected to provide knowledge about other modified food additives and the intervention time of 4 weeks is not optimal enough to improve the nutritional status of toddlers so that it takes a longer time for this intervention to get maximum results.
MANAJEMEN SATGAS PASIEN COVID (PENGGUNAAN APD) DI RUMAH SEHAT APARMA UNIPDU Kurniawati Kurniawati; Zuliani Zuliani; Ana Farida Ulfa; Pujiani Pujiani; Masruroh Masruroh; Abdul Ghofar; Siti Muniroh; Zulfikar Zulfikar; Wim Banu Ukhrowi
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 3: Agustus 2021
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v1i3.5136

Abstract

The condition of the spread of Covid-19 has reached almost the entire world with the number of cases continuing to increase. Health workers act as service providers, therefore hospitals have an obligation to nourish their workforce. There are ways to overcome and reduce the possibility of work accidents and occupational diseases (PAK). One of them is by increasing the frequency of using personal protective equipment (PPE). PPE only functions to reduce contact with hazards by placing a barrier between workers and the dangers that exist in patients and vice versa. Purpose: To analyze the influence of the variables Availability of Personal Protective Equipment (PPE) and Education on nurse job satisfaction. Method: Descriptive in nature, namely a research design that is directed to describe symptoms, facts, or events in a systematic and accurate manner, regarding the characteristics of a particular population or area of ​​25 people with a total sampling technique. Collecting data in this study used a type of questionnaire instrument that contained the characteristics of the respondents and the behavior of using personal protective equipment (PPE). Results: The results of this study show an overview of the use of personal protective equipment (PPE) by nurses in the APARMA Unipdu Covid-19 Special Room in the use of head coverings, surgical or N95 masks, face shields, surgical gowns and isolation gowns, aprons, gloves and shields shoe. Conclusion: in general, nurses at the Aparma Healthy Home use personal protective equipment in accordance with the regulations of the Ministry of Health.
PENINGKATAN KUWALITAS KESEHATAN ANAK DENGAN SKREENING TUMBUH KEMBANG DAN PROMOSI KESEHATAN ( TK AL ISLAMIYAH JOGOROTO JOMBANG) Ana Farida Ulfa; Kurniawati Kurniawati; Pujiani Pujiani; Masruroh Masruroh; Zuliani Zuliani; Siti Muniroh; Abdul Ghofar; Zulfikar Zulfikar; Wim Banu Ukhrowi; Nuroin Farohiyah
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 9: Februari 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v1i9.5137

Abstract

Children's health is the nation's future asset. The period of child growth has started from the first year of life, especially the period since the fetus is in the womb. Good and sufficient nutrition, good health status, proper parenting, and proper stimulation during this period will help children grow healthy and be able to achieve their optimal abilities. Appropriate stimulation will stimulate the toddler's brain so that the development of movement, speech and language abilities, socialization and independence in toddlers takes place optimally according to the child's age. Structured growth and development screening is an effort to detect early deviations in growth and development in children, so that appropriate treatment can be carried out immediately. Family knowledge, especially mothers in supporting good parenting efforts for children, especially toddlers, greatly supports the success of growth and development in children.Community service activities include; growth and development screening and parenting on growth and development in preschool-aged children. This activity involved 32 children in PAUD and TK Al Islamiyah, and 32 parents (mothers or caregivers) to participate in parenting activities. Growth and development screening uses the KPSP assessment format (Kemenkes RI). Meanwhile, for parenting, the SAP of Health Education and questionnaires were used to assess knowledge before and after receiving parenting. The results of health screening showed that 44% of children had growth and development status in the inappropriate/deviant category, and 34% had poor nutritional status. Mother's knowledge about the growth and development of preschool children increased significantly after getting parenting.Factors causing growth and development status in the inappropriate/deviant category are; nutritional status of children, parental knowledge and lack of parental stimulation of child development tasks. Early detection is expected to be able to become an evaluation so that stimulation of growth and development can be carried out optimally.
PENCEGAHAN TB PARU DENGAN BATUK EFEKTIF DAN ETIKA BATUK Zuliani Zuliani; Kurniawati Kurniawati; Zulfikar Zulfikar; Ana Farida Ulfa; Siti Muniroh; Pujiani Pujiani; Masruroh Masruroh; Abdul ghofar; Wim Banu Ukhrowi
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 2 No. 2: Juli 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v2i2.5138

Abstract

Kasus tuberkulosis paru merupakan penyakit menular yang disebabkan mycobacterium tuberculosis dan menjadi permasalahan yang serius di Indonesia. Penderita tuberkulosis paru menyebarkan kuman ke udara dalam bentuk droplet (percikan dahak). Droplet yang mengandung kuman dapat bertahan di udara pada suhu kamar selama beberapa jam. Infeksi terjadi apabila seseorang menghirup udara yang mengandung percikan dahak infeksius tersebut. Puskesmas Cukir Jombang merupakan wilayah puskesmas yang angka kejadian TB paru terbanyak di kabupaten Jombang dan suatu tempat yang padat penduduk terdapat perumahan warga yang berdempetan dan kurangnya ventilasi sehingga resiko penyebaran bakteri tuberkulosis yang tinggi. Sehingga pengabdian masyarakat ini bertujuan untuk menambah pengetahuan masyarakat tentang pentingnya pencegahan penyebaran tuberkulosis paru dengan batuk efektik, merubah perilaku hidup sehat dan bersih agar terhindar dari penyakit Tuberkulosis. Metode dalam pengabdian masyarakat ini berupa penyuluhan dan demostrasi dengan media leaflet dan video. Pengabdian masyarakat ini dilakukan selama 1 bulan (Januari 2022). Kegiatan pengabdian masyarakat ini didapatkan peningkatan pengetahuan warga sebelum dilakukan kegiatan hasil pre test responden berpengetahuan baik sebanyak 10 responden (21,7%) dan setelah diberikan penyuluhan dan demonstrasi responden berpengetahuan baik menjadi 31 responden (67,4%). Dengan adanya program pengabdian masyarakat ini, masyarakat dapat menerapkan batuk efektif dan etika batuk dalam mencegah penyebaran Tuberkulosis paru secara mandiri dan mempertahankannya untuk hidup lebih bersih dan sehat agar terhindar dari penyakit menular lainnya.