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Meningkatkan Pengetahuan Masyarakat tentang Pencegahan Penularan TBC di Pemukiman Padat Penduduk Kecamatan Medan Tuntungan Hapsah Hapsah
Mitra Abdimas: Jurnal Pengabdian kepada Masyarakat Vol 6 No 1 (2026)
Publisher : Medan Resource Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57251/mabdimas.v6i1.2203

Abstract

Tuberculosis (TB) remains a major public health challenge in Indonesia, particularly in densely populated residential areas. This study aimed to enhance community knowledge regarding TB transmission prevention in Medan Tuntungan District. A quantitative method with a one-group pretest-posttest design was employed, involving 14 primary caregivers. The intervention consisted of the PAGAR BESI mentoring program, incorporating lectures, discussions, and leaflet-based media. The findings revealed a substantial increase in the proportion of participants with good knowledge, rising from 48% to 86% post-intervention. This improvement was attributed to the participatory approach and active family engagement. The study concludes that while health education effectively boosts knowledge, it must be complemented by physical environmental enhancements and the management of behavioral risk factors to comprehensively and sustainably interrupt the TB transmission chain.
Abses Paru : Kajian Klinis Dan Penanganan Multidisipliner Hapsah Hapsah
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 2 (2025): September 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i2.12790

Abstract

Abses paru merupakan infeksi serius yang ditandai oleh terbentuknya rongga berisi nanah akibat nekrosis jaringan paru. Penelitian ini bertujuan untuk mengkaji karakteristik klinis abses paru serta mengevaluasi efektivitas penanganan melalui pendekatan multidisipliner. Metode yang digunakan adalah studi deskriptif kualitatif berbasis studi kasus terhadap lima pasien yang dirawat di rumah sakit rujukan paru. Data diperoleh melalui dokumentasi rekam medis, wawancara tenaga medis, dan hasil pemeriksaan penunjang. Hasil penelitian menunjukkan bahwa mayoritas pasien adalah laki-laki dengan riwayat penyakit penyerta seperti diabetes, PPOK, dan alkoholisme. Gejala utama meliputi batuk berdahak purulen, demam, dan nyeri dada. Pemeriksaan CT-scan menunjukkan kavitas paru berisi cairan. Kultur sputum menunjukkan variasi patogen, termasuk bakteri aerob dan anaerob. Terapi diberikan secara individual berbasis hasil kultu dan dikombinasikan dengan tindakan drainase pada beberapa kasus. Pendekatan multidisipliner yang melibatkan dokter paru, radiolog, mikrobiolog klinis, dan ahli bedah toraks terbukti meningkatkan efektivitas penanganan, mempercepat perbaikan klinis, dan mengurangi risiko komplikasi. Penelitian ini menekankan pentingnya kerja sama antardisiplin dalam menghadapi kasus abses paru yang kompleks
Association Between Anti-Tuberculosis Drug (OAT) Adherence and Tuberculosis Recurrence Among Pulmonary TB Patients at Dr. Pirngadi Regional Hospital, Medan Metia Ariani Br Ginting; Heppy Jelita Sari Batubara; Hapsah Hapsah; Mila Trisna Sari
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2582

Abstract

Pulmonary tuberculosis (TB), caused by Mycobacterium tuberculosis, remains a major public health problem. Treatment success depends heavily on adherence to anti-tuberculosis drug (ATD) therapy; however, the long treatment duration may reduce adherence and increase the risk of recurrence. Objective: This study aimed to describe the demographic characteristics of pulmonary TB patients and to analyze the association between adherence to ATD therapy and TB recurrence at Dr. Pirngadi General Hospital, Medan. Methods: A quantitative observational analytic study with a cross-sectional design was conducted among 33 pulmonary TB patients treated at Dr. Pirngadi General Hospital, Medan (November–December 2025). Data were collected using an ATD adherence questionnaire and complemented with medical record data. Descriptive statistics were used to summarize patient characteristics, adherence levels, and recurrence status, while the Chi-square test was applied to assess the association between adherence and recurrence (p < 0.05). Results: Most respondents exhibited low adherence to ATD therapy (66.7%), and a high proportion experienced TB recurrence (78.8%). The majority were male (51.5%), predominantly in the adult age group (41–60 years; 51.5%), had a senior high school education (87.9%), and were self-employed. A statistically significant association was found between adherence to ATD therapy and TB recurrence (p = 0.046). Implications: These findings reinforce the need to strengthen adherence-support strategies in hospital TB services, including structured counseling, active follow-up, and family or treatment supervisor involvement, to reduce recurrence risk and improve program outcomes. Originality/Value: This study provides facility-based evidence from Dr. Pirngadi General Hospital, Medan, demonstrating a significant relationship between adherence level and recurrence status, offering locally relevant data to guide targeted adherence interventions and recurrence prevention in hospital settings.