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Analisis Kepatuhan Minum Obat Anti Tuberkulosis Paru pada Pasien Tuberkulosis di Puskesmas Multiwahana Palembang Zaman, Chairil; Priyatno, Akhmad Dwi; Zetira, Nova Reza
MAHESA : Malahayati Health Student Journal Vol 3, No 12 (2023): Volume 3 Nomor 12 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i12.11278

Abstract

ABSTRACT Tuberculosis is an infectious disease that infects the lungs and is a disease activated by the bacterium mycobacterium tuberculosis. The number of cases of pulmonary TB sufferers is still high in Indonesia, there is a risk that if a pulmonary tuberculosis patient does not comply with taking pulmonary anti-tuberculosis medication (OAT), there will be a risk of pulmonary hemorrhage which can result in death in a pulmonary tuberculosis patient. The purpose of this study was to find out the description of adherence to taking anti-tuberculosis drugs in tuberculosis patients at the Multiwahana Health Center in Palembang City in 2023. The research method used is a quantitative method using a cross sectional design using a questionnaire, the sample size is 31 respondents. The results of this study showed that the variable that had a relationship with adherence to taking anti-tuberculosis medication (OAT) was education with (pValue = 0.030, OR = 2,000) , work with (pValue = 0.002, OR = 0.549) and PMO with (pValue = 0.004, OR = 2.250). The conclusion from this study is that the most dominant variable is the PMO (drug swallowing supervisor) so it is necessary to increase the PMO so that adherence to taking anti-tuberculosis drugs (OAT) is getting better. Keywords:  Tuberculosis, Medication Adherence, Variable, Research Education, Job ABSTRAK Tuberkulosis merupakan penyakit menular yang menginfeksi paru-paru dan merupakan penyakit yang di aktifkan oleh bakteri mycobacterium tuberculosis. Jumlah kasus penderita TBC Paru masih tinggi di Indonesia, risiko kalau pasien Tuberkulosis paru tidak patuh minum obat anti tuberkulosis (OAT) paru maka akan terjadi risiko pendarahan paru yang bisa mengakibatkan kematian pada pasien  Tuberkulosis paru. Tujuan penelitian ini  mengetahui gambaran kepatuhan minum obat anti tuberkulosis paru pada pasien tuberkulosis di Puskesmas Multiwahana Kota Palembang tahun 2023. Metode penelitian yang digunakan merupakan metode kuantitatif dengan menggunakan desain cross sectional dengan menggunakan kuesioner, besarnya sampel sebanyak 31 responden..Hasil penelitian ini didapatkan variabel yang ada hubungan dengan kepatuhan minum obat anti tuberculosis (OAT)  adalah pendidikan dengan (pValue = 0,030, OR = 2.000) , pekerjaan dengan (pValue = 0,002, OR = 0.549) dan PMO dengan (pValue=0,004, OR = 2.250).  Kesimpulan dari penelitian ini bahwa variabel yang paling dominan adalah PMO (pengawas menelan obat) sehingga perlu di tingkatkan lagi PMO agar kepatuhan minum obat anti tuberkulosis (OAT) menjadi semakin baik. Kata Kunci: Tuberkulosis, Kepatuhan Minum Obat, Variabel, Penelitian, Pendidikan, Pekerjaan
Analysis of Factors Affecting Compliance With Hand Hygiene Among Medical Staff at The Health Center Lucky Sandi Centaury; Chairil Zaman; Akhmad Dwi Priyatno; Dianita Ekawati
Lentera Perawat Vol. 6 No. 1 (2025): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i1.397

Abstract

Carrying out the profession as medical personnel, there is a high possibility of direct or indirect contact with microorganisms, so that medical personnel are prone to cross-contamination between patients and medical personnel. This study aims to determine the description of compliance with hand hygiene among respondents at the Nibung Health Center, North Musi Rawas Regency in 2024. The design in this study is an analytical survey with a cross sectional design, using the chi-square test. sampling using total sample technique. The results obtained from each variable are age 0.028 ≤ α 0.05, gender p value 0.312 ≥ 0.05, education with compliance p value 0.021 ≤ 0.05, knowledge p value 0.012 ≤ 0.05, attitude p value 0.003 ≤ 0.005, availability of facilities p value 0.713 ≥ 0.05, the role of PPI p value 0.032 ≤ 0.05. The conclusion is that there is a relationship between age, education, knowledge, attitude, and the role of PPI with compliance with hand hygiene. It is hoped that the Nibung Health Center, North Musi Rawas Regency, will increase staff compliance in the application of daily hand hygiene with the indication of “five moments”
The Incidence Of Diarrhea In Toddlers In Terms Of Environmental Factors Meiranti Meiranti; Akhmad Dwi Priyatno; Erma Gustina; Yusnilasari Yusnilasari
Lentera Perawat Vol. 6 No. 1 (2025): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i1.413

Abstract

Tidal waters in the UPTD Puskesmas Muara Telang Banyuasin Regency cause river water to become salty during the dry season this is due to the habits of the community who defecate and throw garbage in the river. Data from the puskesmas for the months of January-June 2024 found 43 cases of toddlers who experienced diarrhea. This study aims to determine the results of the analysis of environmental factors on the incidence of diarrhea in toddlers in the working area of the Muara Telang Health Center, Banyuasin Regency in 2024. The method in this study was a quantitative observational survey analytic approach with a cross sectional design. Started on June 14, 2024-July 31, 2024. The population in this study were all mothers who brought toddlers to the health center, the sample in this study using the lemeshow formula obtained a sample of 60 toddlers. Accidental sampling technique. data analysis using univariate, bivariate and multivariate analysis. Instruments in the study Questionnaires and stationery. The results showed the incidence of diarrhea in toddlers as much as (58.3%). The results of bivariate analysis showed there was a relationship between age (p 0.016), gender (p 0.073), water quality (p 0.000), sewerage (p 0.044), and garbage disposal (p 0.025) with the incidence of diarrhea. The results of multivariate analysis of physical water quality variable is the factor that has the strongest relationship compared to other factors P value 0.000 (OlR 40.127).  Further research is needed to fill the existing knowledge gaps related to the relationship between environmental factors and the incidence of diarrhea in toddlers.
Environmental Sanitation Analysis of Dengue Fever Disease Intan Manirah Niksan; Akhmad Dwi Priyatno; Lilis Suryani; Yusnilasari
Lentera Perawat Vol. 6 No. 1 (2025): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i1.414

Abstract

Dengue Hemorrhagic Fever (DHF) is caused by the dengue virus transmitted by the Aedes aegypti mosquito or Aedes albopictus. The characteristics of the infectious vector determine the spread and timing of the occurrence of infection. The habitat of aedes mosquitoes is generally in regions with tropical climates, high rainfall, and hot and humid temperatures. The design of this study is quantitative with a cross sectional approach. The sample in this study uses a total sampling technique of 45 samples. The data analysis presented was using univariate, bivariate and multivariate analysis. The results of this study were obtained as age variables with a pvalue of 0.012, education pvalue 0.028, house ventilation pvalue 0.016, water shelter condition pvalue 0.000, mosquito repellent with pvalue 0.014, clothes hanging place pvalue 0.016, waste disposal system pvalue 0.016.  From dengue patients at the Muaradua Health Center, the condition of water reservoirs is the one that has the strongest effect compared to other facts (OlR 67,867). This can be interpreted if the respondent has an unhealthy water reservoir, he will have a risk of 67,867 times to suffer from dengue, and if he is old, he will have a similar risk.
Analysis of factors affecting the incidence of tuberculosis in Social community health center, Palembang: A cross-sectional study Yusalin Yusalin; Akhmad Dwi Priyatno; Erma Gustina
Lentera Perawat Vol. 6 No. 4 (2025): October - December
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.543

Abstract

Background: Pulmonary tuberculosis (TB) is influenced by both environmental and behavioral factors. The number of pulmonary TB cases in the working area of the UPTD Palembang Social Health Centre during 2022–2024 has fluctuated and remains below the expected target. This situation indicates the need for a comprehensive analysis to identify factors influencing the occurrence and transmission of TB, considering environmental and individual characteristics. Objective: This study aimed to analyze the relationship between individual characteristics, behavioral factors, and environmental conditions with the incidence of pulmonary tuberculosis. Methods: This study employed a quantitative approach with a cross-sectional design. The population consisted of all patients visiting the DOTS Poly at UPTD Puskesmas Sosial in 2024, totaling 433 individuals. Using purposive sampling, 81 respondents were selected. Data were collected from May to June 2025 and analyzed through univariate frequency distribution, bivariate chi-square tests, and multivariate multiple logistic regression. Results: The results showed that age (p = 0.278) and education (p = 0.732) were not significantly related to pulmonary TB incidence. However, gender (p = 0.002; OR = 10.410), smoking habits (p = 0.002; OR = 11.778), ventilation (p = 0.001; OR = 51.750), and humidity (p = 0.001; OR = 14.233) were significantly associated. Among these, smoking habits were the most dominant factor influencing TB incidence. Conclusion: There is a significant relationship between gender, smoking habits, ventilation, and humidity with the incidence of pulmonary tuberculosis. Smoking habits emerged as the most dominant risk factor. Health campaigns, counseling, and education about pulmonary TB prevention should be strengthened, especially targeting high-risk groups and promoting healthy living environments.