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The Effectiveness of Swanson's Caring Behavioral Approach on Tuberculosis Treatment Compliance in Families with Children with Tuberculosis at the Children's Clinic of Ende Regional General Hospital Agnes Ervina Satya Pota; Roswita Victoria Rambu Roku; Margareta Teli; Domianus Namuwali; Febtian Cendradevi Nugroho
Journal of Tropical Diseases and Health Science Vol. 5 No. 1 (2025): Journal of Tropical Diseases and Health Science
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jtdhs.v5i1.2225

Abstract

Tuberculosis (TB) in children is a public health challenge that requires special attention, especially due to low levels of family compliance with treatment. This non-compliance risks treatment failure, recurrence, and drug resistance, which are dangerous for children. The role of the family as the primary caregiver is significant in ensuring optimal treatment. Swanson's caring theory, which emphasizes empathy and emotional support, is considered capable of increasing family compliance in accompanying children during TB treatment. This study aims to determine the effectiveness of Swanson's caring behavioral approach on TB treatment compliance in families with children suffering from TB at the Ende Regional General Hospital Pediatric Clinic. The method is quantitative, with a quasi-experimental design featuring a one-group pre-test and post-test design. A total of 30 families were selected using purposive sampling. The intervention was carried out for 12 days through the five dimensions of Swanson's caring, namely maintaining belief, knowing, being with, doing for, and enabling. The measurement instrument uses the Morisky Medication Adherence Scale (MMAS-8) questionnaire to assess treatment adherence before and after the intervention. Data analysis used the Wilcoxon Signed Rank Test. The study showed a significant increase in the level of family adherence in providing TB treatment to children after the Swanson caring intervention (p < 0.05). The application of the Swanson caring behavioral approach was effective in increasing TB treatment adherence in children, so it can be recommended as a family-based intervention strategy to improve the success of TB therapy in children at health facilities.
The Implementation of the Peaceful End of Life Theory in Breast Cancer Patient Antonia Hamu; Maria Syelvrida Tumina; Febtian Cendradevi Nugroho; Maria Agustina Making; Roswita Victoria Rambu Roku; Luisa Bethelin Titi
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6405

Abstract

Cancer is a major global health concern and a leading cause of mortality among non-communicable diseases. It involves the uncontrolled growth of abnormal cells that are malignant, invasive, and capable of metastasizing to distant organs. Among the various types of cancer, breast cancer is one of the most prevalent and is often detected at a late stage. The peaceful end of life theory provides comfort, dignity and emotional support to the patient. This study aims to analyze the implementation of the Peaceful end of life theory in Breast Cancer patients through nursing process approach. The method used is case study. In the nursing assessment, the patient reported experiencing pain, anxiety, and worry about their deteriorating condition. They expressed feelings of meaninglessness and helplessness, and showed reluctance to meet others due to fear of being ridiculed. Based on the Standardized Nursing Diagnosis (SDKI), the nursing diagnoses included chronic pain related to tumor infiltration, anxiety related to the threat of death, spiritual distress related to end-of-life concerns, nutritional deficit related to increased metabolic needs, self-care deficit, and impaired body tissue integrity. The nursing interventions aimed to improve the patient’s quality of life, promote a peaceful end of life, provide emotional support, facilitate intimacy with family, alleviate pain, and offer empathy to both the patient and their family. The implementation of the Peaceful end of life Theory involves not only the patient but also the active involvement of the family, as it enhances the quality of life by providing support and aiding in decision-making.
PEMANFAATAN TEKNOLOGI RADIOGRAFI PORTABEL UNTUK MENINGKATKAN AKSES SKRINING TUBERKULOSIS DI DAERAH KEPULAUAN : EVALUASI IMPLEMENTASI DARI TERNATE Simon Sani Kleden; febtian cendradevi nugroho; Yustinus Rindu; Dominggos Gonsalvez; Sabinus Bunga Ama Kedang; Kinanthi Lebdawicaksaputri; Maria Agustina Making; Antonia Helena Hamu; Roswita Victoria Rambu Roku
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 12 (2026): Mei 2026
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

In archipelagic regions such as Ternate, where access to healthcare services and diagnostic facilities is limited, tuberculosis (TB) remains a public health problem with high incidence and mortality rates. The risk of TB transmission increases due to geographical conditions, shortages of healthcare personnel, and limited early detection efforts. This community service program aimed to improve early detection of tuberculosis and enhance public understanding of TB prevention and management through community-based systematic screening. The methods used included socialization, health education, screening using portable X-ray, initial examinations, assistance, and referral services for high-risk communities. The activity was conducted in Ternate from May 16 to 17, 2025, involving 112 participants. The results showed that 87 individuals had suspicious lung lesions based on portable X-ray examinations, and 56 individuals were confirmed positive for TB after further examinations. In addition, public awareness regarding TB prevention, symptoms, and transmission increased from 55% before the activity to 93% after the activity. The findings indicate that TB screening using portable X-ray technology is effective in improving early TB detection and increasing community knowledge regarding TB prevention and control.