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All Journal Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Ners
Rickiy Akbaril Okta Firdaus
Institut Teknologi Sains dan Kesehatan Insan Cendekia Medika Jombang
Health Professions Medicine & Pharmacology Nursing Public Health

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Pengaruh Ketidakpatuhan Berobat terhadap Kejadian Multidrug-Resistant Tuberkulosis Paru di Poli Paru RSUD Gambiran Kediri Rickiy Akbaril Okta Firdaus; Agus Nurul Hidayah; Agus Muslim; Ucik Indrawati
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.54558

Abstract

Ketidakpatuhan terhadap pengobatan tuberkulosis (TB) masih menjadi masalah utama dan berkontribusi signifikan terhadap munculnya tuberkulosis resisten multidrug (MDR-TB). Penelitian ini bertujuan untuk menganalisis pengaruh ketidakpatuhan pengobatan pada pasien TB paru terhadap terjadinya resistensi multidrug (MDR) di Klinik Paru RSUD Gambiran Kediri. Penelitian ini menggunakan desain korelasional dengan pendekatan cross-sectional. Populasi dan sampel terdiri dari 37 pasien TB paru yang dipilih menggunakan total sampling. Data dikumpulkan menggunakan kuesioner untuk menilai kepatuhan pengobatan dan checklist untuk mengidentifikasi kasus MDR yang dicurigai. Variabel independen adalah ketidakpatuhan pengobatan, sedangkan variabel dependen adalah terjadinya MDR. Hasil penelitian menunjukkan bahwa sebagian besar responden tidak patuh terhadap pengobatan TB (31 responden; 84%), dan hampir semua responden diklasifikasikan sebagai kasus MDR yang dicurigai (36 responden; 97%). Analisis regresi logistik menunjukkan adanya hubungan yang signifikan secara statistik antara ketidakpatuhan pengobatan dan terjadinya MDR (p = 0,000; α < 0,05). Temuan ini menunjukkan bahwa ketidakpatuhan terhadap pengobatan TB secara signifikan meningkatkan risiko resistensi multidrug. Oleh karena itu, meningkatkan kepatuhan pasien melalui edukasi berkelanjutan, supervisi, dan dukungan dari penyedia layanan kesehatan sangat penting untuk mencegah TB MDR dan meningkatkan hasil pengobatan.
Hubungan Tingkat Pengetahuan Dengan Sikap Dalam Menjalani Terapi Diabetes Melitus Pada Penderita Diabetes Melitus Rickiy Akbaril Okta Firdaus; Ucik Indrawati; Agus Nurul Hidayah; Agus Muslim; Afif Hidayatul Arham
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58184

Abstract

Low levels of knowledge about diabetes mellitus in patients can affect their attitudes toward therapy. This lack of understanding regarding disease management can impact adherence to therapy and self-care behaviors This study aims to determine the relationship between the level of knowledge and patient attitudes in undergoing diabetes mellitus therapy. This study used a correlational design with a cross-sectional approach. The study population was all diabetes mellitus patients treated in the Sedap Malam Ward of Gambiran Regional Hospital. A sample of 15 respondents was selected using accidental sampling. Data were collected using a questionnaire and analyzed using the Spearman Rho test with a significance level of α = 0.05. The results showed that 11 respondents (73.3%) had insufficient knowledge, 3 respondents (20%) had sufficient knowledge, and 1 respondent (6.7%) had good knowledge. Regarding the attitude variable, 12 respondents (80%) had negative attitudes and 3 respondents (20%) had positive attitudes towards diabetes mellitus therapy. The statistical analysis showed a p-value of 0.001, indicating a significant relationship between the level of knowledge and patient attitudes towards therapy. There is a significant relationship between patient knowledge and attitudes toward diabetes mellitus therapy. The better a patient's knowledge, the more positive their attitude toward therapy.Keywords: Knowledge, Attitude, Diabetes Mellitus
The Role of Post-Ischemic Stroke Self-Management as a Cost-Effective Strategy for Secondary Prevention Hariyono Hariyono; Achmad Chusnu Romdhoni; Rickiy Akbaril Okta Firdaus; Leo Yosdimyati Romli; Lusyta Puri Ardhiyanti; Ucik Indrawati
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol. 12 No. 2 (2026): JMK Yayasan RS.Dr.Soetomo, Oktober 2026
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v12i2.2694

Abstract

Ischemic stroke represents one of the highest financial liabilities in catastrophic disease spending, with recurrent stroke complications exponentially escalating the economic burden on healthcare systems. Enhancing patient self-management serves as a strategic secondary prevention tool to mitigate the costs of clinical failure and rehospitalization. This study aimed to analyze the relationship between self-management and recurrent stroke prevention behaviors among post-ischemic stroke patients within the framework of healthcare cost mitigation. A quantitative correlational study with a cross-sectional approach was conducted on 42 post-ischemic stroke patients selected via consecutive sampling at the Neurology Clinic of Jombang Regional Hospital. Data were gathered using the Stroke Self-Management Questionnaire and the Recurrent Stroke Prevention Behavior Questionnaire, then analyzed using the Spearman Rank correlation test (alpha = 0.05). The majority of respondents demonstrated good self-management (54.8%) and good stroke prevention behavior (59.5%). Bivariate analysis revealed a strong and significant positive correlation between self-management capabilities and adherence to preventive behaviors (p = 0.000; r = 0.721). Self-management capacity linearly correlates with the effectiveness of recurrent stroke prevention behaviors. Investing in structured self-management intervention programs by healthcare providers is highly recommended as a cost-effective resource allocation strategy to reduce secondary healthcare costs driven by stroke recurrence.
Co-Authors Achmad Chusnu Romdhoni Afif Hidayatul Arham Agus Muslim Agus Nurul Hidayah Hariyono Leo Yosdimyati Romli Lusyta Puri Ardhiyanti Ucik Indrawati