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JURNAL ILMIAH KESEHATAN KEPERAWATAN
ISSN : 18580696     EISSN : 25989855     DOI : -
Core Subject : Health,
Pada awal terbitan jurnal ini diterbitkan 3x dalam setahun pada bulan Februari, Juni dan Oktober. Mulai tahun 2019 JIKK diterbitkan 2x dalam setahun pada bulan Juni dan Desember.
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Articles 258 Documents
INFLUENCE OF HEALING GARDENS TO DECREASING PATIENT ANXIETY IN ONE OF PRIVATE HOSPITAL YOGYAKARTA Setyani, Fransisca Anjar Rina; Maria Theresia, Siwi Ikaristi
Jurnal Ilmiah Kesehatan Keperawatan Vol 16, No 1 (2020): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v16i1.317

Abstract

Introduction: Chronic disease often cause patients feeling anxious in which it give negative consequences on their physical, emotional, social, intelectual and spiritual condition. Nurse can applay complementary therapy such as healing gardens to reduce patient anxiety level. Healing gardens can give comfortable situation, therfore it can improve relaxtation and reduce stress that can make hospitalization shorter. Some researres, results show that healing gardens can improve relaxtation and reduce patients anxiety who are sick.Purpose: To identify the relationship between healing gardens toward reducing chronic patients anxiety level in one of Private Hospital in Yogyakarta.Methode: Research design which was done was observation. Population in this research were all chronical hospitalized patient in in one of Private Hospital in Yogyakartaa from August to October 2015. Total sample in this research were 30 respondens who are choosed randomly.Result: The test result of data analysis on the difference of before and after experiencing healing gardens showed p value 0.000 (p value < 0.05), means that healing gardens can reduce chronical panients anxiety level.Conculsion and suggestion: Healing gardens can reduce anxiety level in chronic illnes patients. Hospital should applay healing gardens toward chronical patients in order to reduce patient anxiety level. For nurse, they also should give and touch to patients who were doing healing gardens where these can psychologically can improve their safety and comfortable so it can reduce patients anxiety level. Key words: healing gardens, anxiety, chronic disease. 
PENGARUH PEMBERIAN BOOKLET ‘PIRING UNTUK BUMIL’ TENTANG GIZI SEIMBANG TERHADAP TINGKAT PENGETAHUAN DAN SIKAP IBU HAMIL TRIMESTER I MAHARANI, ERNANDA ARIFKA; APRILINA, HAPPY DWI
Jurnal Ilmiah Kesehatan Keperawatan Vol 16, No 1 (2020): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v16i1.434

Abstract

ABSTRAKLatar Belakang : Gizi Seimbang adalah susunan pangan sehari-hari yang mengandung zat gizi dalam jenis dan jumlah sesuai dengan kebutuhan tubuh. Tujuan :Untuk mengetahui pengaruh media Booklet ‘Piring Untuk Bumil’ Tentang Gizi Seimbang Terhadap Tingkat Pengetahuan Dan Sikap Ibu Hamil Trimester I. Metode Penelitian : Penelitian ini menggunakan metode kuantitatif dengan Jenis penelitian Pre-experimental desain dengan metode one group pretest-postest design. Hasil Penelitian :Penelitian menunjukan nilai rata-rata pengetahuan sebelum diberikan booklet ‘Piring Untuk Bumil’ adalah 6.75 dan sesudah diberikan booklet ‘Piring Untuk Bumil’ adalah 14.84. Sedangkan sikapnya sendiri rata-rata sebelum diberikan booklet ‘Piring Untuk Bumil’ adalah 4.81 sedangkan rata-rata sesudah diberikan booklet ‘Piring Untuk Bumil’ adalah 9.36. Hasil penelitian menggunakan media booklet terjadi peningkatan skor pre-test maupun post-test. Kesimpulan : Ada pengaruh pengetahuan dan sikap sebelum dan sesudah diberikan booklet ‘Piring Untuk Bumil’ tentang gizi seimbang pada ibu hamil Trimester I. Kata Kunci : gizi seimbang, ibu hamil, booklet 
GAMBARAN TINGKAT PENERAPAN PRINSIP ETIK KEPERAWATAN DI RUANG RAWAT INAP KELAS III RUMAH SAKIT PKU MUHAMMADIYAH GOMBONG Purwanti, Ery -
Jurnal Ilmiah Kesehatan Keperawatan Vol 16, No 1 (2020): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v16i1.426

Abstract

GAMBARAN TINGKAT PENERAPAN PRINSIP ETIK KEPERAWATAN DI RUANG RAWAT INAP KELAS III RUMAH SAKIT PKU MUHAMMADIYAH GOMBONG Afton Feriadi1, Ery Purwanti2, Eka Novyriana31STIKES Muhammadiyah Gombong, Kebumen 54412, Indonesia2STIKES Muhammadiyah Gombong, Kebumen 54412, Indonesia3 STIKES Muhammadiyah Gombong, Kebumen 54412, Indonesia Email: feriadiafton@gmail.comLatar Belakang: Perawat adalah tenaga kerja yang dituntut untuk memiliki tingkat kepedulian yang tinggi kepada pasien dalam memberikan pelayanan kesehatan. Perawat dituntut untuk memberikan pelayanan dengan baik sesuai dengan prinsip etik keperawatan seperti autonomy (kebebasan), non-maleficience (Tidak Merugikan), beneficience (Berbuat Baik), veracity (Kejujuran), justice (Keadilan), fidelity (Kesetiaan), confidentiality (Kerahasiaan) dan accountability (Bertanggungjawab) supaya pasien dapat memperoleh hak dan kewajibannya secara penuh sebagai pasien.Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran tingkat penerapan prinsip etik keperawatan di Ruang Rawat Inap Kelas III Rumah Sakit PKU Muhammadiyah Gombong.Metode Penelitian: Penelitian ini menggunakan metode deskriptif analitik dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah responden sebanyak 94 responden. Alat pengumpulan data berupa kuisioner yang terdiri dari 33 pertanyaan menggunakan skala likert, kemudian data dianalisa menggunakan analisa univariat.Hasil penelitian: Berdasarkan penelitian yang dilakukan pada bulan Mei 2019, didapatkan bahwa penerapan prinsip etik keperawatan autonomy sangat baik yaitu (98.9%), non-maleficience sangat baik yaitu (98.9%), beneficience sangat baik yaitu (94.7%), veracity sangat baik (93.6%), justice sangat baik (97.9%), fidelity sangat baik (91.5%), confidentiality kategori sangat baik (87.2%), accountability sangat baik yaitu (91.5%).Kesimpulan: Hasil penelitian menunjukkan bahwa tingkat penerapan prinsip etik keperawatan di Ruang Rawat Inap Kelas III Rumah Sakit PKU Muhammadiyah Gombong sudah diterapkan dengan sangat baik oleh perawat.Rekomendasi: Saran untuk peneliti selanjutnya untuk meneliti pengaruh beban kerja terhadap penerapan prinsip etik keperawatan. Kata Kunci: Perawat, Etika Keperawatan, Prinsip Etik Keperawatan. ABSTRACT DESCRIPTION OF THE APPLICATION LEVEL AT NURSING ETHICS PRINCIPLES IN THE WARD CLASS III ROOM PKU MUHAMMADIYAHGOMBONG HOSPITAL Afton Feriadi1, Ery Purwanti2, Eka Novyriana31 Muhammadiyah Health Science Institute of Gombong, Kebumen 54412, Indonesia2 Muhammadiyah Health Science Institute of Gombong, Kebumen 54412, Indonesia3 Muhammadiyah Health Science Institute of Gombong, Kebumen 54412, Indonesia Indonesia Email: feriadiafton@gmail.com  Background: Nursing is worker who is required to have a high level of care for patients in providing health services. Nurses are required to provide good service in accordance with the principles of nursing ethics such as autonomy (freedom), non-maleficence (no harm), beneficence (do good), veracity (honesty), justice (justice), fidelity (loyalty), confidentiality (confidentiality) and accountability (accountability) so that patients can be obtain their services as a patients.Objective: This research aims to describe the application level at nursing ethics principles in the Ward Class III Room PKU Muhammadiyah Gombong Hospital.Research Methods: This research used a descriptive analytical method cross-sectional approach. The sampling technique used purposive sampling with a total of 94 respondents. The collecting data used by a questionnaire consisting of 33 questions using a Likert scale, then the data analyzed using univariate analysis.Results: Based on the research conducted in May 2019, it was found that the application of principle of autonomy very good, (98.9%), non-maleficence very good (98.9%), beneficence very good (94.7%), veracity very good (93.6%), justice very good (97.9%), fidelity very good (91.5%), confidentiality very good (87.2%), accountability very good (91.5%).Conclusion: The results showed that the description of the application level at nursing ethics principles in the Ward Class III Room PKU Muhammadiyah Gombong Hospital had been very well applied by nurses.Recommendations: For the next researchers to examine the effect of nurse workload on the application level at nursing ethics principles.  Keys words: Nurses, Nursing Ethics, Principles of Nursing Ethics
PENGARUH PEMBERIAN UBI JALAR UNGU (IPOMOEA BATATAS) TERHADAP PENINGKATAN LINGKAR LENGAN ATAS IBU HAMIL DENGAN KEKURANGAN ENERGI KRONIS DI WILAYAH PUSKESMAS KEDUNGWUNI II KECAMATAN KEDUNGWUNI KABUPATEN PEKALONGAN TAHUN 2018 Suparni, Suparni; Fitriyani, Fitriyani; Aisyah, Risqi Dewi
Jurnal Ilmiah Kesehatan Keperawatan Vol 16, No 1 (2020): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v16i1.428

Abstract

Masalah gizi yang dialami ibu hamil di Indonesia adalah kekurangan energi kronis (KEK). Ibu hamil yang mengalami KEK akan dapat menyebabkan bayi lahir dengan berat badan lahir rendah, prematuritas, keguguran, persalinan sulit, perdarahan post partum dan cacat bawaan. Untuk menghindarinya maka diberikan tambahan gizi bagi ibu hamil berupa makanan tambahan. Makanan tambahan diberikan kepada ibu hamil untuk menambah kebutuhan gizi sehari-hari. Ibu  hamil trimester kedua membutuhkan tambahan kalori sebesar 300 kkal per hari, tambahan protein sebesar 17 g sedangkan tambahan zat besi sebesar 9 mg. Salah satu makanan yang mengandung sumber karbohidrat yang cukup penting dalam ketahanan pangan kita adalah ubi jalar. Ubi jalar mengandung zat-zat yang bergizi per 100 gramnya yaitu energi 123 kkal, protein 1,8 gr, lemak 0,7 gr, karbohidrat 27,9 gr, kalsium 30 mg, fosfor 49 mg, besi 0,7 mg, vitamin A 7700  SI, vitamin C 22 mg, vitamin B1 0,90 mg. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian ubu jalar ungu (ipomoea batatas) pada ibu hamil dengan LILA ibu hamil kekurangan energi kronis. Ubi jalar ungu akan diberikan pada ibu hamil sebanyak 200 gram (224 kalori) per hari selama 14 hari. Jenis penelitian yang dilakukan adalah pra-eksperimental dengan desain pretest-postest one group design.  Populasi dalam penelitian ini adalah ibu hamil KEK di Puskesmas Kedungwuni 2. Sampel penelitian ini menggunakan random sampling dengan kriteria inklusi. Pengumpulan data menggunakan pengukur LILA. Analisis data menggunakan  T-Test. Hasil penelitian didapatkan bahwa tidak terdapat perbedaan LILA ibu hamil KEK sebelum (pre test) dan sesudah (post test) diberikan ubi jalar ungu dengan nilai p value 0,96 (>0,05). Saran bagi tenaga kesehatan khususnya bidan untuk dapat menyampaikan pada ibu hamil khususnya ibu hamil KEK tentang manfaat ubi jalar ungu ini walaupun tidak berpengaruh terhadap perubahan LILA ibu hamil.
PENGEMBANGAN ATTITUDES TOWARD HEALTH CARE TEAMS SCALE PADA KULIAH KERJA NYATA PROFESI KESEHATAN Sulastien, Herni; Syahrul, Syahrul; Kadar, Kusrini S
Jurnal Ilmiah Kesehatan Keperawatan Vol 14, No 2 (2018): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (582.705 KB) | DOI: 10.26753/jikk.v14i2.281

Abstract

Field work in Health profession is the implementation of field activities on health students (medicine, nursing, dentistry, physiotherapy, nutrition, and pharmacy). In the event, there was cooperation between student groups of health with IPE approach to solve health problems in the community. However, there is no standard tool for measuring student attitudes to cooperate in IPE implementation groups on field work of this health profession. Therefore, researchers want to develop tools to see the implementation of this IPE activity. The purpose to produce ATHCT in Indonesian version and modified to evaluate the implementation of IPEC activity on field work of health profession. Method: This research uses delphi method to get input from expert experts about appropriate tools to measure IPE activity on field work of Health profession. Before the delphi method begins, begins with the process of translating tools from English to Indonesian. Further entry in the stage of delphi consisting of three stages with expert experts consisted of: lecturer nursing, medical professors, and lecturers physiotherapy. The results obtained from the Delphi method of round I are: 57% of experts issued two statement items that are not in accordance with the condition of KKN health profession. In the second round there was an agreement of experts that there are 12 items statement that can be used to evaluate the implementation of IPE on field work health profession. Round III researchers sent back the ATHCT questionnaire to experts and received expert approval that the tools could be used to evaluate the implementation of the IPEC activities on professional field work. Discussion: Delphi technique is very suitable if you want to do research on instrument development. This study there is no sitting together among experts to agree on the instrument together to enable differences in perception.  Key word : attitude, field work, interprofessional,care 
HUBUNGAN MUTU PELAYANAN TERHADAP MINAT MEMANFAATKAN KEMBALI PELAYANAN DI UNIT RAWAT JALAN RUMAH SAKIT TK. IV MADIUN Setyawati, Any
Jurnal Ilmiah Kesehatan Keperawatan Vol 14, No 2 (2018): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (601.512 KB) | DOI: 10.26753/jikk.v14i2.279

Abstract

Quality of service and customer satisfaction are key factors affecting the purchase of products or services. Interest visits are influenced by several factors: product quality, cost, promotion, human resources, place and process. Hospital Tk. IV Madiun still has not conducted an optimum service quality evaluation that resulted in a decrease in patient visits and patient complaints regarding services in determining the patient's interest to reuse the services. This purpose to analyzed the relationship of service quality to the interest of re-utilizing the service in the outpatient unit of Madiun Level IV Hospital.Survey with cross sectional approach  the process of data retrieval done in the same time between the independent variables and variables bound. With a population of 331 and a sample of 77 respondents. Resulth : The number of respondents was 53.2% female and 46.8% of men, with the highest percentage of age between 36-45 years old 35.1% and the most employed as housewife 26% with secondary education 49.4%. Result of research about service quality that is equal to 76,6% say good, but interest to return low that is 49,4%. Conclusion there was a relationship of service quality to the interest of reusing the service in outpatient Tk Iv Madiun hospital. Key word : customer satisfaction, quality, service,  
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN PELAKSANAAN PEMENUHAN KEBUTUHAN DASAR PADA IBU HAMIL DI KABUPATEN PEKALONGAN Ersila, Wahyu; Zuhana, Nina; Prafitri, Lia Dwi
Jurnal Ilmiah Kesehatan Keperawatan Vol 16, No 1 (2020): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (451.906 KB) | DOI: 10.26753/jikk.v16i1.444

Abstract

 Perawatan kehamilan sangat berkaitan dengan fungsi reproduksi wanita sehingga upaya tersebut sangat dipengaruhi oleh perilaku ibu hamil sendiri. Pentingnya dilakukan perawatan kehamilan yang baik agar ibu dalam menjalani kehamilannya terjaga dengan baik. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor (Pendidikan, pekerjaan, pengetahuan, motivasi) yang berhubungan dengan pelaksanaan pemenuhan kebutuhan dasar pada ibu hamil. Metode penelitian ini menggunakan desaign deskriptif korelatif dengan pendekatan cross sectional. Populasi pada penelitian ini adalah seluruh ibu hamil di wilayah kerja puskesmas kedungwuni II, dengan teknik pengambilan sampel menggunakan Accidental sampling sejumlah 109 responden.. Teknik analisis data menggunakan regresi logistik ganda. Hasil penelitian terdapat hubungan positif pengetahuan dengan pelaksanaan pemenuhan kebutuhan dasar selama kehamilan dengan nilai p <0, 001, namun tidak terdapat hubungan  antara pendidikan (p 0,575), pekerjaan (p 0,324) dan motivasi (0,197) dengan pelaksanaan pemenuhan kebutuhan dasar selama kehamilan. Saran Hendaknya bidan meningkatkan pengetahuan ibu melalui pendidikan kesehatan yang dilakukan secara berkala, agar ibu hamil melaksanakan kebutuhan selama kehamilan sesuai dengan usia kehamilannya. Kata Kunci: Pendidikan, pekerjaan, pengetahuan, motivasi, kebutuhan dasar kehamilan.
PENGARUH SELF HELP GROUP TERHADAP KUALITAS HIDUP PASIEN HEMODIALISA DI RUMAH SAKIT PUSAT KESEHATAN UMUM MUHAMMADIYAH YOGYAKARTA Relawati, Ambar; Hakimi, Mohammad; Huriah, Titih
Jurnal Ilmiah Kesehatan Keperawatan Vol 11, No 3 (2015): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v11i3.112

Abstract

Chronicrenalfailure patientsare requiredtoperformhemodialysis (HD)to replace ofkidney functionhas beendamaged. Hemodialysishas side effectsthatwillaffect the qualityof life of patients. Independentnursingactionsto support improvedquality of life forhemodialysispatientscouldbegroups therapy, one of which is aSelf HelpGroup (SHG). This studyaimed to examinethe influence ofself-help group actionagainst thequality of life ofhemodialysispatientsinPKU MuhammadiyahYogyakarta  hospital. Thisresearchdesignusingquasy experiment withpretest-posttest control group design.The sample selection in this study using total sampling technique. Respondentscontrol groupof 16 peopleandthe intervention groupare 15 people. The respondents in the control group received the standard treatment of the hospital, and the intervention group receive self-help group meeting 8 times Analysis ofthe data usedindependentt-test. Results from the analysis data obtained significant value mean difference test between control group and intervention group before being implemented SHG p value is 0.404, it is means that there is no significant difference quality of life HD patients before implementation SHG.The significant value of the mean difference testbetweenintervention group and control group is p value <0.001, it is means that there are significantly differences quality of life between intervention group and control group. Combination ofHDandselfhelp groupinrenal failurepatients with undergoingHDcan improve thequality of life ofpatients. Selfhelp groupcouldbe appliedtopatients suffering fromchronicdiseasessuch as kidney failureas asupportive therapy. Keywords: Quality of Life, hemodialisys, self help group
EFEKTIVITAS PENYULUHAN PEER GROUP DENGAN PENYULUHAN OLEH PETUGAS KESEHATAN TERHADAP TINGKAT PENGETAHUAN TENTANG MENARCHE rahayu, ririn tri; aminoto, cokro; Anis, M. madkhan
Jurnal Ilmiah Kesehatan Keperawatan Vol 7, No 3 (2011): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

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

Abstract

One effort to change behavior in health is by increasing knowledge. Increased knowledge of first menstruation is through counseling.This research is aimed to examine issues concerning the effectiveness of peer group counseling and counseling by health workers to knowledge level about the first menarche on female students of MTS KHR ILYAS Tambakrejo Village Buluspesantren Kebumen 2010. This is a quasi experimental research that used in Separate sample pretest-postest. The populations in this study were the seventh and eighth grade female students MTS KHR Ilyas Tambakrejo Village (48 female students). The samples were taken by Non-Probability Sampling (total sampling) technique. To examine the effectiveness of counseling the researcher conducted paired t-test test Statistical analysis with paired t-test test test statistics obtained by the peer group with a t value <t table (-7.597 <2.069) and p value 0.000 <0.05 means that there was no difference between the level of knowledge before and after obtaining counseling about the health of first menarche by age peer group in MTs KHR Ilyas Tambakrejo Village. And from the results of statistical tests by health officials found that the value of the t <t table (-4.928 <2.069) and 0.000 p value <0.05 means that there was no difference between the level of knowledge before and after obtaining counseling about the health of first menstruation by health workers in the MTs KHR Ilyas Tambakrejo Village. There was no difference between peer group counseling and counseling by health workers. Both were equally effective for increasing knowledge about the first menarche on female students of MTS KHR ILYAS Tambakrejo Village Buluspesantren Kebumen.   Keywords: Counseling, peer group, health provider, the level of knowledge.
KONSEP DIRI PENDERITA TB PARU DI RS PKU MUHAMMADIYAH GOMBONG Saraswati, Rina; Hasanah, Nur; Al Ummah, Muhammad Basirun
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 2 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v12i2.155

Abstract

Introduction: The self-concept is all thoughts, beliefs and faiths that make the person know about him and affect his contact with others. Usually self-concept of pulmonary tuberculosis patients is impaired resulting from physical changes such as becoming physically thinner, paler, frequent coughing, body weaknesses and decrease of physical ability. Based on preliminary studies on eight respondents 75% experiencing body image disorder, 75% self-ideal disorder, 100% self-role disorder, 50% self-esteem disorder.The aim of this researrch is to determine self-concept of pulmonary tuberculosis patients in PKU Muhammadiyah Hospital of Gombong.The present study used descriptive quantitative method with survey approach. The total samples were 31 people taken by purposive sampling technique. The data were taken by questionnaires and analyzed using univariate analysis.The frequency distribution based on the self-concept were less (83.9%), mediocre (9.7%), and good category (6.5%). The body image were less (83.9%), mediocre (9.7%), good (6.5%). The self-ideal were less (90.3%), and mediocre category (9.7%). Personal identity were less (58.1%), enough (22.6%), and good category (19.4%). The self-role were less (54.8%), good (25.8%), and mediocre category (19.4%). Self-esteem were less (51.6%), mediocre (32.3%), and good category (16.1%).The largest percentage of the self-concept, body image, self-ideal, personal identity, self-role, and self-esteem of pulmonary tuberculosis patients was less category. Keywords: self-concept, body image, self-ideal, personal identity, self-role, self-esteem, pulmonary tuberculosis patients 

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