PENDIDIKAN KESEHATAN SEBUAH PENDEKATAN/NILAI UNTUK MENINGKATKAN PENGETAHUAN PENCEGAHAN PENULARAN TB PARU PADA ANGGOTA KELUARGA KONTAK SERUMAH

Nur Fadhilah, Abdul Razak Muttalif, Faridah Hashim

Abstract


Background: TB cases in Indonesia reached 845,000 people, of which only 69% were identified, meaning cases that have not been found have the potential for transmission. The main source of transmission is positive smear TB patients; Family members are the group most susceptible to infection. Low knowledge about TB has various impacts, namely: the belief that pulmonary TB is a hereditary disease, not an infectious disease. As a result, sufferers and their families live with risky habits (sleeping with sufferers, coughing without covering their mouths, not wearing masks, throwing phlegm anywhere). Poor knowledge results in delays in patient treatment thereby increasing the risk of transmission. Purpose: The aim of this study was to evaluate the effect of pulmonary TB health education on knowledge of prevention of pulmonary TB transmission. Methodology: The research design used a sequential explanatory mixed method. A total of 260 respondents were involved in this study, divided into two experimental and control groups. Health education interventions were given to the experimental group, while the control group was only given leaflets containing information about TB. Results: The average knowledge after the intervention showed that the experimental group had a higher level of knowledge than the control group. The statistical test results showed that there was a significant difference in knowledge after the study was conducted on the control group and the experimental group (p = 0.000). The increase in knowledge of the experimental group was higher than the control group, this indicates that health education is effective in increasing knowledge about pulmonary TB in families. Conclusion: Health education that is carried out in a structured manner involving the active role of the family is effective in increasing knowledge about prevention of pulmonary TB transmission.

Keywords


Health education; knowledge about the transmission of pulmonary tuberculosis; Family members

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References


Kalthoum Yousif , Mabrouka Ei Maki, Rosa Khalil Babikir, Hasan Abuaisha (2021) The effect of an educational intervention on awareness of various aspects of pulmonary tuberculosis in patients with the disease. Affiliations expand. PMID: 33788218. DOI: 10.26719/emhj.20.102

Mubarak W I (2007). Promosi kesehatan sebuah pengantar proses belajar mengajar dalam pendidikan. Graha Ilmu; Yogyakarta

Pocut Susia Inra Yeni. (2015). Factor yang berhubungan dengan pengetahuan pengguianan obat generic pada masyarakat di wulayah kerja puskesmas padang panjang.http://repository.utu.ac.id/81/1/I-V.pdf

Chau Quy Ngo, et al (2019) Difficulties in tuberculosis infection control in a general hospital of Vietnam: a knowledge, attitude, and practice survey and screening for latent tuberculosis infection among health professionals. PMID: 31703561.PMCID: PMC6842132. DOI: 10.1186/s12879-019-4593-z

Anandari, D., Masfiah, S., & Wijayanti, S. P. (2018). Factors associated with health seeking behavior among tuberculosis suspects in rural area. International Journal of Public Health and Clinical Sciences, 5(3), 209–217.

Frost, E. L., Markham, C., & Springer, A. (2018). Refugee health education: Evaluating a community-based approach to empowering refugee women in Houston, Texas. Advances in Social Work, 18(3), 949–964. https://doi.org/10.18060/21622.

Afoakwa, E., & Taylor, J. (2018). Knowledge of tuberculosis and factors responsible for low case detection in the Amansie Central District, Ghana. South Sudan Medical Journal, 11(1), 8–12.

Djamarah SB (2008). Psikologi belajar. jakata: rineka cipta.

Gopu. G Shyamala (2012) Impact of health education on the knowledge of tuberculosis among sputum-positive pulmonary TB patients and their care - givers. PMID : 23534172. Nurs J India. .Jul-Aug 2012;103(4):160-2.

S, Warren RM, Munch Z, Richardson M, Van Der Spuy GD, Borgdorff MW, dkk. Proporsi penularan tuberkulosis yang terjadi di rumah tangga di daerah dengan insiden tinggi. Lanset. 2004; 363: 212–214. https://doi.org/10.1016/S0140-6736(03)15332-9PMID: 14738796

Sagili KD, Satyanarayana S, Chadha SS.(2016) Apakah Pengetahuan Tentang Tuberkulosis Terkait dengan Stigmatisasi dan Sikap Diskriminatif Masyarakat Umum Terhadap Penderita Tuberkulosis? Temuan dari Survei Berbasis Masyarakat di 30 Distrik di India. Subbian S, editor. PLoS Satu. Perpustakaan Umum Sains; 11: e0147274.https://doi.org/10.1371/journal.pone.0147274PMID: 26829713

Sriram Arulchelvan 1, Rengan Elangovan (2016). Effective communication approaches in tuberculosis control: Health workers' perceptions and experiences. PMID: 28941856. DOI: 10.1016/j.ijtb.2016.11.017

Priya P R Geetha et al (2019) Effectiveness of school dental health education on the oral health status and knowledge of children: A systematic review. PMID: 31397422. DOI: 10.4103/ijdr.IJDR_805_18.

Manli Wang , Haiqing Fang (2020) The effect of health education on knowledge and behavior toward respiratory infectious diseases among students in Gansu, China: a quasi-natural experiment. PMID: 32404088. PMCID: PMC7222316. DOI: 10.1186/s12889-020-08813-3

Arief S, Sadiman, R. Rahardjo, Anung Haryono, Harjiton. Media P, Pengertian, Pengembangan , dan pemanfaatan. Jakarta: Pustekkom Dikbud dan PT Raja Grafindo). 2014

Djamarah, Syaiful Bahri. (2008) Psikologi Belajar. Jakarta: Rineka Cipta. Jakarta

arne von delft, angela dramowski, celso khosa, koot kotze, philip lederer, thato mosidi. 2015. why healthcare worker are sick of tb. international journal of infectious desease

agung, anak agung gede . 2012. rendahnya proporsi kontak ya ng mel a ku ka n d et eks i di n i tuberkulosis

Ali, z a idin . 2010 . dasar – dasar pendidikan kesehatan masyarakat dan promosi kesehatan. trans info media. jakarat

Achyar, komang ayu henny. 2010. asuhan keperawatan komunitas. ecg. Jakarta

Notoadmodjo,k. 2010. pendidikan dan prmosi kessehatan. rineka cipta. jakarta

Agustina, Safina & Wahjuni, Chatarina Umbul. 2017. Pengetahuan dan Tindakan Pencegahan Penularan Penyakit Tuberkulosa Paru pada Keluarga Kontak Serumah. Jurnal Berkala Epidemiologi Vol 5 No 1.Januari 2017.

Ali akbari, f., parvin, n., heidari, m. & haghani, f. 2015. learning theories application in nursing education. j educ health promot, 4, 2.

Bowong, s., & kurths, j. 2012. modeling a nd a na lys is of t he t r a ns mis s ion dynamics of tuberculosis without and with seasonality. [article]. nonlinear dyna mics, 6 7(3 ), 2 027 -2 051 . doi:10.1007/s11071-011-0127-y

BIYA, O., GIDADO, S., ABRAHAM, A., WAZIRI, N., NGUKU, P., NSUBUGA, P., . . . SABITU, K. (2014). Knowledge, care-seeking behavior, and factors associated with patient delay among newly-diagnosed pulmonary tuberculosis patients, Federal capital Territory, NIgeria, 2010. The Pan African Medical Journal, 1-6.

DEPARTEMEN KESEHATAN RI. 2009. Buku Saku Program Penanggulangan TB .Depkes RI. Jakarta

Dinas Kesehatan propinsi Lampung, 2018).

Dinas Kesehatan Kabupaten Pringsewu, 2018).

ESMAEL, A., ALI, I., AGONAFIR, M., DESALE, A., YAREGAL, Z., & DESTA, K. 2013. Assessment of patients's knowledge, attitude, and practice regarding pulmonary tuberculosis in Eastern Amhara Regional State, Ethiopia: cross- sectional study. The American Journal of Tropical Medicine and Hygiene, 785-788.

FEBRIANSYAH, RIZKI. 2017. Hubungan Tingkat Pengetahuan Keluarga dengan Upaya Pencegahan Penularan Tuberkulosis Paru pada Keluarga di Wilayah Kerja Puskesmas Nguter Sukoharjo. (FEBRIANSYAH R, 2017)

GOPU, G., RAO, V., & VADIVET, J. 2012. Impact of health education on the knowledge of tuberculosis among sputum-positive pulmonary TB patients and their care- givers. PubMed, 160-2.

Global Tuberkulosis Report, 2017

JADGAL, K. M., NAKHAEI-MOGHADAM, T., ALIZADEH-SEIOUKI, H., ZAREBAN , I., & SHARIFI-RAD, J. 2015. Impact of Educational Intervention on Patients Behavior with Smear-positive pulmonary tuberculosis. Materiasocio medica Journal of Academy of Medical Sciencen of Bosnia and Herzegovina,229-233.

JAJI . 2010 . Upaya Keluarga Dalam Pencegahan Penularan Tuberkulosis Paru Ke Anggota Keluarga Lainnya Di Wilayah Kerja Puskesmas Sidorejo Pagaralam Tahun 2010.

KEMENTRIAN KESEHATAN RI. 2011. Strategi Nasional Pengendalian TB Di Indonesia 2010-2014. Kementrian Kesehatan RI Direktorat Jendral Pengendalian Penyakit dan Penyehatan Lingkungan.

KEMENTRIAN KESEHATAN RI, 2017. Pedoman Nasional Pengendalian Tuberkulosis. Kementrian Kesehatan RI. Jakarta.

KEMENTRIAN KESEHATAN RI, 2018. Infodatin Tuberkulosis. Kementrian Kesehatan RI. Jakarta.

PRATIWI, NINIEK L., BETTY., HARGONO,R. 2011. Kemandirian Masyarakat Dalam Perilaku Pencegahan Penularan Penyakit TB Paru. Departemen Pendidikan Fakultas Kesehatan Masyarakat UNAIR. Surabaya.

POLIT, D. F. & BECK, C. T. 2013. Essentials of Nursing Research: Appraising Evidence for Nursing Practice, Wolters Kluwer Health.

RIBEIRO MACEDO L1, REIS-SANTOS B, RILEY LW, MACIEL EL. Hasil pengobatan pasien tuberkulosis di penjara Brasil: analisis regresi politom.

RIZANA, N.,TAHLIL,T & MULYADI .2016. Pengetahuan, Sikap Dan Perilaku Keluarga Dalam Pencegahan Penularan Tuberkulosis Paru. Jurnal Ilmu keperawatan. Universitas Syah Kuala.

SYARIPI, SURYETI & WANTORO. 2016. Pengaruh Pendidikan Kesehatan Terhadap Upaya Pencegahan Penularan Tuberkulosis Paru di Wilayah Kerja Puskesmas Muara Kumpeh. Jurnal Akademika Baiturrahim Vol.5 No 2.

SHEN, R., CHENG, I., & BASU, A. 2010. A Hybrid Knowledge-Guided Detection Technique for Screening of Infectious Pulmonary Tuberculosis From Chest Radiographs . [Ar t icle]. IE E E Transaction on Biomedical Engineering, 57(11), 2646-2656. doi: 10.1109/tbme.2010.2057509.

WHO, 2016, End TB Strategy; Global Strategy and Targets for TB Prevention, Care snd Control after 2015, America

WULANDARI, AGUSTINA AYU., NURJAZULI & SAKUNDARNO, ADI.M , 2015. Faktor Risiko dan Potensial Penularan Tuberkulosis Paru di Kabupaten Kendal Jawa Tengah. Jurnal kesehatan Lingkungan Indonesia. Vol 14 No 1.

E, M. (2008). Anti-TB Drugs: And Then There Were None. [Article]. Science, 321(5887), 364-364.

Families fight TB. (2006). [Article]. NewScientist, 189(2544), 6-6.

Hori, Y., Andreev, T., Jalabert, D., Monroy, E., Le Si, D., Daudin, B., . . . Oda, O(2006). GaN quantum dots doped with Tb. [Article]. Applied Physics Letters,88(5), 053102. doi: 10.1063/1.2168504

KE M E NKE S R I . (2 0 11 ). Ped o ma n Nasional Pengendalian Tuberkulosis, Jakarta.

K. L, M. (2011). TB Tolerance Exposed.[Article]. Science, 332(6025), 14-14. Krishnan, V. (2009). India’s silent killer.[Article]. Chemistry & Industry(12),18-20.

Okuonghae, D. (2013). A mathematical model of t u b er cu los is t r a ns mis s ion wit h heterogeneity in disease susceptibility and p rogr ess ion under a t rea tment regime for infectious cases. [Article]. A pp l ied Mat h emat i ca l Mo dell i ng , 37(10/11), 6786-6808. doi: 10.1016/

j.apm.2013.01.039

Timimi, H., Falzon, D., Glaziou, P., Sismanidis,C., & Floyd, K. 2012. WHO guidance on electronic systems to manage data for t ub er cu los is ca r e a nd cont r ol. [Article]. Journal of the American Med ica l In f or ma t i cs A s s o ci a ti o n ,19(6), 939-941. doi: 10.1136/amiajnl-2011-000755

World Health Organization (WHO). 2012. Global Tuberculosis Report.

WHO. Global Tuberculosis Report 2017. Je- newa: WHO; 2017.

Z hou , X. , Ye, J . , & Feng, Y. (2 0 11 ).

Tuberculosis Surveillance by Analyzing Goog le Tr ends . [Ar t icle]. IE E E Tr a n s a ct i o n s o n B i o me d i ca l Engineering, 58(8), 2247-2254. doi: 10.1109/tbme.2011.2132132

Helper & Sahat, P.M. (2010). Faktor-faktor yang Mempengaruhi Kejadian TB Paru dan Upaya Penanggulangan. Jurnal Ekologi Kesehatan.

Jahan, F (2014). Factors Related to Tuberculosis Preventive Behaviors among Tuberculosis Patients’ Attendants in Dhaka, Bangladesh. Di akses http://digital_collect. lib.buu.ac.th/dcms/files/55910280/title.pdf pada 2 Januari 2015.

Depkes RI (2005). Pharmaceutical Care Untuk Penyakit Tuberkulosis. Jakarta : Dirjen P2M & Balitbangkes.

Esmael, A., Ali, I., Agonafir, M., Desale, A., Yaregal, Z., & Desta, K. (2013). Assessment of patients's knowledge, attitude, and practice regarding pulmonary tuberculosis in Eastern Amhara Regional State, Ethiopia: cross- sectional study. The American Journal of Tropical Medicine and Hygiene, 785-788.

Kemenkes RI (2011). Strategi Nasional Pengendalian TB Di Indonesia 2010-2014. Kementrian Kesehatan RI Direktorat Jendral Pengendalian Penyakit dan Penyehatan Lingkungan.

Khalil, S., Ahmad, E., Khan, Z., & Perwin, N. (2011). A study of knowledge and awareness regarding pulmonary tuberculosis in patients under treatment for tuberculosis in a rural area of Aligarh-UP. Indian Journal of Community Health, 1-3.

Media, Y (2010). Pengetahuan, Sikap dan Perilaku Masyarakat Tentang Penyakit Tuberkulosis (TB) Paru di Kecamatan Sungai Tarab, Kabupaten Tanah Datar Provinsi Sumatra Barat Tahun 2010. http://ejournal.litbang.depkes.go.id/ind ex.php/mpk/article/view/108/89.

Mondal, M. N., Nazrul, H. M., Chowdhury, M.,& Howard, J. (2014). Socio-emografic

factors affecting knowledge level of tuberculosis patients in Rajshahi City, Bangladesh. African Health Sciences,

-865.

Munro, S., Lewin, S., Swart, T., & Volmink, J. (2007). A review of health behavior theories: how useful are these for developing interventions to promote long-term medication adhrence for TB and HIV?AIDS? BMC Pulic Health, 104-112.

Ruchal, R., Vale, S., & Sah, R. K. (2014). Impact of health education on knowledge, attitude, and practise use of tobacco among the studentt of pre-university college in interventional study. International Journal of Health Science and Research (IJHSR), 196-202.

Tobing, T.L (2009) Pengaruh Prilaku Penderita TB Paru dan Kondisi Sanitasi terhadap Pencegahan Potensi Penularan TB Paru Pada Keluarga di Kabupaten Tapanuli Utara. http://repository.usu.ac.id/bitstream/12

/6656/1/09E01348.pdf.

Ukwaja, K. N., Alobu, I., Nweke, C., & Onyenwe, E. C. (2012). Healthcare- seeking behavior, treatment delays and its determinants among pulmonarytuberculosis patients in rural Nigeria: a cross-sectional study. BioMed Central, 13-25.

WHO (2014). Global Tuberculosis Report. www. who.Int./whr/2014/en/.Diakses 2 Maret 2015

Haskas. Yusran dkk. 2013. Hubungan Antara Pengetahuan Dan Sikap Penderita Tuberkulosis Paru Dengan Perilaku Pencegahan Penularan Basil Myobacterium Tuberkulosa Di Ruang Rawat Inap RSUD Pangkep. STIKES Nani Hasanuddin Makasar.

Amin Z, Bahar A. 2014. Tuberkulosis Paru. Dalam: Sudoyo AW, Setiyohadi B, Aiwi I, Simadibrata KM, Setiati S, penyunting. Buku Ajar Ilmu Penyakit Dalam Jilid I. Edisi ke-6. Jakarta: Interna Publishing.

Anias. (2006). Waspada Ancaman penyakit Tidak Menular, Solusi Pencegahan dari Aspek Perilaku dan Lingkungan. Jakarta: Elek Media Komputindo.

Ali, A. M. D., & Yusof, H. (2011). Quality and qualitative studies: The case of validity, reliability, and generalizability. Issues in Social and Environmental Accounting, 5(1/2), 25-26

Basri, H. (2014). Using qualitative research in accounting and management studies: not a new agenda. Journal of US-China Public Administration, October 2014, Vol.11, No.10, 831-838. DOI: 10.17265/1548-6591/2014.10.003

Chua, W.F. (1986). Radical Developments in Accounting Thought. The Accounting Review, Vol. 61, No. 4 (Oct., 1986), pp. 601-632.

Creswell, J.W. (2007). Qualitative inquiry & research design choosing among five approaches. Second Edition. Sage Publications – California.

Gill, P., Stewart, K., Treasure, E., & Chadwick, B. (2008). Methods of data collection in qualitative research: interviews and focus groups. British Dental Journal Volume 204 No.6. DOI: 10.1038/bgj.2008.192

Kasinath, H. M. (2013). Understanding and using qualitative methods in performance measurement. Journal of Educational Studies, Trend and Practices, 3(1), 46-57.

Li, S., & Seale, C. (2007). Learning to do qualitative data analysis: An observational study of doctoral work. Qualitative Health Research, 17, 1442–1452. https://doi.org/10.1177/ 1049732307306924

McCusker, K., & Gunaydin, S. (2015). Research using qualitative, quantitative or mixed methods and choice based on the research. Perfusion. DOI: 10.1177/0267659114559116

Mohamed, Z. M., Abdul Majid, A. H., & Ahmad, N. (2010). Tapping new possibility in accounting research, in qualitative research in accounting, Malaysian case. Penerbit Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Sale, M. J., Lohfeld, L. H., & Brazil, K. (2002). Revisiting the quantitative-qualitative debate: Implication for mixed-method research. Quality and Quantity, 36(1), 43-53.

Sofaer, S. (1999). Qualitative methods: what are they and why use them?. Health Services Research 34:4 Part II (December 1999).

Srivastava, A. & Thomson, S.B. (2009). Framework analysis: a qualitative methodology for applied policy research. JOAAG, Vol.4. No.2




DOI: https://doi.org/10.52657/jik.v12i1.1925

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