The effect of “TB Mataho” health cadres in improving self-care capacity of patients with pulmonary tuberculosis

Muhtar Muhtar; Aniharyati Aniharyati

doi:10.26714/mki.4.4.2021.256-263

The effect of “TB Mataho” health cadres in improving self-care capacity of patients with pulmonary tuberculosis

Muhtar Muhtar^(1*), Aniharyati Aniharyati⁽²⁾

(1) Jurusan Keperawatan, Poltekkes Kemenkes Mataram
(2) Jurusan Keperawatan, Poltekkes Kemenkes Mataram
(*) Corresponding Author

Abstract

TB is still a public health problem throughout the world where Indonesia is a country that has the third largest number of TB sufferers after India and China. Self-care by patients and families during the treatment process was the key to healing pulmonary TB. Using a quasi-experimental method, this study aims to improve the ability of self-care for pulmonary TB patients through intervention by “TB Mataho” health cadres. Most of the self-care capacity of pulmonary TB patients with pre-test results were sufficient, in the treatment group (75.2%) and the control group (62.5%). The post-test results for the treatment group were in the good category (53.1%) and the control group was in the sufficient category (59.4%). The results of the Paired Samples Test analysis in the treatment group obtained a value of p = 0.001 (p <0.05), which means that there was a significant difference in self-care capacity of pulmonary TB patients before and after treatment, as well as the results of the Independent Samples Test analysis, the p value was obtained. 0.030 (p <0.05) which means that there was a significant difference in the post-test results in the treatment group and the control group. Researchers recommend that pulmonary TB survivors who have a basic education of secondary and above can be trained to become health cadres and share their successful experiences with pulmonary TB patients who are still undergoing treatment programs.

Keywords

tuberculosis; tuberculosis survivors; self-care capacity; Health cadre

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References

Hershkovitz I, Donoghue HD, Minnikin DE, et al. Tuberculosis origin : The Neolithic scenario. Tuberculosis 2015; 1–5.

Sakula A. Robert Koch : centenary of the discovery of the tubercle bacillus, 1882. Thorax 1982; 37: 246–251.

WHO. Global Tuberculosis Report 2018. Geneva: World Health Organization, 2018.

Kemenkes RI. Profil Kesehatan Indonesia Tahun 2017. Jakarta, 2018.

Dinkes Kota Bima. Profil Kesehatan Kota Bima Tahun 2016. Kota Bima, 2017.

Lefevre AM, Ba F, Fielding KL. Effectiveness of a Strategy to Improve Adherence to Tuberculosis Treatment in a Resource-Poor Setting. JAMA 2015; 297: 380–386.

Datiko DG, Lindtjorn B. Health Extension Workers Improve Tuberculosis Case Detection and Treatment Success in Southern Ethiopia : A Community Randomized Trial. PLoS One 2009; 4: 1–7.

Theng Y, Chandra S, Ying L, et al. Exploratory qualitative study for community management and control of tuberculosis in India. Acta Trop 2014; 132: 98–105.

Rithpho P, Grimes DE, Grimes RM, et al. A Nursing Intervention to Enhance the Self-Care Capacity of Nondisclosed Persons Living With HIV in Thailand. J Assoc Nurses AIDS Care 2013; 24: 512–520.

Nihayati HE, Nurhanifah L, Krisnana I. The Effect of Psychoeducation on Self-Efficacy and Motivation for Taking Treatment in Breast Cancer Patients ( Ca Mammae ) Hanik Endang Nihayati , Laeli Nurhanifah and Ilya Krisnana. J Ners; 16.

Kangovi S, Mitra N, Grande D, et al. Patient-Centered Community Health Worker Intervention to Improve Posthospital Outcomes A Randomized Clinical Trial. JAMA Intern Med 2015; 174: 535–543.

Mohr E, Snyman L, Mbakaz Z, et al. “ Life continues ”: Patient , health care and community care workers perspectives on self- administered treatment for rifampicin- resistant tuberculosis in Khayelitsha , South Africa. PLoS One 2018; 1–16.

Solikhah MM, Nursasi AY, Wiarsih W. The relationship between family’s informational support and self-efficacy of pulmonary tuberculosis client. Enferm Clin. Epub ahead of print 2019. DOI: 10.1016/j.enfcli.2019.04.062.

Guo L, Zauszniewski JA, Ding X, et al. The Appraisal of Self-Care Agency Scale–Revised (ASAS-R): Reliability and Validity Among Older Chinese People. West J Nurs Res 2017; 39: 1459–1476.

Kusnanto K, Sari NPWP, Harmayetty H, et al. Self-care model application to improve self-care agency , self-care activities , and quality of life in patients with systemic lupus erythematosus. J Taibah Univ Med Sci 2018; 13: 472–478.

Sukartini T, Minarni I, Asmoro CP. Family Support, Self-efficacy, Motivation, and Treatment Adherence in Multidrug-resistant Tuberculosis Patients. Proc ofthe 9th Int Nurs Conf 2019; 178–182.

Mufarokhah H, Putra ST, Dewi YS. Self Management Program Meningkatkan Koping , Niat Dan Kepatuhan Berobat Pasien PJK. J Ners 2014; 11: 56–62.

Parker ME, Smith MC. Nursing Theories & Nursing Practice. Third. Philadelphia: F.A. Davis Company, 2010.

Sukartini T, Ramadhani F, Hidayati L. Relationship Between Proactive Coping And Self-Care Management In Patient With Pulmonary Tuberculosis. J Ners 2017; 12: 233–238.

Breiddal SMF. Self-Care in Palliative Care: A Way of Being. Illness, Cris Loss 2012; 20: 5–17.

White ML, Peters R, Schim SM. Spirituality and Spiritual Self-Care. Nurs Sci Q 2011; 24: 48–56.

Mashudi S, Yusuf A. Family Coping Strategies to Improve the Health of Family Members Living with Schizophrenia. J Ners; 16.

Veronovici NR, Lasiuk GC, Rempel GR, et al. Discharge education to promote self-management following cardiovascular surgery: An integrative review. Eur J Cardiovasc Nurs 2014; 13: 22–31.