Ferry Efendi

Berbagi, Peduli dan Menginspirasi

Model manajemen perawatan untuk meningkatkan kepatuhan minum obat dan status gizi pasien Tb Paru

02 July 2017 - dalam Publikasi Nasional Oleh ferry-efendi-fkp

Introduction: High dropout rate, inadequate treatment, and resistance to medication, still become anobstacle in the treatment of pulmonary TB. Pulmonary TB patient care management at home can be doneactively through telenursing. N-SMSI (Ners-Short Message Service Intervention) is one of communitynursing intervention, in which community nurses send short messages to remind patients to take medicationand nutrition. The aim of this study was to analyze the effect of nursing management model N-SMSI toincreased medication adherence and nutritional status of patients with pulmonary TB. Method: This studywas used prospective design. The populations were new pulmonary TB patient at intensive phase, at Puskesmas Pegirian Surabaya. Samples were taken by purposive sampling technique; consist of 30 people,divided into treatment and control groups. The independent variable was N-SMSI. The dependent variableswere medication adherence collected by using questionnaire and nutritional status by using measurement of body weight (kg). The data were then analyzed by using Wilcoxon Signed Rank Test, Mann Whitney, and  Independent t-test with a£0.05 Result: The results of wilcoxon signed rank test had showed difference in the nutritional status of the treatment group before and after intervention, with p=0.001. It’s similar with the control group, with p=0.002. Mann whitney test results had showed nosignificant difference in nutritional status between treatment and control group, as indicated by the value of  p=0.589. While independent t-test had showed difference in compliance between treatment and controlgroup, with p=0.031. Conslusion: N-SMSI can improve medication adherence of patient with PulmonaryTB. This model can be developed by nurse as alternative methods to improve medication adherence in patients with Pulmonary TB. Further research should modify nursing management model which canimprove the nutritional status of patient with Pulmonary TB



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