HUBUNGAN PERAN PENGAWAS MINUM OBAT OLEH KELUARGA DAN PETUGAS KESEHATAN TERHADAP PENGET AHUAN, PERILAKU PENCEGAHAN DAN KEPATUHAN KLIEN TBC DALAM KONTEKS KEPERAWATAN KOMUNITAS DI KABUPATEN WONOSOBO

ABSTRACT: The program  of  TB  drug  observer  should  be  increased  the  TB  client  in  adherence,  but  the national number of the negative result of Tuberculosis diagnostic still below the national target (80%). The  goal  of  this  study  was  to  know  the  correlation  between  TB  Drug  Observer  by  the  Family  and Health  Worker  with  the  Knowledge,  Behavior  and  Adherence  of  TB  patient.  This  study  was  used descriptive correlation design with cross sectional approach. The total sample of this study where that matches  with  the  inclusive criteria  were  72  TB  patients.  The  instruments  were  self  prepared  by  the researcher with validity test (counted r>tabled r=0.361) and the reliability test with a=0.9298 (TB drug observer  role),  a=0.9076  (knowledge),  a=0.8067  (prevention  behavior), a=0.6631  (adherence). Product Moment  Pearson’s  Correlation  Coefficient was used to  analyze  the  correlation between  TB Drug Observer by the Family and Health Worker with the Knowledge, Behavior and the Adherence of TB patient. The result of this study showed a strong correlation between the family TB Drug Observer to  the  prevention  Behavior  (r=0.656)  in  positive  pattern.  The  significant  correlation  family  TB  Drug Observer  to  the  prevention  TB  behavior  (p=0.0001).  Another  result  showed  a  strong  correlation between  health  workers  TB  Drug  Observer  to  the  knowledge  of  the  patient  (r=0.706)  in  positive pattern. Also the result showed a strong correlation between health workers TB Drug Observer to the prevention  TB behavior  (r=0.673)  in  positive  pattern.  And  there was a  mild correlation  also between health  workers  TB  Drug  Observer  to  the  adherence  of  TB  medication  (r=0.553)  in  positive  pattern. There  was  also  a  significant  correlation  between  health  workers  TB  Drug  Observer  role  to  the knowledge,  TB  prevention behavior  and  TB  medication  adherence. Confounding variables  were  not have  correlation  to  the  family  TB  Drug  control  Adherence  Observer  role  to  the  knowledge,  TB prevention behavior and TB medication.  The conclusion from this study showed a strong correlation between  family  TB  drug  observer  and  the  prevention  behavior,  and  a  strong  correlation  between health  worker  TB  drug  observer  and  the  knowledge,  prevention  behavior  and  adherence  of  the patient.  This study suggested  that the community  nurse  should keep visit  the family  to  observe and maintain the prevention behavior and adherence to the TB medication program.
Keywords: TB Drug Adherence Observer role, knowledge, TB prevention behavior, adherence
Penulis: Rochani Istiawan; Junaiti Sahar; Adang Bachtiar
Kode Jurnal: jpkeperawatandd060014

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