Analisis Faktor Risiko TB Paru pada Ibu Hamil di Puskesmas Kecamatan Padangsidimpuan Utara Kota Padangsidimpuan
Analysis of Pulmonary TB Risk Factors in Pregnant Women at the North Padangsidimpuan District Health Center, Padangsidimpuan City
Abstract
Latar belakang: Tuberculosis menjadi penyebab utama kematian wanita di seluruh dunia. Berdasarkan data dari Dinas Kesehatan Kota Padangsidimpuan tahun 2022 memperlihatkan bahwa prevalensi penderita TB paru pada ibu hamil sebanyak 31 kasus.
Tujuan: Penelitian bertujuan untuk menganalisis faktor risiko TB paru pada ibu hamil di Puskesmas Kecamatan Padangsidimpuan Utara Kota Padangsidimpuan.
Metode: Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan case control study. Populasi dan Sampel dalam penelitian ini adalah seluruh ibu hamil yang terdiagnosis menderita TB paru dan tidak terdiagnosis TB paru. Teknik pengambilan sampel pada penelitian ini adalah total sampel. Analisis data yang digunakan adalah oods ratio dan regresi logistic.
Hasil: Penelitian menunjukkan bahwa pengetahuan (OR=4,200;95% CI= 1.478-11.936), status gizi (OR=4,879; 95% CI=1.688-14.098), riwayat kontak erat (OR=4,259; 95%CI=1.488-12.192), kepatuhan minum obat (OR=3,667; 95% CI=1.303-10.321), dukungan keluarga (OR=4,879; 95%CI=1.303-10.321), persepsi TB Paru (OR=4,840; 95%CI=1.682-13.930) merupakan faktor risiko TB paru pada ibu hamil dan variabel yang paling berisiko TB Paru adalah persepsi dengan nilai Exp(B)=4,333.
Kesimpulan: Ditemukan bahwa faktor risiko TB paru dipengaruhi oleh pengetahuan, status gizi, riwayat kontak erat dengan penderita, kepatuhan minum obat, dukungan keluarga, persepsi. Sehingga perlu upaya kesehatan yang optimal dalam menjaga kesehatan ibu hamil dan mengonsumsi makanan yang bergizi.
References
2. Tombeg Z, Hadi AJ. Predisposisi Tuberkulosis Paru: A Cross Sectional Study. J Public Heal Pharm. 2021;1(1):9–13.
3. Kemenkes RI. Profil Kesehatan Indonesia 2020. Kementrian Kesehat Republik Indones. 2021;139.
4. Indra Adi Susianto IAS. Prevalence of Tuberculosis in Pregnant Women in Semarang. 2023;
5. Miele K, Morris SB, Tepper NK. Tuberculosis in pregnancy. Obstet Gynecol. 2020;135(6):1444.
6. Suárez I, Fünger SM, Kröger S, Rademacher J, Fätkenheuer G, Rybniker J. The diagnosis and treatment of tuberculosis. Dtsch Aerzteblatt Int. 2019;116(43).
7. Utara DPS. Profil Kesehatan Sumatera Utara. Lembaran Negara Republik Indones Nomor. 2021;13(1):39–54.
8. Padangsidempuan DK. Profil Kesehatan Dinas Kesehatan Kota Padangsidimpuan Tahun 2022. Lembaran Negara Republik Indones Nomor. 2022;1(1).
9. Fuziah H. Analisis Faktor Risiko Kejadian TB Paru pada Ibu Hamil di Kabupaten Gowa. Anal Fakt Risiko Kejadian TB Paru pada Ibu Hamil di Kabupaten Gowa. 2016;
10. Setyaningtyas R, Kusmiyati Y. Faktor-faktor yang Berhubungan dengan Kejadian Tuberculosis Paru pada Anak di RSUD Panembahan Senopati Bantul Tahun 2019. Poltekkes Kemenkes Yogyakarta; 2019.
11. Adejumo OA, Olusola-Faleye B, Adepoju VA, Gidado M, Onoh MO, Adegboye O, et al. The pattern of comorbidity and its prevalence among drug-resistant tuberculosis patients at treatment initiation in Lagos, Nigeria. Trans R Soc Trop Med Hyg. 2020;114(6):415–23.
12. Bakare AM, Udunze OC, Bamidele JO, Omoniyi A, Osman E, Daniel OJ. Outcome of community-initiated treatment of drug-resistant tuberculosis patients in Lagos, Nigeria. Trans R Soc Trop Med Hyg. 2021;115(9):1061–5.
13. Oyedeji GJ, Adeyemo C, Dissou A, Abiodun T, Alli OAT, Onaolapo OJ, et al. Prevalence of Multi-Drug Resistant Tuberculosis among Tuberculosis Patients Attending Chest Clinics in Osun-State, Nigeria. Curr Pharm Biotechnol. 2020;21(10):939–47.
14. Vonasek BJ, Radtke KK, Vaz P, Buck WC, Chabala C, McCollum ED, et al. Tuberculosis in children with severe acute malnutrition. Expert Rev Respir Med. 2022;16(3):273–84.
15. Howard-Jones AR, Marais BJ. Tuberculosis in children: screening, diagnosis and management. Curr Opin Pediatr. 2020;32(3):395–404.
16. Huynh J, Thwaites G, Marais BJ, Schaaf HS. Tuberculosis treatment in children: the changing landscape. Paediatr Respir Rev. 2020;36:33–43.
17. Depkes RI. Peduli TBC Indonesia Sehat. Diakses dari http://www. depkes. go. id/article/view/18032100002/peduli …; 2018.
18. Combs B, Heaton K, Raju D, Vance DE, Sieber WK. A descriptive study of musculoskeletal injuries in long-haul truck drivers: a NIOSH national survey. Workplace Health Saf. 2018;66(10):475–81.
19. Wagnew F, Worku W, Dejenu G, Alebel A, Eshetie S. An overview of the case fatality of inpatient severe acute malnutrition in Ethiopia and its association with human immunodeficiency virus/tuberculosis comorbidity—a systematic review and meta-analysis. Int Health. 2018;10(6):405–11.
20. Reuter A, Seddon JA, Marais BJ, Furin J. Preventing tuberculosis in children: A global health emergency. Paediatr Respir Rev. 2020;36:44–51.
21. Seddon JA, Johnson S, Palmer M, van Der Zalm MM, Lopez-Varela E, Hughes J, et al. Multidrug-resistant tuberculosis in children and adolescents: current strategies for prevention and treatment. Expert Rev Respir Med. 2021;15(2):221–37.
22. Organization WH. The end TB strategy. World Health Organization; 2015.
23. Kanchar A, Swaminathan S. Tuberculosis control: WHO perspective and guidelines. Indian J Pediatr. 2019;86:703–6.
24. Starshinova A, Malkova Ð, Kudryavtsev I, Kudlay D, Zinchenko Y, Yablonskiy P. Tuberculosis and autoimmunity: Common features. Tuberculosis. 2022;102202.
25. Swaminathan N, Perloff SR, Zuckerman JM. Prevention of Mycobacterium tuberculosis transmission in health care settings. Infect Dis Clin. 2021;35(4):1013–25.
26. Yuen CM, Szkwarko D, Dubois MM, Shahbaz S, Yuengling KA, Urbanowski ME, et al. Tuberculosis care models for children and adolescents: a scoping review. Bull World Health Organ. 2022;100(12):777-788L.
27. Kaplan G. Tuberculosis control in crisis-causes and solutions. Prog Biophys Mol Biol. 2020;152:6–9.
28. Ortiz-Brizuela E, Menzies D, Behr MA. Testing and Treating Mycobacterium tuberculosis Infection. Med Clin. 2022;106(6):929–47.
29. Ockenga J, Fuhse K, Chatterjee S, Malykh R, Rippin H, Pirlich M, et al. Tuberculosis and malnutrition: The European perspective. Clin Nutr. 2023;42(4):486–92.
30. Notoatmodjo S. Health promotion and health behavior. First Print Jakarta PT Rineka Cipta. 2012;194.
31. Jové N, Masdeu E, Brugueras S, Millet J-P, Ospina JE, Orcau À, et al. Threats and interventions during the treatment of tuberculosis in an Inner-city district. Arch Bronconeumol. 2021;57(5):330–7.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-Non Commercial License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
The content of this website is licensed under a Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0) license. 
