Peningkatan Pengetahuan, Sikap, Tindakan Pengobatan dan Perawatan Klien Tuberkulosis Menggunakan Model Penguatan Kapasitas Pemuda
Increasing Knowledge, Attitudes, Actions on Treatment and Care of Tuberculosis Clients Using Youth Capacity Strengthening Models
Abstract
Latar belakang: Indonesia menduduki peringkat kedua kasus Tuberkulosis tertinggi di dunia, untuk itu dibutuhkan pelibatan peran serta anggota masyarakat, termasuk pemuda. Pemuda sering kali diabaikan untuk menjadi agen pembaharu dalam keluarga, karena dianggap memiliki gaya hidup berisiko terhadap masalah kesehatannya.
Tujuan: Penelitian ini bertujuan untuk menguji model penguatan kapasitas pemuda terhadap pengetahuan, sikap, tindakan pengobatan dan perawatan klien Tuberkulosis.
Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain kuasi eksperimental. 104 responden penelitian adalah klien tuberculosis yang memiliki pemuda kontak serumah berusia 15 – 24 tahun. Penelitian dilakukan pada Februari - September 2022. Analisis dilakukan menggunakan uji regresi logistic
Hasil: Pengaruh model penguatan kapasitas pemuda terhadap peningkatan pengetahuan yang dikontrol dengan variabel sumber informasi sebesar 2.83 kali; terhadap peningkatan sikap sebesar 71,4 kali setelah dikontrol oleh variabel sumber informasi, lama pengobatan dan skor pengetahuan klien. Walaupun pengaruh model penguatan kapasitas pemuda tidak signifikan terhadap perubahan tindakan secara langsung, namun perubahan tindakan pengobatan dan perawatan klien TBC paru setelah tiga bulan intervensi terjadi 3.13 kali lebih besar dibanding kelompok kontrol
Kesimpulan: Model penguatan kapasitas pemuda secara efektif dapat meningkatkan pengetahuan, sikap klien TBC paru; termasuk dalam tindakan pengobatan dan perawatan TBC paru. Perubahan tersebut membutuhkan waktu untuk beradaptasi dari pelaku model.
References
WHO. Global Tuberculosis Report. 2021.
Caren GJ, Iskandar D, Pitaloka DAE, Abdulah R, Suwantika AA. COVID-19 Pandemic Disruption on the Management of Tuberculosis Treatment in Indonesia. J Multidiscip Healthc. 2022;15(January):175–83.
WHO. World Health Organization (WHO) Information Note : Tuberculosis and Covid-19. 2020.
Friedman, M.M., Bowden, V.R., Jones EG. Buku Ajar Keperawatan Keluarga : Riset, Teori dan Praktik. 5th ed. EGC, editor. Jakarta; 2010.
WHO. Youth Declaration to End TB [Internet]. 2019. Available from: http://www.who.int/tb/publications/Youth-Declaration-web.pdf
Flores, G., Goeke M.L., Perez R. The Power of Youth in Improving Community Conditions for Health. NAM Perspectives. Washington DC; 2014.
Gamalliel N, Sutanto RL, Wardhani ANH. To involve or not to involve: youth participation in Indonesia’s pandemic campaign. Lancet Reg Heal - West Pacific [Internet]. 2021;15:100290. Available from: https://doi.org/10.1016/j.lanwpc.2021.100290
Lisum K, Waluyo A, Nursasi AY, Pasaribu J. Youth perspective on pulmonary tuberculosis parent’s care. Int J Public Heal Sci. 2022;11(3):982–8.
Sari, E., Lisum, K., & Susilo W. Pengaruh Edukasi Kesehatan Berbasis Youtube terhadap Pengetahuan Siswa SMA tentang pencegahan Tuberkulosis. J Keperawatan. 2021;13(2):395–401.
Idris NA, Zakaria R, Muhamad R, Husain NRN, Ishak A, Wan Mohammad WMZ. The effectiveness of tuberculosis education programme in kelantan, malaysia on knowledge, attitude, practice and stigma towards tuberculosis among adolescents. Malaysian J Med Sci. 2020;27(6):102–14.
Idris NA, Zakaria R, Muhamad R, Nik Husain NR, Ishak A, Wan Mohammad WMZ. The Effectiveness of Tuberculosis Education Programme in Kelantan, Malaysia on Knowledge, Attitude, Practice and Stigma Towards Tuberculosis among Adolescents. Malaysian J Med Sci. 2020;27(6):102–14.
Maryati, Juniarti, Hidayat. Pemberdayaan remaja dalam optimalisasi kesehatan reproduksi remaja di Desa Sukamandi dan Cicadas Kecamatan Sagalaherang Kabupaten Subang. J Apl Ipteks untuk Masyaraka. 2012;1(1):14–9.
Yuliani M, Sutriyawan A, Valiani C, Kurniawati RD, Hayati N, Munawaroh M, et al. Pemberdayaan Remaja Dalam Optimalisasi Peningkatan Pengetahuan Tentang Kesehatan Reproduksi Remaja Melalui Program Pojok Remaja Dan Peer Group Di Sman I Cileunyi Kabupaten Bandung. J Pengabdi Masy Kebidanan. 2020;2(2):30.
Alligood M. Pakar Teori Keperawatan dan Karya Mereka. 8th ed. Hamid, Achir Yani., Ibrahim K, editor. Indonesia: Elsevier Ireland Ltd; 2014.
Larcher, V., Dittborn, M., Linthicum, J., Sutton, A., Brierley, J., Payne, C., Hardy H. Young people’s views on their role in the Covid-19 pandemic and society’s recovery from it. Arch Dis Child. 2020;1–5.
Rakhmawati W, Nilmanat K, Hatthakit U. Moving from fear to realization: Family engagement in tuberculosis prevention in children living in tuberculosis Sundanese households in Indonesia. Int J Nurs Sci [Internet]. 2019;6(3):272–7. Available from: https://doi.org/10.1016/j.ijnss.2019.06.002
Haque SE, Rahman M, Itsuko K, Mutahara M, Kayako S, Tsutsumi A, et al. Effect of a school-based oral health education in preventing untreated dental caries and increasing knowledge, attitude, and practices among adolescents in Bangladesh. BMC Oral Health [Internet]. 2016;16(1):1–10. Available from: http://dx.doi.org/10.1186/s12903-016-0202-3
Tsai, Kim M.; Gonzales, Nancy A., Fuligni AJ. Mexican American Adolscent’s Emotional Support to the Family in Response to Parental Stress. J Res Adolesc. 2015;26(4).
Ballard PJ, Syme SL. Engaging youth in communities: A framework for promoting adolescent and community health. J Epidemiol Community Health. 2016;70(2):202–6.
Toomey, M., Smathers, C., Iaccopucci, A., Johnston, K., Johannes E. Youth Workers’Role in Engaging Youth in Health Advocay for Community-Level Change. J Youth Dev. 2018;13(3):12–23.
Chen X, Du L, Wu R, Xu J, Ji H, Zhang Y, et al. The effects of family, society and national policy support on treatment adherence among newly diagnosed tuberculosis patients: A cross-sectional study. BMC Infect Dis. 2020;20(1):1–12.
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.