Hubungan keteraturan berobat dengan konversi dahak penderita tb paru kasus baru setelah pengobatan fase intensif

Oleh :
Notariana Kusuma Astuti - G0006127 - Fak. Kedokteran

ABSTRAK Tuberkulosis (TB) merupakan masalah utama kesehatan masyarakat. Pasien TB di Indonesia merupakan ke-3 terbanyak di dunia. WHO dan IUATLD telah mengembangkan strategi penanggulangan TB yaitu strategi DOTS (Directly observed Treatment Short-course). Keteraturan berobat merupakan faktor dari konversi dahak setelah pengobatan fase intensif. Keteraturan berobat merupakan salah satu kunci keberhasilan pengobatan. Penelitian ini bertujuan untuk mengetahui hubungan antara keteraturan berobat dengan konversi dahak penderita TB paru kasus baru setelah pengobatan fase intensif. .Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional. Penelitian dilakukan di Poliklinik Paru RSUD dr.Moewardi Surakarta. Sampel 60 orang dipilih dengan purposive sampling. Variabel bebas yang diteliti adalah keteraturan berobat. Variabel terikat berupa konversi dahak. Variabel-variabel penelitian diukur dengan menggunakan sebuah kuesioner dan Kartu TB 01. Data dianalisis dengan teknik analisis Chi Square. Dari hasil analisis didapatkan harga X² hitung sebesar 8,297 sedangkan X² tabel pada α=0,05 dan df=1 adalah 3,8471, sehingga harga X² hitung >harga X² tabel, maka hipotesis diterima. Penderita TB paru yang teratur berobat 4,92 kali lebih besar mengalami konversi dahak daripada penderita yang tidak teratur berobat dan secara statistik hubungan tersebut signifikan (OR=4,92 , p=0,004). Penelitian ini menyimpulkan bahwa keteraturan berobat berhubungan dengan konversi dahak penderita TB Paru. Kata kunci: keteraturan berobat, konversi dahak, pengobatan ABSTRACT Notariana Kusuma Astuti, G0006127, 2010, Regularity Relationship of Having Treatment With Sputum Conversion in the Primary Case of Pulmonary Tuberculosis Patients After Treatment Intensive Phase, Faculty of Medicine, Sebelas Maret University, Surakarta. Tuberculosis (TB) is a major problem of public health. TB patients of Indonesia is the third largest number in the world. WHO and IUATLD have developed DOTS strategy (directly Observed Treatment Short-course) as a strategy to control TB. Regularity of having treatment is a factor of sputum conversion after the intensive phase of treatment. Regularity of having treatment is one key of successful treatment. The research aims to find out the regularity relationship of having treatment with sputum conversion in the primary case of pulmonary tuberculosis patients after treatment intensive phase. It is the analytic study with cross sectional approach. The research is conducted at the Lung Polyclinic of dr. Moewardi Hospital Surakarta. The sample of 60 patients selected randomly by purposive sampling. Independent variable is the regularity of having treatment. While, dependent variable in the form of sputum conversion. Research variables are measured by using a questionnaire and TB 01 Card. The data are analyzed by using Chi Square analytic technique. The conclusion of the analytic research are value of X² count equal to 8.297 and the X² table at α = 0.05 and df = 1 was 3.8471. In additional, if X² count is higher than value of X² table, the hypothesis is accepted. Pulmonary tuberculosis patients who are regularity have treatment 4.92 times higher that they do not will have sputum conversion. Statistically, it is significant relationship(OR = 4.92, p = 0.004). This research concludes that the regularity of having treatment associated with sputum conversion of pulmonary TB patients. Key words : regularity of having treatment, sputum conversion, treatment