STUDI KUALITATIF FAKTOR YANG MELATARBELAKANGI DROP OUT PENGOBATAN TUBERKULOSIS PARU

Randy Adhi Nugroho

Abstract

Hasil pengobatan BTA positif di Balai Pengobatan Penyakit Paru-ParuTegal tahun 2008-2010, menyatakan angka drop out belum mencapai target nasional (<10%), sehingga permasalahan dalam penelitian ini adalah ingin mengetahui faktor yang melatarbelakangi drop out pengobatan tuberkulosis paru di BP4 Tegal. Penelitian ini dilakukan di balai pengobatan penyakit paru Tegal padatahun 2011.Jenis penelitian ini adalah kualitatif, dengan narasumber penelitian adalah pasien yang drop out dari pengobatan tuberkulosis yang berjumlah 8 orang. Teknik pengambilan data dilakukan dengan wawancara mendalam menggunakan pedoman wawancara. Hasil penelitian disimpulkan faktor yang melatarbelakangi drop out adalah lama pengobatan melewati tahap intensif sehingga gejala hilang dan pasien merasa sembuh, pembiyaan pengobatan tidak secara cuma-cuma, pasien tidak mengetahui tentang tahapan pengobatan, tidak adanya Pengawas Menelan Obat,adanya kesulitan transportasi menuju BP4, adanya efek samping obat, ketidaktahuan tentang komplikasi penyakit.

Based on the results of treatment of smear positive in Medicine Center for Lung Disease Tegal in 2008-2010, drop out rate had not reached the national target (<10%), were 18%, 14%, and 13%. The purpose of this research was to determine the factors behind the drop out of tuberculosis treatment. The study was qualitative research. Informants research was patients who drop out of treatment for tuberculosis, amounting 8 people. Techniques of data collection was done by in-depth interviews used an interview guide. Research concluded the factors behind of drop out were time of treatment through stage of intensive so symptoms disappear and the patient was cured, treatment was not free financing so that it becomes a barriers, Informants wasnt know about the stages of treatment, although informants had high motivation and family support but barriers make stopped of treatment, informants had not Swallowing Drugs Controller, easy access to MCLD easy but difficult if not used the motorcycle, Informants experienced drug side effects, the perception of informants wont be severed tuberculosis if the stopped of treatment, perceptions of treatment benefit was limited sources eliminates symptoms of tuberculosis, Informant had many barriers in treatment.

Keywords

Drop out; Treatment; Tuberculosis

Full Text:

PDF

References

Anton, Mak., Adam Thomas. 2008. Influence of Multidrug Resistance on Tuberculosis Treatment Outcomes with Standardized Regimens. American Journal of Respiratory and Critical Care Medicine, 178(3): 306-312

BalaiPencegahandanPengobatan Penyakit Paru Tegal. 2010.Rekap Hasil Pengobatan BTA Positif tahun 2009. Tegal : BP4 Tegal.

Currie, Christine SM. 2005.Cost, affordability and cost-effectiveness of strategies to control tuberculosis in countries with high HIV prevalence.BMC Public Health, 5:130

DepartemenKesehatanRepublik Indonesia. 2008.Pedoman Nasional Penanggulangan Tuberkulosis.Jakarta :Depkes RI

ErniErawatyningsih, Purwanta, dan Heru Subekti. 2009.Faktor-faktor yang Mempengaruhi Ketidakpatuhan Berobat pada Penderita TB Paru. (Online), 25(3)

Guy, Thwaites. 2009. British Infection Society guidelines for the diagnosis and treatment of tuberculosis of the central nervous system in adults and children. Journal of Infection, 59(3): 167187

Helper Sahat P Manalu. 2010. Faktor-Faktor Yang Mempengaruhi Kejadian Tb Paru Dan Upaya Penanggulangan, Jurnal Ekologi Kesehatan, 9(4): 1340 1346

Mitnick, Carole D. 2008. Comprehensive Treatment of Extensively Drug-Resistant Tuberculosis.N Engl J Med, 359: 563-574

Salim, S. AbdoolKarim, M.B. 2010.Timing of Initiation of Antiretroviral Drugs during Tuberculosis Therapy.N Engl J Med, 362:697-706

Storla, Dag Gundersen. 2008. A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC Public Health,8:15

Refbacks

  • There are currently no refbacks.