Holistic Management of 49-Year-Old Women with Pulmonary Tuberculosis and Type 2 Diabetes Mellitus with Minimum Knowledge and Attitude to Maintain Continuity of Treatment through a Family Medicine
DOI:
https://doi.org/10.53089/medula.v13i4.639Keywords:
pulmonary tuberculosis, diabetes mellitus, family doctorAbstract
Infectious diseases with comorbidity are important health problems that are supposed to be evaluated immediately because they have the potential for complications if no intervention is carried out. Tuberculosis (TB) is an infectious disease that is still a problem in the world especially in developing countries. Diabetes mellitus is estimated to be the cause of 15% of tuberculosis cases today, because it could decrease the immune system which can cause someone prone to get infectious disease. The family approach in the management of Pulmonary Tuberculosis and diabetes mellitus can help identify factors that influence clinically, personally and family psychosocial so that management will be more comprehensive. This study is a case report. Primary data were obtained through history taking, physical examination, supporting examination and home visits to assess the physical environment. Prior to the intervention, the patient's knowledge about the disease was lacking, the pattern of curative treatment, diet was not good, rarely exercised. Family knowledge about Pulmonary Tuberculosis and diabetes mellitus is still low. After the intervention, there was an improvement in the knowledge score and attitude to maintan continuity of treatment which increased by 40 points. After the treatment was carried out on the patient, there was an improvement in the knowledge and attitude to maintan continuity of treatment regarding the disease, as well as an improvement in diet and physical activity patterns.
References
World Health Organization. Global Tuberculosis Report. France: World Health Organization; 2020.
Kemenkes RI. Data dan Informasi Kementerian Kesehatan RI. Tuberkulosis. Jakarta: Infodatin Kemenkes RI; 2018.
Ramadhayanti DA, Cahyo K, Widagdo L. Faktor- faktor yang mempengaruhi pencegahan kejadian drop out tuberkulosis pada keluarga di seluruh wilayah kerja puskesmas kota semarang. E-Journal Jurnal Kesehatan Masyarakat. 2018; 6(2): 163-9.
Nurmadya, Irvan Medison Hb. Hubungan Pelaksanaan Strategi Directly Observed Treatment Short Course Dengan Hasil Pengobatan Tuberkulosis Paru Puskesmas Padang Pasir Kota Padang 2011-2013. J Kesehat Andalas. 2014; 4(1):207–11.
Kementerian Kesehatan Republik Indonesia. Pedoman Nasional Penanggulangan Tuberkulosis. Jakarta: Kementerian Kesehatan Republik Indonesia; 2020.
RISKESDAS. 2018. Laporan Provinsi Lampung Jakarta: RISKESDAS; 2019.
Kemenkes RI. Data dan Informasi Profil Kesehatan 2019. Jakarta: Kemenkes RI; 2020.
Kementerian Kesehatan Republik Indonesia. Infodatin Tuberkulosis: Temukan Obati Sampai Sembuh. Jakarta: Data dan Informasi Kementerian Kesehatan Republik Indonesia; 2020.
Kementerian Kesehatan RI. Penanggulangan Tuberkulosis. Peraturan Menteri Kesehatan Republik Indonesia Nomor 67 Tahun 2016. Jakarta: Kementerian Kesehatan RI; 2016.
Alisjahbana, B., van Crevel, R., Sahiratmadja, E., den Heijer M., and Maya, A., et al. Diabetes mellitus is strongly associated with tuberculosis in indonesia. Int J Tuberc Lung Dis. 2006; 10(6), 696-700.
Kiani, J., Goharifar, H., Moghimbeigi, A., & Azizkhani, H . Prevalence and risk factors of five most common upper extremity disorders in diabetics. Journal of Research in Health Sciences. 2014; 14(1), 93–96.
Arsanjani Shirazi, A., Nasiri, M., & Yazdanpanah, L. Dermatological and musculoskeletal assessment of diabetic foot: A narrative review. Diabetes and Metabolic Syndrome: Clinical Research and Reviews. 2016; 10(2), S158–S164.
Boyle, J. P., Thompson, T. J., Gregg, E. W., Barker, L. E., & Williamson, D. F. Projection of the year 2050 burden of diabetes in the US adult population: Dynamic modeling of incidence, mortality, and prediabetes prevalence. Population Health Metrics. 2010; 8: 1–12.
International Diabetes Federation. IDF Diabetes Atlas Ninth Edition 2019. United State; 2019.
Kemenkes RI Pusat Data dan Informasi. Diabetes Melitus. Kementerian Kesehatan RI. Jakarta; 2020.
Perkumpulan Endokrinologi Indonesia. Konsensus pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia. Jakarta: PERKENI; 2019.
Abdulfatai B, Olokoba O, Obateru L. Type 2 Diabetes Mellitus: A Review of Current Trends. 2012; 27(4):269–73.
Kemenkes RI. Pedoman Nasional Pelayanan Kedokteran Tatalaksana Diabetes Melitus Tipe 2 Dewasa. Jakarta: Kemenkes RI; 2020.
Kementerian Kesehatan Republik Indonesia. Pedoman Nasional Pelayan Kedokteran Tatalaksana Tuberkulosis. Jakarta: Kementerian Kesehatan Republik Indonesia; 2013.
Patterson B, Morrow C, Singh V, Moosa A, Ggada M, et al. Detection of Mycobacterium tuberculosis bacilli in bio-aerosols from untreated TB patients. Gate Open Res 2017; 1:11. Menezes AM, Hallal PC, Perez-Padilla R, Jardim JR, Mui-o A, Lopez MV, et al. Tuberculosis and airflow obstruction: evidence from the PLATINO study in Latin America. Eur Respir J. 2007; 30(6):1180-5.
Story A, Bothamley G, Hayward A. Crack cocaine and infectious tuberculosis. Emerg Infect Dis. 2008; 14(9):1466-9.
Silva DR, Muñoz-Torrico M, Duarte R, Galvão T, Bonini EH, et al. Risk factors for tuberculosis: diabetes, smoking, alcohol use, and the use of other drugs. J Bras Pneumol. 2018; 44(2):145- 152.
Olmstead D. Acute Respiratory Distress Syndrome: Pathogenesis and clinical findings; 2018.
Bickley LS, Szilagyi PG. Bate’s Guide To Physical Examination and History Taking 12th Edition. Philadelphia: Wolters Kluwer; 2016.
Kementerian Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/755/2019 Tentang Pedoman Nasional Pelayanan Kedokteran Tatalaksana Tuberkulosis. Jakarta: Kementerian Kesehatan Republik Indonesia; 2019.
Koppurapu V, Meena N. A review of the management of complex para- pneumonic effusion in adults. Journal of Thoracic Disease. 2017; 9(7).
Saftarina F, Fitri AD. Studi Fenomenologi tentang Faktor Risiko Penularan Tuberculosis Paru di Perumnas Way Kandis Lampung. JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan. 2019.7(1)
Yenni FP, Utami NW, Susmini. Hubungan tingkat pengetahuan keluarga pasien tentang tuberkulosis dengan kepatuhan menggunakan alat pelindung diri (APD) di ruang rawat inap Rumah Sakit Panti Waluya Malang. Nursing News. 2016; 1(1): 12-21.
Wulandari AA, Nurjazuli, Adi MS. Faktor risiko dan potensi penularan tuberkulosis paru di Kabupaten Kendal, Jawa Tengah. JKLI. 2015; 14(1): 7-13.
Rahmah C. Studi literatur pengaruh kondisi rumah yang kumuh terhadap kejadian penderita tuberkulosis (TB) paru. Jurnal Ilmu Kedokteran Dan Kesehatan. 2020; 7(4): 593-8.
Frampton S, et al. Patient Centered Care Improvement Guide. Inc. and Picker Institute; 2008.
Almatsier S. Penuntun Diet Edisi Baru Instalasi Gizi Perjan Rs Dr. Cipto Mangunkusumo dan Asosiasi Dietisien Indonesia. Jakarta: Gramedia Pustaka Utama; . 2006.
Pulungan SS. Pengaruh Media Poster Kalender dan Leaflet terhadap Pengetahuan dan Sikap Pasien TB Paru dalam Menjaga Kelangsungan Pengobatan Penyakit Tb Paru di Puskesmas Terjun Kota Medan. Tesis. Medan: Universitas Sumatera Utara. 2015; 108-24.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Medical Profession Journal of Lampung
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
