Holistic Management Of 19 Years Old Adolescent Patients With Pulmonary Tuberculosis Through Family Medicine Approach In Simpur Primary Health Care Center


  • Nadhea Ayu Paramita Universitas Lampung
  • Reni Zuraida University of Lampung




Family doctor, holistic management, pulmonary tuberculosis


Tuberculosis (TB) is an infectious disease that is still a problem in developing countries. Worldwide. Although the government has implemented many programs for controlling the TB, the role of family physician is very important in treating TB. In dealing with these problems, the need for cooperation from various parties in a comprehensive and holistic manner. Implementing comprehensive and holistic family doctor services by identifying risk factors, clinical problems, and patient management based on evidence based medicine with strategies that are patient centered, family oriented and community oriented.The analysis of this study is a case report. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from aupporting investigation.The assessment is carried out based on a holistic diagnosis of the initial, process, and final study quantitatively and qualitatively. Patient Nn.N, 19 years old, came to the clinic with cough , easy fatigue, weight loss and night sweats since 2 months ago. The patient was diagnosed with clinically confirmed pulmonary tuberculosis. After the intervention, pulmonary TB complaints improved. There is a change in behavior towards the patient's disease where the quantitative assessment found an increase in all aspects assessed, namely knowledge, diet, and physical activity.

Author Biography

Reni Zuraida, University of Lampung




World Health Organization. Global Tuberculosis Report. France: World Health Organization; 2021.

World Health Organization. The End TB Strategy. Global strategy and targets for tuberculosis prevention, care and control. France: World Health Organization; 2019.

Kemenkes RI. Data dan Informasi Kementrian Kesehatan RI. Cakupan Program TB Indonesia Tahun 2020.

RISKESDAS. Laporan Provinsi Lampung 2018. Jakarta: RISKESDAS; 2019.

Kemenkes RI. Data dan Informasi Profil Kesehatan 2019. Jakarta: Kemenkes RI; 2020..

Balitbangkes Kemenkes RI. Riset kesehatan dasar (Riskesdas) 2018. Jakarta: Kemenkes RI; 2019.

Balitbangkes Kemenkes RI. Riset kesehatan dasar (Riskesdas) 2013. Jakarta: Kemenkes RI; 2013.

Kementrian Kesehatan Republik Indonesia. 2019. Laporan Provinsi Lampung: Riskesdas 2018. Jakarta: Balitbangkes; 2019

Perhimpunan Dokter Paru Indonesia, 2011. Pedoman Diagnosis dan Penatalaksanaan Tuberkulosis di Indonesia. Jakarta: PDPI; 2011

Patterson B, Morrow C, Singh V, Moosa A, Ggada M, et al., 2017. Detection of Mycobacterium tuberculosis bacilli in bio-aerosols from untreated TB patients. 2017; 20(1): 1:11.

Bickley LS, Szilagyi PG,. Bate’s Guide To Physical Examination and History Taking 12th Edition. Philadelphia: Wolters Kluwer. 2016; 95(1): 1-8

Kementerian Kesehatan RI. Penanggulangan Tuberkulosi. Peraturan Menteri Kesehatan Republik Indonesia Nomor 67 Tahun 2016. Jakarta: Kementerian Kesehatan RI; 2016

Kementerian Kesehatan Republik Indonesia, 2019. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/755/2019 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuberkulosis. Jakarta: Kementerian Kesehatan Republik Indonesia

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.

Almatsier S. Penuntun Diet Edisi Baru Instalasi Gizi Perjan Rs Dr. Cipto Mangunkusumo dan Asosiasi Dietisien Indonesia. Jakarta: Gramedia Pustaka Utama: 2016.

Yen FY, Chuang PH, Yen MY, Lin SY, Chuang P, Yuan MJ, et al. Association of Body Mass Index With Tuberculosis Mortality: A Population-Based Follow-Up Study. Medicine Journal. 2016; 95(1): 1-8.



How to Cite

Ayu Paramita, N., & Zuraida, R. (2024). Holistic Management Of 19 Years Old Adolescent Patients With Pulmonary Tuberculosis Through Family Medicine Approach In Simpur Primary Health Care Center. Medical Profession Journal of Lampung, 14(1), 1-11. https://doi.org/10.53089/medula.v14i1.856




Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 > >>