Tuberkulosis(TB)adalahpenyakitmenularlangsungyangdisebabkanoleh Mycobacteriumtuberculosis. DOTSadalahstrategipenyembuhanTBparujangka pendekdenganpengawasanterhadappenderitaagarteraturmenelanobatsesuai ketentuansampaidinyatakansembuh.DatakesembuhanTBKabupatenMerangin 2006-2009dibawahangkaTBPropinsiJambi(<85%).Tujuanpenelitianuntuk mengetahuihubunganpengetahuanpenderitatentangTBdanpersepsipenderita tentangkeaktifanPMOdengankepatuhanpenderitaTBmenjalanipengobatandi KabupatenMerangin.Penelitianinimenggunakandesainstudikasuskontrol.83 kasusyaitupenderitaTBparuBTA(+)yangtidakpatuhdan83kontrolyaitu penderitayangpatuhmenjalanipengobatan. Hasil:adahubunganpengetahuanpenderitatentangTBdengankepatuhan penderitamenjalanipengobatandenganOR2,18(95%CI1,021-4,658)setelah dikontrolvariabelpengetahuan,keluhanefeksampingobatdanpenyuluhan.Ada hubunganpersepsipenderitatentangkeaktifanPMOdengankepatuhanpenderita menjalanipengobatan.PersepsipenderitatentangPMOaktif,berpeluang4,07kali untukpatuhmenjalanipengobatandibandingkanPMOtidakaktif.Disarankan bagipetugaskesehatandapatselalumemberikanpenyuluhanlangsung/konseling kepadapenderitadanPMOsebagaiupayapemberianinformasiuntukmenambah pengetahuanpenderitatentang TBdanmeningkatkankeaktifanPMO. Katakunci:Kasuskontrol, TB,kepatuhan,pengetahuan,PMO .

 Tuberculosis (TB)isadirectinfectiousdiseasecausedby Mycobacterium tuberculosis.DOTSisastrategyofshort-termhealingof pulmonarytuberculosis withregularmonitoringofthepatienttoswallowthemedicineaccordingtothe provisionsuntildeclaredcured.DataTBcureratesatDistrictMerangin20062009undertheTBProvincialJambi(<85%).Researchobjectiveswereto determinetherelationshipofknowledgeandperceptionofpatientsaboutTB sufferersofactivenessPMObyadherenceofTBpatientsundergoingtreatmentat districtMerangin. Thisstudyusesdesignacase-controlstudy.83casesof pulmonarytuberculosisBTA(+)ofnon-adherentand83controlpatientswhoare undergoingtreatmentadherence. Results:thereisarelationshipofknowledgepatientaboutTBwithpatient complianceundergoingtreatmentwithOR2.18(95%CI1.021to4.658)afterthe controlledvariablesofknowledge,complaintssideeffectsofmedicationand counseling. ThereisarelationshipsofperceptionpatientsaboutactivityofPMO withadherencepatientsundergoingtreatment.Perceptionsofpatientsonactive PMO,likelytobeboundundergoingtreatmentby4.07timescomparedtothe PMOdid’nactive.Itisrecommendedforhealthcareworkerscanalwaysprovide directcounselingtopatientsandthePMOastheeffortstoprovideinformationto increasepatientknowledgeaboutTBandincreasetheactivityofthePMO. Keywords:Casecontrol,tuberculosis,compliance,knowledge,PMO.

TB paru merupakan masalah di Indonesia. Data Riskesdas 2010 menunjukkan, prevalensi TB Paru 2009/2010 sebesar 725/100.000 penduduk. Evaluasi hasil dilihat dengan angka konversi pada akhir pengobatan fase intensif sebesar 80%. Masalah utama kegagalan konversi adalah komponen perilaku penderita TB paru yaitu keterlambatan diagnosis dan tidak selesainya pengobatan yang berakibat resistensi ganda OAT. Penelitian ini menggunakan desain kasus kontrol, populasi sebanyak 1.305 adalah penderita TB paru pengobatan fase intensif tahun 2010 yang tercatat di formulir TB 01 puskesmas di Kabupaten Bekasi. Sampel diambil sebanyak 170 penderita, dikelompokkan menjadi gagal konversi sebanyak 200 penderita dan konversi sebanyak 1.105 penderita. Setiap kelompok diambil masing-masing 85 penderita. Data dikumpulkan dengan wawancara menggunakan kuesioner. Metode analisis data dengan uji Chi Square dan regresi logistik. Hasil penelitian menunjukkan responden tidak teratur minum obat lebih besar yang mengalami kegagalan konversi (74,1%) dibandingkan yang konversi (46,4%). Hasil uji Chi square ada hubungan yang bermakna antara keteraturan minum obat, sikap terhadap keteraturan minum obat, pengetahuan tentang TB, penyuluhan kesehatan, efek samping obat, dan status gizi dengan kegagalan konversi. Hasil uji statistik dengan regresi logistik menunjukkan faktor paling berhubungan dengan kegagalan konversi adalah status gizi OR: 4,705: 95% CI: 2,143-10,332. Status gizi penderita TB paru perlu ditingkatkan sebagai upaya bersama dengan pemberian OAT.

Pulmonary TB is a problem in Indonesia. Riskesdas 2010, the prevalence of pulmonary TB 2009/2010 for 725/100.000 population. Evaluation results conversion rate at the end of the intensive phase of treatment by 80%. The main problem is the conversion of a component failure behavior of patients with pulmonary TB is not the completion of delayed diagnosis and resulting treatment dual resistance OAT. Design study are casecontrol study. Population of 1305 patients with pulmonary TB is an intensive phase of treatment in 2010 are recorded in the TB form 01 health centers in the district of Bekasi. Samples were taken 170 patients, classified as many as 200 patients failed to convert and convert as many as 1.105 people. Each group of 85 patients taken at random. Data were collected by interview using a questionnaire. Methods of data analysis with chi square tests and logistic regression. The results showed respondents do not regularly drink more drugs that have failed conversion (74.1%) compared to the conversion (46.4%). Chi square test results there was a significant association between the regularity of drug taking, attitudes toward medication order, knowledge of TB, health education, medication side effects, and nutritional status with conversion failure. The results of statistical tests with logistic regression showed factors associated with failure of the conversion is the nutritional status OR: 4,705: 95% CI: 2,143-10,332. Nutritional status of patients with pulmonary TB needs to be improved as a joint effort with the provision of OAT.

The succesful of TB patient treatment most depends on patient compliance in
treatment process in term of medication regurally, cure, and repeated
laboratorium confirmation test. Failer in treatment could lead into multi drug
resistant. Hence, monitoring patient contracting the disease in early stages can
help to predict that dotb motivator roles very important. The focus of this study
is to understanding the influence of Muhammadiayh Aisyiyah TB motivator
activities in the patient compliance in treatment process at early stages. This
study takes place at koja and cilincing sub district, North Jakarta starts from
januari 2009 to mei 2010. The research method is using restrosfective cohort.
The subject of study group divides into two groups. One group accompanied
with TB motivators and another without TB motivators. The subject comes from
the same register. . Sample selected by total sampling with a total of 110 patiens.
Data analysis was descriptive, bi-variate, stratification and causal model by
multivariate. Exellent TB motivators in TB treatment process have a bigger
proportion (77,9%) than fair TB motivator (57,14%). Each motivator has a
relationship with compliance for example promoting, counseling, PMO, and
motivator assistance. Multivariate analysis result gives an information the
relationship between motivator role and high compliance treatment after
controlling confounding variables such as age and knowledge. An excellent
motivator has 2,11 times to increase compliance compare with fair motivator
(95% CI 0,87 – 5.11)

Keywords: Motivator, TB, Compliance,

Proporsi ketidakpatuhan penderita Tb paru berobat di beberapa daerah di Indonesia, angkanya bervariasi dan umumnya masih tinggi mulai dari 30 % sampai dengan 65 %. Kepatuhan berobat sangat penting karena berhubungan dengan resistensi. Di Kota Padang Propinsi Sumatera Barat penderita Tb paru dengan pengobatan kategori 1, tidak patuh berobat sebesar 38,88 %, sehingga kemungkinan terjadinya resistensi masih cukup tinggi. Tujuan penelitian ini adalah untuk mengetahui hubungan persepsi penderita terhadap peran pengawas menelan obat dengan kepatuhan penderita Tb paru berobat di kota Padang tahun 2001. Penelitian ini dilaksanakan dalam waktu satu setengah bulan dengan menggunakan data primer.Rancangan yang digunakan dalam penelitian ini adalah kasus kontrol. Sampelnya adalah sebagian atau seluruh penderita tuberkulosis paru berumur 15 tahun atau lebih yang berobat ke Puskesmas di Kota Padang dari 1 Januari 2001 s/d 31 Desember 2001 yang memdapat obat anti tuberkulosis (OAT) kategori I. Jumlah sampel sebesar 260 responden, yang terdiri dari 130 responden sebagai kasus dan 130 responden sebagai kontrol.Hasil penelitian menunjukkan bahwa probabilitas penderita Tb paru BTA positif yang tidak patuh berobat terpapar oleh aktivitas PMO kurang baik 18,95 kali lebih besar, dibandingkan dengan probabilitas penderita Tb paru BTA positif yang terpapar dengan aktivitas PMO baik, setelah dikontrol oleh penghasilan keluarga dan pengetahuan penderita.Pengukuran dampak potensial memberikan informasi adanya kantribusi aktivitas PMO kurang baik terhadap terjadinya ketidakpatuhan penderita Tb paru BTA positif berobat di Kota Padang sebesar 81,46 %.Penelitian ini menyarankan kepada pengelola program perlu meningkatkan pengetahuan dan motivasi pengawas menelan obat, agar dalam melaksanakan tugas pengawasannya berjalan secara aktif. Meningkatkan pengetahuan penderita mengenai penyakit Tb paru serta akibat bila tidak patuh berobat. Dan perlu di teliti lebih lanjut terhadap variabel jenis PMO dan pekerjaan serta penghasilan keluarga dengan sampel yang lebih besar.

The Relationship of the Perception of Tb Patients on the Role of Treatment Observer and Compliance of Pulmonary Tuberculosis Patients in Padang, 2001The proportion of tuberculosis patients who does not take treatment regularly in Indonesia varies with areas, with the number ranging from 30 to 65%. Regularity in taking treatment is very crucial because it relates to drug resistance. In Padang, West Sumatra, category I tuberculosis sufferers who do not take treatment regularly is 38, 88%. Hence, the possibility of resistance is still high. The objective of the research is to study the perception relationship between the role of drug intake supervisors (DIS) or treatment observer and compliance of pulmonary tuberculosis patient attending the treatment in Padang in 2001. This study was conducted during a month and a half period using primary data.The design used is case-control study. Its sample consists of all pulmonary TB patient age 15 or above who take treatment at public health centers in Padang from January 1 to December 31, 2001. All of TB patient received-category I anti-tuberculosis drugs. The size of the sample is 260; the respondents consist of 130 as cases and another 130 as controls. The study found that the probability of positive sputum acid fast bacilli (category I) pulmonary TB patient who do not take treatment regularly under insufficient supervision of drug intake supervisors (DIS) is 18.95 times higher than the probability of category I pulmonary TB patients who do not take treatment regularly under sufficient supervision of drug intake supervisors (DIS), after improvement of family income and knowledge level of TB patients.As a conclusion, potential impact measurement provide information that insufficient activities of drug intake supervisors contribute to the irregularity of category I pulmonary TB patients in taking treatment in Padang of 81.46%.It is recommended to all program directors to improve knowledge and motivation of treatment observer and compliant in order to increase effectiveness of their supervisory duties. In addition, they should also improve knowledge of pulmonary TB patients and communicate negative impacts of not taking treatment regularly. And research of this kind should be expanded in the future, especially that relates to drug intake supervisors types, jobs, and family income, with bigger samples.