Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 1.
April 2024, pp 110-120 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 Nursing Care for Community Health Deficit in The Aggregate of Tuberculosis Patients with Health Behavior Promotion Interventions Cassia Daras Firjatullah1*.
Niken Asih Laras Ati2 1 Faculty of Nursing.
University of Jember.
Jember.
Indonesia 2 Department of Community.
Family and Gerontic Nursing.
Faculty of Nursing.
University of Jember.
Indonesia Article History Submitted: 30-07-2023 Revised: 20-11-2023 Accepted: 22-11-2023 org/10.
58545/jkki.
Copyright .
2024 Cassia Daras Firjatullah This is an open-access article under the CC-BY-SA License.
Abstract Efforts to control Tuberculosis (TB) are carried out in various ways, including activities to increase public knowledge about TB.
Health Behavior Promotion Efforts are expected to increase changes in patient or client behavior so that they have the will and ability that are conducive to improving overall health.
The aim of this research is a case study of community nursing care by providing intervention and implementation in selected target villages.
The intervention provided is Promotion of Health Effort Behavior.
The sample size was 87 respondents from selected area using the Cluster Sampling technique.
Data collection instruments for taking cases managed in this scientific work use clean and healthy living behavior instruments, knowledge instruments about healthy homes.
Knowledge Instruments on the Role of the Family as PMO (Drug Dispensing Superviso.
TB Screening and Scoring Instruments, procedures of Hand Washing.
The intervention was carried out with Simple Inhalation Therapy Using Eucalyptus Oil Steam accompanied by a physical examination and vital signs The results of the research show that there is an effect of education on public knowledge with a p value .
= 0.
, the results of implementing the hand washing demonstration show results .
= 0.
which means there is an effect of hand washing demonstration on public knowledge, while from the implementation of simple inhalation therapy with eucalyptus oil vapor the results were .
= 0.
which means there is an effect of simple inhalation therapy with eucalyptus oil vapor on the patient's RR and SPO2.
From the existing results, effective nursing implementation is carried out for TB prevention is the identification of health behavior efforts that can be improved, screening and health education, as well as the implementation of simple inhalation of eucalyptus oil vapor in TB patients.
Keywords: Community Health.
Tuberculosis.
Health Promotion Correspondence Cassia Daras Firjatullah Faculty of Nursing.
University of Jember.
Indonesia Jl.
Kalimantan No.
Sumbersari.
Jember.
East Java 68121.
Email: cassiadaras@gmail.
How to cite:
Firjatullah.
& Ati.
Nursing Care for Community Health Deficit in The Aggregate of Tuberculosis Patients with Health Behavior Promotion Interventions.
Jurnal Kesehatan Komunitas Indonesia, 4.
, 110-120 https://doi.
org/10.
58545/jkki.
Nursing Care for Community Health Deficit in The Aggregate of Tuberculosis Patients Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 1.
April 2024, pp 110-120 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 64 years.
Individuals with malnutrition or BACKGROUND Based on the 2018 WHO report, it is underweight status have a 1.
6 times higher estimated that there were approximately risk of developing pulmonary TB compared 10 million cases of tuberculosis (TB) to those with normal nutritional status.
globally, with a total of 1.
4 million deaths.
There are several physical environmental The reported cases of tuberculosis in factors that can influence TB, including Indonesia in 2018 reached 566,623, with house density, which can increase the risk the East Java Province recording 73,835 of pulmonary TB as it facilitates disease According to the East Java Health House ventilation less than Department's report in 2019, based on the 10% of the floor area increases the risk by reported TB cases.
East Java ranked second 667 times .
524 - 23,.
for TB with the highest number of TB cases in occurrence in children.
House ventilation Indonesia.
Data from the East Java Health affects the humidity level inside, and high Department in 2018 showed that Jember humidity in the household environment Regency recorded 3,397 cases.
According to can create conditions conducive to the information on TB detection and treatment tuberculosis bacteria.
Jember Regency Health Mycobacterium Department, there is a trend of increasing Efforts in handling tuberculosis are TB cases in the last 3 years.
In 2020, there fundamentally carried out through various were 4,097 recorded cases with only 3,292 methods, including activities aimed at cases treated.
In 2022, there were 5,493 enhancing public knowledge about TB.
recorded cases, and only 4,687 were Health Behavior Promotion is expected to In 2023, the cases increased to bring about changes in the behavior of 6,007, with only 4,918 cases treated.
The patients or clients, with the goal of rise in TB cases indicates that the fostering willingness and abilities that implementation of TB control measures has support overall health.
Knowledge about not been optimal.
TB can be increased through Information.
The cause or agent of tuberculosis is Mycobacterium Education, and Communication (IEC), counseling, health education on TB and its prevention, as well as health promotion commonly found in young or productive such as advocating for Clean and Healthy age individuals, specifically those aged 15 to Living (PHBS).
Based on data obtained This Firjatullah.
& Ati.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 1.
April 2024, pp 110-120 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 from the Sukorambi Community Health village, namely RW 6.
Durjo Hamlet.
Center Hamlet.
Karangpring Village.
Sukorambi Sub- Karangpring Village.
Sukorambi Sub- district.
Jember Regency.
The intervention district.
Jember, there are 14 individuals provided is Health Behavior Promotion, with TB, but only about 39.
58% are which aims to facilitate group members or undergoing treatment according to the the community in identifying community Durjo The "Community as Partner" model is one of the community nursing models that implementation of programs for TB emphasizes the process of collaboration patients and addressing issues in the with the community as a partner.
The goal support system.
of this model is to address health issues, improve health status, and prevent nursing METHODS problems within the community.
In this quantitative approach in the managed area working with community members to of RT 1, 2, and 3 RW 06.
Durjo Hamlet, identify health needs, develop intervention Karangpring Village.
Sukorambi Sub- This research is a case study with a Jember.
The participation from the community itself in conducted from November 2023 to efforts to maintain and improve their January 2024, involving data collection Based on interviews with TB cadres and data assessment stages.
The actions in RW 06.
Durjo Hamlet.
Karangpring taken in this case study include: Health Village.
Sukorambi Sub-district.
Jember.
Promotion about Healthy Homes.
PHBS the Health Center program conducts (Clean and Healthy Living Behavio.
, sputum examinations on residents with TB family as Medication Supervisor (PMO).
Typically, people go directly to handwashing demonstration.
TB health the health center when they have been screening, and the provision of simple coughing for more than 1 month.
Due to the inhalation therapy with eucalyptus oil increasing TB rates in the Jember area, the researcher conducted a pretest assessment nursing care by providing interventions and will perform a posttest after the and implementations to the selected foster Before Nursing Care for Community Health Deficit in The Aggregate of Tuberculosis Patients Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 1.
April 2024, pp 110-120 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 questionnaires on knowledge of PHBS the population used was 687.
The sample (Susilaningrum 2.
, the instrument for calculation used the Slovin formula, knowledge about Healthy Homes (Yani, resulting in 87 test samples.
The statistical 2.
, the instrument for knowledge of the test conducted in this research is the Wilcoxon test.
PMO
(Medication Superviso.
(Febrina, 2.
, the TB Screening Scoring RESULTS developed by the Sukorambi Health The results obtained in this research Center, the 6-Step Handwashing Standard include the results of TB screening in the Operating Procedure to assess community community, the community's knowledge knowledge about 6-step handwashing, about Healthy House.
PHBS (Clean and and the Standard Operating Procedure Healthy Living Behavio.
, handwashing, (SPO) (Ministry of Health, 2.
Simple the family as a PMO (Primary Medical Inhalation Therapy Using Eucalyptus Oil Observe.
, as well as a demonstration of (Juliawan, simple inhalation with the vapor of examination of vital signs.
In this study, eucalyptus oil, as presented in the following table.
Table 1.
Distribution of screening results among respondents .
Screening results for TB symptoms.
YES: Indicates suspected REFERRAL NEEDED: further evaluation NO: Does not indicate suspected TB.
Based on Table 1, after screening, it was found that 15.
9% showed clinical undergoing TB treatment.
symptoms suggestive of suspected TB.
Table 2.
Distribution of community knowledge .
and measurement of RR & SPO2 postimplementation of Simple Eucalyptus Oil Vapor .
RT 06.
Dusun Durjo.
Desa Karangpring.
Sukorambi.
Jember.
Variable Description Pre-test and post-test education program for a Healthy House Lowered Increased Median .
in-ma.
Pre-test:
P value Firjatullah.
& Ati.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 1.
April 2024, pp 110-120 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 Pre-test and Post-test education program for PHBS Unchanged Post-test:
Lowered Increased Pre-test:
Pre-test and Post-test Handwashing Pre-test and Post-test family as PMO (Primary Medical Observe.
Pre-test and Post-test Simple inhalation with eucalyptus oil vapor Unchanged Post-test:
Lowered Pre-test:
Increased Unchanged Post-test:
Lowered Pretest:
Increased Unchanged Post-test:
Lowered Increased Pre-test RR :
Posttest RR :
Pretest SPO2:
Unchanged Posttes SPO2 :
Based on Table 2, the significance Wilcoxon test is .
= 0.
, signifying an values for pretest and posttest of education impact of the Family as PMO education on on a healthy home.
PHBS (Clean and community knowledge.
Furthermore, the Healthy significance value for the demonstration of handwashing demonstration are obtained, simple inhalation with eucalyptus oil in the with a significance value of .
= 0.
in Wilcoxon test is .
= 0.
, indicating an the Wilcoxon test.
This indicates that influence of the simple inhalation therapy there is an influence of the healthy home with eucalyptus oil vapor on the RR and education on the community's knowledge.
SPO2 of the patients.
Similarly.
Living Behavio.
, empowering families as PMO in the Nursing Care for Community Health Deficit in The Aggregate of Tuberculosis Patients Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 1.
April 2024, pp 110-120 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 serves as a preventive measure against the DISCUSSION The research results in RT 01, 02, and spread of various diseases.
It is important 03.
RW 6.
Hamlet Durjo.
Karangpring for the community to understand the Village.
Sukorambi District.
Jember, show requirements for a healthy home so that that effective nursing implementation is their living spaces can be safe and carried out for tuberculosis prevention in comfortable environments.
In addition to RW 06.
Karangping Village.
Sukorambi providing physical benefits, a healthy home District.
Jember Regency.
This includes the can also reduce stress levels and enhance social well-being for its inhabitants.
Based improvement efforts, health screening and on these considerations, the researcher education, as well as the implementation of assumes that there is an influence of simple inhalation of eucalyptus oil vapor healthy home education on community for TB patients.
knowledge because counseling is one way Based on the research results, it was to convey information in improving an found that the majority of respondents individual's knowledge, especially about a experienced an increase in knowledge healthy home.
It is hoped that this can about a healthy home.
This indicates a change an individual's behavior and significant influence of healthy home contribute to efforts to improve the quality education on community knowledge.
of a healthy home.
Counseling is a method of conveying In the context of education on Clean information with the aim of improving and Healthy Living Behavior (PHBS), based on the research results, it can be ultimately result in behavioral changes concluded that the majority of respondents supporting efforts to improve health experienced an increase in knowledge According to Sarwono .
, regarding Clean and Healthy Living knowledge includes cognitive elements Behavior (PHBS).
The knowledge acquired related to oneself, behavior, and the by the community through educational surrounding environment.
The health of activities is expected to have an impact on homes and the environment plays a crucial behavior change.
With this knowledge, it is role in enhancing family well-being.
hoped that the community can shift their healthy condition allows residents to behavior towards positive aspects related achieve maximum productivity and also to PHBS.
This change is not only temporary Firjatullah.
& Ati.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 1.
April 2024, pp 110-120 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 but will become a continuous habit.
making it easily transportable to various other words, the knowledge received by Based on these considerations, the researcher assumes that there is an activities is expected to shape behavior influence of handwashing demonstration patterns that support clean and healthy on the handwashing behavior of the The researcher's assumption is that community because demonstration is one education on clean and healthy living way to convey information in improving an individual's behavior, especially regarding Counseling is considered one It is hoped that this can of the effective ways to convey information change an individual's behavior and and improve an individual's knowledge, contribute to efforts to improve the quality especially regarding clean and healthy of handwashing in the community.
living behavior.
The expectation is that this From the screening results, it was can change community behavior and found that the most common clinical support an improvement in the quality of symptoms experienced by adult and life by adopting clean and healthy living elderly residents in RW 6.
Hamlet Durjo, are cough, especially cough lasting for more Based on the research results, it was than 2 weeks.
Meanwhile, the most found that the majority of respondents common symptoms in children are body weight/nutritional The .
ased KMS).
Screening is an activity aimed at identifying considered appropriate for clinical skills, and differentiating individuals who appear according to Silalahi .
, is the healthy but are at risk of disease from those demonstration method.
Demonstration is a who may not have the disease.
It is teaching method that involves the careful important to note that screening is not a presentation of actions or procedures, using moving and audible illustrations.
The Individuals with positive screening results demonstration technique shows a real or suspected of having a disease should be action or skill that is intended to be taught.
referred to a doctor for proper diagnosis This method involves the use of teaching and treatment.
aids that are safe, affordable, and effective.
Nursing Care for Community Health Deficit in The Aggregate of Tuberculosis Patients Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 1.
April 2024, pp 110-120 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 Based on the research results, it was The research results indicate that found that the majority of respondents Simple experienced an improvement in their Eucalyptus Oil Vapor has a significant knowledge about the Family as a PMO effect on increasing Respiratory Rate (RR) (Pengawas Menelan Obat/Supervisor of and SPO2 levels in respondents.
Vapor Drug Ingestio.
The family's role as a inhalation is the process of inhaling vapor, supervisor of medication ingestion in the treatment of pulmonary TB includes medication, through the upper respiratory providing motivation, moral support, and The purpose of this action is to hope for recovery to the patient.
Social provide relief to breathing, soften mucus support from the family, including moral for easier removal, and maintain moisture support, is crucial in the treatment of pulmonary TB.
The better the family respiratory tract.
Eucalyptus oil, extracted Inhalation Therapy Melaleuca compliance of pulmonary TB patients in leucadendra plant, primarily contains undergoing treatment.
Therefore, the role eucalyptol .
Based on this, the of the family as a supervisor of drug researcher assumes that simple inhalation ingestion not only helps reduce the risk of therapy with eucalyptus oil vapor has an treatment failure but also enhances the impact on the increase of Respiratory Rate patient's spirit and self-confidence to (RR) and blood oxygen levels (SPO.
in This assumption is expected to considerations, the researcher assumes provide support and assistance to alleviate that there is an influence of family the shortness of breath experienced by TB education as a PMO on community Based knowledge because counseling is one way to convey information in improving an CONCLUSION individual's knowledge, especially about The community nursing assessment family support as a PMO.
It is hoped that of TB incidents in Block 06.
Karangping this can change an individual's behavior Village, and contribute to efforts to improve the Regency, is influenced by the high quality of the family's role as a Supervisor population density and the close proximity of Drug Ingestion.
of residents' houses, leading to a lack of Sukorambi District.
Jember Firjatullah.
& Ati.
Jurnal Kesehatan Komunitas Indonesia (JKKI) Volume 4 Issue 1.
April 2024, pp 110-120 https://ebsina.
id/journals/index.
php/jkki eISSN 2503-2801, pISSN 2985-3435 sunlight entering the homes.
Therefore, the Hanny Rasni.
Manuscript revisions: Sisma nursing diagnosis adopted for this TB Yesi Yunnita.
incident is Community Health Deficit.
ACKNOWLEDGMENT interventions chosen as the preferred We would like to thank you for the approach to addressing community health Faculty of Nursing.
University of Jember deficit issues through direct nursing care, that facilitate research activities.
After CONFLICT OF INTEREST nursing care, it was found that effective interventions include identifying health The authors declare no conflict of interest for this publication.
behavior efforts that can be improved, health screening and education, as well as DATA AVAILABILITY STATEMENT The data that support the findings of eucalyptus oil vapor for TB patients.
The evaluation results of the TB prevention corresponding author upon reasonable effectively improve the community's health
Therefore, it is recommended that REFERENCES