PSIKOLOGIS PASIEN MULTI DRUG RESISTAN TUBERKULOSIS SELAMA PENGOBATAN DI PUSKESMAS SENTANI KOTA: STUDI FENOMENOLOGI
Keywords:
Psikologis, Pasien TB-MDR, Studi FenomenologiAbstract
Pasien TB-MDR yang sedang menajalani pengobatan akan mempunyai gangguan fisik dan psikologis. Pasien TB-MDR mengalami gejala yang tidak enak akibat dari side efek obat TB yang menyebabkan pasien merasa adanya tekanan psikis seperti merasa sedih, cemas hingga depresi. Kondisi psikologis memiliki peranan penting dalam meningkatkan keberhasilan minum obat lini 2. Adanya gangguan psikologis seperti depresi pada pasien TB-MDR yang juga merupakan masalah secara global perlu mendapatkan penanganan dan perawatan secara khusus. Penelitian yang berkaitan tentang TB-MDR banyak dilakukan secara kuantitaif, akan tetapi masalah psikologis bersifat subjektif, sehingga sangat penting untuk mengeksplorasi kondisi psikologis selama menjalani pengobatan. Metode penelitian ini adalah kualitatif dengan desain fenomenologi desktiptif. Populasi penelitian ini adalah pasien TB-MDR yang menjalani pengobatan dengan jumlah partisipan enam orang. Pengambilan sampel dilakukan dengan teknik purposive sampling. Pengambilan data dilakukan dengan metode focus group discussion dengan menggunakan teknik wawancara indepth interview. Analisa data menggunakan teknik Colaizzi. Trustwhortiness dalam penelitian menggunakan 4 metode antara lain Credibility, Dependability, Confirmability, dan Tranferability. Hasil penelitian dari tujuan penelitian sebanyak dua tema yaitu: 1) Merasakan kondisi yang tidak enak ketika pertama minum yang terdiri dari dua kategori: seperti: a) Merasakan tekanan psikis dan fisik, b) Cemas dan takut menularkan penyakit, tema 2) Kendala finansial yang dirasakan selama menjalani pengobatan. Pasien TB-MDR memiliki masalah psikologis yang berkaitan dengan pengobatan maupun biaya. Peran perawat yang dapat dilakukan untuk pengembangan program pengobatan yang mempu meningkatkan status kecerdasan emosional pasien TB-MDR adalah dengan pemberian psikoedukasi, konseling maupun spiritual well-being sangat diperlukan.Downloads
References
Afiyanti, Y., & Rachmawati, I. N. (2014). Metodologi penelitian kualitatif dalam riset keperawatan. Jakarta: PT RajaGrafindo Persada.
Ahmad, N., Javaid, A., Sulaiman, S. A. S., Basit, A., Afridi, A. K., Jaber, A. A. S., & Khan, A. H. (2016). Effects of multidrug resistant tuberculosis treatment on patients’ health related quality of life: Results from a follow up study. PLoS ONE, 11(7), 1–16. https://doi.org/10.1371/journal.pone.0159560
Aini, Q., Yovi, I., & Yulis Hamidy, M. (2015). Gambaran Efek Samping Obat Anti Tuberkulosis (Oat) Lini Kedua Pada Pasien Tuberculosis-Multidrug Resistance (Tb-Mdr) Di Poliklinik Tb-Mdr Rsud Arifin Achmad Provinsi Riau. Jom Fk, 1(2), 1–13.
Aristiana, C. D., & Wartono, M. (2018). Faktor-faktor yang mempengaruhi kejadian Multi Drug Resistance Tuberkulosis (MDR-TB). Jurnal Biomedika Dan Kesehatan, 1(1), 65–74. https://doi.org/10.18051/jbiomedkes.2018.v1.65-74
Azam, M., Fibriana, A. I., Indrawati, F., & Septiani, I. (2019). Multi-Drug Resistance Tuberculosis :, 40(2), 128.
Baral, S. C., Aryal, Y., Bhattrai, R., King, R., & Newell, J. N. (2014). The importance of providing counselling and financial support to patients receiving treatment for multi-drug resistant TB: Mixed method qualitative and pilot intervention studies. BMC Public Health, 14(1). https://doi.org/10.1186/1471-2458-14-46
Basuki, R., Budhiarti, E., & Rihadini. (2014). Pengaruh Depresi Terhadap Kepatuhan Minum OAT pada Penderita TB. Jurnal Kedokteran Muhammadiyah, 2(2), 1–8.
Bloss, E., KukÅ¡a, L., Holtz, T. H., Riekstina, V., SkripÄonoka, V., Kammerer, S., & Leimane, V. (2010). Adverse events related to multidrug-resistant tuberculosis treatment, Latvia, 2000-2004. International Journal of Tuberculosis and Lung Disease, 14(3), 275–281.
Brown, J., Capocci, S., Smith, C., Morris, S., Abubakar, I., & Lipman, M. (2015). Health status and quality of life in tuberculosis. International Journal of Infectious Diseases, 32, 68–75. https://doi.org/10.1016/j.ijid.2014.12.045
Creswell, J. W. (2014). Research design pendekatan metode kualitatif, kuantitatif, dan campuran. (A. Fawaid & R. K. Pancasari, Eds.) (Keempat). Yogyakarta: Pustaka pelajar Celeban UH III/548.
Dagne, T., Bidu, K. T., Jiru, F., & Babure, Z. K. (2019). RISK FACTORS FOR MDR-TB BY BABURE ET AL . MS IJBAF 2019 2309, (April).
Deshmukh, R. D., Dhande, D. J., Sachdeva, K. S., Sreenivas, A., Kumar, A. M. V., Satyanarayana, S., … Lo, T. Q. (2015). Patient and provider reported reasons for lost to follow up in MDRTB treatment: A qualitative study from a drug resistant TB Centre in India. PLoS ONE, 10(8). https://doi.org/10.1371/journal.pone.0135802
Duko, B., Bedaso, A., & Ayano, G. (2020). The prevalence of depression among patients with tuberculosis: A systematic review and meta-analysis. Annals of General Psychiatry, 19(1), 1–11. https://doi.org/10.1186/s12991-020-00281-8
Duriana Mara Majara, Swito Prastiwi, M. A. (2018). Pengaruh Konseling Personal Terhadap Kesadaran Pencegahan Penularan Tb Paru di Wilayah Puskesmas Janti Kota Malang. Nursing News, 3(1), 120–132. Retrieved from https://publikasi.unitri.ac.id/index.php/fikes/article/view/758/599
Erni Hidayanti. (2015). Pengetahuan Dan Stigma Masyarakat Terhadap Tbc Setelah Diberikan Pendidikan Kesehatan Pencegahan Dan Penularan. Keperawatan Soedirman, 10(2), 114–120. Retrieved from zubaidah@undip.ac.id
Fatmawati, U., & Kusmiati, T. (2017). Characteristics and the Side Effects of New MDR-TB Treatment. Jurnal Respirasi, 3(3), 67–73.
Franck, C., Seddon, J. A., Hesseling, A. C., Schaaf, H. S., Skinner, D., & Reynolds, L. (2014). Assessing the impact of multidrug-resistant tuberculosis in children: An exploratory qualitative study. BMC Infectious Diseases, 14(1). https://doi.org/10.1186/1471-2334-14-426
Grenard, J. L., Munjas, B. A., Adams, J. L., Suttorp, M., Maglione, M., McGlynn, E. A., & Gellad, W. F. (2011). Depression and medication adherence in the treatment of chronic diseases in the United States: A meta-analysis. Journal of General Internal Medicine, 26(10), 1175–1182. https://doi.org/10.1007/s11606-011-1704-y
Hernandez, R., Bassett, S. M., Boughton, S. W., Schuette, S. A., Shiu, E. W., & Moskowitz, J. T. (2017). Psychological Well-Being and Physical Health: Associations, Mechanisms, and Future Directions. Emotion Review, 1(1), 175407391769782. https://doi.org/10.1177/1754073917697824
Hutchison, C., Khan, M. S., Yoong, J., Lin, X., & Coker, R. J. (2017). Financial barriers and coping strategies: a qualitative study of accessing multidrug-resistant tuberculosis and tuberculosis care in Yunnan, China. BMC Public Health, 17(1), 1–11. https://doi.org/10.1186/s12889-017-4089-y
Javaid, A., Mehreen, S., Khan, M. A., Ashiq, N., & Ihtesham, M. (2017). Depression and its Associated Factors with Multidrug-Resistant Tuberculosis at Baseline. Journal of Depression and Anxiety, 06(01), 1–6. https://doi.org/10.4172/2167-1044.1000253
Jormfeldt, H. (2014). Perspectives on health and well-being in nursing. International Journal of Qualitative Studies on Health and Well-Being, 9(1), 9–10. https://doi.org/10.3402/qhw.v9.23026
Kemenkes RI. (2015). Buku Saku Pasien TB MDR.
Kementerian Kesehatan RI. (2016). Tuberkulosis.
Khan, M. A., & Khan, R. A. (2015). Predictors of Poor Outcomes among Patients Treated for Multidrug-Resistant Tuberculosis at Tertiary Care Hospital in, (August). https://doi.org/10.5829/idosi.aejts.2015.7.3.9499
Khanal, S., Elsey, H., King, R., Baral, S. C., Bhatta, B. R., & Newell, J. N. (2017). Development of a patient-centred, psychosocial support intervention for multi-drug-resistant tuberculosis (MDR-TB) care in Nepal. PLoS ONE, 12(1), 1–16. https://doi.org/10.1371/journal.pone.0167559
McNeal, L., & Selekmen, J. (2017). Guidance for Return to Learn After a Concussion. NASN School Nurse (Print), 32(5), 310–316. https://doi.org/10.1177/1942602X17698487
Morris, M. D., Quezada, L., Bhat, P., Moser, K., Smith, J., Perez, H., … Rodwell, T. C. (2013). Social, economic, and psychological impacts of MDR-TB treatment in Tijuana, Mexico: A patient’s perspective. International Journal of Tuberculosis and Lung Disease, 17(7), 954–960. https://doi.org/10.5588/ijtld.12.0480
Nahda, N. D., Kholis, F. N., Wardani, N. D., & Hardian. (2017). Faktor – Faktor Yang Berpengaruh Terhadap Kejadian Depresi Pada Pasien Tuberkulosis Di Rsup Dr. Kariadi Semarang. Diponegoro Medical Journal (Jurnal Kedokteran Diponegoro), 6(4), 1529–1542.
Pachi, A., Bratis, D., Moussas, G., & Tselebis, A. (2013). Psychiatric Morbidity and Other Factors Affecting Treatment Adherence in Pulmonary Tuberculosis Patients. Tuberculosis Research and Treatment, 2013, 1–37. https://doi.org/10.1155/2013/489865
Peddireddy, V. (2016). Quality of life, psychological interventions and treatment outcome in tuberculosis patients: The Indian scenario. Frontiers in Psychology, 7(OCT), 1–9. https://doi.org/10.3389/fpsyg.2016.01664
Polit, D. F., & Beck, C. T. (2012). Nursing research generating and assessing evidence for nursing practice (Ninth). Lippincott Williams & Wilkins.
Reviono, Kusnanto, P., Eko, V., Pakiding, H., Nurwidiasih, D., Pulmonologi dan Ilmu Kedokteran Respirasi, B., … Telinga Hidung Tenggorokan-Kepala Leher Fakultas Kedokteran, B. (2014). Multidrug Resistant Tuberculosis (MDR-TB): Tinjauan Epidemiologi dan, 46(4), 189–196.
Rumende, C Martin. (2018). Diagnosis dan Tatalaksana Tuberkulosis Resistan Obat. Pertemuan Ilmiah Tahunan Ilmu Penyakit Dalam 2018, 139–147.
Rumende, Cleopas M. (2018). Risk Factors for Multidrug-resistant Tuberculosis, 50(1), 1–2.
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719–727. https://doi.org/10.1037/0022-3514.69.4.719
Seung, K. J., Keshavjee, S., & Rich, M. L. (2015a). Drug-Resistant Tuberculosis.
Seung, K. J., Keshavjee, S., & Rich, M. L. (2015b). Multidrug-Resistant Tuberculosis and Extensively Drug-Resistant Tuberculosis. Cold Spring Harbor Perspective in Medecine, 960. https://doi.org/10.1101/cshperspect.a017863
Singh, N. K., Gupta, P. K., & Yadav, J. S. (2019). Psychological Distress in Patients of Multi Drug Resistant Tuberculosis. International Journal of Health Sciences and Research, 9(November), 126–130.
Singh, V., Kumar Verma, S., Kumar, A., Bajaj, D., Sekhar, C., Kant, S., & Prasad, R. (2018). Prevalence of Depression Among Newly Diagnosed Mdr Tuberculosis Patients At the Time of Registration- an Experience From Dots Plus Centre. Journal of Evolution of Medical and Dental Sciences, 7(04), 519–523. https://doi.org/10.14260/jemds/2018/116
Supriyanto, I., Liung, S., Suprihatini, S., & Ismanto, S. H. (2017). Psychiatric disorders in patients with multidrug resistant tuberculosis (MDR-TB) in Sardjito Hospital, Yogyakarta, Indonesia. Journal of Analytical Research in Clinical Medicine, 5(3), 91–96. https://doi.org/10.15171/jarcm.2017.018
Tanimura, T., Jaramillo, E., Weil, D., Raviglione, M., & Lönnroth, K. (2014). Financial burden for tuberculosis patients in low- And middle-income countries: A systematic review. European Respiratory Journal, 43(6), 1763–1775. https://doi.org/10.1183/09031936.00193413
Tembo, B. P., & Malangu, N. G. (2019). Prevalence and factors associated with multidrug/rifampicin resistant tuberculosis among suspected drug resistant tuberculosis patients in Botswana. BMC Infectious Diseases, 19(1), 1–8. https://doi.org/10.1186/s12879-019-4375-7
van den Hof, S., Collins, D., Hafidz, F., Beyene, D., Tursynbayeva, A., & Tiemersma, E. (2016). The socioeconomic impact of multidrug resistant tuberculosis on patients: Results from Ethiopia, Indonesia and Kazakhstan. BMC Infectious Diseases, 16(1). https://doi.org/10.1186/s12879-016-1802-x
Viney, K., Islam, T., Binh Hoa, N., Morishita, F., & Lönnroth, K. (2019). Tropical Medicine and Infectious Disease The Financial Burden of Tuberculosis for Patients in the Western-Pacific Region. Tropical Medicine and Infectious Disease Review, 4, 1–12.
Walker, I. F., Kanal, S., Baral, S. C., Farragher, T. M., Joshi, D., Elsey, H., & Newell, J. N. (2019). Depression and anxiety in patients with multidrug-resistant tuberculosis in Nepal: an observational study. Public Health Action, 9(1), 42–48. https://doi.org/10.5588/pha.18.0047
WHO. (2016). Global tuberculosis. WHO.
Widyaningrum, D., Retnaningsih, D., & Tamrin, T. (2019). Hubungan Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Lansia Penderita Hipertensi. Jurnal Ilmu Keperawatan Komunitas, 2(2), 21. https://doi.org/10.32584/jikk.v2i2.411
Published
How to Cite
Issue
Section
Copyright (c) 2021 Sulistiyani Sulistiyani, Lamria Situmeang, Qoriah Nur
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Jurnal Keperawatan Tropis Papua (JKTP) agree to the following terms:
Authors retain copyright and grant Jurnal Keperawatan Tropis Papua (JKTP) right of first publication with the work simultaneously licensed under a Creative Commons Attribution License CC-BY-SA that allows others to remix, adapt, build upon the work with an acknowledgment of the work's authorship and initial publication and initial publication in this journal.
Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) before and during the submission process, as it can lead to productive exchanges and earlier and greater citation of published work (See The Effect of Open Access).
Most read articles by the same author(s)
- Qoriah Nur, Siswani Siswani, HUBUNGAN PERILAKU MENCUCI TANGAN DENGAN KEJADIAN DIARE PADA ANAK DI RUANG KANAK-KANAK RSUD ABEPURA , JURNAL KEPERAWATAN TROPIS PAPUA: Vol. 2 No. 2 (2019)
- Lamria Situmeang, Sulistiyani Sulistiyani, Theresia Febriana Christi Tyas Utami, FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN BEROBAT PENDERITA TB PARU DI WILAYAH PUSKESMAS KOTA YAPEN SERUI , JURNAL KEPERAWATAN TROPIS PAPUA: Vol. 3 No. 1 (2020)
- Qoriah Nur, Sulistiyani, Lamria Situmeang, PENGARUH KEPATUHAN MINUM OBAT PADA PASIEN TUBERKULOSIS TERHADAP KEBERHASILAN PENGOBATAN DI WILAYAH KERJA PUSKESMAS HARAPAN , JURNAL KEPERAWATAN TROPIS PAPUA: Vol. 5 No. 1 (2022): JUNI 2022
- Korinus Suweni, Demianus Tafor, Sulistiyani Sulistiyani, PERSEPSI DAN PERILAKU MASYARAKAT TENTANG PELAKSANAAN PROGRAM PENGOBATAN MASAL FILARIASIS DI WILAYAH PUSKESMAS KOTA JAYAPURA , JURNAL KEPERAWATAN TROPIS PAPUA: Vol. 2 No. 2 (2019)
