A Nursing Management Model to Increase Medication Adherence and Nutritional Status of Patients with Pulmonary TB
Journal Title: Jurnal Ners - Year 2015, Vol 10, Issue 1
Abstract
Introduction: High dropout rate, inadequate treatment, and resistance to medication, still become an obstacle in the treatment of pulmonary TB. Pulmonary TB patient care management at home can be done actively through telenursing. N-SMSI (Ners-Short Message Service Intervention) is one of community nursing intervention, in which community nurses send short messages to remind patients to take medication and nutrition. The aim of this study was to analyze the effect of nursing management model N-SMSI to increased medication adherence and nutritional status of patients with pulmonary TB. Method: This study was used prospective design. The populations were new pulmonary TB patient at intensive phase, at Puskesmas Pegirian Surabaya. Samples were taken by purposive sampling technique; consist of 30 people, divided into treatment and control groups. The independent variable was N-SMSI. The dependent variables were medication adherence collected by using questionnaire and nutritional status by using measurement of body weight (kg). The data were then analyzed by using Wilcoxon Signed Rank Test, Mann Whitney, and Independent t-test with α ≤ 0.05 Result: The results of wilcoxon signed rank test had showed difference in the nutritional status of the treatment group before and after intervention, with p = 0.001. It’s similar with the control group, with p = 0.002. Mann whitney test results had showed no signifi cant difference in nutritional status between treatment and control group, as indicated by the value of p=0.589. While independent t-test had showed difference in compliance between treatment and control group, with p=0.031. Conslusion: N-SMSI can improve medication adherence of patient with Pulmonary TB. This model can be developed by nurse as alternative methods to improve medication adherence in patients with Pulmonary TB. Further research should modify nursing management model which can improve the nutritional status of patient with Pulmonary TB.
Authors and Affiliations
Eka M Misbahatul MHas, Elida Ulfiana, Ferry Efendi, Retno Indarwati, Joni Haryanto, Makhfudli Makhfudli
Keywords
Related Articles
- EP ID EP202474
- DOI 10.20473/jn.V10I12015.189-193
- Views 102
- Downloads 0
Self Control and Self Effi cacy Increase Mother’s Birth Labor Satisfaction
Introduction: Self-control and self-effi cacy are necessary for would-be mothers to enhance their birth labor satisfaction. This research was conducted in Ratu Zalecha public hospital in Martapura and in Banjarbaru publi...
Work atmosphere and Perception on Job as Determinant Factor of Employee’s Intention to Stay in Wahyu Tutuko Police Hospital Bojonegoro
Introduction: Many studies suggested that employee intention to stay were determined by job satisfaction, particularly correlated with salary or other economic aspects. However, the initial survey showed that 55 % of emp...
Self Concept, Social Support, and Anxiety in Dealing with Fractured Patient
Introduction: The self-concept on fractured-patient is the way of the patient views himself as a whole. The view may cause the patient to feel less confident and may lead the patient to experience anxiety. Such condition...
PSYCHOLOGICAL WELL-BEING IN TYPE 2 DIABETES MELLITUS PATIENTS IN MULYOREJO PUBLIC HEALTH CENTER SURABAYA
Introduction: Living with chronic diseases such as Diabetes mellitus type 2 will make patients experience change or imbalance include biological, psychological, social and spiritual. One of the psychological spects in p...
Regulation of Blood Pressure in Patients with Primary Hypertension with Smoothie Banana (Musa Paradisiaca)
Introduction: Hypertension is a major problem that often happen in Indonesia. Hypertension can cause many complications. In Indonesia almost patients with hypertension got farmacologic therapy, but there is no difference...