Publikasi Dosen
Faktor – Faktor Yang Berpengaruh Terhadap Survival Kelanjutan Berobat Penderita Tuberkulosis Di Puskesmas Kecamatan Tebet Jakarta Selatan
Incomplete treatment causes the disease to not heal. The problem of dropping out of treatment for tuberculosis is universal, tuberculosis treatment is relatively long, when compared to other infectious diseases. Patients with tuberculosis if not treated properly will cause immunity to germs and can transmit the disease to other people. Objective: To find out the factors that influence the survival of tuberculosis patients according to age, sex, PMO, type of patient, category of treatment, medical history, health care and domicile in the area of Puskesmas Tebet, South Jakarta District, 2018. Study design: Retprospective cohort study design. A sample of 260 tuberculosis patients who completed treatment in 2018 in the Puskesmas, Tebat District, South Jakarta. The sample obtained was 260 people using random sampling obtained from the type group of patients, both new and old sufferers.
Results and Discussion: There were 24 tuberculosis patients who dropped out of treatment during 2018 (9.23%). The probability of survival for tuberculosis patient treatment was 99.56% (175th day), 99.56% (181th day), 98.22 (184th day), 97.78% (185th day) and 97.78 % (day 186). In the Cox regression analysis, the Treatment Regimen and Health Care Regimen are independent variables in tuberculosis patients whose Category 2 treatment regimen has a 0.2 times greater risk of dropping out of treatment than Category 1 (HR: 0.2027 95% CI: (0.075- 0.548). Tuberculosis patients at the hospital had a risk of dropping out of treatment 0.308 times higher than tuberculosis patients in Puskesmas 0.308 (0.156-0.608).
Conclusions and suggestions: The factors that influence the survival of tuberculosis patients are treatment regimens and health care with the overall probability of continuation of treatment for tuberculosis patients is 99.56% (175 days), 98.22% (184 days) with median probability of survival at day 186. It is recommended to improve the quality of health services in the DOTS strategy, namely diagnosis, treatment and counseling for patients and PMOs.
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