Gambaran Intervensi Penghentian Merokok Pada Pasien Tuberkulosis Yang Resisten Terhadap Obat di RS X

Kantun Safira Indrayani; Syifa Nur Fadhila; Siti Nur Qomariah

doi:10.37036/jhmr.v4i2.646

Kantun Safira Indrayani Program Studi S1 Administrasi Rumah Sakit, STIKES Adi Husada
Syifa Nur Fadhila Program Studi S1 Administrasi Rumah Sakit, STIKES Adi Husada
Siti Nur Qomariah Program Studi S1 Keperawatan, STIKES Adi Husada

DOI: https://doi.org/10.37036/jhmr.v4i2.646

Abstract

Background: Because of its high recurrence risk and extended treatment duration, drug-resistant tuberculosis (DR-TB) presents a serious public health concern. Poor treatment adherence, financial difficulties, immunocompromised conditions, bacterial mutations, and irregular treatment regimens are some of the factors that lead to recurrence.

Aims: To describe smoking cessation intervention in drug-resistant tuberculosis patients at Hospital X.

Methods: A qualitative research study explored the challenges of providing Smoking Cessation (SC) interventions in a hospital setting, specifically focused on patients with drug-resistant tuberculosis, hospital staff, and structural elements, with a total sample size of 18. Conducted at a DR-TB management hospital in Surabaya. In-depth interviews lasting approximately thirty minutes each utilized open-ended questions regarding the dangers of smoking, barriers to cessation support, and resource availability. Interviews were recorded, transcribed verbatim, and thematically analyzed using an inductive coding approach following participant consent.

Results: The research offers subthemes that were outlined under each of the three main themes (barriers to quitting smoking) that were identified. Individual DR-TB inpatients' personal factors are obstacles to quitting smoking, whereas hospital staff members' personal aspects are obstacles to quitting smoking. The government and hospital administration are in charge of addressing the institutional impediments to quitting smoking.

Conclusion: The health of drug-resistant tuberculosis inpatients is adversely affected by cigarette smoking. Mandatory screening and counseling for smokers among DR-TB and TB patients are essential for developing effective treatment strategies in healthcare.

References

1. Bagcchi, S. (2023). WHO’s Global Tuberculosis Report 2022. The Lancet Microbe, 4(1). https://doi.org/10.1016/s2666-5247(22)00359-7
2. Anggraini, R. D., Rahayu, E. P., & Aminuzzab, A. (2018). Policy brief: penelusuran ancaman kasus TB pada petugas kesehatan di Indonesia. Berita Kedokteran Masyarakat. https://doi.org/10.22146/bkm.37712
3. Sasmitha, L. V., Yustiantara, P. S., & Yowani, S. C. (2018). Desain DNA Primer secara In Silico sebagai Pendeteksi Mutasi Gen gyrA Mycrobacterium tuberculosis untuk Metode Polumerase Chain Reaction. CAKRA KIMIA (Indonesian E-Journal of Applied Chemistry), 6(1).
4. Messe, Y., Made Budiarsa, I., Abd, &, & Laenggeng, H. (2020). Desain primer polymerase chain reaction (pcr) secara in silico untuk amplifikasi gen gyra extensively drug resistant tuberculosis (xdr-tb). Journal of Biology Science and Education, 8(2).
5. Meriyadi, N. (2022). Faktor-Faktor yang Mempengaruhi Perilaku Merokok pada Mahasiswa di Fakultas Ilmu Kesehatan Universitas Ibn Khaldun Bogor Provinsi Jawa Barat Tahun 2021. PROMOTOR, 5(6). https://doi.org/10.32832/pro.v5i6.8749
6. Goel, S., Kathiresan, J., Singh, P., & Singh, R. J. (2017). Effect of a brief smoking cessation intervention on adult tobacco smokers with pulmonary tuberculosis: A cluster randomized controlled trial from North India. Indian Journal of Public Health, 61. https://doi.org/10.4103/ijph.IJPH_265_17
7. Kayhan Tetik, B., Gedik Tekinemre, I., & Taş, S. (2021). The Effect of the COVID-19 Pandemic on Smoking Cessation Success. Journal of Community Health, 46(3). https://doi.org/10.1007/s10900-020-00880-2
8. Ruiz-Huerta García de Viedma, C., Canto, M. V, Cavero Esponera, C., Ferrer Arnedo, C., Román Belmonte, J. M., Fuentes Irigoyen, R., González Solana, I., Ruiz Castro, C., Serrano Molina, L., Socorro García, A., & Díaz López, Y. (2024). 12 meses, 12 no hacer. Campaña de seguridad del paciente. Journal of Healthcare Quality Research, 39(1), 56–58. https://doi.org/10.1016/j.jhqr.2023.10.002
9. Garcia-Gomez, L., Hernández-Perez, A., Noe-Diaz, V., Antonio Riesco-Miranda, J., & Jimenez-Ruiz, C. (2019). Smoking cessation treatments: Current psychological and pharmacological options. In Revista de Investigacion Clinica (Vol. 71, Issue 1). https://doi.org/10.24875/RIC.18002629
10. Master, I., & Furin, J. (2016). Access to new drugs and the global drug-resistant TB crisis: A case series from KwaZulu-Natal, South Africa. International Journal of Tuberculosis and Lung Disease, 20(7). https://doi.org/10.5588/ijtld.15.0905
11. Yunita, A., & Sumiati, S. (2022). Hubungan Faktor Komunikasi dan Beban Kerja Terhadap Keselamatan Pasien Saat Bekerja di RSUD Kota Madiun. Indonesian Journal on Medical Science, 9(2). https://doi.org/10.55181/ijms.v9i2.376
12. Khoirunnisa, A., & Subarnas, A. (2023). Review: Pemanfaatan Beberapa Tanaman Herbal Sebagai Kandidat Obat Pendukung Penghentian Merokok. Indonesian Journal of Biological Pharmacy, 3(1). https://doi.org/10.24198/ijbp.v3i1.42440
13. Navya, N., Jeyashree, K., Madhukeshwar, A. K., Anand, T., Nirgude, A. S., Nayarmoole, B. M., & Isaakidis, P. (2019). Are they there yet? Linkage of patients with tuberculosis to services for tobacco cessation and alcohol abuse - A mixed methods study from Karnataka, India. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-3913-8
14. Boeckmann, M., Nohavova, I., Dogar, O., Kralikova, E., Pankova, A., Zvolska, K., Huque, R., Fatima, R., Noor, M., Elsey, H., Sheikh, A., Siddiqi, K., & Kotz, D. (2018). Protocol for the mixed-methods process and context evaluation of the TB & Tobacco randomised controlled trial in Bangladesh and Pakistan: A hybrid effectiveness-implementation study. BMJ Open, 8(3). https://doi.org/10.1136/bmjopen-2017-019878
15. Febriyanti, R. W., Lestari, E. S., Hadi, P., & Ciptaningtyas, V. R. (2021). Tuberkulosis Paru dengan Risiko Multi Drug Resistant di RS Rujukan Tertier di Jawa Tengah. Herb-Medicine Journal, 4(2).
16. Siallagan, A., Tumanggor, L. S., & Sihotang, M. (2023). Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat pada Pasien Tuberculosis Paru. Jurnal Penelitian Perawat Profesional, 5(3), 1199–1208. https://doi.org/10.37287/jppp.v5i3.1779
17. Hidayati, A., & Darni, Z. (2018). Penerapan Pendidikan Kesehatan Perawatan TB Paru. JIKO (Jurnal Ilmiah Keperawatan Orthopedi), 2(2). https://doi.org/10.46749/jiko.v2i2.12
18. Sadipun, D. K. (2021). Pengaruh Mindfulness Spiritual Dengan Metode STOP Terhadap Kemampuan Minum Obat Pasien TB Paru. Briliant: Jurnal Riset Dan Konseptual, 6(4). https://doi.org/10.28926/briliant.v6i4.911
19. Qomariah, S. N., Sudiana, I. K., Harmayetty, ., & Bakar, A. (2019). Supportive-Educative Nutrition Increases Family Support, Adequate Nutrition, and Decrease Diabetic Gastroparesis. 200–205. https://doi.org/10.5220/0008322702000205
20. Qomariah, S. N., Susanti, & Kristiani, R. B. (2022). Pendampingan Supportive-educative Keluarga dalam Perawatan Pasien Gastroparesis Diabetik. Prosiding Seminar Nasional Pengabdian Kepada Masyarakat : BERKARYA DAN MENGABDI UNTUK MENINGKATKAN KEMANDIRIAN MASYARAKAT PASCA PANDEMI, 585–595. https://conferences.unusa.ac.id/index.php/snpm/article/view/1010

Gambaran Intervensi Penghentian Merokok Pada Pasien Tuberkulosis Yang Resisten Terhadap Obat di RS X

Abstract

References

Keywords

Most read articles by the same author(s)