kepatuhan minum oat pada pasien tbc di wilayah puskesmas panimbang pandeglang banten

8/17/2019 Kepatuhan Minum Oat Pada Pasien Tbc Di Wilayah Puskesmas Panimbang Pandeglang Banten

1/19

KEPATUHAN MENELAN OAT PADA PASIEN TBC DI WILAYAH PUSKESMAS

PANIMBANG PANDEGLANG BANTEN

TUGAS KELOMPOK METODOLOGI PENELITIAN

( Prof.Dr. Soekidjo Notot!odjo" SKM"M.Co!!#

OLEH $

TAU%AN SUNA&YO (')'))*#

UCU WANDI SOMANT&I (')'))*+#

,E&A ANDA LUSIYA (NPM.')'))*-#

UNIVERSITAS RESPATI INDONESIA

PROGRAM PASCASARJANA ILMU KESEHATAN MASYARAKAT

TAHUN 2016


2/19

KEPATUHAN MENELAN OAT PADA PASIEN TBC DI WILAYAH PUSKESMAS

PANIMBANG PANDEGLANG BANTEN

A. Latar Bea!a"#Tuberkulosis (TBC ata$ TB# d/ 01t1 2e34kit i3fek0i 435 di0e66k3 oe/

6kteri Mikobakterium tuberkulosa. Bkteri i3i !er12k3 6kteri 60i 435 035t k1t

0e/i355 !e!er1k3 7kt1 ! 13t1k !e35o6ti34. Bkteri i3i e6i/ 0eri35 !e35i3fek0i

or53 2r182r1 di63di35k3 65i3 i3 t161/ !310i.I30ide30i TBC di2ork3 !e3i35kt 0e9r dr0ti0 2d dekde terk/ir i3i di 0e1r1/

d13i. De!iki3 21 di I3do3e0i" T16erk1o0i0 : TBC !er12k3 !0/ ke0e/t3"

6ik dri 0i0i 35k ke!ti3 (mortalitas#" 35k kejdi3 2e34kit (morbiditas#" !1213

di53o0i0 d3 ter2i34. De353 2e3d1d1k e6i/ dri ;)) j1t or35" Indonesia

menempati urutan ketiga setelah India dan China d! / j1!/ 2e3derit di 3tr

;; 3e5r de353 !0/ TBC ter6e0r di d13i.H0i 01r).))) 2e3d1d1k ti2 t/13. ?1!/ 2e3derit TBC 2r1 dri t/13 ke t/13 di

I3do3e0i ter10 !e3i35kt.

St i3i 0eti2 !e3it !1391 0t1 2e3derit 6r1 TBC 2r1" d3 0eti2 d1

!e3it !1391 0t1 2e3derit 6r1 TBC 2r1 435 !e31r. B/k3 0eti2 e!2t !e3it

0eki 0t1 or35 !e3i355 ki6t TBC di I3do3e0i. Se/i355 kit /r10 702d 0ejk

di3i @ !e3d2tk3 i3for!0i e35k2 te3t35 2e34kit TBC

SETIAP t355 ;> Mret di2eri35ti Word TB D4 t1 Hri TB Sed13i (HTBS#.

Pd t/13 ;)'+" Te! Go6 HTBS d/ U3ite To E3d TB. Sed35k3 Te!

N0io3 HTBS ;)'+ d/ Gerk3 Ke1r5 Me31j1 I3do3e0i Be60

TB !e1i Gerk3 Te!1k3 TB" O6ti S!2i Se!61/ (TOSS TB#.

Te! TB d4 i3i 91k12 6ert 13t1k di71j1dk3" kre3 kit /r10 !ek1k3 124

435 91k12 6e0r d! !e3j35k1" !e!erik0 d3 !e35o6ti . Ad * j1t 2e3derit TB

435 6e1! !e35tk3 I3do3e0i 6e60 TB" de353 !e3e!1k3 d3 !e35o6ti TB di

0e1r1/ I3do3e0i.


3/19

PUSKESMAS 0e65i 2e34ee355r ke0e/t3 diti35kt ke9!t3 !er12k3

0/ 0t1 1j135 to!6k 65i 2e3i35kt3 derjt ke0e/t3 !04rkt. D!

!e3j3k3 f1350i34 P10ke0!0 0ei3 0e65i 2e!6eri 2e433 ke0e/t3 d0r

j15 6er2er3 d3 2e!6erd43 !04rkt di 6id35 ke0e/t3 0ert !ek1k3

d


4/19

• %ktor Di2e3de3 $

St1 or35 435 !e3i355 kre3 dro2 o1t d3 or35 tidk 2t1/ d! 2e35o6t3 "

ke634k3 20ie3 435 tidk tt d! 2e35o6t3 di0e66k3 kre3 k1r3534 2er3

ke1r5 0e65i 2e3570 ketert1r3 !e3e3 o6t" 0e/i355 20ie3 435 !0

!e3e3 o6t di6irk3 6e5it1 0j.

• %ktor I3de2e3de3 $

8 U!1r 8 ?e3i0 Ke!i38 Pe3didik38 Pekerj38 Pe3d2t3 Ke1r5

8 Pe35et/13 te3t35 TB8 Keter22r3 I3for!0i te3t35 TB

C. T1j13 Pe3eiti3

• T1j13 U!1! $

Me!2ejri d3 !e3je0k3 ke2t1/3 !e3e3 OAT 2d 20ie3 TB de353 f9tor

435 6er/161353 di 7i4/ P10ke0!0 P3i!635 P3de535 B3te3.

• T1j13 K/1010 $

8 Me!2ejri d3 !e3je0k3 /161353 3tr U!1r d3 ke2t1/3 !e3e3 OAT

2d 20ie3 TB8 Me!2ejri d3 !e3je0k3 /161353 3tr ?e3i0 Ke!i3 d3 ke2t1/3

!e3e3 OAT 2d 20ie3 TB8 Me!2ejri d3 !e3je0k3 /161353 3tr Pe3didik3 d3 ke2t1/3 !e3e3

OAT 2d 20ie3 TB8 Me!2ejri d3 !e3je0k3 /161353 3tr Pekerj3 d3 ke2t1/3 !e3e3

OAT 2d 20ie3 TB8 Me!2ejri d3 !e3je0k3 /161353 3tr Pe3d2t3 Ke1r5 d3

ke2t1/3 !e3e3 OAT 2d 20ie3 TB8 Me!2ejri d3 !e3je0k3 /161353 3tr Pe35et/13 te3t35 TB d3

ke2t1/3 !e3e3 OAT 2d 20ie3 TB8 Me!2ejri d3 !e3je0k3 /161353 3tr Keter22r3 i3for!0i te3t35 TB

d3 ke2t1/3 !e3e3 OAT 2d 20ie3 TB


5/19

D. M3ft Pe3eiti3 $

• M3ft A2iktif $

8 H0i 2e3eiti3 i3i !er12k3 !01k3 65i 2e35e!6353 2ro5r! 2e433

ke0e/t3 !04rkt " k/101034 d! 2e3i35kt3 2ro5r! 2e35o6t3 TBC di

K612te3 B3te3

8 B5i P10ke0!0 P3i!635 P3de535 B3te3 " 0e65i i3for!0i !e35e3i

!0/ 435 6erkit3 de353 H161353 Pe35et/13 te3t35 TB d3 ke2t1/3

!e3e3 OAT 2d 20ie3 TB di P3i!635 P3de535 B3te3

8 B5i 2e3derit" 0e65i 913 d! r35k 2e3i35kt3 Ke2t1/3 P0ie3

Me3j3i Pe35o6t3 0ert !e!6erik3 !oti


6/19

di0e66k3 oe/ 6kteri Mikro6kteri1! t16erk1o0. Pe34e66 2e34kit i3i

d/ 6kteri ko!2ek0 Mikro6kteri1! t16erk1o0i0. M49o69teri ter!01k

d! f!ii

M49o69teri9ee d3 ter!01k d! ordo A9ti3o!49ete0.

Ko!2ek0 Mikro6kteri1! t16erk1o0i0 !ei21ti M. t16erk1o0i0" M. 6o


7/19

. De!!" tidk ter1 ti355i 435 6er350135 !" 6i034 di r0k3

!! /ri di0erti keri35t !!. Kd358kd35" 0er353 de!! 0e2erti

0er353 i3f1e3 d3 6er0ift /i35 ti!61.

6. Pe31r133 3f01 !k3 d3 6ert 6d3.9. Bt1k86t1k 0e! e6i/ dri * !i3551 (d2t di0erti dr/#

9. Per03 tidk e3k (!i0e# d3 e!/

;. Gej k/1010

. Ter53t135 dri or53 t161/ 435 terke3" 26i terjdi 01!6t3

0e65i3 6ro3k10 (01r3 435 !e31j1 ke 2r182r1# ki6t 2e3ek33

kee3jr 5et/ 6e3i35 435 !e!6e0r" k3 !e3i!61k3 01r !e35i

d3 01r 3f0 !ee!/ 435 di0erti 0e0k.6. A26i d 9ir3 di ro355 2e1r (2e!6135k10 2r182r1#" d2t

di0erti de353 ke1/3 0kit dd.

9. A26i !e35e3i t135" !k k3 terjdi 5ej 0e2erti i3fek0i t135

435 2d 01t1 0t d2t !e!6e3t1k 01r3 d3 6er!1r 2d k1it di

t034. Pd !1r i3i k3 ke1r 9ir3 33/.

d. Pd 3k83k" d2t !e35e3i otk (2i03 2e!6135k10 otk# d3

di0e61t 0e65i !e3i35iti0 (rd35 de21t otk#. Gej34 d/ kej358kej35" de!! ti355i" 2e31r133 ke0dr3" d3 kej358kej35.

;.'.'.* Pe35o6t3

Pe34kit t16erk1o0i0 2r1 d2t di0e!61/k3 jik Me3e3 o6t

0e9r tert1r d3 ko301t0i ke 2et150 ke0e/t3 de353 tert1r d!

jrk 7kt1 !i3i! + 613. T/2 2e35o6t3 terdiri dri t/2 i3te30if d3

t/2 3j1t3. T/2 i3te30if t1 7 20ie3 !e3d2t o6t 0eti2 /ri d3di70i 350135 13t1k !e39e35/ terjdi34 keke63 ter/d2 0e!1

o6t 3ti t16erk1o0i0 (OAT#" 6i 2e35o6t3 t/2 i3te30if ter0e61t

di6erik3 0e9r te2t 6i034 20ie3 !e31r !e3jdi tidk !e31r d!

k1r135 7kt1 ; !i3551. Se65i3 6e0r 20ie3 t16erk1o0i0 2r1 BTA

2o0itif !e3jdi BTA 3e5tif (ko3


8/19

/ i3 435 !e313j35 2ro0e0 2e34e!61/3 4it1 $

'. Me3e3 o6t 0e9r tert1r;. Ko3tro 0e9r tert1r 13t1k !e35et/1i 2erke!6353 2e34kit*. Me35ko301!0i !k33 de353 !e31 5ii 0ei!635

>. I0tir/t 435 91k12. Me3j5 ke6er0i/3 i35k1353+. Pe39/43 d3


9/19

t16erk1o0i0 2r1 k3 !1d/ tert1r kre3 !e35i3/0i 1dr 435 te/

terko3t!i30i k1!3 t16erk1o0i0

S1!6er 2e31r3 d/ 2e3derit TB Pr1 BTA 2o0itif. Pd 7kt1

6t1k t1 6er0i3" 2e3derit !e34e6rk3 k1!3 ke 1dr d! 6e3t1k

dro2et (2er9ik3 d/k#. Dro2et 435 !e353d135 k1!3 d2t 6ert/3

di 1dr 2d 01/1 k!r 0e! 6e6er2 j!. Se0eor35 d2t

teri3fek0i k1!3 t16erk1o0i0 2r1 6i dro2et ter0e61t ter/ir12 ke d!

01r3 2er3f03. Sete/ k1!3 t16erk1o0i0 !01k ke d! t161/

!310i !e1i 2er3f03" k1!3 t16erk1o0i0 ter0e61t d2t !e34e6r dri

2r1 ke 65i3 t161/ i334" !e1i 0i0te! 2eredr3 dr/" 0i0te!

01r3 i!fe" 01r3 3f0" t1 2e34e6r3 350135 ke 65i3865i3

t161/ i334 (De2ke0 &I" ;));#.

D4 2e31r3 dri 0eor35 2e3derit dite3t1k3 oe/ 634k34

k1!3 435 dike1rk3 dri 2r134. Mki3 ti355i derjt 2o0itif /0i

2e!erik03 d/k" !ki3 !e31r 2e3derit ter0e61t. Bi /0i 2e!erik03

d/k 3e5tif (tidk teri/t k1!3#" !k 2e3derit ter0e61t di3552 tidk

!e31r.

;.'.'. Di53o0

'. A3!3e0i0 d3 2e!erik03 fi0ik

;. L6ortori1! dr/ r1ti3 (LED 3or! t1 !e3i35kt" i!fo0ito0#

*. %oto tork0 PA d3 ter. G!6r3 foto t/ork0 435 !e33j35 di53o0i0 TB

4it1 $

B4353 e0i teretk di 2353 t0 2r1 t1 0e5!e3 2i9 o610 67/.

. B4353 6er73 (2t9/4# t1 6er6e9k (3od1r#.6. Ad34 k


10/19

T16erk1o0i0 435 d2t didi53o0i0 6erd0rk3 2e!erik03 i3i.

. Te0 !3to1:t16erk1i3

Mer12k3 1ji 0eroo5i i!!13o2ero0id0e !e!ki t /i0to5e3

!!13o2ero0id0e 0ti3i35 13t1k !e3e3t1k3 d34 i5G 02e0ifik ter/d2

60i T16erk1o0i0 2r1.

+. Te0 !3to1 : t16er91i3

K0ifik0i di53o0tik T16erk1o0i0 d/ $

'. TB 2r1

. BTA !ikro0ko2i0 350135 (# t1 6ik3 (#" kei33 foto t/ork0

!e34oko35 TB d3 5ej ki3i0 0e01i TB6. BTA !ikro0ko2i0 350135 t1 6ik3 (8# " tet2i kei33 ro3t5e3 d3

k3i0 0e01i 20ie3 5oo353 i3i !e!er1k3 2e35o6t3 435 dek1t.

;. TB 2r1 ter035k

Di53o0 2d t/2 i3i 6e0ift 0e!e3tr 0!2i /0i 2e!erik03

BTA did2t (2i35 !6t 613#. P0ie3 de353 BTA !ikro0ko2i0 350135

(8# t1 6e1! d /0i 2e!erik03 t1 2e!erik03 6e1! e35k2"

tet2i kei33 ro3t5e3 d3 ki3i0 0e01i TB 2r1. Pe35o6t3 de353 3ti TB01d/ d2t di!1i.

*. Bek0 TB (tidk 0kit#

Ad ri74t T16erk1o0i0 2d 20ie3 !0 1 de353 t1 t32

2e35o6t3 t1 5!6r3 ro3t5e3 3or! t1 63or! tet2i 0t6i 2d

0eri 021t1! BTA (8#. Keo!2ok i3i tidk 2er1 di o6ti.

;.'.; ko30e2 2e35o6t3 t16er9oo0i0 2r1

;.'.;.' T/2 Pe35o6t3

T1j13 2e35o6t3 T16erk1o0i0 2r1 d/ 13t1k !e34e!61/k3

20ie3" !e39e5/ ke!ti3" !e39e5/ kek!61/3" !e!1t10k3 !t

r3ti 2e31r3 d3 !e39e5/ terjdi34 re0i0te30i k1!3 ter/d2 OAT.

'. T/2 i3te30if (I3iti 2/0e#" 0e! '8* 613 de353 !e!6erik3 >8

!9! o6t 3ti t16erk1o0i0 2er /ri de353 t1j13 $

'#. Me39e5/ ke1/3 d3 !e39e5/ efek 0!2i35 e6i/ 3j1t.


11/19

;#. Me39e5/ ti!6134 re0i0te30i o6t.

;. T/2 3j1t3 (Co3ti31tio3 2/0e#" 0e! >8+ 613 de353 /34

!e!6erik3 ; !9! o6t" * ki 0e!i3551 de353 t1j13 $

'#. Me35/i35k3 6kteri 435 ter0i0 (efek 0terii00i#;#. Me39e5/ kek!61/3 (re20#

Pd t/2 3j1t3 2e3derit !e3d2t je3i0 o6t e6i/ 0edikit" 3!13

d! j35k 7kt1 435 e6i/ ! 4it1 0e! >8+ 613. T/2 3j1t3

2e3ti35 13t1k !e!6131/ k1!3 2er0i0te3 13t1k !e39e5/ terjdi34

kek!61/3.

Pe35o6t3 t16erk1o0i0 2r1 !e3513k3 o6t 3ti t16erk1o0i0 (OAT#

de353 !etode dire9t4 o60er


12/19

O6t ter0e61t di Me3e3 0eti2 /ri 0e9r i3te30if 0e634k +) ki.

&e5i!e3 i3i di0e61t KOMBIPAK II

6. T/2 3j1t3 di6erik3 ti5 ki d! 0e!i3551 0e! > 613 (>H*&*#$

INH (H# $ +)) !5 8 ; t6et *)) !5

&if!2i0i3 ( $>) !5 8'k2et o6t ter0e61t diMe3e3 *(ti5# ki d!0e!i3551 (i3ter!ite3# 0e634k > ki. &e5it!e3 i3i di0e61t KOMBIPAK II

;.'.;.; Akti


13/19

BB.

;#. &if!2i0i3 (

Ber0ift 6ktere0id" d2t !e!6161/ k1!3 435 2er0i0te3 (dort!3t#

435 tidk d2t di6131/ oe/ I0o30id. Do0i0 ') !5k5 BB di6erik3 0!

13t1k 2e35o6t3 /ri3 !1213 i3ter!ite3 * ki 0e!i3551.

*#. Piri3!id (J#

Ber0ift 6ktere0id" d2t !e!6131/ k1!3 435 6erd did! 0e

de353 0103 0!. Do0i0 /ri3 435 di3j1rk3 ; !5Lk5 BB"

0ed35k3 13t1k 2e35o6t3 i3ter!ite3 * ki 0e!i3551 di6erik3 de353

do0i0 * !5k5 BB.

>#. Stre2to!i0i3 (S#

Ber0ift 6ktere0id" de353 do0i0 /ri3 435 di3j1rk3 ' !5Lk5 BB"

0ed35k3 2e35o6t3 13t1k i3ter!ite3 * ki 0e!i3551 di513k3 do0i0 435

0!. Pe3derit 6er1!1r 0!2i +) t/13 do0i034 )" 5rL/ri" 0ed35k3

13t1k 1!1r 0!2i +) t/13 e6i/ do0i034 )") 5r/ri.

#.Et/!61to (E#

Ber0ift 0e65i 6kterio0ttik. Do0i0 /ri3 435 di3j1rk3 ' !5k5B60ed35k3 13t1k 2e35o6t3 13t1k i3ter!ite3 * ki 0e!i3551 di513k3

do0i0 *) !5k5 BB.

;. O6t 0ek13der ( A3ti t16er9o10i0 9id#

'#. K3!i0i3

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#. Protio3!id

+#. Siko0eri3

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=#. K2reo!i0i3

-#. A!iko0i3

')#.Ofok0i3.


14/19

(Soe2r!3 d3 Sr7o3o W" '--)#.

;.'.;.> Efek S!2i35 O6t

'. Efek S!2i35 Bert

Yit1 efek 0!2i35 435 d2t !e34e66k3 0kir 2er1t 0eri10.D! k010 i3i !k 2e!6eri3 OAT /r10 di/e3tik3 d3 2e3derit

/r10 dir1j1k ke 13it 2e4333 ke0e/t3 (UPK# 02e0ii0tik (/dj1 dkk"

;))* De2ke0 &I" ;))'" ;))#

;. Efek 0!2i35 ri353

Yit1 /34 !e34e66k3 0edikit 2er03 435 tidk e3k. Gej8

5ej i3i 0eiri35 d2t dit355135i de353 o6t8o6t 0i!to!tik t1 o6t

0eder/3" tet2i kd35kd35 !e3et2 13t1k 6e6er2 7kt1 0e!2e35o6t3. D! / i3i 2e!6eri3 OAT d2t diter10k3 (/dj1 dkk" ;))*

De2ke0 &I" ;));" ;))#.

;.'.;. H0i 2e35o6t3

'. Se!61/

Pe3derit diktk3 0e!61/ 6i te/ !e34ee0ik3 2e35o6t3 0e9r

e35k2 d3 2e!erik03 d/k ; ki 0e! 2e35o6t3 3e5ti. Pi3d/

Ad34 2e3derit 435 2i3d/ 6ero6t ke der/ t1 k612te3:kot i3

. Def1t

Pe3derit 435 tidk ko3tro t1 ter!6t !e35!6i o6t ; !i3551 6ert1r1t

t1r1t t1 e6i/ 0e6e1! !0 2e35o6t334 0ee0i.

+. G5

Pe3derit BTA 2o0otif 435 /0i 2e!erik03 d/k34 tet2 2o0itif t1


15/19

ke!6i !e3jdi 2o0itif 2d 0t1 613 0e6e1! k/ir 2e35o6t3.

;.'.* Ko30e2 Ke2t1/3

;.'.*.' Defi3i0i Ke2t1/3

ke2t1/3 t1 kett3 (9o!2i39e:d/ere39e# d/ ti35kt !ek03k3

9r 2e35o6t3 d3 2erik1 435 di0r3k3 oe/ dokter34 t1 oe/

or35 i3 (0!et" '-->#.

Ke2t1/3 20ie3 0e65i 0ej1/ !3 2erik1 20ie3 de353 kete3t13

435 di6erik3 oe/ 2rofe00io3 ke0e/t3 (3i


16/19

Diktk3 2t1/ jik 6ero6t 0e9r tert1r 0e7kt1 + 613 d! ; f0e

2e35o6t3 d3 2d13 o6t i0o3iid" rif!20i3" 2iri3!id" 0tre2to!i0i3 d3et!61to 6ik kte5ori I""II d3 0i0i23 . diktk3 tidk 2t1/ jik 2e3derit 6ero6t

0e9r tidk tert1r 0e! 7kt1 + 613 d! ; f0e 2e35o6t3 d3 2d13 o6t

i0o3iid" rif!2i0i3" 2iri3!id" 0tre2to!i0i3 d3 et!61to 6ik kte5ori I""II d3

0i0i23.

;.'.*.; %ktor8%ktor Y35 Ber/161353 Ke2t1/3

'. U!1r

Pe34kit TB 2r1 2i35 0eri35 dite!1k3 2d 10i !1d t1 2rod1ktif

('8) t/13#. De70 i3i de353 terjdi34 tr30i0i de!o5rfi !e34e66k3

10i /r23 /id12 30i !e3jdi e6i/ ti355i. Pd 10i 3j1t e6i/ dri

t/13 040te! i!13oo5i0 0eor35 !e31r13" 0e/i355 035t re3t3 ter/d2

6er65i 2e34kit" ter!01k 2e34kit T16erk1o0i0 2r1.

;. ?e3i0 Ke!i3

Pe34kit T16erk1o0i0 2r1 9e3der135 e6i/ ti355i 2d je3i0 ke!i3 ki8ki di63di35k3 2ere!213. Me31r1t WHO 0edikit34 d! 2eriode

0et/13 d 0ekitr ' j1t 2ere!213 435 !e3i355 ki6t T16er9oo0i0 2r1

d2t di0i!21k3 6/7 k1! 2ere!213 e6i/ 634k terjdi ke!ti3

435 di0e66k3 oe/ T16erk1o0i0 2r1 di63di35k3 de353 ki6t 2ro0e0

ke/!i3 d3 2er0i33. Pd je3i0 ke!i3 ki8ki 2e34kit i3i e6i/ ti355i

kre3 !erokok te!6k1 d3 Me3e3 9o/o 0e/i355 d2t !e31r13k3

040te! 2ert/33 t161/" 0e/i355 e6i/ !1d/ ter22r de353 5e3t

2e34e66 T16erk1o0i0 2r1. Ke2ek3 13t1k teri3fek0i

2e34kit i3i d/ 0e!1 2e3d1d1k" tidk d 2er6ed3 3tr ki8

ki d3 2ere!213" t1 !1d" 64i d3 6it.

*. So0i Eko3o!i

S/ 0t1 !ode 2e3dekt3 435 !e!e2e35r1/i ti3dk3 6ero6t d/

0tt10 0o9i. Di0i3i 035t ert de353 ked3 r1!/" ke2d3

/13i3" i35k1353 2er1!/3" i35k1353 d3 03it0i te!2t 6ekerj

435 61r1k d2t !e!1d/k3 2e31r3 T16erk1o0i0 2r1. Pe3dekt3


17/19

i3i 6ert1!21 2d 01!0i 6/7 tr 6ek35 terte3t1 !i034 6ekerj

t1 tidk 6ekerj k3 !e!iiki 23d353 ter0e3diri ter/d2 2e35o6t3.

>. Pe3didik3

Pe3didk3 6erkit3 de353 2e35et/13 2e3derit" / i3i !e313j1kk36/7 2e3didik3 !e!2e35r1/i ke13t03 t1 ke01k0e03 2e35o6t3

2e3derit. Se!ki3 ti355i ti35kt 2e3didik3" !k 0e!ki3 6ik

2e3eri!3 i3for!0i te3t35 2e35o6t3 d3 2e34kit34 0e/i3555 k3

0e!ki3 t13t0 2eo0e0 2e35o6t3 d3 2e34e!61/334.

. Pe35et/13

Pe35et/13 d/ 2e!ikir3" 5503" ide" ko30e2 d3 2e!/!3 435

di!iiki !310i te3t35 d13i d3 0e5 i0i34 ter!01k !310id3 ke/id123. Pe35et/13 !e39k12 2e31r3" 2e3je03 d3

2e!/!3 !310i te3t35 0e5 0e01t1" ter!01k 2rktek t1

ke!13 tek3i0 d! !e!e9/k3 6er65i 2er0o3 /id12 435 6e1!

di61ktik3 0e9r 0i0ti!ti0.

+.Do!i0ii

Do!i0i 6erd0rk3 te!2t ti355 ke2e433 ke0e/t3 k3

!e!2e35r1/i 20ie3 d! !e34ee0ik3 2e35o6t3 25i do!i0ii tidk6erd d! 7i4/ 2e433 ke0e/t3 k3 !e!2er6e0rk3 re0iko

13t1k tidk !e34ee0ik3 2e35o6t3.

Me31r1t Gree3 ('-=)#" 6/7 do!i0ii 20ie3 d2t !e!2e35r1/i

ketidk0ee0i3 2e3derit d! 6ero6t" 13t1k it1 di2er1k3 01t1 124

65i!3 do!i0ii tidk !e35/35i 20ie3 13t1k !e35!6i o6t kre3

d2t !e!2e35r1/i ter/d2 124 2e34e!61/3 2e3derit 0e3j1t34.

.PMO

Me31r1t Adit! (;)))#" 0/ 0t1 435 !e34e66k3 01it34 TB 2r1

di60!i d/ ke34t3 6/7 o6t 435 di6erik3 /r10 6e6er2 !9!

0eki510 0ert 2e35o6t334 !e!k3 7kt1 435 !" 0etidk34 + 613.

H i3i !e34e66k3 2e3derit tidk !e313t0k3 2e35o6t334 d3 6/k3

21t10 o6t. U3t1k it1 di2er1k3 Pe3570 Me3e3 o6t (PMO# 13t1k

!e3j5 5r 2e3derit tidk 21t10 6ero6t t1 tert1r 6ero6t" WHO t/13

'-- te/ !ereko!e3d0ik3 0trte5i DOTS 0e65i 2e3dekt3 ter6ik2e33551353 T16erk1o0i0 2r1. S/ 0t1 ko!2o3e3 0e0eor35


18/19

!e34ee0ik3 2e35o6t334.

;.'.> Ko30e2 D1k1353 PMO

S/ 0t1 ko!2o3e3 DOTS d/ 23d13 OAT j35k 2edek

de353 2e35703 0e9r 350135. U3t1k !e3j!i3 ketert1r3

2e35o6t3 di2er1k3 0eor35 PMO.

. Per04rt3 PMO

8 Se0eor35 435 dike3" di2er94 d3 di0et1j1i" 6ik oe/ 2et150 ke0e/t3 !1213

20ie3" 0ei3 it1 /r10 di0e53i d3 di/or!ti oe/ 20ie3.

8 Se0eor35 435 dekt de353 20ie3

8 Ber0edi !e!63t1 20ie3 de353 01kre8 Ber0edi diti/ d3 t1 !e3d2t 2e3411/3 6er0!80! de353 20ie3.

6. Si2 Y35 Bi0 Me3jdi PMO

Se6ik34 PMO d/ 2et150 ke0e/t3. Mi034" 6id3 di de0"

2er7t" 2ekr4" 03itri3" j1r1 i!13i00i d3 i38i3. Bi tidk d

2et150 ke0e/t3 435 !e!135ki3k3 " PMO d2t 6er0 dri kder

ke0e/t3" 51r1" 355ot PPTI" PKK" t1 toko/ !04rkt i334 t1

355ot ke1r5.9. T150 Seor35 PMO

8 Me3570i 20ie3 t16erk1o0i0 2r1 5r !e3e3 o6t 0e9r tert1r 0!2i 0ee0i

2e35o6t3.

8 Me!6eri doro353 ke2d 20ie3 5r !1 6ero6t tert1r.

8 Me35i35tk3 20ie3 13t1k 2erik0 135 d/k 2d 7kt1 435 te/ dite3t1k3.

8 Me!6er 2e3411/3 2d 355ot ke1r5 20ie3 t16erk1o0i0 2r1 435

!e!2134i 5ej85ej !e391ri5k3 t16erk1o0i0 2r1 13t1k 0e5er

!e!erik0k3 diri ke U3it Pe433 Ke0e/t3. T150 PMO 61k3/ 1t31k

!e353ti ke7ji63 20ie3 !e35!6i o6t dri U3it Pe433 Ke0e/t3.

d. I3for!0i 2e3ti35 435 2er1 di2/!i PMO 13t1k di0!2ik3 ke2d

20ie3 d3 ke1r534 $

8 T16erk1o0i0 2r1 d2t di0e!61/k3 de353 6ero6t 0e9r tert1r

8 T16er9oo0i0 2r1 61k3 2e334kit ket1r133 t1 k1t1k3.

8 Cr 2e31r3 T16erk1o0i0 2r1" 5ej85ej 435 !e391ri5k3 d3 9r2e39e5/3334


19/19

8 Cr 2e!6eri3 2e35o6t3 20ie3 (t/2 i3te30if d3 3j1t3#.

8 Pe3ti3534 2e35703 0124 20ie3 6ero6t 0e9r tert1r.

Ke!135ki33 terjdi34 efek 0!2i35 o6t d3 2er134 0e5er !e!i3t 2ertoo353 ke

UPK.

;.; KE&ANGKA KONSEP

,ri6e I3de2e3de3 ,ri6e De2e3de3

;.* HIPOTESIS

Terd2t H161353 D1k1353 Pe3570 Me3e3 O6t (PMO# de353

Ke2t1/3 Bero6t 20ie3 t16erk1o0i0 2r1 di P10ke0!0 P3i!635

P3de535 B3te3.

Kepatuhan berobat pasien TBCDukungan PMO

kepatuhan minum oat pada pasien tbc di wilayah puskesmas panimbang pandeglang banten

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