Improved completing-treatment support among tuberculosis support group members through the CERMAT (Smart Against TB Transmission) program

https://doi.org/10.22146/jcoemph.66457

Atuti Yuni Nursasi(1), I Gusti Ayu Putu Desy Rohana(2*), Utami Rachmawati(3), Rezky Mulyana(4)

(1) Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
(2) Department of Nursing, Health Polytechnic of Ministry of Health Palembang, Baturaja, Indonesia
(3) Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
(4) STIKES Batara Guru Soroaka, South Sulawesi, Indonesia
(*) Corresponding Author

Abstract


Tuberculosis (TB) was declared a global emergency for humanity by the World Health Organization in 2015. According to Global Report TB data in 2016, Indonesia is one of the 30 countries in the world that has the highest TB caseload, especially Human Immunodeficiency Virus (HIV)-TB and (Multi Drug Resistant Tuberculosis (MDR) TB) cases during the 2016-2020 period (Global Tuberculosis Report, 2016). The high rise of MDR TB cases has great potential for transmission and an increase in the number of new TB cases. Efforts to optimize the handling of care and treatment, as well as to accelerate the determination of the diagnosis need to be conducted vigilantly on all lines, especially efforts to increase the ability to prevent transmission, provide quality follow-up care, and community-based treatment. Forming support groups is one of community health nursing strategies for TB prevention. A support group provides assistance to increase TB medication adherence and reduce TB transmission. TB control strategies are conducted by implementing CERMAT (Smart Against TB Transmission) to TB support groups that combine education intervention and skills to prevent TB transmission in the community setting. Community health nursing though the nursing process has established a system with recognition of the variables that affect health status and individual behaviors against TB disease. The nursing strategy intervention in the community is done at all levels, such as health education, group process, partnership, and community empowerment. The CERMAT package implemented in the TB support group is an evidence-based nursing practice. It was applied to 70 samples of adult TB clients at Curug, Cimanggis, Depok. The sampling was selected with a non-probability quota sampling technique. This study used an experimental design with paired t-test data analysis to determine the improvement in the skills of the TB support group after the support group intervention was done. It showed there was influence of the CERMAT method on the level of good support for completing TB treatment in Curug Village, with increased the mean of completed treatment by 2.42 with a p value 0.00 (p <0.05). The CERMAT method can be applied as one of the nursing interventions to increase TB clients’ adherence. This intervention can be done by the person who is responsible for the TB program at the Community Health Center. The CERMAT method needs to be continued and evaluated regularly by involving health care volunteers.


Keywords


adherence; CERMAT; new detection; support group; TB cases; TBC transmission

Full Text:

PDF


References

  1. Arini, Atiek Tri. The effort of community empowerment in tuberculosis disease control program in Tambak Rejo Public Health Centre, Surabaya City. Journal of Administration & Health Policy. 2012;10(2).
  2. Curug Village. Potential profile of Curug Village. 2015. Depok: Curug Village
  3. Depok City Health Office. Health profile of Depok city in 2014. Depok: Depok City Health Office. 2015.
  4. WHO. ENGAGE-TB: Integrating community-based TB activities into the work of nongovernmental organizations and other civil society organizations. 2012. Geneva: World Health Organization.
  5. Friedman MM, Bowden, Jones. Family Nursing: Research, Theory, and Practice. Connecticut: 2015. Appleton & Lange
  6. Getahun H, Raviglione M. Transforming the global tuberculosis response through effective engagement of civil society organizations: the role of the World Health Organization. Bulletin of the World Health Organization Ed. 2011;89:616–618.
  7. Hayati D, Musa E. The relationship between the performance of supervisors swallowing drugs with healing Tuberculosis at Puskesmas Racamanik Bandung. Nursing Journal. 2012;4 (1).
  8. Helvie C. Advance Practice Nursing in the Community. 1998. Thousand Oaks, California: Sage Publishing Co.
  9. Indonesia Ministry of Health. Indonesia Health Profile 2016. Indonesia Ministry of Health. 2016: Jakarta.
  10. Indonesia Ministry of Health. National Guidelines for Tuberculosis Control. Ministry of Health of the Republic of Indonesia. Issue 2, Print II. 2015.
  11. Kholifah SN, Minarti, Yumni H. Adaptif Conservation Model (ACM) in improving family support and compliance treatment in pulmonary TB patients in the City of Surabaya. Jurnal Ners. 2012;7(1).
  12. Kumakech E, Graae C, Maling S, Bajunirwe S. Peer group support interventions improve the psychosocial well-being of AIDS orphans [Internet]. Journal of Social Science and Medicine. 2009. Available from: http: //www.eresources.perpusnas.go.id. [December 8, 2020 at 7:00 p.m. WIB]
  13. Rao D, Chen WT, Pearson CR, Simoni JM, Goldsen K, Nelson K, Zha, Zhang F. Social support mediates the relationship between HIV stigma and depression / quality of life among people living with HIV in Beijing, China. International Journal of STD & AIDS. 2012;23: 481–484.
  14. Izzudin MM. Sikap dengan perilaku pencegahan penularan pada keluarga penderita tuberkulosis [bachelor’s thesis]. Indonesia. Insan Cendekia Medika Health Institute. 2017.
  15. Sweetland, Guerra D, Chalco K, Castillo H, Palacios. Psychosocial support groups for patients with multidrug-resistant tuberculosis: five years of experience. International Journal for Research, Policy, and Practice. 2017; 4.
  16. Wahyuni. Determinants of community behavior in prevention, transmission of tuberculosis in the Bendosari health center work area. Gaster. 2018;4(1).
  17. Rukmini, C. Factors that influence the incidence of adult pulmonary TB in Indonesia (Basic Health Research Data Analysis in 2010) [Internet]. Ejournal Litbang Ministry of Health. 2011. Available from: http://www.litbang.kemkes.go.id:8080/handle/123456789/81550?show=full.
  18. Rusnoto, Rahmatullah, Pasihan, Udiono, Ari. Factors associated with pulmonary TB occurrence in adults: case studies at the Center for Prevention and Treatment of Patient Lung Disease. Semarang. Health Journal of FK UNDIP. 2008.
  19. Yermi, Ardi M, Lahming, Tahmir S, Pertiwi N. Knowledge and attitudes with family role in prevention of pulmonary tuberculosis in Maros, Indonesia. J Phys: Conf Ser. 2018; 1028 012001.
  20. Norgbe GK, Smith JE, Du Toit HS. Factors influencing the default rates of tuberculosis patients in Ghana. Afr J Nurs Midwifery. 2011; 13(2):67-76.
  21. Muna, Latifatul & Soleha, Umdatus. Motivation and social support for families affecting compliance treatment on pulmonary TB patients at the Pamekasan BP4 Polyclinic. 2014. Bachelor thesis: Surabaya.
  22. Li X, Wang B, Tan D, Li M, Zhang D, Tang C, et al. Effectiveness of comprehensive social support intervention among elderly patients with tuberculosis in communities in China: a community based trial. J Epidemiol Community Health. 2018;72(5):369-375.
  23. WHO. Who Global Report on Falls Prevention in Older Age. 14 Januari 2017 [internet]. Available from: http://www.who.int/ageing/publications/Falls_prevention7March.pdf.



DOI: https://doi.org/10.22146/jcoemph.66457

Article Metrics

Abstract views : 1678 | views : 764

Refbacks



Copyright (c) 2022 Journal of Community Empowerment for Health

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.