Factors Associated with the Recovery of Tuberculosis Patients at the Padang City Health Center

Fadilla Azmi, Rima Semiarty, Desmawati
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Abstract

Tuberculosis is a disease whose control is one of the global commitments in the Sustainable Development Goals. The tuberculosis cure rate in Padang City is 50.5%, which is far from the national target (85%). This low cure rate is caused by several factors. This study aims to determine the factors associated with the recovery of TB patients at the Padang City Health Center. This study is a quantitative study, with a cross sectional study design. The sample in this study were pulmonary TB patients at the Padang City Health Center, as many as 67 people selected by systematic random sampling. The results showed 53.7% of respondents had high education, 77.6% had high knowledge, 64.2% had low social status, 71.6% had affordable access, and 73.1% had good family support. There was a relationship between family support (p=0.002) and pulmonary TB cure. There was no relationship between education level (p=0.956), knowledge (p=0.774), social status (p=0.098), access to services (0.328) with pulmonary TB cure. Family support variable was the most influential variable on patient recovery (p=0.004). The results showed that patients who received family support had a chance to recover by 6 times compared to patients who did not receive family support after controlling for socioeconomic variables, attitudes, and treatment compliance. TB program holders need to improve socialization and education of patients and their families who play a role in supervising and providing support to patients. Keywords: Recovery; Patient; Tuberculosis
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与巴东市医疗中心肺结核病人康复有关的因素
结核病是可持续发展目标的全球承诺之一。巴东市的结核病治愈率为 50.5%,与国家目标(85%)相差甚远。这一低治愈率是由多种因素造成的。本研究旨在确定与巴东市卫生中心结核病患者康复相关的因素。本研究是一项定量研究,采用横断面研究设计。本研究的样本是巴东市卫生中心的肺结核患者,通过系统随机抽样选取了多达 67 人。结果显示,53.7%的受访者受过高等教育,77.6%的受访者具有较高的知识水平,64.2%的受访者社会地位较低,71.6%的受访者能够负担得起,73.1%的受访者具有良好的家庭支持。家庭支持(p=0.002)与肺结核治愈之间存在关系。教育水平(p=0.956)、知识(p=0.774)、社会地位(p=0.098)、获得服务(0.328)与肺结核治愈之间没有关系。家庭支持变量是对患者康复影响最大的变量(p=0.004)。结果显示,在控制了社会经济变量、态度和治疗依从性后,获得家庭支持的患者比没有获得家庭支持的患者的康复机会高出 6 倍。结核病项目负责人需要加强对患者及其家属的社会化教育,因为他们在监督和支持患者方面发挥着重要作用:康复;患者;结核病
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