基于自我照顾的结核患者家庭能力健康指数

Suprajitno Suprajitno, Sri Mugianti, Abdulateef Al-Hadeethi
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摘要

前言:结核病患者的健康指数是根据自我护理的护理理论,在预防疾病的同时,根据患者和家属的行为制定的指标得到的变量来计算的。预计一个家庭必须能够在家中适当地使用技术治疗治疗受感染的成员。因此,本研究旨在构建结核病患者健康指数公式。方法:采用横断面设计,分为两个阶段。第一种是焦点小组讨论,在结核病治疗者、Puskesmas护士和研究人员之间进行,以制定测量工具指标。第二阶段对在印度尼西亚东爪哇省Blitar公共卫生中心登记和治疗的患者进行了调查。我们采用简单的随机抽样方法选取了141份回复。使用焦点小组讨论开发的问卷收集数据,然后使用因子分析进行分析。结果:拟合优度指数(GFI)为0.98,复合值信度为53%。分析得出的健康指数公式为(0.238*家庭环境)+(0.226*家庭预防努力)-(0.659*患者咳嗽习惯)+(0.250*治疗效果)。然后,该指数分为四个类别,即低、足够、好、非常好。结论:结核病患者健康指数公式为:健康指数=0.238*X1+0.226*X2-0.659*X3+0.250*X4。
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Health Index for Tuberculosis Patients on Family Ability Based on Self-Care
Introduction: The health index of a patient of tuberculosis can be calculated using variables obtained from the indicators that were developed based on the sufferer and family's behaviors while preventing the disease based on the nursing theory of self-care. It is expected that a family must be able to treat infected members at home properly using technical treatment. Therefore, this study aims to construct a health index formula for tuberculosis patients.Methods: A cross-sectional design was used and further divided into two phases. The first is focus group discussions, which were carried out between tuberculosis treatment holders, Puskesmas nurses, and researchers to develop measurement instrument indicators. A survey was performed in the second phase for patients who were registered and treated in Public Health Center at Blitar, East Java, Indonesia. The 141 responses obtained were selected using a simple random sampling technique. The data were collected using a questionnaire developed from the focus group discussions and then analyzed using factor analysis.Results: A Goodness of Fit Index (GFI) value of 0.98 was recorded along with composite value reliability of 53%. The formula of Health index obtained from the analysis was (0.238* Home environment) + (0.226* Family prevention efforts) – (0.659* Coughing habits of patients) + (0.250* Impact of treatment). The index was then calculated in four categories, namely low, enough, good, very good.Conclusion: So, the health index formula of tuberculosis patients is illustrated as Health Index=0.238*X1+0.226*X2-0.659*X3+0.250*X4.
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