Quality of life among patients with multi-drug resistant tuberculosis in the district of Banyumas

https://doi.org/10.22146/bkm.26616

Imam Abrori, Riris Andono Ahmad,

(1) Port Health Office of Semarang, Ministry of Health of Republic of Indonesia
(2) Department of Biostatistics, Epidemiology, and Population Health Faculty of Medicine, Universitas Gadjah Mada

Abstract


Purpose: This study was conducted to investigate the quality of life among patients with multi-drug resistant tuberculosis and to examine factors associated with them.

Method: Data from an in-depth interview, involved 22 patients with multi-drug resistant tuberculosis, were used in this study.

Results: This study showed 54.5% males, 50.0% adults, 59.1% married, 22.7% divorced, 72.7% lived in rural, 95.5% had basic education, 45.5% as a private employment (before sick), 77.3% as unemployment (after sick), 72.7% low income, 54.5% in continuation phase, 95.5%  re-treatment (45% relapse and 40.9% failure cases), 90.9% had drugs side effects (mild/severe); 36.4% had comorbidity; 45.5% smokers, 31.8% falcoholics; 54.5% lack of social support; 31.8% poor and 36.4% moderate quality of life.

Conclusion: Patients with multi-drug resistant tuberculosis had a worse quality of life and lack social support. Health worker needs to improve their quality of life and social support through establishing a peer support groups to give counseling, information education, communication, motivation, and skills training for them.


Keywords


quality of life; multi-drugs resistant tuberculosis; social support; socio-demography



References

  1. Kementerian Kesehatan. Pedoman Nasional Pengendalian Tuberkulosis. Jakarta. 2014
  2. Kementerian Kesehatan. Tuberkulosis: Temukan, Obati Sampai Sembuh. Jakarta. 2015.
  3. World Health Organization. Global Tuberculosis Report 2016. Switzerland. 2016.
  4. Dinas Kesehatan Provinsi Jawa Tengah. Profil Kesehatan Provinsi Jawa Tengah Tahun 2015. Semarang. 2015.
  5. Dinas Kesehatan Kabupaten Banyumas. Profil Kesehatan Kabupaten Banyumas Tahun 2015. Purwokerto. 2016.
  6. Kementerian Kesehatan. Petunjuk Teknis Manajemen Terpadu Pengendalian Tuberkulosis Resistensi Obat. Jakarta. 2014.
  7. Sharma R, Yadav R, Sharma M, Saini V, Koushal V. Quality of life of multi drug resistant tuberculosis patients: a study of north India. Acta Medica Iranica. 2014 Jun 1;52(6):448.
  8. Bauer M, Leavens A, Schwartzman K. A systematic review and meta-analysis of the impact of tuberculosis on health-related quality of life. Quality of life research. 2013 Oct 1;22(8):2213-35.
  9. Patel PG, Ramanuj V, Bala DV. Assessment Quality of Life (QoL) of TB patients registered in Tuberculosis units of Ahmedabad Municipal Corporation area by using WHO Short Form-36. Scholars Journal of Applied Medical Science. 2014;2(6F):3303-6.
  10. Ahmad N, Javaid A, Sulaiman SA, Basit A, Afridi AK, Jaber AA, Khan AH. Effects of multidrug resistant tuberculosis treatment on patients’ health related quality of life: Results from a follow up study. PloS one. 2016 Jul 28;11(7):e0159560.
  11. Istanti YP. Hubungan antara Masukan Cairan dengan Interdialytic Weight Gains (IDWG) pada Pasien Chronic Kidney Diseases di Unit Hemodialisis RS PKU Muhammadiyah Yogyakarta. Profesi (Profesional Islam): Media Publikasi Penelitian. 2013 Nov 18;10(01).
  12. Nofitri N. Gambaran kualitas hidup penduduk dewasa pada lima wilayah di Jakarta. Skripsi Fakultas Psikologi Universitas Indonesia. 2009.
  13. Bagiada, IM., Mi Luh Putri Primasari. ade Bagiada IM, Primasari NL. Faktor-Faktor yang Mempengaruhi Tingkat Ketidakpatuhan Penderita Tuberkulosis dalam Berobat di Poliklinik DOTS RSUP Sanglah Denpasar.
  14. Anhar A, Ismail CS. Studi Komparatif Pemanfaatan Pelayanan Kesehatan pada Masyarakat Pedesaan di Wilayah Kerja Puskesmas Poleang Barat dengan Masyarakat Perkotaan di Wilayah Kerja Puskesmas Lepo-lepo Tahun 2015. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat. 2016;1(2).
  15. Notoatmodjo S. Pendidikan dan Perilaku Kesehatan. Rineka Cipta. Jakarta. 2005.
  16. Yulia A. Hubungan Karakteristik Individu dengan Kualitas Hidup Dimensi Fisik pasien Gagal Ginjal Kronik di RS Dr. Kariadi Semarang. 2009.
  17. Budiarto, Anggraeni. Pengantar Epidemiologi Edisi 2. Jakarta. 2002.
  18. Notoatmodjo S. Ilmu Perilaku Kesehatan. Jakarta. 2010.
  19. Sunaryo. Psikologi untuk Keperawatan. Jakarta. 2004.
  20. World Health Organization. Multidrug and Extensively Drug-Resistant TB (M/XDR-TB): 2010 Global Report on Surveillance and Response. France. 2010.
  21. Ghafoor A, Mehraj J, Afridi ND, Rafiq Y, Wendl-Richter HU, Hasan R. Multidrug resistant Mycobacterium tuberculosis amongst Category I & II failures and Category II relapse patients from Pakistan. International journal of mycobacteriology. 2012 Sep 1;1(3):118-23.
  22. Sarwani SR D, Nurlaela S. Faktor Risiko Multidrug Resistant Tuberculosis (MDR-TB). Jurnal kesehatan masyarakat. 2012;8(1):60-6.
  23. Flora MS, Amin MN, Karim MR, Afroz S, Islam S, Alam A, Hossain M. Risk factors of multi-drug-resistant tuberculosis in Bangladeshi population: a case control study. Bangladesh Medical Research Council Bulletin. 2013 Jul 24;39(1):34-41.
  24. Mulu W, Mekkonnen D, Yimer M, Admassu A, Abera B. Risk factors for multidrug resistant tuberculosis patients in Amhara National Regional State. African health sciences. 2015;15(2):368-77.
  25. Utami MP. Komorbiditas dan Kualitas Hidup Pasien Hemodialisa. Tesis Fakultas Kedokteran Universitas Muhammadiyah Yogyakarta.
  26. Ibrahim LM, Hadejia IS, Nguku P, Dankoli R, Waziri NE, Akhimien MO, Ogiri S, Oyemakinde A, Dalhatu I, Nwanyanwu O, Nsubuga P. Factors associated with interruption of treatment among Pulmonary Tuberculosis patients in Plateau State, Nigeria. 2011. Pan African Medical Journal. 2014;17(1).
  27. Dumatubun AE. Kebudayaan, kesehatan orang Papua dalam perspektif antropologi kesehatan. Jurnal Antropologi Papua (ISSN: 1693-2099) Volume. 2002;1.
  28. Ratnasari NY. Hubungan Dukungan Sosial Dengan Kualitas Hidup Pada Penderita Tuberkulosis Paru (TB Paru) Di Balai Pengobatan Penyakit Paru (BP4) Yogyakarta Unit Minggiran. Jurnal Tuberkulosis Indonesia. 2012;8:7-11.
  29. Juliandi NM, Kusnanto, Laily Hidayati. Hubungan antara Dukungan Sosial dan Coping Stres dengan Kualitas Hidup Pasien TB Baru di Puskesmas Perak Timur Surabaya Tahun 2014. Skripsi Fakultas Keperawatan Universitas Airlangga. 2014.
  30. Dhuria M, Sharma N, Ingle GK. Impact of tuberculosis on the quality of life. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2008 Jan;33(1):58.
  31. Ozbay F, Johnson DC, Dimoulas E, Morgan III CA, Charney D, Southwick S. Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont). 2007 May;4(5):35.



DOI: https://doi.org/10.22146/bkm.26616

Article Metrics

Abstract views : 21 | views : 5

Refbacks

  • There are currently no refbacks.