Effect of Self Management Education on Knowledge and Self Efficacy of pulmonary TB Clients in Timor Tribal Community
DOI:
https://doi.org/10.26699/jnk.v8i1.ART.p085-093Keywords:
Self Management Education, Knowledge, Self Efficacy, Pulmonary TBAbstract
Background: Pulmonary Tuberculosis (TB) disease is still the main cause of death among the poor with low knowledge. Knowledge and self efficacy are the keys to the successful management of pulmonary TB. Objective: The purpose of this study was to investigate the effect of self management education (SME) by emphasizing the five pillars of TB management on knowledge and self efficacy of pulmonary TB clients in the Timor tribal community in Kupang, Indonesia. Methods: This quasi experimental study was conducted on 30 primary pulmonary tuberculosis patients who undergoing treatment for 6 months. The research was conducted from January to October 2020 in the working area of the Naibonat Community Health Center, Kupang Regency. Data were collected using a questionnaire on demographic data, knowledge and self efficacy which had been tested for validity and reliability.. Data were analyzed by the Paired T-test with SPSS 21.  Results: The mean score of pre test knowledge and self efficacy of clients with pulmonary TB, respectively, 5.23 ± 1.04 and 4.77 ± 1.07 increased significantly to 6, 33 ± 1.18, and 7.13 ± 0.94 on the post test (P <0.001). Conclusion and recommendation: giving SME by emphasizing the five pillars of pulmonary TB management increases the knowledge and self-efficacy of pulmonary TB clients in the Timor tribal community. The recommendation of this study is that SME interventions can be used as one of the nursing interventions in the public health center in community empowerment based pulmonary TB managementReferences
Alligood, M. R. (2014). Nursing Theorist and Their Work (8th ed.). United States: Elsevier.
Badan Pusat Statistik Provinsi NTT. (2020). Jumlah Kasus Tuberkulosis (TB) Menurut Kabupaten/Kota di Provinsi Nusa Tenggara Timur, 2015-2018. Retrieved from BPS Provinsi NTT website: https://ntt.bps.go.id/dynamictable/2018/08/31/763/jumlah-kasus-tuberkulosis-tb-menurut-kabupaten-kota-di-provinsi-nusa-tenggara-timur-2015-2017.html
Bahtiar, & Nursasi, A. Y. (2019). Utilization of Interactive Educational Media in Improving Self Efficacy of Lung Tuberculosis Patients : Systematic literature review. EnfermerÃa ClÃnica, 29(July), 101–105. https://doi.org/10.1016/j.enfcli.2019.05.006
Benzo, R., Vickers, K., Ernst, D., Tucker, S., Mcevoy, C., & Lorig, K. (2013). Development and Feasibility of a Self-management Intervention for Chronic Obstructive Pulmonary Disease Delivered With Motivational Interviewing Strategies. Journal of Cardiopulmonary Rehabilitation and Prevention, 33(2), 113–122. https://doi.org/10.1097/HCR.0b013e318284ec67
Boswell, C., & Cannon, S. (2020). Introduction to Nursing Research: Incorporating Evidence - Based Practice (Fifth). | Burlington, Massachusetts: Jones & Bartlett Learning.
Daniali, S. S., Eslami, A. A., & Maracy, M. R. (2017). The impact of educational intervention on self-care behaviors in overweight hypertensive women : A randomized control trial. ARYA Atheroscler, 13(1).
Han, Y., & Park, Y. (2016). Effects of the hypertension selfmanagement program. Asia‑pacific Proceedings of Applied Science and Engineering for Better Human Life, 7, 48–51.
Islami, N. S. (2018). Analisis Faktor Yang Berhubungan dengan Self Efficacy Klien TB Paru Dalam Menjalani Pengobatan di Puskesmas Wilayah Kota Surabaya. Universitas Airlangga.
Jadgal, K. M., Nakhaei-moghadam, T., Alizadeh-seiouki, H., Zareban, I., & Sharifi-rad, J. (2015). Impact of Educational Intervention on Patients Behavior with Smear-positive Pulmonary Tuberculosis : A Study Using the Health Belief Model.Materia Socio Medica, 4(May), 229–233. https://doi.org/10.5455/msm.2015.27.229-233
Jauhar, M., Nursasi, A. Y., & Wiarsih, W. (2019). Evaluation of impact self-management counseling on health-seeking behavior’s self-efficacy pulmonary tuberculosis outpatients. Enfermeria Clinica, 29(2), 482–487. https://doi.org/https://doi.org/10.1016/j.enfcli.2019.04.072
KEMENKES RI. (2018a). INFODATIN :Tuberkulosis. Jakarta: Pusat Data dan Informasi Kementrian Kesehatan RI.
KEMENKES RI. (2018b). RISKESDAS 2018. Jakarta: Kementerian Kesehatan RI Badan Penelitian dan Pengembangan Kesehatan.
Lestari, I. G., & Isnaini, N. (2018). Pengaruh Self Management Terhadap Tekanan Darah Lansia yang Mengalami Hipertensi. Indonesian Journal for Health Sciences, 02(01), 7–18.
Li, X., Li, T., Chen, J., Xie, Y., An, X., & Lv, Y. (2019). A WeChat-Based Self-Management Intervention for Community Middle-Aged and Elderly Adults with Hypertension in Guangzhou , China : A Cluster-Randomized Controlled Trial. Environmental Research an Public Health, 16(2002), 1–12.
Masyfahani, M. A. H. (2019). Pengaruh Self Management Education Berbasis Health Promotion Model Terhadap Pemberdayaan Klien Tuberkulosis. Universitas Airlangga.
Maula, M., Nursasi, A. Y., & Wiarsih, W. (2019). The relationship between family ’ s informational support and self-efficacy of pulmonary tuberculosis client. EnfermerÃa ClÃnica, (xx), 1–4. https://doi.org/10.1016/j.enfcli.2019.04.062
Moradi, M., Nasiri, M., Jahanshahi, M., & Hajiahmadi, M. (2019). The Effects of a Self‑Management Program Based on the 5 A’s Model on Self‑Efficacy among Older Men with Hypertension. Nursing and Midwifery Studies, 8, 21–27. https://doi.org/10.4103/nms.nms
Putra, P. W. kusuma. (2020). Pengaruh Self Management Education Terhadap Pemberdayaan Pasien Penyakit Paru Obstruksi Kronik (PPOK) di RSUD Wangaya Denpasar. Universitas Airlangga.
Rekam Medik Puskesmas Naibonat. (2020). Rekam Medik Puskesmas Naibonat Maret 2020. Kupang: Rekam Medik Puskesmas Naibonat.
Sitanggang, Y. A., Amin, M., & Sukartini, T. (2017). Health Coaching Berbasis Health Promotion Model Terhadap Peningkatan Efikasi Diri dan Perilaku Pencegahan Penularan Pada Pasien TB Paru. Jurnal Penelitian Kesehatan Suara Forikes, VIII(4), 172–179.
Sukartini, T., Kurniawati, S., & Makhfudli, M. (2020). The effect of health education through brainstorming and booklet method on behavior in prevention of pulmonary Tb transmission. Eurasian Journal Of Biosciences, 14, 2697–2702.
Sutandi, A. (2012). Self Management Education ( DSME ) Sebagai Metode Alternatif Dalam Perawatan Mandiri Pasien Diabetes. Majalah Ilmiah Widya, (321), 47–52.
Wang, C., Lang, J., Xuan, L., Li, X., & Zhang, L. (2017). The effect of health literacy and self-management efficacy on the health- related quality of life of hypertensive patients in a western rural area of China : a cross-sectional study. International Journal for Equity in Health, 16(58), 1–11. https://doi.org/10.1186/s12939-017-0551-9
Wei, T., & Omar, M. (2017). Self-management approaches among hypertensive residents in nursing homes in Malaysia. Malaysian Family Physician, 12(3), 8–17.
Weiwei Ding, Tong li, Qiying su, Maohua Yuan, A. lin. (2018). Integrating factors associated with hypertensive patients’ self-management using structural equation modeling : a cross-sectional study in Guangdong, China. Patient Preference and Adherence, 12, 2169–2178. https://doi.org/10.2147/PPA.S180314
WHO. (2018). Global tuberculosis Report 2018. Geneva, Switzerland: WHO.
WHO. (2020a). Definitions and Reporting Framework for Tuberculosis – 2013 Revision (Updated December 2014 and January 2020). Switzerland: WHO Press, World Health Organization.
WHO. (2020b). Global Tuberculosis Report 2020. Ganeva: World Health Organization.
WHO. (2020c). Tuberculosis : Key facts. Retrieved December 10, 2020, from WHO website: https://www.who.int/news-room/fact-sheets/detail/tuberculosis
Yakhelef, N., Audibert, M., Ferlazzo, G., Sitienei, J., Wanjala, S., Variane, F., … Huerga, H. (2020). Cost-effectiveness of diagnostic algorithms including lateral-flow urine lipoarabinomannan for HIV-positive patients with symptoms of tuberculosis. PLoS ONE, 1–17. https://doi.org/10.1371/journal.pone.0227138
