FAKTOR RISIKO KEJADIAN TB-DM DI RSUD Dr. SOEDARSO PONTIANAK TAHUN 2018

SATRIANA, DEVITA (2019) FAKTOR RISIKO KEJADIAN TB-DM DI RSUD Dr. SOEDARSO PONTIANAK TAHUN 2018. Skripsi thesis, Fakultas Ilmu Kesehatan.

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Abstract

Tuberkulosis paru (TB paru) merupakan penyakit infeksi menular yang disebabkan oleh bakteri Mycobacterium tuberculosis dan sampai saat ini masih menjadi masalah yang penting dalam kesehatan di dunia khususnya di negara berkembang. Salah satu faktor pemicu yang memperberat tuberkulosis adalah diabetes melitus. Pasien DM memiliki 2 hingga 3 kali risiko untuk menderita TB dibanding orang tanpa DM. Tujuan penelitian ini adalah menganalisis faktor risiko kejadian TB-DM di RSUD dr. Soedarso Pontianak. Penelitian ini menggunakan desain kasus kontrol. Sampel penelitian sebanyak 64 orang (32 kasus dan 32 kontrol) yang diambil dengan teknik total sampling. Uji statistik yang digunakan uji chi-square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan faktor risiko kejadian TB-DM di RSUD dr. Seoedarso Pontianak yaitu kebiasaan merokok (p value = 0,001; OR = 7,222; CI 95% = 2,309-22,588), kontak dengan penderita TB (p value = 0,016; OR = 12,130; CI 95% = 1,434-102,612), lama menderita DM (p value = 0,000; OR = 9,000; CI 95% = 2,730-29,667), kadar glukosa darah (p value = 0,000; OR = 59,182; CI 95% = 7,098-493,416). Sedangkan status gizi (p value = 1,000) bukan merupakan faktor risiko kejadian TB-DM. Disarankan kepada RSUD dr. Soedarso Pontianak untuk memastikan obat diminum sesuai dengan standar program dan teratur, dipantau ada tidaknya efek samping serta melakukan pendampingan agar penderita DM dengan TB rutin berobat. // Pulmonary tuberculosis (pulmonary TB) is a contagious infectious disease caused by the bacterium Mycobacterium tuberculosis and is still an important health problem in the world, especially in developing countries. One of the triggering factors that aggravate tuberculosis is diabetes mellitus. DM patients have 2 to 3 times the risk of developing TB compared to people without DM. The purpose of this study was to analyze the risk factors of TB-DM incident in RSUD dr. Soedarso Pontianak. This study uses a case control design. The research sample of 64 people (32 cases and 32 controls) were taken by total sampling technique. The statistical test used is the chi-square test with a confidence level of 95%. The results showed the risk factors of TB-DM incident in RSUD dr. Seoedarso Pontianak are smoking habits (p value = 0.001; OR = 7.222; 95% CI = 2.30922.588), contact with TB sufferers (p value = 0.016; OR = 12.130; 95% CI = 1.434-102.612), duration of DM (p value = 0.000; OR = 9.000; 95% CI = 2.73029.667), blood glucose levels (p value = 0,000; OR = 59.182; 95% CI = 7.098493.416). The nutritional status (p value = 1.000) are not risk factors for TB-DM incident. Recommended to It is recommended to RSUD dr. Soedarso Pontianak to ensure that drugs are taken according to program standards and regularly, monitored for the presence or absence of side effects, and provide assistance so that DM patients with TB regularly get treatment.

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