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.
Indonesia Health Ministry. Penyajian pokok-pokok hasil riset kesehatan dasar. Jakarta: Health Ministry Republic of Indonesia., 2013.
Suprayitno. Tuberculosis patient habitual of coughing and sputum dispose. In: In The Proceeding of 7th International Nursing Conference: Global Nursing Challenges in The Free Trade Era, http://eprints.ners.unair.ac.id/223/ (2018).
Parker E M, Smith C M. Nursing Theories and Nursing Practice. 2009.
Suprajitno S, Sunarno I, Ardiansah OA. Perception of Supervisor Taking Medicine about the Side Effect of Tuberculosis Medication for Patients. J Ners dan Kebidanan (Journal Ners Midwifery) 2018; 5: 058–061.
Chanda-Kapata P, Kapata N, Masiye F, et al. Health Seeking Behaviour among Individuals with Presumptive Tuberculosis in Zambia. Epub ahead of print 2016. DOI: 10.1371/journal.pone.0163975.
Samal J. Family perspectives in the care and support of tuberculosis patients: An Indian context. J Assoc Chest Physicians 2017; 5: 67–69.
Craig GM, Daftary A, Engel N, et al. Tuberculosis stigma as a social determinant of health: a systematic mapping review of research in low incidence countries. Int J Infect Dis 2017; 56: 90–100.
Indonesia Health Ministry. Peraturan Mentri Kesehatan No. 75 Tahun 2014 tentang Pusat Kesehatan Masyarakat (JDIH BPK RI), https://peraturan.bpk.go.id/Home/Details/139202/permenkes-no-75-tahun-2014 (2014, accessed 11 March 2022).
Indonesia Health Ministry. Peraturan Mentri Kesehatan No. 39 Tahun 2016 tentang Pedoman Penyelenggaraan Program Indonesia Sehat Dengan Pendekatan Keluarga (JDIH BPK RI), https://peraturan.bpk.go.id/Home/Details/113087/permenkes-no-39-tahun-2016 (2016, accessed 11 March 2022).
Amelia S, Rahayu SR, Wijayanti Y. Analysis of Physical Environmental Factors Affecting the Incidence of Pulmonary Tuberculosis in Magelang City. Public Heal Perspect J 2021; 6: 83–91.
Musfirah, Desi Nurfita AFR. Analysis of Healthy Housing and TB Prevalence in Yogyakarta City. J Kesehat Masy 2021; 17: 405–414.
World Health Organization. WHO guidelines on tuberculosis infection prevention and control, https://www.who.int/publications-detail-redirect/9789241550512 (2019, accessed 11 March 2022).
Hamada Y, Glaziou P, Sismanidis C, et al. Prevention of tuberculosis in household members: estimates of children eligible for treatment. Bull World Health Organ 2019; 97: 534-547D.
Jindal SK. Relationship of household air pollution from solid fuel combustion with tuberculosis? Indian J Med Res 2014; 140: 167–170.
Álvaro-Meca A, Díaz A, De Miguel Díez J, et al. Environmental Factors Related to Pulmonary Tuberculosis in HIV-Infected Patients in the Combined Antiretroviral Therapy (cART) Era. PLoS One 2016; 11: e0165944.
Singh SK, Kashyap GC, Puri P. Potential effect of household environment on prevalence of tuberculosis in India: evidence from the recent round of a cross-sectional survey. BMC Pulm Med 2018; 18: 66.
Jiménez-Fuentes MÁ, Rodrigo T, Altet MN, et al. Factors associated with smoking among tuberculosis patients in Spain. BMC Infect Dis 2016; 16: 486.
Khan AH, Sulaiman SAS, Hassali MA, et al. Effect of smoking on treatment outcome among tuberculosis patients in Malaysia; a multicenter study. BMC Public Health 2020; 20: 854.
Muzakkir M, Husaeni H, Muzdaliah I, et al. Family attitudes and behavior toward tuberculosis prevention in the lembang health center area, West Sulawesi, Indonesia. Open Access Maced J Med Sci 2021; 9: 1491–1494.
Elizabeth Y, Gunawan S. Family Efforts To Prevent TB Transmission In East Sumba, Indonesia. J Kesehat Soedirman 2019; 14: 55–65.
Kurniadi Tahu S, Dion Y. Preventing Tuberculosis in Families of East Timor Expatriate Tuberculosis Patients in Indonesia. KnE Life Sci 2022; 2022: 934–942.
Rakhmawati W, Nurhidayah I, Adistie F. Family-centered care of tuberculosis prevention in children : a concept analysis. EurAsian J Biosci 2020; 14: 7239–7244.
Yermi, Ardi M, Lahming, et al. Knowledge and Attitudes with Family Role in Prevention of Pulmonary Tuberculosis in Maros, Indonesia. J Phys Conf Ser; 1028. Epub ahead of print 2018. DOI: 10.1088/1742-6596/1028/1/012001.
The Global Health Delivery Project, https://www.globalhealthdelivery.org/home (accessed 24 April 2022).
KNCV Indonesia - Efek Samping Obat Anti TB, https://kncv.or.id/apa-itu-tb/tb-tbc/efek-samping-obat-anti-tb.html (accessed 24 April 2022).
Stabel JR, Turner A, Walker M. An eco-friendly decontaminant to kill Mycobacterium avium subsp. paratuberculosis. J Microbiol Methods 2020; 176: 106001.
Myneedu VP, Aggarwal A. Disposal of the large volume of sputum positive for Mycobacterium tuberculosis by using microwave sterilisation technology as an alternative to traditional autoclaving in a tertiary respiratory care hospital in Delhi, India. Infect Prev Pract 2020; 2: 100072.
Rumah Sakit Islam Jakarta Cempaka Putih - Cegah Penyakit TBC di Keluarga, https://www.rsi.co.id/promkes/tips-kesehatan/cegah-penyakit-tbc-di-keluarga (accessed 24 April 2022).
Mejri I, Loukil M, Khalfallah I, et al. Side effects of tuberculosis treatment with fixed-dose combinations. Eur Respir J; 48. Epub ahead of print 2016. DOI: 10.1183/13993003.congress-2016.PA2713.
Kaplan RM, Bush JW, Berry CC. Health status: types of validity and the index of well-being. Health Serv Res 1976; 11: 478–507.
The Global Health Delivery Project, http://www.globalhealthdelivery.org/ (accessed 24 April 2022).
Copyright (c) 2022 Suprajitno Suprajitno, Sri Mugianti, Abdulateef Al-Hadeethi
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).