The Association of Characteristics, Motivation, and Attitude of Health Workers On Tuberculosis Treatment Drop out at Balkesmas Semarang Area

S. Rahayu, Lukman Fauzi, Aufiena Nur Ayu Merzistya
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Abstract

Tuberculosis (TB) is still a problem affecting infectious diseases. Semarang is in 6th place with the highest dropout rate in Central Java. The dropout rate from 2014 to 2016 is each number of 13.9%; 3.40% (13 cases); and 6.54% (14 cases) at Balkesmas Semarang area. The purpose of this study was to know the association of characteristics, motivation and attitude of health workers on TB treatment drop out at Balkesmas Semarang area. This method uses case-control with 21 cases of TB drop-out patients and 21 control sample of patients recovered or complete treatment, which is domiciled in Semarang and conducted more than 15 years old. The sampling technique uses purposive sampling and data retrieval using the questionnaire. The results of this study showed that lack of selfmotivation (p-value 0.046) and moderate motivation (p-value 0.004), lack of family’s motivation (p-value 0.03) associated with the incidence of drop out treatment among TB patients. Patients who have moderate motivation contribute greatly to TB treatment drop out. Self-motivation is needed in increasing the regularity of treatment, self-motivation can be obtained from family, the surrounding environment and health facilities. Keywords— Drop out, Tuberculosis, Motivation
Balkesmas三宝垄地区卫生工作者对结核病治疗退出的特征、动机和态度的关联
结核病(TB)仍然是一个影响传染病的问题。三宝垄是中爪哇辍学率最高的地区,排名第六。2014 - 2016年的辍学率各为13.9%;3.40%(13例);Balkesmas三宝垄地区14例,占6.54%。本研究的目的是了解三宝垄地区卫生工作者的特征、动机和态度与结核病治疗退出的关系。该方法采用病例对照的方法,选取21例结核病退治患者和21例康复或完全治疗的患者作为对照样本,这些患者居住在三宝垄,年龄在15岁以上。抽样技术采用有目的的抽样和使用问卷的数据检索。本研究结果显示,缺乏自我动机(p值为0.046)、适度动机(p值为0.004)、缺乏家庭动机(p值为0.03)与结核病患者退出治疗的发生率相关。对结核病治疗贡献不大的患者退出治疗。提高治疗的规律性需要自我激励,自我激励可以从家庭、周围环境和卫生设施中获得。关键词:辍学,肺结核,动机
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