PENGARUH KONDISI FISIK RUMAH TERHADAP PENULARAN TB PARU PADA ANGGOTA KELUARGA (Studi Kasus di Wilayah Kerja Puskesmas Perak Timur Surabaya Tahun 2018)

Evi Nurdiana, Nur Haidah, A. Nerawati
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Abstract

Tuberculosis is an infectious disease that caused by the bacterium Mycobacterium tuberculosis and more often infects lung organs than the other body organs . Healthy people at home with pulmonary TB sufferers are a group that is very susceptible to contracting the disease. One of possible factors that is at risk for pulmonary TB is the physical condition of the house which includes ventilation, occupancy, density, lighting, floor conditions, humidity, and temperature. The purpose of this study was to analyze the effect of the physical condition of the house on pulmonary TB transmission in the family members in the working area of Health Center East Perak Surabaya.This research is an observational analytic research with cross-sectional study design. The data collection is done by interviewing, observing, and measuring the physical condition of the house. The population in this study were 51 houses with pulmonary tuberculosis patients and a large sample of 45 houses with pulmonary TB patients. The data obtained were then analyzed analytically using Exact Fisher test.          The results of univariate analysis showed pulmonary tuberculosis transmission in family members (17.8%), the ventilation was unfullfilled the requirements (68.9%), lighting was unfullfilled the requirements (75.6%), the temperature was unfullfilled the requirements (68.9%) , humidity was unfullfilled the requirements (35.6%), floor conditions was unfullfilled the requirements (2.2%), and occupancy of density was unfullfilled the requirements (68.9%). The results of bivariate analysis showed that there was an influence on pulmonary TB transmission in family members, by the temperature (Pvalue = 0.007) and humidity (Pvalue = 0.017).The conclusion, the temperature and humidity affect the transmission of pulmonary TB in family members; ventilation, lighting, floor conditions, and occupancy of density do not affect the transmission of pulmonary TB in family members. It is recommended to do data collection and counseling about healthy homes and TB disease, treatment for all TB patients completely, and check family members immediately if they have symptoms of coughing for more than 2 weeks. Keywords      : Tuberculosis, family members, physical condition of the house.
家庭健康状况对家庭成员感染肺结核的影响(2018年在泗水东部银质区进行案例研究)
结核病是一种由结核分枝杆菌引起的传染病,肺器官比其他身体器官更常受到感染。家里有肺结核患者的健康人是一个非常容易感染这种疾病的群体。有肺结核危险的可能因素之一是房屋的物理条件,包括通风、占用、密度、照明、地板条件、湿度和温度。本研究旨在分析东霹雳州泗水卫生中心工作区域内的房屋环境对家庭成员肺结核传播的影响。本研究采用横断面研究设计的观察性分析研究。数据收集是通过采访、观察和测量房屋的物理状况来完成的。这项研究的人口是51个有肺结核患者的家庭和45个有肺结核患者的家庭的大样本。然后使用Exact Fisher检验对所得数据进行分析。单因素分析结果显示,家庭成员中肺结核传播率(17.8%)、通风不符合要求(68.9%)、照明不符合要求(75.6%)、温度不符合要求(68.9%)、湿度不符合要求(35.6%)、地板条件不符合要求(2.2%)、占用密度不符合要求(68.9%)。双变量分析结果显示,温度(p值= 0.007)和湿度(p值= 0.017)对家庭成员间肺结核传播有影响。结论:温度和湿度对肺结核在家庭成员中的传播有影响;通风、照明、地板条件和居住密度不影响肺结核在家庭成员中的传播。建议对健康家庭和结核病进行数据收集和咨询,对所有结核病患者进行全面治疗,如果有咳嗽症状超过2周,应立即对家庭成员进行检查。关键词:肺结核,家庭成员,房屋物理条件。
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