Perbedaan Status Gizi Penderita Tuberkulosis Paru antara Sebelum Pengobatan dan Saat Pengobatan Fase Lanjutan di Johar Baru, Jakarta Pusat

Kholis Ernawati, Nazza R. Ramdhagama, Lydia A. P. Ayu, Muhamad Wilianto, Vini T. H. Dwianti, Syafhira A. Alawiyah

Abstract


Penyakit tuberkulosis (TB) Paru merupakan penyakit menular yang disebabkan oleh kuman Mycobacterium tuberculosis. Faktor yang memengaruhi kemungkinan terkena penyakit TB paru salah satunya adalah status gizi yang buruk. Status gizi yang buruk akan meningkatkan risiko penyakit tuberkulosis paru. Sebaliknya, TB paru berkontribusi menyebabkan status gizi yang buruk karena proses perjalanan penyakit yang mempengaruhi daya tahan tubuh. Tujuan penelitian adalah menganalisis perbedaan status gizi penderita TB paru sebelum pengobatan dengan saat pengobatan fase lanjutan di Johar Baru, Jakarta Pusat. Penelitian dilakukan pada bulan Januari–Maret 2017. Populasi penelitian adalah  penderita TB paru dewasa (umur ≥17 tahun) yang sedang dalam masa pengobatan fase lanjutan (≥ pengobatan 4 bulan) yang berada di wilayah kerja Puskesmas Johar Baru sebanyak 51 orang. Dari populasi yang ada diambil sampel sebanyak 30 orang responden penderita TB Paru dengan teknik pengambilan sampel secara sampling kuota. Hasil penelitian menunjukkan bahwa status gizi responden sebelum pengobatan sebagian besar memiliki status gizi yang normal. Status gizi responden ketika pengobatan TB Paru ada peningkatan status gizi yang normal dan status gizi yang lebih serta penurunan status gizi yang kurang. Hasil uji bivariat menunjukkan tidak ada perbedaan nyata status gizi penderita TB Paru antara sebelum pengobatan dengan saat pengobatan fase lanjutan (p=0,763). Simpulan, perbandingan status gizi penderita TB sebelum pengobatan dan saat pengobatan fase lanjutan adalah terdapat penurunan status gizi kurang dan peningkatan status gizi normal. Hasil uji bivarat menunjukkan tidak ada beda nyata status gizi antara sebelum pengobatan dan saat pengobatan fase lanjutan.

 Kata kunci: Fase pengobatan penyakit TB, status gizi, TB paru

 

Differences in Nutritional Status of Pulmonary Tuberculosis Patients between Before Medication with Advanced Phase Treatment in Johar Baru,

Central Jakarta

Tuberculosis (TB) lung disease is a contagious disease caused by Mycobacterium tuberculosis bacteria. Factors that affect the likelihood of developing pulmonary TB disease one of them is poor nutritional status. Poor nutrition status increases the risk of pulmonary tuberculosis. In contrast, pulmonary TB contributes to poor nutritional status due to the disease-causing processes that affect the immune system. The objective of the study was to analyze the difference of nutritional status between patients with pulmonary tuberculosis before treatment with advanced treatment phase in Johar Baru, Central Jakarta. The study was conducted in January–March 2017. The study population were adult tuberculosis (age ≥ 17 years old) who were in the phase of advanced treatment phase (≥ 4 months treatment) located in Johar Baru Public Health Center area of 51 people. Of the existing population were taken a sample of 30 respondents with pulmonary TB patients with sampling technique by quota sampling. The results showed that the nutritional status of respondents before treatment most had normal nutritional status. Nutrition status of respondents when treatment of pulmonary tuberculosis is that there is an increase of normal nutritional status and more nutritional status and decreasing nutrient status is less. Wilcoxon Signed Ranks Testresults showed no significant difference in nutritional status of patients with pulmonary tuberculosis between before treatment with advanced treatment phase (p = 0,763). Conclusion, the comparison of the nutritional status of TB patients before treatment and during the advanced phase of treatment is that there is a decrease in nutritional status and an increase in normal nutritional status. The results of the bivarat test showed that there was no significant difference in nutritional status between before treatment and during advanced phase treatment.

Key words: Nutritional status, phase of treatment of TB disease, pulmonary TB


Keywords


Fase pengobatan penyakit TB, status gizi, TB paru

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