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Abstract
Latar Belakang: Kualitas hidup pasien pulmonary tuberculosis (PTB) dipengaruhi oleh kondisi fisik, psikologis, dan sosial. Pengetahuan yang baik dan dukungan social yang kuat sangat berperan penting dalam meningkatkan kepatuhan pengobatan serta kualitas hidup pasien. Tujuan: Mengetahui hubungan antara tingkat pengetahuan dan dukungan sosial dengan kualitas hidup penderita PTB di Puskesmas Air Putih Kota Samarinda. Metode: Kuantitatif dengan pendekatan cross sectional. Populasi pada penelitian ini adalah penderita PTB aktif di Puskesmas Air Putih pada tahun 2024-2025 sebanyak 34 orang penderita PTB. Berdasarkan perhitungan besar sampel didapatkan sampel sebesar 31 responden. Teknik sampling yang digunakan adalah simple random sampling. Pengumpulan data dilakukan melalui metode wawancara dengan menggunakan kuesioner. Analisis data dilakukan dengan menggunakan uji fisher’s exact dengan tingkat signifikansi 0,05. Hasil: Sebagian besar responden memiliki pengetahuan baik (64%), dukungan sosial baik (87,1%) dan kualitas hidup baik (61,3%). Dari hasil analisis didapatkan nilai p sebesar 0,705 (p-value > 0,05) pada variabel tingkat pengetahuan dan dukungan sosial sebesar 0,139 (p-value > 0,05) dengan kualitas hidup penderita PTB. Kesimpulan: Tidak terdapat hubungan yang signifikan antara tingkat pengetahuan dan dukungan sosial dengan kualitas hidup penderita PTB. Hal ini menegaskan perlunya pendekatan holistik dalam upaya meningkatkan kualitas hidup penderita PTB seperti mempertimbangkan faktor lain yang mungkin berperan penting dalam kesejahteraan pasien misalnya faktor kesehatan fisik, ekonomi, akses pelayanan kesehatan dan aspek psikososial yang lebih luas. Penelitian selanjutnya juga dapat mengeksplorasi variabel tambahan untuk mendapatkan gambaran yang lebih komprehensif.
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References
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References
World Health Organization. Global Tuberculosis Report 2023. Geneva: World Health Organization. No. Licence: CC BY-NC-SA 3.0 IGO.
Yasobant S, Khatib MN, Syed ZQ, Gaidhane AM, Shah H, Narkhede K, et al. Health-Related Quality of Life (HRQoL) of Patients with Tuberculosis: A Review. Infect Dis Rep. 2022;14(4):509-24. https://doi.org/10.3390/idr14040055
Febi AR, Manu MK, Mohapatra AK, Praharaj AK, Guddattu V. Psychological Stress and Health-Related Quality of Life among Tuberculosis Patients: A Prospective Cohort Study. ERJ Open Res. 2021;7:1-7. https://doi.org/10.1183/23120541.00251-2021
Fuady A, Arifin B, Yunita F, Rauf S, Fitriangga A, et al. Stigma Depression Quality of Life and the Need for Psychosocial Support among People with Tuberculosis in Indonesia: A Multi-Site Cross-Sectional Study. PLOS Glob Public Health. 2024;4(1):1-20. https://doi.org/10.1371/journal.pgph.0002489
Hammouda EA, Gobran WF, Tawfeek RM, Esmail OF, Ashmawy R, et al. Survey to Measure the Quality of Life of Patients with Tuberculosis in Alexandria, Egypt: A Cross-Sectional Study. BMC Health Services Research. 2023;23:1-10. https://doi.org/10.1186/s12913-023-09381-z
Anisah AN, Djuwita R, Sudaryo MK. The Influence of Social Support to the Quality of Life of Tuberculosis Patients in Depok, West Java Province, Indonesia. Global Journal of Health Science. 2020;12(12): 112-20. https://ccsenet.org/journal/index.php/gjhs/article/view/0/44008
Tornu E, Quarcoopome L. Correlates of Quality of Life among Persons Living with Tuberculosis: A Cross-Sectional Study. PLoS ONE. 2022;17(11):1-13. https://doi.org/10.1371/journal.pone.0277192
Fikri, M., Pelawi, A.M.P. and Deniati, K. Hubungan Tingkat Pengetahuan Pasien TB Paru dengan Upaya Pencegahan PenularanTB Paru. Jurnal Penelitian Perawat Profesional. 2024;6(4):565–1574. https://jurnal.globalhealthsciencegroup.com/index.php/JPPP/article/view/2805/2043
Wisesa W, Pebriyani U, Sudiadnyani NP, Lestari SMP. Hubungan Tingkat Pengetahuan tentang Penyakit Tuberkulosis dengan Kesembuhan Penderita Tuberkulosis Paru di Puskesmas Panjang Tahun 2021. Medula. 2021;11(4):383–90. https://doi.org/10.53089/medula.v11i4.497
Ida, Shidqi R. Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pasien TB Paru di Wilayah Kerja Puskesmas Selabatu Kota Sukabumi. J Heal Soc. 2024;13(1):84–90. https://doi.org/10.62094/jhs.v13i1.140
Adejumo OA, Jinabhai C, Daniel O, Hffejee F. The effects of Stigma and Social Support on the Health-Related Quality of Life of People with Drug Resistance Tuberculosis in Lagos, Nigeria. Qual Life Res. 2025;34(5):1305-1316. https://doi.org/10.1007/s11136-025-03902-5
Chen X, Xu J, Chen Y, Wu R, Ji H, et al. The Relationship among Social Support, Experienced Stigma, Psychological Distress, and Quality of Life among Tuberculosis Patients in China. Sci Rep. 2021;11(1):1-11. https://doi.org/10.1038/s41598-021-03811-w
Dixit K, Rai B, Aryal TP, Siqueira-Filha NTD, Dhital R, et al. Stigma, Depression and Quality of Life among People with Pulmonary Tuberculosis Diagnosed Through Active and Passive Case Finding in Nepal: A Prospective Cohort Study. BMC Global and Public Health. 2024;2(20):1-19. https://doi.org/10.1186/s44263-024-00049-2
Sofiana L, Ayu SM, Wardani Y, Puspaningrum E, Hadianti DD. Risk Factors of Quality of Life among Tuberculosis Patients. Int J Public Heal Sci. 2022;11(3):756–62. http://doi.org/10.11591/ijphs.v11i3.21005
Moningka JSY, Kalesaran AFC, Asrifuddin A. Hubungan antara Dukungan Sosial dan Tingkat Stres dengan Kualitas Hidup Pada Pegawai di Kantor Dinas Kesehatan Kabupaten Minahasa Selatan di Masa Pandemi COVID-19. J Kesmas. 2022;11(1):44-52. https://ejournal.unsrat.ac.id/index.php/kesmas/article/view/39196.