Electronic Theses and Dissertation

ABSTRAK
Penemuan Tuberkulosis Resistansi Obat (TB RO) dari waktu ke waktu menyebabkan beban pengendalian penyakit TB bertambah. Lamanya pengobatan TB RO yang harus ditempuh hingga 24 bulan serta pemberian rejimen terapi yang banyak menyebabkan rasa keputusasaan timbul. Penelitian ini bertujuan untuk menilai gambaran keputusasaan penderita tuberkulosis resistansi obat usia produktif yang berobat di rumah sakit rujukan di Banda Aceh Tahun 2022. Penelitian ini merupakan penelitian deskriptif observasional dengan menggunakan data primer dari wawancara kuisioner dan data sekunder dari data rekam medik penderita TB RO. Teknik pengambilan sampel menggunakan Total Sampling dengan jumlah 30 penderita.
Hasil penelitian menunjukkan bahwa penderita TB RO berusia produktif dengan rerata usia 42 tahun. Penderita TB RO dominan berjenis kelamin laki-laki 73,3%. Tingkat pendidikan dan status pekerjaan penderita TB RO tertinggi yaitu tamat SMA (50,0%), dan bekerja di sektor swasta (50,0%). lama pengobatan TB RO tertinggi yaitu Individual (96,7%) dengan pengobatan TB sebelumnya tertinggi yaitu kasus baru (60,0%). Jumlah obat yang dikonsumsi responden tertinggi yaitu ≤ 5 Obat (76,7%), dan dominan efek samping yang dirasakan yaitu mual (53,3%). Riwayat komorbid penyakit penderita TB RO tertinggi yaitu tidak ada (53,3%). Kategori TB RO responden terbanyak yaitu Resistansi Rifampisin (RR) sebanyak (90,0%). Dan (73,3%) responden mengalami keputusasaan ringan. Kesimpulan dari penelitian ini, didapatkan bahwa penderita TB RO banyak ditemukan pada kelompok usia produktif, dan dominan diderita oleh laki-laki. Mayoritas penderita TB RO memiliki pendidikan menengah atas (SMA) dengan pekerjaan terbanyak adalah swasta. Penderita TB RO lebih banyak mengalami Resistansi Rifampisin (RR), dan hampir keseluruhan penderita menjalani pengobatan individual, dengan riwayat pengobatan TB sebelumnya terbanyak yaitu kasus baru. Jumlah obat yang dikonsumsi terbanyak yaitu ≤ 5 obat, dan tidak memiliki komorbid. Mayoritas penderita TB RO mengalami efek samping dominan yaitu mual. Penderita TB RO yang sedang menjalani pengobatan memiliki tingkat keputusasaan ringan.

Kata Kunci: Keputusasaan, Usia Produktif, Tuberkulosis Resistansi Obat

ABSTRACT The discovery of drug-resistant tuberculosis (RO-TB) from time to time causes the burden of TB disease control to increase. The length of treatment for TB RO, which must be taken for up to 24 months and the provision of many therapeutic regimens, causes a feeling of hopelessness. This research is an observational descriptive study using primary data from questionnaire interviews and secondary data from medical records of TB RO patients. The sampling technique used Total Sampling with a total of 30 patients. The results showed that RO TB sufferers were of productive age with an average age of 42 years. RO TB sufferers are predominantly male 73.3%. The highest level of education and employment status of RO TB sufferers were high school graduates (50.0%), and working in the private sector (50.0%). The highest RO TB treatment duration was individual (96.7%) with the highest previous TB treatment being a new case (60.0%). The highest number of drugs consumed by respondents was ≤ 5 drugs (76.7%), and the dominant side effect felt was nausea (53.3%). The highest comorbid history of RO TB patients was none (53.3%). The highest number of respondents in the RO TB category was Rifampicin Resistance (RR) (90,0%). And (73.3%) respondents experienced mild despair. he conclusion of this study, it was found that many RO TB patients were found in the productive age group, and were predominantly suffered by men who had an average age of 42 years. The majority of RO TB sufferers have senior high school education (SMA) with most jobs being private. RO TB patients experience more Rifampicin Resistance (RR), and almost all patients undergo individual treatment, with the most history of previous TB treatment, namely new cases. The highest number of drugs consumed by TB RO patients was ≤ 5 drugs, and had no comorbidities. The majority of TB RO sufferers experience the dominant side effect, namely nausea. RO TB sufferers who are undergoing treatment have a mild level of hopelessness. Keywords: Hopelessness, Productive Age, Drug Resistance Tuberculosis