ADHERENCE IMPROVEMENT MODEL BASED ON KING INTERACTION SYSTEM

Tintin, Sukartini (2015) ADHERENCE IMPROVEMENT MODEL BASED ON KING INTERACTION SYSTEM. In: The 6th International Nursing Conference.

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Abstract

BACKGROUND Indonesia is the fouth largest contributor to tuberculosis (TB) in the world in 2012, the number of new cases of approximately 400,000–500,000 cases, after India (2.0 million-2.5 million), China (900,000–1,100,000) and South Africa (400,000–600,000) cases (WHO, 2012). According to Riset kesehatan nasional or National Health Study in 2001, the pulmonary TB is the number one desease and as the third cause of death in Indonesia (Depkes, 2001). Based on data from TB Sub Directorate of the Ministry of Health Republic of Indonesia and WHO (2008) that until January 2007, 37% of hospitals implement DOTS with the different quality. TB average ranks number 2 in the outpatient clinic at the General Hospital and rank number 1 in Lung Hospital. Nearly 6.5% of the cases the treatments of category II who failed treatment and showed MDR-TB (multidrug resistant TB) are found in hospitals. Various attempts have been made by the government to address TB among TB control is a global plan aimed at achieving global targets in line with the WHO TB DOTS (directly observed treatment, short-course) and a new stop TB strategy. According to Ministry of Health Republic of Indonesia in 2008 TB prevalence was 253 per 100,000 population while the MDGs (Millennium Development Goals) targets in 2015 for TB is 222 per 100,000 population means that it is the conditions in Indonesia closer to the expected target. In 2009 to reach 71% case detection and treatment success rate reached 90% (Kemkes, 2011). Nurses has important role in facilitating therapy and shaping constructive behavior to patients with TB thus they were motivated to become adhere to treatment. Current discrepancy in TB treatment includes health education was held by nurses was less optimal at nurse-patient interaction to improve patients’ adherence. The participation of nurses in government programs is indispensable in order to avoid treatment failure which led to the MDR-TB or XDR-TB. In addition to supporting the government’s program, one of which is the program PMO, nurses need to perform an approach to patients in performing the adherence of treatment. Based on the fact mentioned above, a new approach focused on nurse-patient interaction system is needed. King’s Interaction System Model can be used to improve nurse-patient interaction thus the patients’ adherence to treatment improved. Framework dynamic interaction system of King used as a theoretical framework in developing adherence improvemnet model that focuses on the dynamic interaction of personal systems, interpersonal system and social system in achieving the goal of increased pulmonary TB patient adherence. Personal system according to King describes the characteristics of the individual and the individual is seen as an open system (Alligood & Tomey, 2006).

Item Type: Conference or Workshop Item (Speech)
Subjects: R Medicine > RT Nursing
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: Dimas Dwi Arbi
Date Deposited: 30 Nov 2016 02:24
Last Modified: 30 Nov 2016 02:24
URI: http://eprints.ners.unair.ac.id/id/eprint/407

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