ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI PELAKSANAAN PEMERIKSAAN MIKROSKOPIS DAHAK PENDERITA TUBERKULOSIS PARU DALAM STRATEGI DOTS DI PUSKESMAS KABUPATEN BLORA TAHUN 1999/2000

Abstract

ANALYSIS OF FACTORS THAT INFLUENCE THE IMPLEMENTATION OF MICROSCOPIES PHLEGM EXAMINATION THROUGH LUNG TUBERCULOSIS VICTIMS WITH DOTS SIRAIEGY IN THE PRIMARY HEALTH CENTRE OF BLORA REGENCY ON THE YEAR OF 1999/2000 Pages : 83, tabels : 29, grafic : 1, map : 1 Microscopies phlegm examination is one of the important part in DOTS (Directly Observed Treatment Short Course) Strategy on the prevention program of lung tuberculosis diseases to maintain the diagnosis or the treatment evaluation. Meanwhile, the implementation of phlegm examination of the SPS (Sewaktu Pagi Sewaktu = Spot Morning Spot) lung tuberculosis victims in Blora regency had not been well-implemented yet, from 350 victims only 38,29 % had been implemented, and the rest 61,71 % had not been well-implemented yet. The purpose of this research knows the factors that can influence the implementation of microscopies phlegm examination lung tuberculosis victims in the primary health centre. In 1999/2000, the Blora regency used the design of case control study. This research had been implemented in 26 primary health centre in Blora regency. The time of the research was from May until July, 2001. The result of bivariant test shows, there are 13 variables that effect the implementation of phlegm examination trough lung tuberculosis victims in the primary health centre. But, the result of multivariant test shows, only 3 variables which are influential, they are : factor of difficulty in carried out phlegm with Exp (B) = 26,8466, factor of microscope condition in the clinic with Exp (B) = 0,1406, and also factor of educational degree of medical clinic in the primary health centre with Exp (B) 0,1409. The conclusion of this research is that the factors of difficulty in carrying out phlegm from the victims, microscope condition in the primary health centre and educational degree of the officials clinic's in the primary health centre, can influence the implementation of phlegm examination through lung tuberculosis victims with DOTS strategy in the primary health centre. It is advised to give examples about the ways of canying out phlegm correctly, increasing the educational degree of the officials clinic's in the primary health centre through study assignment, and also fixing the disorder-microscope. Pemeriksaan mikroskopis dahak merupakan salah satu komponen panting dalam strategi DOTS (Directly Observed Treatment Short Course) pada program penanggulangan penyakit tuberkulosis paru guna penegakan diagnosis maupun untuk evaluasi pengobatan. Namun pelaksanaan pemeriksaan mikroskopis dahak penderita tuberkulosis paru SPS (Sewaktu Pagi Sewaktu) di Kabupaten Blora belum dilaksanakan dengan baik dad 350 penderita hanya 38,29 % yang dilakukan pemeriksaan dahak SPS, sedangkan 61,71 % belum dilaksanakan dengan baik Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi pelaksanaan pemeriksaan dahakpenderita tuberkulosis paru di puskesmas Kabupaten Blora tahun 1999/2000 dengan rancangan Case Control Study. Penelitian ini dilakukan pada 26 puskesmas di Kabupaten Blora. Waktu penelitian bulan Mei sampai Juli 2001. Hasil uji bivariat menunjukkan ada 13 variabel yang berpengaruh terhadap pelaksanaan pemeriksaan dahak penderita tuberkulosis paru di puskesmas. Namur hasil uji multivariat hanya ada 3 variabel yang berpengaruh, yaitu : faktor kesulitan penderita dalam mengeluarkan dahak dengan nilai Exp (B) atau risiko sebesar 26,8466, kondisi mikroskop di puskesmas dengan nilai Exp (B) sebesar 0,1406 serta tingkat pendidikan petugas di Balai Pengobatan (BP) atau poliklinik puskesmas dengan nilai Exp (B) sebesar 0,1066. Kesimpulan dari penelitian ini adalah ada pengaruh faktor kesulitan mengeluarkan dahak dari penderita, kondisi mikroskop di puskesmas yang rusak serta masih rendahnya tingkat pendidikan petugas di BP atau Poliklinik puskesmas. Disarankan untuk meningkatkanmembetikan contoh cara mengeluarkan dahak yang baik, meningkatkan tingkat pendidikan petugas BP puskesmas melalui tugas belajar serta memperbaiki mikroskop yang rusak.