The Effectiveness of SOWAN Program Holistic Nursing Intervention on Pulmonary TB Patients’ Independence Level

Abstract

Background: The pulmonary TB patients require prolong treatment along 3 – 6 month. So they require ability to manage care including compliance to treatment control their emotional status and ability to live in the normal life. Even though the government has implemented the DOTs program since several years ago, but there is still problems of the high prevalence of pulmonary TB in Indonesia that put in number four in the world. The purpose of this study is to analyze the effects of holistic nursing care nursing “SOWAN” program toward the independencies of TB patients in physical, psychological, social and spiritual. Method: The quasi experimental design was used in this study with quantitative and qualitative approach. 60 persons was elected as the sample of this study that derived 30 people for control group and 30 other in intervention group. The intervention was done 2 month by using SOWAN program which is abbreviation of supporting, observation, wellbeing, action and nursing. The Result: Result of this study showed that there was increasing of independently level in the intervention group after the intervention with mean from 32.86 before intervention to 55.33 after the intervention with significant different p value 0.000 and there was significant different between the intervention group and control group (p= 0.000) that result also shown in evaluation using self-assessment card after intervention. There is increasing self-awareness and self-management among the responded from grade 3 to grade 4.9 (value range from 1 – 5). Conclusion: As the conclusion, this study provide the significant effect of holistic nursing care by using SOWAN in increasing the independency level of TB patients in physical, psychological, spiritual and social. It is recommended the SOWAN can be implemented in nursing care of chronic diseases in primary care as KIE and AKMS.