The authors acknowledged the Office of Department of Health in Nabire, Polytechnic of Health of the Ministry of Health of Jayapura, Papua, all nursing colleagues for supporting the study and our gratitude to all parties willing to participate in the study

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Sukatemin Sukatemin
Ester Ester

Abstract

The major role of nursing in the management of tuberculosis cases with comorbidities in remote areas is seldom exposed in a structured framework. This study aims to framework for tuberculosis patients with comorbidities in the Directly Observed Treatment Shortcourse (DOTS) program in the nursing profession. The research method was a Cross-Sectional Study with a descriptive design. Data collection was carried out during 2020 in all health service facilities at the public health center (Puskesmas) implementing the DOTS program in Nabire, Papua. The sample was 948 tuberculosis patients. The inclusion criteria were TB patients on anti-tuberculosis drug (OAT) treatment. The exclusion criteria were not TB patients or TB patients without OAT treatment. The results of this study indicated that with the nursing framework there were five stages, namely database creation, identification of priority problems, preparation of referrals,  intervention, and evaluation. Bacteriologically confirmed samples were 73.7%, diagnosed with pulmonary tuberculosis at 68.7%, extrapulmonary tuberculosis at 1.3%, with comorbid HIV at 10%, and diabetes mellitus at 3%. After six months of treatment showed patients recovered from TB was 12.1%,  died at 3.7% and 1.6% failed. In conclusion, the nursing framework helps in a structured and systematic way in handling TB cases in remote areas.

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How to Cite
Sukatemin, S. and Ester, E. (2022) “The authors acknowledged the Office of Department of Health in Nabire, Polytechnic of Health of the Ministry of Health of Jayapura, Papua, all nursing colleagues for supporting the study and our gratitude to all parties willing to participate in the study”, Science Midwifery, 10(5), pp. 3575-3583. Available at: https://midwifery.iocspublisher.org/index.php/midwifery/article/view/821 (Accessed: 27November2022).

References

Alfadhila Khairil Sinatrya, & Lailatul Muniroh. (2019). The Assosiation of Water, Sanitation, and Hygiene (WASH) factor with Stunting in Working Area of Puskesmas Kotakulon, Bondowoso District. Amerta Nutrition, 3(3), 164–170. https://doi.org/10.2473/amnt.v3i3.2019.164-170
Aqtam, I., & Darawwad, M. (2018). Health Promotion Model: An Integrative Literature Review. Open Journal of Nursing, 08(07), 485–503. https://doi.org/10.4236/ojn.2018.87037
Berendsen, M. L. T., Van Gijzel, S. W. L., Smits, J., De Mast, Q., Aaby, P., Benn, C. S., Netea, M. G., & Van Der Ven, A. J. A. M. (2019). BCG vaccination is associated with reduced malaria prevalence in children under the age of 5 years in sub-Saharan Africa. BMJ Global Health, 4(6), 1–11. https://doi.org/10.1136/bmjgh-2019-001862
County, K., Id, E. K., Muhula, S., Kiptai, T., Orwa, J., Odero, T., & Gachuno, O. (2021). Factors influencing TB treatment interruption and treatment outcomes among patients in. 2016–2019. https://doi.org/10.1371/journal.pone.0248820
Department of Health Office of Papua, (2019). Performance Report of Health Office of Papua Province. 34–35. https://dinkes.jatimprov.go.id/userfile/dokumen/LAPKIN DINKES JATIM 2019_FINAL.pdf
Falzon, D., Jaramillo, E., Schünemann, H. J., Arentz, M., Bauer, M., Bayona, J., Blanc, L., Caminero, J. A., Daley, C. L., Duncombe, C., Fitzpatrick, C., Gebhard, A., Getahun, H., Henkens, M., Holtz, T. H., Keravec, J., Keshavjee, S., Khan, A. J., Kulier, R., … Zignol, M. (2011). WHO guidelines for the programmatic management of drug-resistant tuberculosis: 2011 update. European Respiratory Journal, 38(3), 516–528. https://doi.org/10.1183/09031936.00073611
Farida. (2020). Successful factors in the treatment of Multi Drug Resistance Tuberculosa (MDR-TB) In Indonesia : Systematic Review. Journal of Health Epidemiology and Communicable Diseases, 6(1), 35–41. https://dx.doi.org/10.22435/jhecds.v6i1.3206
Febriani, D. M., Lukas, S., & Murtiani, F. (2019). Evaluation of Using Antiretroviral (ARV) Berdasarkan Indikator CD4 Pada Pasien HIV di RSPI Prof. Dr. Sulianti Saroso. The Indonesian Journal of Infectious Diseases, 5(2), 21. https://doi.org/10.32667/ijid.v5i2.85
Fendy Yesayas, R. Y. (2021). The Effect of Self-Management Education on Compliance with Taking OAT in Tuberculosis Patients in Nabire Hospital. Oenelitian Kesehatan Suara Forikes, 12(November), 36–42. https://doi.org/http://dx.doi.org/10.33846/sf12nk307
Health Education England. (2017). Nursing Associate Curriculum Framework. https://www.hee.nhs.uk/sites/default/files/documents/Nursing Associate Curriculum Framework Feb2017_0.pdf
Herawati, M. H. (2021). Alternative Management of Tuberculosis in Indonesian Regions Outside Sumatra and Java-Bali (Tantrina Dwi Aprianita (ed.); 1st ed.). LIPI Press.
Liu, D., Huang, F., Zhang, G., He, W., Ou, X., He, P., Zhao, B., Zhu, B., Liu, F., Li, Z., Liu, C., Xia, H., Wang, S., Zhou, Y., Walker, T. M., Liu, L., Crook, D. W., & Zhao, Y. (2022). Whole-genome sequencing for surveillance of tuberculosis drug resistance and determination of resistance level in China. Clinical Microbiology and Infection, 28(5), 731.e9-731.e15. https://doi.org/10.1016/j.cmi.2021.09.014
Lu, Z., Jiang, W., Zhang, J., Lynn, H. S., Chen, Y., Zhang, S., Ma, Z., Geng, P., Guo, X., Zhang, H., & Zhang, Z. (2019). Drug resistance and epidemiology characteristics of multidrug-resistant tuberculosis patients in 17 provinces of China. PLoS ONE, 14(11), 1–14. https://doi.org/10.1371/journal.pone.0225361
Machlaurin, A., Christiaan, F., Dolk, K., Setiawan, D., Werf, T. S. Van Der, & Postma, M. J. (2020). Cost-Effectiveness Analysis of BCG Vaccination against Tuberculosis in Indonesia : A Model-Based Study. 1–14.
Mahardani, P. N., Wati, D. K., Siloam, A., Savitri, N. P. A., & Manggala, A. K. (2022). Effectiveness and Safety of Short-term Regimen for Multidrug-resistant Tuberculosis Treatment: A Systematic Review of Cohort Studies. Oman Medical Journal, 37(1). https://doi.org/10.5001/omj.2021.64
Malenfant, J. H., & Brewer, T. F. (2021). Rifampicin Mono-Resistant Tuberculosis - A Review of an Uncommon but Growing Challenge for Global Tuberculosis Control. Open Forum Infectious Diseases, 8(2), 1–6. https://doi.org/10.1093/ofid/ofab018
Masters, K. (2011). Framework for Professional Nursing Practice. Nursing Theories, 47–87.
Mehari, K., Asmelash, T., Hailekiros, H., Wubayehu, T., Godefay, H., Araya, T., & Saravanan, M. (2019). Prevalence and Factors Associated with Multidrug-Resistant Tuberculosis (MDR-TB) among Presumptive MDR-TB Patients in Tigray Region, Northern Ethiopia. Canadian Journal of Infectious Diseases and Medical Microbiology, 2019. https://doi.org/10.1155/2019/2923549
Ministry of Health. (2020). Treatment of Latent TB Infection. https://tbindonesia.or.id/wp-content/uploads/2021/01/Isi-Juknis-ILTB-FINAL-ok_published.pdf
Mirzayev, F., Viney, K., Linh, N. N., Gonzalez-Angulo, L., Gegia, M., Jaramillo, E., Zignol, M., & Kasaeva, T. (2021). World health organization recommendations on the treatment of drug-resistant tuberculosis, 2020 update. European Respiratory Journal, 57(6). https://doi.org/10.1183/13993003.03300-2020
Oermann, G. and. (2014). Clinical Teaching Strategies in Nursing. In Journal for Nurses in Professional Development (Vol. 30, Issue 6). https://doi.org/10.1097/nnd.0000000000000111
Paramasivan, C. N., Rehman, F., Wares, F., Sundar Mohan, N., Sundar, S., Devi, S., & Narayanan, P. R. (2010). First- and second-line drug resistance patterns among previously treated tuberculosis patients in India. International Journal of Tuberculosis and Lung Disease, 14(2), 243–246.
Pham, B. N., Abori, N., Silas, V. D., Jorry, R., Rao, C., Okely, T., & Pomat, W. (2022). Tuberculosis and HIV/AIDS-Attributed mortalities and associated sociodemographic factors in Papua New Guinea: Evidence from the comprehensive health and epidemiological surveillance system. BMJ Open, 12(6), 1–11. https://doi.org/10.1136/bmjopen-2021-058962
Pradipta, A., Sudaryo, M. K., & Rusli, A. (2020). Factors Associated with Tuberculosis Opportunictic Infection on HIV Patients at Sulianti Saroso Hospital duirng 2015-2019. The Indonesian Journal of Infectious Diseases, 6(2), 18. https://doi.org/10.32667/ijid.v6i2.104
Priestnall, S. L., Okumbe, N., Orengo, L., Okoth, R., Gupta, S., Gupta, N. N., Gupta, N. N., Hidrobo, M., Kumar, N., Palermo, T., Peterman, A., Roy, S., Konig, M. F., Powell, M., Staedtke, V., Bai, R. Y., Thomas, D. L., Fischer, N., Huq, S., … Chatterjee, R. (2020). THE WORLD OF EDUCATION IN THE INTERNAL AREA OF PAPUA BEFORE AND AFTER THE IMPACT OF COVID-19. Endocrine, 9(May), 6. https://www.slideshare.net/maryamkazemi3/stability-of-colloids%0Ahttps://barnard.edu/sites/default/files/inline/student_user_guide_for_spss.pdf%0Ahttp://www.ibm.com/support%0Ahttp://www.spss.com/sites/dm-book/legacy/ProgDataMgmt_SPSS17.pdf%0Ahttps://www.n
Puspita, T., Suryatma, A., Simarmata, O. S., Veridona, G., Lestary, H., Athena, A., Pambudi, I., Sulistyo, S., & Pakasi, T. T. (2021). Spatial variation of tuberculosis risk in Indonesia 2010-2019. Health Science Journal of Indonesia, 12(2), 104–110. https://doi.org/10.22435/hsji.v12i2.5467
Rosiska, M., Machmud, R., & Yeni, F. (2019). Implementation of the TB Control Program Using the Directly Observed Treatment Short-Course Strategy at the Siulak Mukai Health Center in the Work Area of the Kerinci District Health Office in 2014. Jurnal Kesehatan Medika Saintika, 10(2), 13. https://doi.org/10.30633/jkms.v10i2.361
Sentana, A. D. (2020). The Nursing Home Care Module in Improving Self Care Agency of Patient with Pulmonary Tuberculosis in the City of Bima , West Nusa Tenggara. 1, 304–311.
Setiawan, G., Juniarti, N., & Yani, D. I. (2019). Correlation between lifestyle and incidence of pulmonary tuberculosis in adolescents: a systematic literature review. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 5(1), 10–17. https://doi.org/10.33755/jkk.v5i1.118
Sianturi, S. R., & CB, D. (2020). Correlation between Family Support with Parents Obedience with Hiv/Aids (Odha) Minum Obat Arv. Journal of Applied Nursing (Jurnal Keperawatan Terapan), 6(2), 111. https://doi.org/10.31290/jkt.v6i2.1572
Smith, D. E., Woolley, I. J., Russell, D. B., Bisshop, F., Furner, V., Infection, M. M. H.-, Pullen, S., Mizuno, Y., Higa, D. H., Leighton, C. A., Roland, K. B., Deluca, J. B., Koenig, L. J., Noguera-Julian, M., Edgil, D., Harrigan, P. R., Sandstrom, P., Godfrey, C., Paredes, R., … Storgaard, M. (2018). Next-Generation Human Immunodeficiency Virus Sequencing for Patient Management and Drug Resistance Surveillance. HIV Medicine, 4(4), 2557–2571. https://doi.org/10.1097/QAD.0000000000001987
Tamuhla, T., Dave, J. A., Raubenheimer, P., & Tiffin, N. (2021). Diabetes in a TB and HIV-endemic South African population: Analysis of a virtual cohort using routine health data. PLoS ONE, 16(5 May), 1–19. https://doi.org/10.1371/journal.pone.0251303
Tri N Kridaningsih, Mirna Widiyanti, Setyo Adiningsih, Hotma ML Hutapea, Eva Fitriana, E. I. N. (2021). Santo Rafael Clinic Nabire , Papua HIV Patient Profile of HIV / AIDS with Tuberculosis Coinfection at Bumi Wonorejo Public Health Center and Clinic. 31(4), 247–252.
Tulu, B., Amsalu, E., Zenebe, Y., Abebe, M., Fetene, Y., Agegn, M., Abate, A., Ponpetch, K., Bekana, T., Gumi, B., & Ameni, G. (2021). Diabetes mellitus and HIV infection among active tuberculosis patients in Northwest Ethiopia: health facility-based cross-sectional study. Tropical Medicine and Health, 49(1). https://doi.org/10.1186/s41182-021-00358-4
Ugwu, K. O., Onah, I. S., Mbah, G. C., & Ezeonu, I. M. (2020). Rifampicin resistance patterns and dynamics of tuberculosis and drug-resistant tuberculosis in Enugu, South Eastern Nigeria. Journal of Infection in Developing Countries, 14(9), 1011–1018. https://doi.org/10.3855/JIDC.12736
Vaismoradi, M., Tella, S., Logan, P. A., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 1–15. https://doi.org/10.3390/ijerph17062028
Widyasrini, E. R., & Probandari, Ari N., R. (2017). Factors Affecting the Success of Multi Drug Resistance (Mdr-Tb) Tuberculosis Treatment in Residential Surakarta. 88. https://doi.org/10.26911/theicph.2017.007
World Health Organization, (WHO). (2020). Consolidated Guidelines on Tuberculosis Treatment. In Who.
Yusnaini, Y., Arif, Y., & Dorisnita, D. (2021). Clinical Leadership Capabilities Of Implementing Nurses Based On Clinical Leadership Competency Framework Approach And Its Determinant Factors. Jurnal Keperawatan Silampari, 4(2), 337–350. https://doi.org/10.31539/jks.v4i2.1914.