Hubungan Faktor Manusia dan Lingkungan Fisik Rumah dengan Kejadian Penyakit Tuberkulosis Paru di Wilayah Kerja Puskesmas Cilongok I Tahun 2016

Abstract

diteliti meliputi status gizi, kontak penderita, perilaku, pencahayaan, kelembababan, suhu, luas ventilasi jenis lantai, jenis dinding dan kepadatan penghuni. Analisis data menggunakan analisis univariat, bivariat dan multivariat. Hasil analisis menggunakan uji statistik Chi Squre, OR dengan CI 95%, α;0,05 dan uji Regresi Logistik dengan metode Backward LR CI 95% dan α : 0,25.Hasil penelitianini adalah status gizi nilai (p=0,009; OR 4,667), kontak penderita (p= 0,000; OR 9,333), perilaku (p= 0,43), pencahayaan (p= 0,038; OR 3,455), kelembaban nilai (p= 0,295), suhu (p=1,000), luas ventilasi (p= 0,472), jenis lantai (p= 0,333), jenis dinding (p= 0,792) dan kepadatan penghuni (p= 0,100).Kesimpulan dari penelitian ini adalah ada hubungan antara status gizi, kontak penderita dan pencahayaan dengan kejadian Tb Paru, dan kontak penderita merupakan variabel paling dominan. Disarankan penderita Tb Paru harus menjaga kontak terhadap keluarga untuk mencegah penularan terhadap keluarga serumah atau lingkungan rumah, melakukan upaya perbaikan gizi, membuka jendela kamar dan menambah lubang ventilasi agar cahaya dapat masuk dalam ruang kamar. Abstract Environmental based diseases are still be health's problem for all people in the world, one of them is Tuberculosis. Tuberculosis is a contagious infectious disease caused by the bacterium Mycobacterium tubercolusis.Banyumas Regency in 2014 was recorded that 3 Puskesmas had the most finding cases level of Tuberculosis they were Puskesmas Kembaran II, Puskesmas Cilongok I, and Puskesmas Lumbir. This research is observational and uses case control method. The sample was 60 people, who 30 cases and 30 controls. Variables which were examined were nutrient status, patient contacts, behavior, lighting, humidity, temperature, and width of floor ventilation type, type of wall and population density. Data analysis used univariate, bivariate, and multivariate analysis. All of the calculation used computer program and analyzed by chi square statistics test, OR with CI 95%, α;0,05 and Logistic Regression test by Backward LRmethod CI 95% and α : 0,25. The result of this research is that nutrient status value (p=0,009; OR 4,667), patient contact (p= 0,000; OR 9,333), behavior (p= 0,43),lighting (p= 0,038; OR 3,455), humidity (p= 0,295), temperature (p=1,000), width of ventilation (p= 0,472), type of floor (p= 0,333), type of wall (p= 0,792) and population density (p= 0,100). The conclusion of this research is that there was no correlation between nutrient status, patient contact and lighting with Tb case, and patient contact was he most dominant variable. The researcher suggests to Tb patients to keep contact to family for preventing way of spreading the disease in family and environment, do nutrient rehabilitative effort, open room windows and add ventilation in order to get more sun light.