UNIVERSITAS AIRLANGGA



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ISSN 1858-3598

Vol. 7 / No. 1 / Published : 2012-04

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Original Article :

Model adaptif conservation (acm) dalam meningkatkan dukungan keluarga dan kepatuhan berobat pada pasien tb paru di wilayah kota surabaya (adaptif conservation (acm) model in increasing family support and compliance treatment in patient with pulonary tuberculosis in surabaya city region)

Author :

  1. Siti Nur Kholifah*1
  2. Minarti*2
  3. Hilmi Yumni*3
  1. Program Studi Keperawatan Sutopo Jurusan Keperawatan
  2. Program Studi Keperawatan Sutopo Jurusan Keperawatan
  3. Program Studi Keperawatan Sutopo Jurusan Keperawatan

Abstract :

Introduction: Tuberculosis (TB) in Indonesia is still health problem and the prevalence rate is high. Discontinuing medication and lack of family support are the causalities. Numbers of strategies to overcome are seemingly not succeeded. Roles and responsibilities of family nursing are crucial to improve participation, motivation of individual, family and community in prevention, including pulmonary tuberculosis. Unfortunately, models of pulmonary tuberculosis currently unavailable. The combination of adaptation and conservation in complementarily improving family support and compliance in medication is introduced in this study.  Method: This research intended to analyze Adaptive Conservation Model (ACM) in extending family support and treatment compliance. Modeling steps including model analysis, expert validation, field trial, implementation and recommending the output model. Research subject involves 15 families who implement family Assistance and supervision in Medication (ASM) and other 15 families with ACM. Result: The study revealed ACM is better than ASM on the case of family support and medication compliances. It supports the role of environment as influential factor on individual health belief, values and decision making. Therefore, it is advised to apply ACM in enhancing family support and compliance of pulmonary TB patients. Discussion: Social and family supports to ACM group obtained by developing interaction through communication. Family interaction necessary to improve family support to pulmonary tuberculosis patients. And social support plays as motivator to maintain compliance on medication

Keyword :

Adaptive Conservation Model (ACM), family support, Medication compliance, pulmonary TB,


References :

Kemenkes R., I,(2010) Hasil Riset Kesehatan Dasar (RISKESDAS) Jakarta : Kemenkes R., I





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Volume : 7 / No. : 1 / Pub. : 2012-04
  1. Respons Psikologis (kecemasan Dan Depresi) Dan Respons Biologis (cortisol, Ifn-γ Dan Tnf-α) Pada Pasien Stroke Iskemik Dengan Pendekatan Model Home Care Holistic (psychological Respons (anxiety And Depression) And Biological Respons (cortisol, Ifn-γ And Tnf-α) In Ischemic Stroke Patients By Home Care Holistic Model Approach)
  2. Peningkatan Self-care Agency Pasien Dengan Stroke Iskemik Setelah Penerapan Self-care Regulation Model (the Improvement Of The Self-care Agency For Patients With Ischemic Stroke After Applying Self–care Regulation Model In Nursing Care)
  3. Tingkat Kepatuhan Pasien Gagal Ginjal Kronik Dalam Pembatasan Cairan Pada Terapi Hemodialisa (the Compliance Chronic Renal Failure Patient On Restrictions Liquids In Hemodialysis Therapy)
  4. Konsep Diri, Dukungan Sosial Dan Kecemasan Menghadapi Keadaan Sakit Pada Pasien Fraktur (self-concept, Social Support, And Anxiety In Dealing With Fractured-patient)
  5. Faktor Risiko Timbulnya Diabetes Mellitus Pada Remaja Smu Di Kota Malang The Risk Factors Of Diabetes Mellitus In Adolescent High School In Malang City
  6. Mutu Asuhan Keperawatan Berdasarkan Analisis Kinerja Perawat Dan Kepuasan Perawat Dan Pasien (quality Of Nursing Care Based On Analysis Of Nursing Performance And Nurse And Patient Satisfaction)
  7. Model Adaptif Conservation (acm) Dalam Meningkatkan Dukungan Keluarga Dan Kepatuhan Berobat Pada Pasien Tb Paru Di Wilayah Kota Surabaya (adaptif Conservation (acm) Model In Increasing Family Support And Compliance Treatment In Patient With Pulonary Tuberculosis In Surabaya City Region)
  8. Pengembangan Model Peningkatan Kinerja Tenaga Keperawatan Dalam Penerapan Manajemen Terpadu Balita Sakit (mtbs) Di Surabaya (the Development Of Nursing Job Performance Model In The Implementation Of Integrated Management Of Childhood Illness (imci) In Surabaya)
  9. Peningkatan Kebersihan Diri Pada Pasien Halusinasi Dengan Pendekatan Metode Partisipatif Dan Rewards (the Increase Of Self Personal Hygiene Patient With Hallusination By Nursing Methods Of Partisipatif And Rewards Approach)
  10. Ekspresi Protein Er (estrogen Receptor) Pada Kanker Payudara Derajat Keganasan Baik, Sedang Dan Buruk (protein Expression Er (estrogen Receptor) In Breast Cancer Degree Of Malignancy Low, Moderate, Severe)
  11. The Increasing Of Preschool Multiple Intelligences By Educative Playing Instrument Stimulation

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