FAMILY AND CLIENT APPROCHES TO IMPROVE FAMILY SUPPORT AND TUBERCULOSIS CLIENT COMPLIENCE IN SELF CARE

Abstract

Indonesia ranks fifth for tuberculosis (TB) incidents in the world after India, China, Nigeria and Pakistan with a total of 460,000 new cases and prevalence reaching 680,000. Clients with pulmonary TB disease generally have a low understanding on the treatment of pulmonary TB. This condition make the client not adhering to the treatment program. Nurses who care for TB clients more effective with discussions, participatory approaches than traditional approaches, meanwhile lectures only focus on disseminating information. Participatory approaches can be done through home visits to increase family support and improve compliance in self care. The objective of this study was to assess the effectiveness of family and client approach to improve family support and client complience in self care. Methods The desainof this study was Quasi Experiment with a control group. This research was conducted in Bogor city with a total sample of 28 people in the intervention group and 28 in the control group. Results showed that the family and client approaches could increase family support with P value 0.001 and also improve self-care compliance with p value 0.001. In multivariate analysis there was no effect of age, job, education of client on family support, there was an effect of source of information on familly support with p valueb of 0.023. Conclusions: The family and client approaches can be implemented in order to improve family support and TB client self care complience in Public Health Centre.