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"Penanggulangan TB menjadi kompleks saat klien sudah resisten terhadap obat TB. Perawat puskesmas memiliki peran penting dalam merawat klien TB MDR. Penelitian ini bertujuan menggambarkan arti dan makna pengalaman merawat klien TB MDR di Puskesmas Wilayah Jakarta Timur. Disain fenomenologi deskriptif digunakan untuk mengeksplorasi pengalaman partisipan. Analisis data dengan teknik Collaizi menghasilkan 12 tema: perawat memahami TB MDR, mampu bersikap profesional, berkontribusi aktif, peran provider, konselor, pendidik, non keperawatan, ketidakpatuhan klien, tidak adekuatnya sarana dan prasarana, perawat mendapatkan dan tidak mendapat dukungan, keinginan mendapatkan perlindungan diri, dan meningkatkan pelayanan. Kesimpulan penelitian, perawat mampu bersikap profesional dalam merawat klien TB MDR.

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TB control becomes complex when the client is resistant to TB drugs. Nurses have an important role in treating MDR TB clients. This study aims to describe the meaning and significance of experience treating MDR TB clients in East Jakarta Region. A descriptive phenomenology design was applied with the Collaizi techniques data analysis. It produces 12 themes: nurses understand MDR TB, professional, actively contributing, role providers, counselors, educators, non-nursing role, client noncompliance, inadequate infrastructure, and nurses get or no support, desire for self protection, and improve service. In conclusion nurses were able to be professional in treating MDR TB clients."

"Short Message Services TB (SMS TB) sebagai salah satu media intervensi keperawatan komunitas berhasil di kembangkan pada praktik residensi spesialis keperawatan komunitas dengan penguatan kelompok pendukung gertak TB. Model diintergasikan dari Community as Partner, Family Center Nursing, Health Belief Model menjadi kerangka kerja penyelesaian masalah pengelolaan manajemen pelayanan keperawatan, asuhan keperawatan keluarga dan komunitas. Hasil intervensi menunjukkan peningkatan Case Detection Rate (CDR) di Kelurahan Cisalak Pasar naik 20%. Peningkatan pengetahuan klien 14,2%, ketrampilan 23,1%, dan sikap 19.0%. Sementara peningkatan pengetahuan kader 45,6%, ketrampilan 46.5%, dan sikap 10%. Ada peningkatan kemandiran III sebesar 60% dan kemandiaran IV sebesar 40%. Media SMS TB akan dilanjutkan oleh Puskesmas melalui upaya penguatan promosi kesehatan pada program tuberkulosis (TB).

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Short Message Services tuberculosis (TB SMS) as a medium of community nursing intervention succeeded in developing the specialist community nursing practice residency at strengthening TB bullying support group. Diintergasikan Model of Community as Partner, Family Center Nursing, Health Belief Model framework for problem solving into the management of the nursing service, nursing care families and communities.

The results showed improvement interventions Case Detection Rate (CDR) in the Village Cisalak market rose 20%. 14.2% Increased client knowledge, skills 23.1%, and 19.0% attitude. While 45.6% increase in the cadre of knowledge, skills, 46.5%, and 10% attitude. There is an increase of 60% kemandiran III and IV kemandiaran by 40%. SMS Media TB will be followed by efforts to strengthen PHC through health promotion program of tuberculosis (TB)."