[ABSTRAK Faktor utama penyebab kegagalan pengobatan TB paru adalah ketidakpatuhanpasien. Perawat berperan penting dalam meningkatkan kepatuhan pasien melaluiproses interaksi. Berdasarkan hal ini maka perlu dikembangkan model intervensiberbasis sistem interakasi untuk meningkatkan kepatuhan. Tujuan penelitian yaitumenghasilkan model yang dapat meningkatkan kepatuhan pasien TB paru berbasisteori sistem interaksi King. Penelitian melalui dua tahap penelitian yaitu, tahap I:Penelitian kualitatif dan pengembangan model peningkatan kepatuhan berbasisteori sistem interaksi King yang dihasilkan melalui penelitian kualitatif, studiliteratur dan konsultasi pakar; Tahap II: Validasi model dengan desain quasyeksperimen dengan kelompok kontrol. Metode sampling yang digunakan adalahconsecutive sampling dengan sample sebanyak 50 pasien. Uji statistikmenggunakan uji chi square, independent t-test, Mancova dan GLM-RM. Hasildidapatkan 1) Tahap I: diperoleh 12 tema kepatuhan dan model peningkatankepatuhan berbasis teori sistem interaksi dengan 1 modul untuk pasien; 2) TahapII: terdapat perbedaan bermakna dalam pengetahuan, self efficacy, motivasi,pencegahan penularan, kepatuhan nutrisi dan kepatuhan pengobatan. Kesimpulan,model peningkatan kepatuhan berbasis teori sistem interaksi King terbukti efektifmeningkatkan kepatuhan pasien TB paru. Rekomendasi: Model peningkatankepatuhan berbasis teori sistem interaksi King dapat diintegrasikan dalam clinicalpathway pada pasien TB paru di poli paru. Penelitian lebih lanjut mengenaipengembangan model kepatuhan pada pasien TB paru yang memiliki keterbatasansistem interpersonal dengan keluarga yaitu pada pasien yang tidak memilikikeluarga atau tinggal terpisah jauh dari keluarga.; ABSTRACT The main factor cause the failure of Tuberculosis (TB) treatment was the patient?snon-adherence. Nurses play an important role in improving patient?s adherencethrough interaction nurse-patient. It is necessary to develop interaction modelbased on interaction system theory to improve patient?s adherence. The purpose ofthe study was to develop adherence improvement model based on King?sinetraction system theory. This study was divided into 2 phase, Phase 1:qualitative study and development adherence improvement model based onKing?s interaction system theory resulted from qualitative study, literature reviewand expert consultation. Phase II: validation of the model by quasy experimentdesign with control group. Sampling used in the study was consecutive samplingto select 50 patients. Data were analyzed using chi square, independent t-test,Mancova and GLM-RM. Result shows: Phase I: There were found 12 themes andadherence improvement model based on King?s interaction system. Phase II:There were significant different on knowledge, self efficacy, motivation,prevention transmission, nutrition adherence and treatment adherence.Conclusion, Adherence improvement model based on King?s interaction systemtheory is effective on improving TB patient?s adherence. Development adherenceimprovement model based on King?s interaction system theory can be integratedinto clinical pathway in TB patients. Further study on adherence improvementmodel with limited interpersonal system, namely patient without family andseparated.;The main factor cause the failure of Tuberculosis (TB) treatment was the patient?snon-adherence. Nurses play an important role in improving patient?s adherencethrough interaction nurse-patient. It is necessary to develop interaction modelbased on interaction system theory to improve patient?s adherence. The purpose ofthe study was to develop adherence improvement model based on King?sinetraction system theory. This study was divided into 2 phase, Phase 1:qualitative study and development adherence improvement model based onKing?s interaction system theory resulted from qualitative study, literature reviewand expert consultation. Phase II: validation of the model by quasy experimentdesign with control group. Sampling used in the study was consecutive samplingto select 50 patients. Data were analyzed using chi square, independent t-test,Mancova and GLM-RM. Result shows: Phase I: There were found 12 themes andadherence improvement model based on King?s interaction system. Phase II:There were significant different on knowledge, self efficacy, motivation,prevention transmission, nutrition adherence and treatment adherence.Conclusion, Adherence improvement model based on King?s interaction systemtheory is effective on improving TB patient?s adherence. Development adherenceimprovement model based on King?s interaction system theory can be integratedinto clinical pathway in TB patients. Further study on adherence improvementmodel with limited interpersonal system, namely patient without family andseparated., The main factor cause the failure of Tuberculosis (TB) treatment was the patient’snon-adherence. Nurses play an important role in improving patient’s adherencethrough interaction nurse-patient. It is necessary to develop interaction modelbased on interaction system theory to improve patient’s adherence. The purpose ofthe study was to develop adherence improvement model based on King’sinetraction system theory. This study was divided into 2 phase, Phase 1:qualitative study and development adherence improvement model based onKing’s interaction system theory resulted from qualitative study, literature reviewand expert consultation. Phase II: validation of the model by quasy experimentdesign with control group. Sampling used in the study was consecutive samplingto select 50 patients. Data were analyzed using chi square, independent t-test,Mancova and GLM-RM. Result shows: Phase I: There were found 12 themes andadherence improvement model based on King’s interaction system. Phase II:There were significant different on knowledge, self efficacy, motivation,prevention transmission, nutrition adherence and treatment adherence.Conclusion, Adherence improvement model based on King’s interaction systemtheory is effective on improving TB patient’s adherence. Development adherenceimprovement model based on King’s interaction system theory can be integratedinto clinical pathway in TB patients. Further study on adherence improvementmodel with limited interpersonal system, namely patient without family andseparated.] |