Hubungan Gejala Klinis Pasien Tuberkulosis Paru dengan Hasil Pemeriksaan TCM di Rumah Sakit Siti Khodijah Muhammadiyah Cabang Sepanjang

Latar belakang : Tuberkulosis (TB) merupakan salah satu penyakit menular langsung dengan tingkat kematian yang tinggi di seluruh dunia. Mikroorganisme penyebab tuberkulosis yaitu Mycobacterium tuberculosis (MTB) yang menyebar melalui udara ketika pasien penderita tuberkulosis aktif batuk, bersin dan meludah dengan kondisi tanpa menggunakan masker atau tidak ada penghalang hidung atau mulut yang sedang menutupi. Tuberkulosis (TB) paling banyak ditemukan menyerang pada organ tubuh manusia yaitu paru (TB paru). TB paru dapat menginfeksi organ selain lain di luar paru, seperti kelenjar getah bening, tulang, ginjal, maupun selaput otak. Diagnosis TB paru memerlukan kombinasi antara gejala klinis dan pemeriksaan penunjang, salah satunya adalah pemeriksaan Tes Cepat Molekuler (TCM) yang mampu mendeteksi keberadaan Mycobacterium tuberculosis secara cepat dan akurat. Tujuan : penelitian ini bertujuan untuk mengetahui hubungan antara gejala klinis tuberkulosis paru dengan pemeriksaan TCM di Rumah Sakit Siti Khodijah Muhammadiyah Cabang Sepanjang. Metode : Penelitian ini menggunakan metode kuantitatif dengan pendekatan analisis cross sectional yang dilaksanakan di Rumah Sakit Siti Khodijah Muhammadiyah Cabang Sepanjang Sidoarjo. Data diambil dari rekam medis pasien TB paru yang menjalani pemeriksaan TCM pada periode tertentu. Hasil : Berdasarkan hasil penelitian didapatkan gambaran gejala klinis pada pasien tuberkulosis paru yang menjalani pengobatan di Rumah Sakit Siti Khodijah Muhammadiyah Cabang Sepanjang yang paling banyak ditemukan yaitu Batuk (68,24%), kemudian batuk darah (24,70%) dan sesak napas (7,06%). Data analisa secara Uji Chi-square menghasilkan terdapat hubungan yang signifikan antara gejala klinis pasien TB dengan hasil pemeriksaan TCM, dengan nilai p-value = 0,013 (p < 0,05). Kesimpulan : Terdapat hubungan antara gejala klinis pasien tuberkulosis paru dengan hasil pemeriksaan TCM yang dilakukan di Rumah Sakit Siti Khodijah Muhammadiyah Cabang Sepanjang.

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Background: Tuberculosis (TB) is one of the directly transmitted diseases with a high mortality rate worldwide. The microorganism that causes tuberculosis is Mycobacterium tuberculosis (MTB), which spreads through the air when an active tuberculosis patient coughs, sneezes, and spits without wearing a mask or without any barrier covering the nose or mouth. Tuberculosis (TB) is most commonly found attacking the human body's organs, specifically the lungs (pulmonary TB). Pulmonary TB can infect organs outside the lungs, such as the lymph nodes, bones, kidneys, and the membranes surrounding the brain. Diagnosis of pulmonary tuberculosis requires a combination of clinical symptoms and supporting examinations, one of which is the Molecular Rapid Test (TCM) that can detect the presence of Mycobacterium tuberculosis quickly and accurately. Objective: This study aims to determine the relationship between clinical symptoms of pulmonary tuberculosis and TCM examination at Siti Khodijah Muhammadiyah Hospital, Sepanjang Branch. Method: This research uses a quantitative method with a cross sectional analysis approach conducted at Siti Khodijah Muhammadiyah Hospital, Sepanjang Branch, Sidoarjo. Data were taken from the medical records of pulmonary TB patients who underwent TCM examination during a specific period. Results: Based on the research findings, the clinical symptoms observed in pulmonary tuberculosis patients undergoing treatment at Siti Khodijah Muhammadiyah Hospital Branch Sepanjang were predominantly cough (68.24%), followed by hemoptysis (24.70%) and shortness of breath (7.06%). Chi-square test analysis data revealed a significant relationship between TB patients' clinical symptoms and TCM examination results, with a p-value of 0.013 (p < 0.05). Conclusion: There is a relationship between the clinical symptoms of pulmonary tuberculosis patients and the results of the TCM examination conducted at Siti Khodijah Muhammadiyah Hospital, Sepanjang Branch