Hubungan antara Gejala Sistemik TB Paru dengan Gambaran Radiologi Toraks di Rumah Sakit Siti Khodijah Muhammadiyah Sepanjang

Tuberkulosis (TB) paru masih menjadi masalah kesehatan masyarakat dengan variasi manifestasi klinis dan gambaran radiologi yang kompleks. Gejala sistemik seperti demam, penurunan berat badan, keringat malam, dan kelemahan umum sering dijumpai pada pasien TB paru, namun tidak selalu sejalan dengan temuan radiologis. Penelitian ini bertujuan untuk mengetahui hubungan antara gejala sistemik pasien TB paru dengan gambaran radiologi toraks di Rumah Sakit Siti Khodijah Muhammadiyah Sepanjang. Penelitian ini menggunakan desain observasional analitik dengan pendekatan potong lintang (cross-sectional). Sampel penelitian berjumlah 74 pasien TB paru yang memenuhi kriteria inklusi dan eksklusi, dengan data diperoleh dari rekam medis. Variabel yang dianalisis meliputi gejala sistemik dan gambaran radiologi toraks. Analisis hubungan dilakukan menggunakan uji Chi-Square.
Hasil penelitian menunjukkan bahwa sebagian besar responden mengalami lebih dari satu gejala sistemik dan gambaran radiologi toraks terbanyak adalah fibroinfiltrat. Uji statistik menunjukkan terdapat hubungan yang bermakna antara gejala sistemik pasien TB paru dengan gambaran radiologi toraks (p = 0,002). Hal ini menunjukkan bahwa manifestasi sistemik berkaitan dengan perubahan struktural paru yang terdeteksi melalui pemeriksaan radiologi.
Dapat disimpulkan bahwa terdapat hubungan signifikan antara gejala sistemik dan gambaran radiologi toraks pada pasien TB paru. Integrasi evaluasi klinis dan pemeriksaan radiologi toraks sangat penting dalam mendukung diagnosis dan pemantauan TB paru di fasilitas pelayanan kesehatan.

========================================================================================================

Pulmonary tuberculosis (TB) remains a major public health problem with complex variations in clinical manifestations and radiological findings. Systemic symptoms such as fever, weight loss, night sweats, and general weakness are commonly observed in TB patients, but they do not always correlate directly with radiological abnormalities. This study aimed to determine the relationship between systemic symptoms and chest radiographic findings among pulmonary TB patients at Siti Khodijah Muhammadiyah Sepanjang Hospital.
This study employed an analytical observational design with a cross-sectional approach. A total of 74 pulmonary TB patients who met the inclusion and exclusion criteria were included, with data collected from medical records. The variables analyzed were systemic symptoms and chest radiographic findings. The association between variables was analyzed using the Chi-Square test.
The results showed that most respondents experienced more than one systemic symptom, and the most common chest radiographic finding was fibroinfiltrate. Statistical analysis revealed a significant relationship between systemic symptoms and chest radiographic findings (p = 0.002). This finding indicates that systemic manifestations are associated with structural lung changes detected through radiological examination.
In conclusion, there is a significant association between systemic symptoms and chest radiographic findings in pulmonary TB patients. The integration of clinical evaluation and chest radiography plays an important role in supporting the diagnosis and monitoring of pulmonary tuberculosis in healthcare settings.