Chilyatiz Zahroh, - (2012) Pengaruh Komunikasi Terapeutik Terhadap Peningkatan Imunitas Anggota Keluarga Risiko Tinggi TB Paru. Thesis thesis, Universitas Airlangga.

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Abstract

Pulmonary tuberculosis is an infectious disease. Preventive efforts are needed so that members of the family, who live under one roof (high risk family members) of tuberculous patients, are not easilty infected with the disease. Family is only involved as drug consumption controller. So far, there has been no effort to maintain and improve the health of high risk family members. The objective of this study was to elaborate the effect of therapeutic communication on immunity improvement of pulmonary tuberculosis high risk family members. This was a pre-experimental study using one group pre test post test design. Samples obtained were 10 respondents with total sampling. The independent variable in this study was therapeutic communication (dimension of knowledge on transmission prevention and spiritual) and the dependent variable were perception (knowledge and spiritual dimensions), cortisol, and Hsp70. Data were collected using questionnaire and observation sheet and were testes with paired t test. Results showed that after therapeutic communication there was improvement in perception (p = 0.000), cortisol reduction (p = 0.0005), and increase of Hsp70 (p = 0.004). There was significant difference in perception, cortisol level, and Hsp70 level before and after therapeutic communication. In conclusion, therapeutic communication is able to improve respondents' perception and the immunity of pulmonary tuberculosis high risk family members. Recommendations to prevent Tb transmission in Puskesmas Wonokromo were 1) undergoing therapeutic communication (knowledge on transmission prevention and spiritual) in Tb high risk family members, so that their immunity will improve and become not easily being infected, and 2) providing training to the nurses in order to improve the elements of therapeutic communication capability.

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