The Influence of Life Skill Education (Lse) Strategies In Pulmonary Tuberculosis Patients On Prevention Of Household Contact Infringement In North Sumatra

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Abstract
In Indonesia, pulmonary tuberculosis remains a public health problem because it is the country with the second-highest number of TB cases in the world. Pulmonary TB primarily affects the productive age group and tends to spread to household contacts, particularly vulnerable groups such as children from low socioeconomic backgrounds. Purpose of this study is to develop a life skills education model for TB patients, utilizing an effective Life Skills Education strategy to prevent TB transmission, particularly among household contacts. Materials & Methods using Quantitative research with a quasi-experimental design, utilizing a two-group pre-test and post-test design for the intervention and control groups to assess the effect of the Life Skill Education strategy on the prevention of transmission to household contacts through the implementation of life skills education for TB patients. The study population consisted of all TB patients in the North Sumatra region. The sample consisted of 127 patients in urban areas and 126 patients in rural areas. The non-parametric-Friedman test was used to examine changes in knowledge, attitudes, and actions towards preventing TB transmission among household contacts. Meanwhile, the Mann-Whitney test was used to compare scores between groups. The results All results were statistically significant (p<0.05). The conclusion showed that health education using the lecture method with the LSE module could improve knowledge, attitudes, and actions in both urban and rural areas. It is recommended that health workers provide counseling using the LSE module more practically to prevent household transmission, as part of the TB Elimination Program by 2030.

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