The development of self-care guidelines based: Self-care agency in tuberculosis patients at public health center, North Sumatra

Background Tuberculosis (TB) is an infectious disease that causes health problems and is the main cause of death in the world. TB caused by Mycobacterium Tuberculosis Bacillus can spread in the air if a patient who is sick with TB exhales coughs containing TB bacteria. One of the supporters of the success rate of TB recovery is the patient's ability to carry out independent care consisting of treatment, prevention and transmission, fulfillment of nutrition, and increasing the patient's self-confidence. Purpose This study aims to produce self-care guidelines based: self-care agency for TB patients with output in the form of self-care guidelines for tuberculosis patients at the Sentosa Baru Public Health Center, North Sumatra. Method The method of this research is action research which consists of the stages of reconnaissance, planning, acting observation, and reflecting. Data collection methods used patient knowledge questionnaires about tuberculosis self-care, Focus Group Discussions (FGD), and in-depth interviews for participants' knowledge. The participants involved in this study were 22 participants using a purposive sampling technique from October 2018 to January 2019. Data analysis used qualitative methods. Qualitative data were obtained through the results of FGDs and in-depth interviews about self-care. Results This study has produced self-care agency-based self-care guidelines for tuberculosis patients. This study produced three themes, namely 1) the development of self-care guidelines for TB patients, 2) the benefits of self-care guidelines for TB patients, and 3) factors in supporting self-care for TB patients. Conclusion The successful treatment of TB patients at the Sentosa Baru Public Health Center, North Sumatra, requires agency-based self-care guidelines to produce high tuberculosis care.