Determinants of Disability in Patients with Leprosy at Kelet Hospital, Central Java

Abstract

Background: Leprosy is a chronic disease caused by Mycobacterium leprae. World Health Organization (WHO) reported that the number of leprosy cases in 2015 was 211,973 in 108 countries in the world. The number of leprosy cases in Indonesia ranks third after India and Brazil. There are 14,000 (8%) leprosy cases with disability. This study aimed to determine factors affecting disability and Years of Life with Disability (YLD) attributable to leprosy in patients with leprosy at Kelet Hospital, Central Java. Subjects and Method: This was an analytic observational study with case control design. The study was conducted at Kelet Hospital, Central Java, from December 2017 to January 2018. A total sample of 140 leprosy patients was selected for this study using fixed disease sampling, consisting of 70 patients with disability and 70 patients without disability. The dependent variables were disability and YLD. The independent variables were age, education level, and self care. The data were collected by questionnaire and analyzed by path analysis. Results: Disability increases YLD (b= 0.37; 95% CI= 0.31 to 0.43; p<0.001). Disability increased with older age (b= 1.41; 95% CI= 0.38 to 2.43; p= 0.007) and decreased with better self care (b= -3.80; 95% CI= -4.90 to -2.71; p<0.001). Better self care increased with high education level (b= 1.96; 95% CI= 1.03 to 2.89; p<0.001). Conclusion:Older age increases the risk of disability, whereas self care decreases the risk of disability. Disability itself increases YLD. Higher education improves self care.

Disability due to leprosy: a socio-demographic study in Leprosy Hospital, Chamba, Himachal Pradesh

“…In them, educational status and years lost to disability (YLD) were inversely related. 9 Likewise Kaur et al in their study done at Varanasi found out that low level of awareness led to delayed time of diagnosis and increased chances of deformity and disability. 10 Therefore Illiteracy and low priority to self care remain a major deterrent to self reporting causing delayed treatment and subsequent disability.…”

Peran Petugas Kesehatan dan Keluarga terhadap Self Care Penderita Kusta

“…Hasil penelitian ini sejalan dengan penelitian yang dilakukan oleh Nadhiro, dkk (2018) hasil analisis menunjukkan bahwa perawatan diri memiliki pengaruh terhadap distabilitas penyakit kusta secara langsung (Nadhiroh, Dharmawan, & Murti, 2018).…”

Perawatan Diri Sebagai Faktor Risiko Kecacatan Pada Penderita Kusta

“…Tingkat pendidikan mempunyai hubungan dengan kecacatan penderita kusta. Proporsi yang tinggi pada penderita kusta dengan pendidikan rendah mengakibatkan gaya hidup sehat juga rendah [13]. Rendahnya pendidikan sebagai salah satu faktor risiko terjadinya kecacatan pada penderita kusta, walau efek tersebut masih belum dimengerti secara jelas.…”

“…Ada hubungan antara perawatan diri dengan kecacatan fisik pada penderita kusta [16]. Perawatan diri memiliki pengaruh terhadap disabilitas penyakit kusta secara langsung [13]. Perawatan diri kusta sangat diperlukan untuk mencegah kecacatan baru dan kerusakan fisik penderita serta dapat mengurangi keparahan kecacatan fisik yang sudah ada sehingga produktivitas penderita kusta tetap terjaga [2].…”