Effect of Rational Emotive Behavioral Therapy on Preventive Measures of Transmission In The Family of Pulmonary Tb Patients


  • Nugrahaeni Firdausi Akademi Keperawatan Pamenang
  • Pratiwi Yuliansari Akademi Keperawatan Pamenang
  • Erwin Yektiningsih Akademi Keperawatan Pamenang




Family, Pulmonary TB, Preventive, Rational Emotive Behavioral Therapy


Background: Pulmonary TB is an infectious disease caused by mycobacterium tuborkulosis and is contagious. The family of pulmonary TB patients plays a very important role in the transmission of pulmonary TB disease. Preliminary data collection shows that four out of five (80%) families of pulmonary TB sufferers so far have gained knowledge about the transmission of pulmonary TB, but in their daily use personal protective equipment is rarely used. The family said they rarely wear masks because they feel fine without the masks, the family also feels wearing masks will hurt the feelings of people with pulmonary TB.
Purpose: This study aimed to determine the effect of Rational Emotive Behavior Therapy on preventive measures for transmission of patients with pulmonary TB.
Methods: This study used a quasy experiment research design with a non-randomized control group design pretest-posttest approach. The sample in this study was the family of pulmonary TB patients at UPTD Puskesmas Puhjarak Kediri who met the inclusion and exclusion criteria, with a sampling technique using purposive sampling. The independent variable of this study was Rational Emotive Behavioral Therapy and the dependent variable was family preventive measures. The instrument used to measure preventive measures for pulmonary TB transmission is a questionnaire which contains 12 questions, and for the independent variable of memory therapy is SAK research. The research data were processed using the Wilcoxon signed ranks test and Mann-Whitney. Alternative hypotheses are accepted if p <0.05.
Results: The results showed that the Mann Whitney test results in the treatment and control groups at the time of the pretest showed a value of p = 0.690 and at the posttest was p = 0.000. Wilcoxon signed rank test results show in the treatment group after treatment p = 0.005, while in the control group when posttest was p = 0.317.
Conclusion: The results of the assessment of preventive measures for pulmonary TB transmission between the treatment group and the control group after the implementation of Rational Emotive Behavioral Therapy showed that there were differences in the value of preventive measures for pulmonary TB transmission between the treatment group and the control group after receiving Rational Emotive Behavioral Therapy


Download data is not yet available.


Betts, J. C., Lukey, P. T., Robb, L. C., McAdam, R. A., & Duncan, K. (2002). Evaluation of a nutrient starvation model of Mycobacterium tuberculosis persistence by gene and protein expression profiling. Molecular microbiology, 43(3), 717-731. Article | Crossref

Christianto, D., Raras, T. Y. M., Sumarno, S., Arthamin, M. Z., Astuti, T., Sardjono, T. W., & Noorhamdani, A. S. (2019). Efek Pemberian Protein Rekombinan Fusi ESAT6-CFP10 Mycobacterium tuberculosis terhadap Persentase IL2 dan IL10 yang Dipresentasikan Sel T CD8 pada Kultur PBMC. Jurnal Kedokteran Brawijaya, 30(3), 202-208. Article | Crossref

HANIF, D. Z. (2016). Hubungan Tingkat Pengetahuan Keluarga Tentang Tb Paru Dengan Upaya Keluarga Dalam Pencegahan Penularan Infeksi Tb Paru Di Wilayah Kerja Puskesmas Karang Taliwang Kota Mataram Ntb Penelitian Korelasional. (Doctoral dissertation, Universitas Airlangga). Article

Jaji. (2010). Upaya Keluarga dalam Pencegahan Penularan Tuberkulosis (Tb) Paru ke Anggota Keluarga Lainnya di Wilayah Kerja Puskesmas Sidorejo Pagaralam Tahun 2010. Jurnal Ilmu Kesehatan Masyarakat, 1 (3). 177-187. Article

Kemenkes, R. I. (2015). Profil Kesehatan Indonesia 2015. Jakarta: Kementerian Kesehatan Republik Indonesia. Book

Kemkes. (2016). Profil Kesehatan Kota Kediri Tahun 2015. Dinas Kesehatan Kota Kediri. Book

Marwansyah, M., & Sholikhah, H. H. (2015). The Infl uence of Empowering TB (Tuberculosis) Patients’ Family on Capability of Implementing The Family Health Task in Martapura and Astambul Public Health Center Areas in Banjar District. Buletin Penelitian Sistem Kesehatan, 18(4), 407-419. Article

Palmer, S., & Gyllensten, K. (2008). How cognitive behavioural, rational emotive behavioural or multimodal coaching could prevent mental health problems, enhance performance and reduce work related stress. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 26(1), 38-52. Article | Crossref

Price, S. A., & Wilson, L. M. C. (2005). Patofisiologi Konsep Klinik Proses-Proses Penyakit. Buku 2 Edisi 4. Jakarta: EGC. Book

Safa, M., Mirab Zadeh Ardekani, K., Tabarsi, P., Ghassem Boroujerdi, F., & Hajizadeh, F. (2019). The Effectiveness of REBT Psychotherapy Approach on Reducing Cognitive Distortions in Hospitalized Tuberculosis Patients. Journal of Medical Council of Iran, 36(1), 34-40. Article

Safithri, F. (2017). Diagnosis TB Dewasa dan Anak Berdasarkan ISTC (International Srandard for TB Care). Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga, 7(2). 57-67. Article | Crossref

Skinner, D., & Claassens, M. (2016). It’s complicated: why do tuberculosis patients not initiate or stay adherent to treatment? A qualitative study from South Africa. BMC infectious diseases, 16(1), 712. Article | Crossref

Susiyanti, E. (2019). Hubungan Antara Karakteristik Pengawas Minum Obat (PMO) Dengan Konversi Tb Paru Kasus Baru Di Puskesmas Panjang Bandar Lampung Tahun 2017. Skripsi. Universitas Lampung. Article

Thahir, A., & Rizkiyani, D. (2016). Pengaruh Konseling Rational Emotif Behavioral Therapy (REBT) dalam Mengurangi Kecemasan Peserta Didik Kelas VIII SMP Gajah Mada Bandar Lampung. KONSELI: Jurnal Bimbingan dan Konseling (E-Journal), 3(2), 191-205. Article

Wejse, C., Gomes, V. F., Rabna, P., Gustafson, P., Aaby, P., Lisse, I. M., ... & Sodemann, M. (2009). Vitamin D as supplementary treatment for tuberculosis: a double-blind, randomized, placebo-controlled trial. American journal of respiratory and critical care medicine, 179(9), 843-850. Article | Crossref

Winkel, W. S., & Hastuti, M. S. (2005). Bimbingan dan konseling di institusi pendidikan. Media Abadi. Book

World Health Organization. (2016). World health statistics 2016: monitoring health for the SDGs sustainable development goals. World Health Organization. Book



How to Cite

Firdausi, N., Yuliansari, P., & Yektiningsih, E. (2020). Effect of Rational Emotive Behavioral Therapy on Preventive Measures of Transmission In The Family of Pulmonary Tb Patients. Journal Of Nursing Practice, 3(2), 193-203. https://doi.org/10.30994/jnp.v3i2.93