BAB 6 KESIMPULAN DAN SARAN
6.2. Saran
1. Lokasi penelitian sebaiknya diperluas dengan melibatkan sentra yang lebih banyak lagi agar hasil lebih representatif.
2. Rekam medik sebagai sumber data penelitian sebaiknya lebih lengkap dan rapi dalam melampirkan unsur-unsur demografi, pelaporan hasil pemeriksaan, dan follow up yang dilakukan sehingga proses pengumpulan dan pengolahan data akan lebih mudah.
3. Karena HIV adalah komorbiditas yang paling banyak dijumpai, program konseling dan test HIV perlu lebih ditingkatkan pada pasien TB Paru atau yang disangkakan TB Paru. Selain itu upaya promotif dan preventif terhadap penularan HIV dirasa perlu lebih digiatkan lagi mengingat HIV adalah salah satu faktor risiko yang belakangan angka kejadiannya semakin tinggi di Indonesia.
4. Pemberian Pengobatan Pencegahan Kotrimoksasol (PPK) untuk mencegah infeksi oportunistik lain dan mengobati infeksi oportunistik yang muncul untuk menurunkan angka morbiditas dan mortalitas pada pasien TB-HIV. 5. Koreksi anemia pada pasien TB Paru dengan suplementasi zat besi serta
pengobatan TB paru yang adekuat.
6. Melakukan skrining DM pada pasien TB dan apabila pasien terbukti menderita TB-DM maka pasien diberikan edukasi untuk mengubah pola diet dan meningkatkan aktivitas, selain mengkonsumsi obat anti-diabetik, agar kadar gula darah terkontrol. Dalam pemberian obat anti-diabetik dan OAT secara bersamaan, perhatikan adanya interaksi antara keduanya.
Monitor juga komplikasi diabetes karena dapat diperberat oleh efek samping OAT. Bila perlu lakukan penyesuaian dosis.
7. Penelitian mengenai komorbiditas pada pasien TB Paru sebaiknya lebih sering dilakukan mengingat pentingnya pengetahuan tentang komorbiditas dalam menurunkan angka kesakitan dan kematian suatu penyakit. Setelah itu, diharapkan penelitian dapat dilanjutkan untuk mengetahui hubungan dan pengaruh antara masing-masing komorbiditas dengan perjalanan penyakit utama (misalnya outcome dan lama rawat).
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