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Abstrak :
100.000 penduduk. Sebanyak 1,12% dari penderita tuberkulosis adalah penderita tuberkulosis muskuloskeletal.Terbanyak (40-50%) berada di tulang belakang yang dikenal sebagai spondilitis tuberkulosis atau Pott?s disease. Penyakit ini sudah ada sejak zaman purbakala. dengan ditemukannya pada mummi di Peru. STB ini timbul 6-36 bulan pasca infeksi primer di paru. Penderita biasanya berobat setelah adanya gangguan neurologi berupa kelemahan motorik otot dan gangguan sensibilitas Salah satu penatalaksaan penderita spondilitis tuberkulosis adalah dengan operasi sesuai dengan klasifikasi alternatif pengobatan Sapardan II-X Tujuan penelitian ini adalah untuk mengetahui faktor prediktor yang mempengaruhi keberhasilan operasi dan membuat model prediksi keberhasilan operasi terhadap penderita STB Penelitian ini berupa kohort retrospektif dari RS Hasan Sadikin Bandung, RS dr Ciptomangunkusumo dan RS Fatmawati Jakarta, RSUD Raden Mattaher Jambi dan sekitarnya serta RS dr Zainal Abidin Banda Aceh dengan jumlah 224 kasus.Berdasarkan penelitian ini, didapatkeluhan nyeri tulang belakang terdapat pada 69.64%, diikuti parestesi 37.95%, tidak sanggup berdiri 41.07%, adanya abses 29.91%. Angka keberhasilan operasi sebesar 87,5%. Variabel jenis kelamin, pendidikan kedekatan lesi frankel praoperasi, IMT, jumlah level lesi, keluhan nyeri tulang belakang, keluhan kesemutan, keluhan tidak kuat jalan, keluhan abses,sebagai prediktor utama keberhasilan operasi dalam pembuatan skoring dan didapat model prediksi dengan AUC 82,6% ± 4,1% dengan rentang skor 0-40, nilai cut-off point keberhasilan skor ≥ 19 pada 94.9% kasus, dimana kemungkinan keberhasilan 7.71 kali lebih besar dibanding penderita yang mempunyai skor < 19 pada akhrrfollow-up 3 bulan pasca operasi. ...... Indonesia is the fifth most suffering country from tuberculosis after India, China, South Africa and Nigeria, with a prevalence of 209 per 100,000 population. A total of 1.12% of patients with tuberculosis is musculoskeletal tuberculosis. Mostly (40-50%) is in the spine known as tuberculosis spondylitis or Pott's disease. This disease has been known since discovered in the mummy in Peru during ancient age. This STB arising 6-36 months post primary tuberculosis infection. Patients usually come after suffering neurological deficits such as motor weakness and impaired muscle sensibility. One of modality management of spondylitis tuberculosis is operating in accordance with the classification of treatment alternatives Sapardan II-X The purpose of this study was to determine predictors of successful operation and make predictive models of successful operation against people with STB This is a retrospective cohort study of Hasan Sadikin Hospital, Dr RS and RS Fatmawati Ciptomangunkusumo Jakarta, Jambi Mattaher Raden Hospital and surrounding areas as well as Dr. Zainal Abidin Hospital in Banda Aceh by the number of 224 cases. Based on this study, patient suffering of spinal pain at 69.64%, followed by paresthesias 37.95%, can not able to stand 41.07%, abscesses 29.91%. Operation success rate were 87.5%. Variables gender, education, proximity lesions, preoperative Frankel, BMI, number(s)level of lesion, spinal pain, paresthesias, can not able to stand, complaints abscess, are the main predictor of successful operation in the making a scoring system and predictive models obtained with AUC 82.6% ± 4.1% with a score range of 0-40, the cut-off score of ≥ 19 point success in 94.9% of cases, where the probability of success 7.71 times higher than patients who had scores <19 at the end of 3 months follow-up after surgery.

Abstrak :
Pendahuluan: Keselamatan pasien merupakan suatu sistem yang menjamin pasien aman dari insiden. Perawat sebagai bagian dari sistem pelayanan kesehatan wajib menerapkan sasaran keselamatan pasien (SKP). Dibutuhkan instrumen yang bersifat proaktif mencegah insiden. Penelitian ini bertujuan untuk mengembangkan instrumen faktor prediktor kepatuhan perawat dalam melaksanakan SKP di rumah sakit. Metode: Tahap 1 merupakan pengembangan item instrumen dengan 3 fase: wawancara, expert judgement, dan uji keterbacaan. Tahap 2 yakni uji validitas dan reliabilitas instrumen dengan pendekatan cross sectional menggunakan dua analisis data, yakni Confirmatory Factor Analysis (CFA) dan regresi linier berganda. Partisipan dalam fase wawancara menggunakan perawat pelaksana dan perawat manajer. Uji validitas dan reliabilitas instrumen melibatkan perawat pelaksana dengan jumlah sampel 100 responden. Variabel dependen yakni kepatuhan perawat dalam melaksanakan SKP di rumah sakit. Hasil: Sebanyak 16 faktor dan 63 item dihasilkan dari tahap 1 penelitian. Uji CFA menyebutkan bahwa seluruh faktor, termasuk variabel kepatuhan perawat dalam melaksanakan SKP dinyatakan valid dan reliabel dengan model yang dinyatakan dalam rentang good fit hingga perfect fit. Hasil analisis regresi linier pada uji t menyimpulkan bahwa hanya delapan faktor yang memiliki pengaruh terhadap kepatuhan, antara lain: sarana prasarana, kesadaran diri, niat, professional habit, komitmen, imbalan, kepemimpinan, serta tuntutan dan reputasi rumah sakit. Pada uji f menyimpulkan bahwa semua faktor tersebut menghasilkan 51,1% potensial memengaruhi kepatuhan perawat. Saran: Manajer keperawatan rumah sakit direkomendasikan untuk menggunakan instrumen ini untuk memperkuat sistem pencegahan insiden oleh perawat pelaksana. ......Introduction: Patient safety is a system that ensures patients are safe from incidents. Nurses, as part of the health service system, are obliged to implement patient safety targets (SKP). We need instruments that are proactive in preventing incidents. This research aims to develop an instrument for predicting factors of nurse compliance when implementing SKP in hospitals. Method: Stage 1 is the development of instrument items with 3 phases: interview, expert judgment, and readability test. Stage 2 is testing the validity and reliability of the instrument with a cross-sectional approach using two data analyses, namely confirmatory factor analysis (CFA) and multiple linear regression. Participants in the interview phase were nurse practitioners and nurse managers. Testing the validity and reliability of the instrument involved implementing nurses with a sample size of 100 respondents. The dependent variable is nurses' compliance with implementing SKP in hospitals. Results: A total of 16 factors and 63 items were generated from phase 1 of the research. The CFA test states that all factors, including the nurse compliance variable in implementing SKP, are declared valid and reliable with the model stated in the range of good fit to perfect fit. The results of the linear regression analysis on the t test concluded that only eight factors had an influence on compliance, including: infrastructure, self-awareness, intention, professional habit, commitment, rewards, leadership, as well as hospital demands and reputation. The f test concluded that all these factors produced 51.1% of the potential to influence nurse compliance. Suggestion: Hospital nursing managers are recommended to use this instrument to strengthen the incident prevention system by implementing nurses.