FAMILY NURSING CARE MANAGEMENT WITH SERVICE EXCELLENCE FOR MRS. S WITH PULMONARY TUBERCULOSIS IN BANGUN REJO VILLAGE TANJUNG MORAWA SUBDISTRICT DELI SERDANG REGENCY NORTH SUMATRA PROVINCE YEAR 2025

Abstract

ABSTRACT

Pulmonary Tuberculosis (TB) remains one of the most significant infectious diseases affecting public health, particularly in Indonesia, which ranks second globally in TB cases after India. TB is an airborne infectious disease that primarily affects the lungs. This case study aims to describe the implementation of family nursing care management using a service excellent approach for a patient, Mrs. S, diagnosed with Pulmonary Tuberculosis and residing in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency. The research employed a descriptive case study method with a systematic nursing process including assessment, nursing diagnosis, care planning, implementation, and evaluation. The initial assessment revealed several nursing problems: ineffective airway clearance, nutritional deficit, activity intolerance, and lack of family knowledge regarding TB and adherence to treatment. Interventions were carried out through educational, collaborative, and supportive approaches involving the family as active care partners. Education was focused on treatment adherence, proper nutrition, and infection prevention. The results showed improved family understanding, increased treatment compliance, and better overall health condition of the patient. The evaluation phase indicated that active family engagement significantly contributed to treatment success and enhanced the patient’s quality of life. In conclusion, the application of family nursing care based on service excellent principles plays a crucial role in reducing the incidence of Pulmonary Tuberculosis and improving therapeutic outcomes at the community level.