Integrating the MERDEKKA Intervention into Palliative Care for Tuberculosis Patients: A Mixed- Methods Study
Dublin Core
Title
Integrating the MERDEKKA Intervention into Palliative Care for Tuberculosis Patients: A Mixed- Methods Study
Subject
Tuberculosis,
palliative care,
holistic health
palliative care,
holistic health
Description
Introduction: WHO has established a target for treating tuberculosis
patients aligned with Asta Cita 4 in the health sector, specifying that
Indonesia would be TB-free by 2030. Given the severity of TB patients'
symptoms from diagnosis to treatment, a comprehensive palliative care
strategy is essential. Palliative care does not only mean end-of-life care.
Methods: This study used a mixed-methods sequential explanatory design.
Quantitative data were first collected using a one-group pre- and post-test
design with 80 samples, and the results were used as the basis for
qualitative analysis with 15 participants. The instrument used to
implement the MERDEKKA intervention based on the RESPECT Model
consists of assignment of pain, ethical support, education, spiritual,
communication, and interprofessional collaboration.
Results: The majority of respondents (35.8%) were aged 62 to 72, largely
male (96.1%), and had completed junior high school (43.5%). Most
respondents were farmers (48.7%), had tuberculosis in their family
(96.1%), and had been on treatment for at least 6 months. The MERDEKKA
intervention had a substantial impact, with a p-value of 0.001 for
knowledge and 0.003 for attitudes. The effect size value was larger than
1.0, indicating a potent influence. Patients' experiences after the
MERDEKKA intervention are described in three themes: Developing good
trust between the patient and the nurse, providing proper and necessary
care, and being enthusiastic about healing within six months.
Conclusion: The palliative care model, including the MERDEKKA
intervention, is critical in caring for TB patients.
patients aligned with Asta Cita 4 in the health sector, specifying that
Indonesia would be TB-free by 2030. Given the severity of TB patients'
symptoms from diagnosis to treatment, a comprehensive palliative care
strategy is essential. Palliative care does not only mean end-of-life care.
Methods: This study used a mixed-methods sequential explanatory design.
Quantitative data were first collected using a one-group pre- and post-test
design with 80 samples, and the results were used as the basis for
qualitative analysis with 15 participants. The instrument used to
implement the MERDEKKA intervention based on the RESPECT Model
consists of assignment of pain, ethical support, education, spiritual,
communication, and interprofessional collaboration.
Results: The majority of respondents (35.8%) were aged 62 to 72, largely
male (96.1%), and had completed junior high school (43.5%). Most
respondents were farmers (48.7%), had tuberculosis in their family
(96.1%), and had been on treatment for at least 6 months. The MERDEKKA
intervention had a substantial impact, with a p-value of 0.001 for
knowledge and 0.003 for attitudes. The effect size value was larger than
1.0, indicating a potent influence. Patients' experiences after the
MERDEKKA intervention are described in three themes: Developing good
trust between the patient and the nurse, providing proper and necessary
care, and being enthusiastic about healing within six months.
Conclusion: The palliative care model, including the MERDEKKA
intervention, is critical in caring for TB patients.
Creator
Ni Luh Seri Astuti1*, Aditha Angga Pratama1, I Dewa Ayu Rismayanti1, Triya Resti
Ramandhani2, & Luh Sumardiani2
Ramandhani2, & Luh Sumardiani2
Source
https://doi.org/10.37363/bnr.2025.64523
Date
27 October 2025
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Ni Luh Seri Astuti1*, Aditha Angga Pratama1, I Dewa Ayu Rismayanti1, Triya Resti
Ramandhani2, & Luh Sumardiani2, “Integrating the MERDEKKA Intervention into Palliative Care for Tuberculosis Patients: A Mixed- Methods Study,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/11934.