The Effect of Characteristics, Patient Knowledge and Availability of Pulmonary TB Drugs with Compliance with Taking Pulmonary TB Drugs at the Jambi City Health Center in 2023

Authors

  • Hisran Poltekkes Kemenkes Jambi
  • Sugiarti Poltekkes Kemenkes Jambi
  • Helmi Suryani Nasution Universitas Jambi
  • Vinna Rahayu Ningsih Universitas Jambi

DOI:

https://doi.org/10.59188/eduvest.v4i11.49943

Keywords:

Tuberculosis, respondent characteristics, drug availability, adherence

Abstract

Tuberculosis (TB) is a disease caused by *Mycobacterium tuberculosis*. One of the factors contributing to the low cure rate is non-adherence to TB treatment. Non-adherence is influenced by patient-related factors, including respondent characteristics, knowledge about pulmonary TB, and drug availability. The objective of this study is to analyze the influence of respondent characteristics, namely age, gender, education, knowledge about pulmonary TB, and drug availability on adherence to medication.  This is a quantitative study with a cross-sectional approach. Samples were collected proportionally from 59 pulmonary TB patients undergoing treatment at 20 community health centers. The instrument used was a questionnaire based on MMAS-8, and the data were analyzed using univariate and bivariate analyses with Spearman Rho correlation test and Ordinal Logistic Regression. Adherence to pulmonary TB treatment was better in the older age group (36-45 years) with 85.4%, those with a high school education at 73.2%, respondents with high knowledge at 63.4%, and those reporting good drug availability at 88.9%. No respondents were categorized as non-adherent. The factors significantly affecting adherence to TB treatment were age (p = 0.046), education level (p = 0.013), knowledge (p = 0.021), and drug availability (p = 0.000), with drug availability having the greatest influence. Meanwhile, gender did not have a significant effect on adherence. The R-Square value was 0.525, and the regression equation was \( Y = 0.492 + 0.190 X1 – 0.101 X2 + 0.195 X3 + 0.356 X4 + 0.505 X5 + \epsilon \).

References

Aini, N., & Hatta, H. R. (2017). Sistem Pakar Pendiagnosa Penyakit Tuberkulosis.

Amalia, D. (2020). Tingkat kepatuhan minum obat anti tuberkulosis pada pasien TB paru dewasa rawat jalan di Puskesmas Dinoyo. Universitas Islam Negeri Maulana Malik Ibrahim.

Arisara, G., & Azzahra, D. N. N. (2022). Relationship Between Level of Knowledge and Motivation with Anti-Tuberculosis Drugs Adherence in Tuberculosis Patients. PHSAJ-Public Health Sebelas April Journal, 1(2), 35–39.

Budianto, A., & Inggri, R. H. (2015). Usia dan pendidikan berhubungan dengan perilaku kepatuhan minum obat pada penderita TB paru. Jurnal Ilmiah Kesehatan, 4(8).

Dewi, K. A. S., Aman, I. G. M., Widhiartini, I. A. A., & Jawi, I. M. (2020). GAMBARAN PENGETAHUAN DAN KEPATUHAN TERAPI PASIEN TUBERKULOSIS PARU DI PUSKESMAS KOTA DENPASAR SELAMA PANDEMI COVID-19.

Halim, M., Nofrika, V., Widiyanto, R., & Puspitasari, D. (2023). Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat Anti Tuberkulosis (OAT) pada Pasien TB Paru. Majalah Farmaseutik, 19(1), 24–29.

Hartiyah, L., Rahmiati, R., & Santoyo, D. D. (2023). Gambaran Hasil Pemeriksaan Tes Cepat Molekuler Mycobacterium Tuberculosis Di Rsud Ulin Banjarmasin Tahun 2020-2021. Homeostasis, 6(1).

Hubaedah, A. (2020). Wiraraja Medika: Jurnal Kesehatan. Wiraraja Med. J. Kesehat, 10(1), 1–9.

Hutagalung, A., Efendy, I., & Harahap, J. (2022). Pengetahuan Dan Stigma Sosial Memengaruhi Perilaku Pencarian Pengobatan Tuberkulosis. Jurnal Keperawatan Priority, 5(2), 77–84.

Monintja, N. G., Warouw, F., & Pinontoan, O. R. (2020). Keadaan Fisik Rumah dengan Kejadian Tuberkulosis Paru. Indonesian Journal of Public Health and Community Medicine, 1(3), 93–99.

Nasution, H. S., Hubaybah, H., & Halim, R. (2022). Peningkatan Pemahaman Ketua Rt Tentang Tuberkulosis melalui Sosialisasi Penganggaran Kegiatan Pencegahan dan Pengendalian Tuberkulosis Berbasis Masyarakat. JMM (Jurnal Masyarakat Mandiri), 6(3), 1972–1985.

Noviyani, A., Nopsopon, T., & Pongpirul, K. (2021). Variation of tuberculosis prevalence across diagnostic approaches and geographical areas of Indonesia. PLoS One, 16(10), e0258809.

Organization, W. H. (2023). WHO country stories: delivering for all. World Health Organization.

Pasaribu, G. F., Handini, M. C., Manurung, J., Manurung, K., Sembiring, R., & Siagian, M. T. (2023). Ketidakpatuhan minum obat pada pasien TB paru: Studi kualitatif. Jurnal Prima Medika Sains, 5(1), 48–56.

Prameswaty, A. A., Swari, M. H. P., & Saputra, W. S. J. (2024). PERANCANGAN SISTEM PAKAR DIAGNOSIS PENYAKIT TBC PARU DENGAN METODE CERTAINTY FACTOR DAN DEMPSTER SHAFER. JATI (Jurnal Mahasiswa Teknik Informatika), 8(5), 8658–8663.

Pratama, R., Nasrazuhdy, N., & Mustopa, R. D. (2023). Description of Count of Eosynophil Cells in Pulmonary Tuberculosis Patients Based on Length of Treatment at Jambi City Health Center. Proceeding International Conference Health Polytechnic of Jambi, 2, 103–107.

SDP Priyaputranti, A., Rahmawati, F., & Munif Yasin, N. (2023). Gambaran Kepatuhan Penggunaan Obat Antituberkulosis pada Pasien Tuberkulosis Paru di Puskesmas Pahandut Kota Palangkaraya.

Wulandari, I. S. M., Rantung, J., & Malinti, E. (2020). Faktor yang berhubungan dengan kepatuhan minum obat pasien TB di Wilayah Kerja Puskesmas Parongpong. Jurnal Keperawatan Muhammadiyah, 5(1).

Wulandari, P. S., & Karolina, M. E. (2023). The Relationship Between Treatment Phase And Nutritional Status In Adult Tuberculosis Patients At Public Health Centers In Jambi City. Jambi Medical Journal: Jurnal Kedokteran Dan Kesehatan, 11(3), 360–366.

Yudiana, R., Zulmansyah, Z., & Garna, H. (2022). Hubungan Kepatuhan Terapi Obat Anti-Tuberkulosis Kombinasi Dosis Tetap (OAT-KDT) dengan Kesembuhan Pasien Tuberkulosis Paru Dewasa di Puskesmas Patokebeusi Subang. Jurnal Integrasi Kesehatan & Sains, 4(1), 43–51.

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Published

2024-12-06