Gambaran Tingkat Kepatuhan Pengobatan Pasien TB Paru
Overview of Treatment Adherence Level of Pulmonary TB Patients
DOI:
https://doi.org/10.25077/njk.v20i2.63Keywords:
Tuberculosis (TB), Medication Adherence, Anti-Tuberculosis Medication, Morisky Medication Adherence Scale (MMAS-8)Abstract
Adherence to tuberculosis (TB) treatment is crucial for achieving cure and preventing drug resistance. Low adherence can lead to treatment failure and increase the risk of infection transmission. Therefore, assessing medication adherence in TB patients is necessary to determine the extent to which patients follow prescribed treatment regimens. This study aims to identify the level of medication adherence among pulmonary TB patients in Kota Lahat. A descriptive analytic design was used in this study. The population consisted of pulmonary TB patients undergoing treatment at five public health centers (PHC) in Lahat City between July 26 and August 5, 2024. A non-probability total sampling technique was employed. Medication adherence was measured using the Morisky Medication Adherence Scale (MMAS-8). Of the total respondents, 51% showed low adherence, 29% moderate adherence, and 20% high adherence. Demographic characteristics revealed that the majority of respondents were male (64.7%), with the largest age group being pre-elderly (42.7%). Most respondents had a bachelor's degree (40.7%) and were employed (70.7%). More than half of the respondents (63.3%) were smokers, with a smoking history of ≥10 years. The level of medication adherence among pulmonary TB patients remains low. Collaborative efforts are needed to enhance education and support for patients to improve adherence, thereby increasing treatment success.
References
Arisandi, D., Sugiarti, W., & Islamarida, R. (2023). Karakteristik Penderita Tuberkulosis Paru di Kabupaten Sleman, D.I.Yogyakarta. Jurnal Formil (Forum Ilmiah) KesMas Respati, 8(1), 64–69.
Fløe, A., Hilberg, O., Wejse, C., Ibsen, R., & Løkke, A. (2018). Comorbidities, mortality and causes of death among patients with tuberculosis in Denmark 1998-2010: A nationwide, register-based case-control study. Thorax, 73(1), 70–77. https://doi.org/10.1136/thoraxjnl-2016-209240
Gebreweld, F. H., Kifle, M. M., Gebremicheal, F. E., Simel, L. L., Gezae, M. M., Ghebreyesus, S. S., Mengsteab, Y. T., & Wahd, N. G. (2018a). Factors influencing adherence to tuberculosis treatment in Asmara, Eritrea: A qualitative study. Journal of Health, Population and Nutrition, 37(1). https://doi.org/10.1186/s41043-017-0132-y
Gebreweld, F. H., Kifle, M. M., Gebremicheal, F. E., Simel, L. L., Gezae, M. M., Ghebreyesus, S. S., Mengsteab, Y. T., & Wahd, N. G. (2018b). Factors influencing adherence to tuberculosis treatment in Asmara, Eritrea: a qualitative study. Journal of Health, Population and Nutrition, 37(1), 1. https://doi.org/10.1186/s41043-017-0132-y
Herawati, C., Nur Abdurakhman, R., & Rundamintasih, N. (2020). Peran Dukungan Keluarga, Petugas Kesehatan dan Perceived Stigma dalam Meningkatkan Kepatuhan Minum Obat pada Penderita Tuberculosis Paru. Jurnal Kesehatan Masyarakat Indonesia, 15(1), 19–23. https://jurnal.unimus.ac.id/index.php/jkmi,
Horsburgh, R., Clifton E. Barry, & Christoph Lange. (2015). Treatment of Tuberculosis. The New England Journal of Medicine , 373(12), 22149–22160.
Islam, F., Ahmad, H., Nurbaya, Ahmad, M., Ansar, Ramadhan, K., Syukri, M., Arrazy, S., Aji Perdana, A., Siregar, D., Ade Ningsih, N., Dwi Astuti, I., Kadijah Hamid, St., & Hamonangan Pasaribu, A. (2024). Factors Affecting Treatment Adherence Among Patients with Tuberculosis in Indonesia: Literature Review. Journal of Public Health and Pharmacy, 4(1), 28–37. https://doi.org/10.56338/jphp.v4i1.5022
Kementerian Kesehatan RI. (2022). Profil Kesehatan Indonesia tahun 2021.
Kodriati, N., Pursell, L., & Hayati, E. N. (2018). A scoping review of men, masculinities, and smoking behavior: The importance of settings. In Global Health Action (Vol. 11, Issue sup3). Taylor and Francis Ltd. https://doi.org/10.1080/16549716.2019.1589763
Kulkarni, P., Akarte, S., Mankeshwar, R., Bhawalkar, J., Banerjee, A., & Kulkarni, A. (2017). Non-Adherence of New Pulmonary Tuberculosis Patients to Anti-Tuberculosis Treatment. Annals of Medical and Health Sciences Research, 3(1), 67. https://doi.org/10.4103/2141-9248.109507
Kusmiyani, O. T., Hermanto, H., & Rosela, K. (2024). Analisis Faktor yang Berhubungan dengan Kepatuhan Minum Obat Anti Tuberkulosis pada Pasien TB Paru di Puskesmas Samuda dan Bapinang Kotawaringin Timur. Jurnal Surya Medika, 10(1), 139–151. https://doi.org/10.33084/jsm.v10i1.7165
Lwanga, S. Kaggwa., & Lemeshow, Stanley. (1991). Sample size determination in health studies : A practical manual. World Health Organization.
Morisky, D. E., Ang, A., Krousel-Wood, M., & Ward, H. J. (2008). Predictive Validity of a Medication Adherence Measure in an Outpatient Setting. The Journal of Clinical Hypertension, 10(5), 348. https://doi.org/10.1111/J.1751-7176.2008.07572.X
Nahid, P., Dorman, S. E., Alipanah, N., Barry, P., Brozek, J. L., & Cattamanchi, A. (2016). Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis. Clinical Infectious Diseases, 63(7), e147–e195. https://doi.org/10.1093/cid/ciw376
Nezenega, Z. S., Perimal-Lewis, L., & Maeder, A. J. (2020). Factors Influencing Patient Adherence to Tuberculosis Treatment in Ethiopia: A Literature Review. International Journal of Environmental Research and Public Health, 17(15). https://doi.org/10.3390/ijerph17155626
Purba, E. D. R., & Sudirman, M. S. (2024). Persepsi pasien terhadap peran keluarga sebagai pengawas menelan obat (PMO) dengan kepatuhan minum obat pada pasien tuberkulosis paru. Holistik Jurnal Kesehatan, 17(9), 879–886. https://doi.org/10.33024/hjk.v17i9.10252
Siagian, M., & Wangge, G. (2016). Validity and reliability of Morisky Medication Adherence Scale 8 Bahasa version to measure statin adherence among military pilots. In Health Science Journal of Indonesia (Vol. 7, Issue 2).
Ulfah, U., Windiyaningsih, C., Abidin, Z., & Murtiani, F. (2018). Faktor-Faktor yang Berhubungan dengan Kepatuhan Berobat Pada Penderita Tuberkulosis Paru. The Indonesian Journal of Infectious Diseases, 4(1). https://doi.org/10.32667/ijid.v4i1.44
Usmanova, R., Parpieva, N., Liverko, I., Davtyan, H., Alaverdyan, S., & Gadoev, J. (2021). Adherence of drug-resistant tuberculosis patients to treatment in Tashkent, 2019-2020. Tuberculosis and Non-Tuberculous Mycobacterial Diseases, PA3342. https://doi.org/10.1183/13993003.congress-2021.PA3342
Wekadigunawan, C. S. P., Yumaniar, D., & Shabrina, F. (2023). A Qualitative Study Exploring the Experiences of Tuberculosis Patients Who Have Successfully Recovered. Journal of Epidemiology and Public Health, 8(4), 514–526. https://doi.org/10.26911/jepublichealth.2023.08.04.10
WHO. (2021). WHO consolidated guidelines on tuberculosis. Module 2: Screening -systematic screening for tuberculosis disease.
Word Health Organization. (2023). Global TBC Report.
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