Determinants Of Treatment Adherence In Drug-Sensitive Tuberculosis Patients During The Covid-19 Pandemic
Article Sidebar
Main Article Content
Abstract
Background: During the COVID-19 pandemic in Surakarta, there were patients who were absent, failed, and dropped out of treatment. This study aims to analyze factors associated with treatment adherence of drug-sensitive tuberculosis patients (TB-SO) during the COVID-19 pandemic at the Surakarta City Public Health Center.
Methods: This research method combines quantitative research with cross-sectional research. A sample of 105 patients from 10 Public Health Center (Puskesmas) in Surakarta City was obtained using a total population sampling based on inclusion and exclusion criteria. This research was conducted from April to June 2022. The research instrument used was a questionnaire, and the data was analyzed univariate and bivariate with the chi-square.
Results: This study showed that more patients were adherere (79%) than non-adherent (21%). Factors related to treatment adherence were the role of health professionals (p = 0.045) and Treatment Supervisors (Pengawas Menelan Obat/PMO) support (p = 0.035).
Conclusion: The role of health workers and the support provided by the PMO to patients related to adherence to treatment for TB-SO patients Therefore, it is expected that health professionals need to keep a good relationship with patients through personal counseling and need to provide socialization to PMOs.
Article Details
References
Anita, N., & Sari, R. P. (2022). Faktor-Faktor Kesembuhan Penderita TB Paru Dengan Penyakit Penyerta Diabetes Melitus. Adi Husada Nursing Journal, 7(2), 51. https://doi.org/10.37036/ahnj.v7i2.197
Badan Nasional Penanggulangan Bencana (BNPB). (2020). Presiden Tetapkan COVID-19 Sebagai Bencana Nasional. https://bnpb.go.id/berita/presiden-tetapkan-covid19-sebagai-bencana-nasional#:~:text=JAKARTA - Presiden Joko Widodo secara,-19) Sebagai Bencana Nasional.
Cilloni, L., Fu, H., Vesga, J. F., Dowdy, D., Pretorius, C., Ahmedov, S., Nair, S. A., Mosneaga, A., Masini, E., Sahu, S., & Arinaminpathy, N. (2020). The potential impact of the COVID-19 pandemic on the tuberculosis epidemic a modelling analysis. EClinicalMedicine, 28(March), 100603. https://doi.org/10.1016/j.eclinm.2020.100603
Fadlilah, S., & Aryanto, E. (2020). Faktor yang Berhubungan dengan Pengetahuan TB Paru dan Dukungan Sosial Pasien RS Khusus Paru Respira. Jurnal Ilmiah Keperawatan Sai Betik, 15(2), 168. https://doi.org/10.26630/jkep.v15i2.1804
Iksan, R. R., Muhaimin, T., & Anwar, S. (2020). Fungsi-Fungsi Keluarga dengan Hasil Pengobatan Tuberkulosis Program DOTS. 3, 638–647.
Ilmu, S., Negara, A., Publik, J. A., Ilmu, F., Ilmu, S., Negara, A., Publik, J. A., & Ilmu, F. (2020). Implementasi Kebijakan Penanggulangan Tuberkulosis Dengan Strategi Directly Observed Treatment Short Course (DOTS) di Puskesmas Kecamatan Bangsal Kabupaten Mojokerto. 201–214.
Janan, M. (2019). Faktor-Faktor Risiko yang Berhubungan dengan Peningkatan Prevalensi Kejadian TB MDR di Kabupaten Brebes Tahun 2011-2017. Jurnal Kebijakan Kesehatan Indonesia : JKKI, 8(2), 64–70. https://tbindonesia.or.id/informasi/tentang-tbc/situasi-tbc-di-indonesia-2/
Indonesian Ministry of Health. (2020). Profil Kesehatan Indonesia Tahun 2019. https://doi.org/10.5005/jp/books/11257_5
Maria, L. (2016). Identifikasi Faktor Risiko Terjadinya TB MDR pada Pasien TB di Madiun. 10–28.
Osterberg, L., & Blaschke, T. (2005). Adherence to Medication. New England Journal of Medicine, 353(5), 487–497. https://doi.org/10.1056/NEJMra050100
Pola, S. (2019). Indonesia Bebas Tuberkulosis (R. Awahita (ed.); First). CV Jejak.
Pratiwi, R. D., Fitriani, D., & Betty, B. (2021). Penggunaan media komunikasi android apps dalam optimalisasi pengawas minum obat (PMO) terhadap tingkat kepatuhan dan kesembuhan penderita tuberkulosis paru. Holistik Jurnal Kesehatan, 14(4), 624–641. https://doi.org/10.33024/hjk.v14i4.3512
Prihantana, A. S., & Wahyuningsih, S. S. (2016). Hubungan Pengetahuan dengan Tingkat Kepatuhan Pengobatan pada Pada Pasien Tuberkulosis di RSUD dr. Soehadi Prijonegoro Sragen. Farmasi Sains Dan Praktis, II(1), 47. http://journal.unimma.ac.id/index.php/pharmacy/article/view/188%0Ahttps://journal.unimma.ac.id/index.php/pharmacy/article/download/188/135/
Qiu, L., Tong, Y., Lu, Z., Gong, Y., & Yin, X. (2019). Depressive symptoms mediate the associations of stigma with medication adherence and quality of life in tuberculosis patients in China. American Journal of Tropical Medicine and Hygiene, 100(1), 31–36. https://doi.org/10.4269/ajtmh.18-0324
Ratnasari, J. D., Makmur, M., & Ribawanto, H. (2013). Pengembangan Kapasitas (Capacity Building) Kelembagaan Pada Badan Kepegawaian Daerah Kabupaten Jombang. Jurnal Administrasi Publik, 1(3), 103–110. file:///C:/Users/user/Documents/Mendeley Desktop/Badan, Daerah, Jombang/Unknown/Badan, Daerah, Jombang - 1999 - Pengembangan kapasitas (.pdf
Septiani, D., Haniifah, F. N., Riswaluyo, M. A., Anwar, N. M., Masyarakat, F. K., Indonesia, U., & Septiani, K. D. (2022). Penggabungan Aplikasi Telemedicine TB Sebagai Optimalisasi Pelayanan TB Selama Masa Pandemi COVID-19 Merging TB Telemedicine Application as Optimising Tuberculosis Health Care During COVID-19 Pandemic. 2, 117–125.
Sulastri, S., & Kartika, Y. (2016). Psikoedukasi Keluarga Meningkatkan Kepatuhan Minum Obat ODGJ di Puskesmas Kedaton Bandar Lampung. Jurnal Kesehatan, 7(2), 323. https://doi.org/10.26630/jk.v7i2.207
Tim Program TB St. Carolus. (2017). Tuberkulosis Bisa Disembuhkan! (C. Gautama (ed.)). Kepustakaan Populer Gramedia.
World Health Organization (WHO). (n.d.). Coronavirus disease (COVID-19). Retrieved February 26, 2022, from https://www.who.int/health-topics/coronavirus#tab=tab_1
World Health Organization (WHO). (2003). Adherence to Long-Term Therapies. Patient Preference and Adherence, 12. https://doi.org/10.2147/PPA.S174652
World Health Organization (WHO). (2017). Guidelines for treatment of drug-susceptible tuberculosis and patient care. In Kekkaku (Vol. 62, Issue 12).
World Health Organization (WHO). (2021a). TB treatment and treatment coverage. https://www.who.int/publications/digital/global-tuberculosis-report-2021/tb-diagnosis-treatment/treatment
World Health Organization (WHO). (2021b). Tuberculosis Deaths Rise or the First Time in More Than a Decade Due to the COVID-19 Pandemic. https://www.who.int/news/item/14-10-2021-tuberculosis-deaths-rise-for-the-first-time-in-more-than-a-decade-due-to-the-covid-19-pandemic
KNCV Indonesia. (2020). Hari Diabetes Nasional : Kaitan Tuberkulosis dan Diabetes Mellitus. https://yki4tbc.org/hari-diabetes-nasional-kaitan-tuberkulosis-dan-diabetes-melitus/