scholarly journals The Correlations of Knowledge, Attitude and Practice with Compliance in Treatment of Pulmonary Tuberculosis Patients in Puskesmas Cakranegara

2021 ◽  
Vol 21 (1) ◽  
pp. 65
Author(s):  
Auliana Puji Lestari ◽  
Prima Belia Fathana ◽  
Wahyu Sulistya Affarah

Patient compliance refers to the suitability of behavior against treatment recommendations include timing, dose and frequency of treatment. Compliance to tuberculosis treatment was actually very complex and dynamic with various factors that interacted each other, and therefore it will influence on patient’s behavior decision. Patient who has a good compliance will increase success to his recovery. This study was carried out to determine the correlation between tuberculosis patient behavior which consists of the domain of knowledge, attitudes and practices with compliance to taking anti-tuberculosis drugs at the Puskesmas Cakranegara commencing on July to November 2020. This research was an observational analytic study using a cross sectional method. Population sample was patients who diagnosed with pulmonary tuberculosis which undergoing category 1 treatment at Puskesmas Cakranegara. The data used in the study was primary data established from interviewing patients using a questionnaire on selected Pulmonary TB patients including respondents who eligible as the inclusion and exclusion criteria. The number of samples in this study were 30 infected-people. The data obtained were analyzed using the Spearman correlation test.  The correlation test of the study showed that there was no significant correlation between variable of knowledge and medication compliance (p = 0.079, r = 0.325).  However, the attitude variables had a significant correlation with medication compliance (p = 0.000, r = 0.715).  Similarly, the practices variable has a significant correlation to the medication compliance (p = 0.000, r = 0.656). This study found that there was no significant correlation between knowledge and compliance taking anti-tuberculosis drugs. However, it was found that there was a significant correlation between attitudes and practices with compliance to taking anti-tuberculosis drugs.

2018 ◽  
Vol 4 (2) ◽  
pp. 97-100
Author(s):  
Golam Sagir ◽  
Md Rafiqul Islam ◽  
Md Mamnur Rashid ◽  
Mohammad Akter Hossain ◽  
Mohammad Ashraful Haque

Background: Pulmonarytuberculosis is a very common disease in both urban and rural settings among the Bangladeshi people.Objective: The purpose of the present study was to assess the attitude and practice of pulmonary tuberculosis patient in urban settings of Sylhet District of Bangladesh.Methodology: This cross sectional study was conducted in the DOTs corner of Sylhet MAG Osmani Medical College, Sylhet, Bangladesh and Sylhet Chest Disease Hospital, Sylhet, Bangladesh during the period from June 2011 to November 2011 for a period of six (6) months. All the patients who were diagnosed as case of pulmonary tuberculosis and were treated with anti-tubercular drugs at DOTs corner who attended in the both Hospitals, Sylhet were selected as study population.Result: A total number of 194 pulmonary tuberculosis patients were recruited for this study. Among the 194 patients, 36(18.6%) patients had good attitudes and practices and 158(81.4%) patients had poor attitudes and practices.Conclusion: In conclusion, majority of the pulmonary tuberculosis patients under DOTs living in the urban area of Sylhet have poor level of attitude and practices.Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 97-100


2018 ◽  
Vol 14 (1) ◽  
pp. 81-89
Author(s):  
Nita Yunianti Ratnasari ◽  
Susana Nurtanti

The total number of pulmonary tuberculosis cases found in Wonogiri district up to Trimester III in 2017 was 602 new cases. Adherence to patient treatment is one of the decisive factors in the success of therapy, but adherence to treatment by pulmonary TB patients is often low. This study aims to evaluate the compliance of treatment of pulmonary tuberculosis patients in Selogiri District Health Center Wonogiri regency. The design of this study used cross-sectional descriptive analysis with data collector in the form of questionnaire as primary data and patient treatment card (Form TB 01) as secondary data. Population of all pulmonary TB patients treated at Selogiri Public Health Center, registered from January 2016 to December 2017. Sampling by total sampling technique. Result of research from 23 total respondents during treatment showed that the number of respondents who adhere to TB treatment was smaller than the non-compliant respondent, that is 10 respondents (43,47%) obedient while respondent did not obey 13 (56,52%). The conclusion of this study there is no relationship between sociodemographic factors, knowledge, drug side effects, history of other diseases, availability of transportation and the role of families and officers with compliance to treatment of pulmonary tuberculosis patients in Selogiri Health Center. This study shows the high rate of non-adherence treatment of lung TB patients.


2020 ◽  
Vol 14 (1) ◽  
pp. 1
Author(s):  
Septiyani Putri ◽  
La Ode Alifariki ◽  
Fitriani Fitriani ◽  
Mubarak Mubarak

Pulmonary tuberculosis is still a significant health problem in Indonesia; the high rate of pulmonary tuberculosis sufferers causes by the patient's non-compliance factor in taking the drug, allowing resistance and recurrence. Support for the role of medicine intake supervisors has a significant role in increasing compliance with medication for pulmonary tuberculosis patients. The purpose of this research was to determine the relationship between the role of medicine intake supervisors and medication compliance for pulmonary tuberculosis (TB) patients. This research used observational analytic with cross-sectional research design, was conducted in February-March 2019. The sampling method used consisted of 30 respondents using total sampling. WHO analysis used statistical tests with a significant level of α <0.05. The independent variable of this study was the role medicine intake supervisor and the dependent variable was medication compliance for pulmonary tuberculosis patients. Supervisor is that it has a proper role of 26 (86.7%) respondents and those who have fewer roles as many as 4 (13.3) respondents. Respondents who were obedient to taking medicine were 24 (80.0%) respondents, and those who did not obey took medicine as many as 6 (20.0%) respondents. The results of the Fisher Exact statistics show that there is a relationship between the role of medicine intake supervisors (OBSERVER) and medication compliance to patients with pulmonary tuberculosis in p-value = 0.001 (p-value <0.05). This study concludes that the better the role of supervisors taking medication (OBSERVER), the more obedient patients are in taking medication.


2019 ◽  
Vol 1 (2) ◽  
pp. 176-185
Author(s):  
Christine Vita Gloria ◽  
Zulmeliza Rasyid ◽  
Sherly Vermita W ◽  
Elmia Kursani ◽  
Bizanti Umayyah

This study aims to see whether the determinants are related to treatment compliance for pulmonary tuberculosis patients at the 2019 health center. This type of research is a quantitative observational cross-sectional design. The results showed that with a P value of 0.05, there was a significant relationship between knowledge (P value = 0.005 and POR = 14.276), attitudes (P value = 0.506 and POR = 1.615), family support (P value = 0.038 and POR = 1,961), the role of health workers (P values = 0.026 and POR = 4.440), with medication adherence for pulmonary tuberculosis patients. Conclusions, of the 4 variables there are 3 variables related to adherence to taking pulmonary TB drugs in the Work Area of the Siak Hulu II Health Center, namely knowledge, family support, and the role of health workers and 1 unrelated variable, attitude.   Keywords: Obedience, Medicine, Lung Tuberculosis


2021 ◽  
Vol 5 (01) ◽  
pp. 29-32
Author(s):  
Joko Sapto Pramono ◽  
Nilam Noorma ◽  
Andi Lis Arming Gandini ◽  
Sopia Fitriani

Pulmonary tuberculosis treatment causes various side effects including nausea and vomiting, itching, vision problems, and anemia. Drug side effects in the early stages are one of the causes of non-adherence to complete treatment. The purpose of this study was to analyze the effect of the side effects Tuberculosis treatment in the early stages on treatment compliance for tuberculosis patients. This study used a cross sectional design. Samples were taken as many as 71 respondents, the instruments used were side effects of early-stage tuberculosis treatment and compliance with tuberculosis treatment in tuberculosis patients from the Morisky Medication Adherence Scale (MMAS). The results of the study found 97.7% adherent and 2.3% non-adherent, 39.5% mild side effects and 60.5% severe side effects. Chi-square test showed that no significant difference between the side effects of TB treatment in the early stages of tuberculosis treatment compliance in patients p = 0.669 at significant level of 95% (α = 0.05). There was no effect between the side effects of Tuberculosis treatment in the early stages of treatment compliance for Tuberculosis patients. It was recommended that health workers continue to monitor the side effects of tuberculosis treatment and provide motivation to carry out treatment completely. Keywords: side effects; early stage; treatment; pulmonary tuberculosis; compliance


2015 ◽  
Vol 12 (1) ◽  
pp. 40
Author(s):  
Patricia Vélez-Laguado ◽  
Yessenia Rojas-Dodino ◽  
Andrea Marcela Mogollón-González

Objetivo: evaluar las actitudes y prácticas frente a la sexualidad de la comunidad de lesbianas, gais, bisexuales, transexuales, intersexuales y como estas influyen en su salud sexual y reproductiva. Materiales y Métodos: estudio cuantitativo, descriptivo de corte transversal.  La población estudio fueron 335 homosexuales pertenecientes a una fundación X, la muestra correspondió a 180, a quienes se aplico el instrumento Actitudes y Prácticas frente a la Sexualidad de los Homosexuales. Los criterios de inclusión fueron ser homosexual ser mayor de 18 años, haber tenido experiencias sexuales homosexuales, no presentar enfermedades mentales y participar voluntariamente. Resultados: predominaron los gais en un 50,5%, el estado civil preponderante fue soltero con un 70,6%; la edad predominante fue 24  a 29 años, y el nivel educativo más frecuente fue secundaria completa 27,7%; en cuanto a información de experiencias sexuales la primera experiencia física fue sexo con 52,2%, el 61,1% inició su vida sexual entre los 14 y 19 años; el 43,9% ha tenido de 11 a 20 compañeros sexuales, y en los últimos 6 meses el 65% ha tenido relaciones sexuales ocasionales, en actitudes el 43,9% dio a conocer  su orientación sexual a amigos. En prácticas el 58,4% conoce a sus parejas sexuales por amigos; en desarrollo y actividad en salud sexual y reproductiva el 8,9% ha presentado infecciones de transmisión sexual y ha recibido tratamiento completo, el 56,7% no utilizó preservativo en su primera relación sexual, y solo el 54,4% sabe que es el cáncer genital. Conclusión: Según las variables planteadas las actitudes y las prácticas de los homosexuales si afectan su salud sexual y reproductiva.PALABRAS CLAVE: actitud, salud sexual y reproductiva, sexualidad. Attitudes and practices face to homosexual sexualityABSTRACT Objective: To test attitudes and practices face to sexuality of the lesbian, gay, bisexual, transgender, intersex community  and how they are influencing their sexual and reproductive health. Materials and Methods: Quantitative, descriptive cross-sectional study. The study populationwere 335 homosexual members belonged to   X foundation, the sample consisted of 180 people, to the Attitudes And Practices instrument was applied against gay sexuality. Inclusion criteria were: being homosexual older than 18 years old, having homosexual experiences before, haven´t suffered mental illness and to participate voluntarily. Results: gays predominated in 50.5%, the predominant marital status was single with 70.6%; the predominant age was 24-29 years and the most common education level was secondary with a 27.7%; as regard information about sexual experiences ; the first physical   experience was  sex with a 52.2%, 61.1% of population sample began their sexual life between 14 and 19 years old; 43.9% of them had 11 to 20 sexual partners, and in the last six months 65% had casual sex.  In attitudes 43.9% disclosed their sexual orientation to friends; in practice 58.4% met their sexual partners by friends; in development and activity in sexual and reproductive health 8.9% presented sexually transmitted infections and received full treatment, 56.7% did not use condoms during their first sexual intercourse, and only 54.4% know what is a genital cancer. Conclusion: according to the considered variables the attitudes and practices of homosexual people affect their sexual and reproductive health.KEYWORDS: attitude, sexual and reproductive health, sexuality. Atitudes e práticas contra a sexualidade gay RESUMO Objetivo: avaliar as atitudes e práticas em relação à sexualidade de lésbicas, gays, bissexuais, transgêneros, intersex e como você está influenciando a sua saúde sexual e reprodutiva. Materiais e Métodos: estudo transversal, quantitativo, descritivo. A população do estudo eram 335 os membros homossexuais de uma fundação X, a amostra foi composta de 180 critérios, para a Atitudes E Práticas instrumento foi aplicado contra a sexualidade gay. De inclusão foram ser gay ter mais de 18, tiveram experiências sexuais homossexuais, não presente doença mental e participar voluntariamente. Resultados: gays predominou em 50,5%, o estado civil predominante foi a única com 70,6%; a faixa etária predominante foi de 24-29 anos eo ensino secundário mais comum foi de 27,7% concluída; informações sobre experiências sexuais primeira experiência sexual física foi de 52,2%, 61,1% iniciaram a vida sexual entre 14 e 19 anos; 43,9% tinham de 11 a 20 parceiros sexuais, e nos últimos seis meses 65% fizeram sexo casual. Em atitudes 43,9% divulgados sua orientação sexual aos amigos; na prática, 58,4% sabiam que seus parceiros sexuais por amigos; em desenvolvimento e atividade na área da saúde sexual e reprodutiva de 8,9% apresentada infecções sexualmente transmissíveis e recebeu tratamento completo, 56,7% não usaram preservativos na primeira relação sexual, e somente 54,4% sabem que é cancro genital. Conclusão: de acordo com as variáveis levantadas as atitudes e práticas dos homossexuais, se eles afetam a sua saúde sexual e reprodutiva.PALAVRAS-CHAVE: atitude, saúde sexual e reprodutiva, sexualidade. 


2021 ◽  
Vol 20 (1) ◽  
pp. 177-182
Author(s):  
Ameen Mosleh Almohammadi ◽  
Somayah Saeed Bawazeer ◽  
Joud Jamal Balkhair ◽  
Aroub Adel Rajab

Purpose: To find the relationship between depression, treatment adherence and lifestyle changes inchronically-ill patients residing in Jeddah, Saudi Arabia.Methods: A cross-sectional study was conducted. A self-administered questionnaire was used tocollect data from patients of multi-healthcare centers located in Jeddah. The questionnaire aimed tocollect the information regarding patients’ levels of medication compliance, patients’ capacity to copewith the disease and adherence to medication, along with their depression level.Results: Of the overall sample size of 439 patients, 43.1 % were suffering from hypertension, 37.8 %were diabetic and 33.7 % had hyperlipidemia. Besides, total scores of Patient Health Questionnaire-9(PHQ-9) showed that approximately 5 % patients were severely depressed, 8 % had moderately severedepression, 27 % had moderate depression, and 60 % had mild depression. Compliance scale datarevealed that 38 % patients showed low compliance, 51 % showed partial compliance, and 11 %showed high compliance. Also, a significant inverse relationship between depression and compliancescales (rs = -0.221, p = 0.004) was observed.Conclusion: The results show an inverse association between depression and medication adherencein patients with chronic disease in Jeddah. Therefore, clinicians are advised to assess the level ofdepression in chronically-ill patients in order to improve their adherence to medicine.Keywords: Chronic illness, Depression, Medication adherence, Treatment compliance


Author(s):  
Kun Istighfaniar ◽  
Mulyono Mulyono

Pharmaceuthical department is one of many department in RSUD Kota Madiun which serve hundreds of patients everyday. Workers on pharmacuthical department has been found having unnatural working posture on their work process, where many workers tend to complain about having low back pain problems. One of suspected problem is unnatural working posture. Unergonomic position, repetitive works, sit for long periods were few of ergonomics problem which occurred everyday. This research aimed to identify work posture and musculoskeletal complaint on pharmaceuthical department workers. This research used cross sectional approach, with population sample were all worker on pharmaceuthical department RSUD Kota Madiun and there are eight people in total. Primary data on this research collected using questionnaires, Body Mass Index measurements, interviews, and observations. Collected data from questionnaires, interview, and Body Mass Index measurements were processed, and the processed data will be analyzed using qualitatif methods of deep interview. The result showed most of worker were having high riks of having musculoskeletal problem based on RULA and REBA evaluation. Most of musculoskeletal complaints were located on their waist, hip, upper neck an lower neck. Hospital should give the workers egonomical training so that workers could avoid having unergonomical posture which lead to musculoskeletal problems. Workers should doing more often aerobic exercise.Keywords: muscoloskeletal complaint, work posture


2019 ◽  
Vol 3 (1) ◽  
pp. 17-20
Author(s):  
Ram Bahadur Nepali ◽  
Damaru Prasad Paneru

Tubercular infection is still a pervasive public health problem in Nepal despite the massive efforts of National Health Service stakeholders. High bacterial infectivity, transmissibility, increasing drug resistance and non compliance to the therapy have been adding up challenges to prevention and control of tuberculosis. This study was conducted to observe the treatment compliance pattern among new pulmonary sputum smear positive cases of tuberculosis. A cross sectional study was carried out in the year 2009. The 114 new smear positive pulmonary tuberculosis patients registered in the six selected DOTS centres of the Banke Disrtict were randomly selected. Participants were selected from each DOTS centre by probability proportionate sampling methods. Data were analyzed by SPSS (11.0 Version) and P< 0.05 was considered as significant. Overall compliance to DOTS was 86.80 percent; of these, 57.00 percent showed excellent and regular compliance followed by nearly 30 percent good compliance. And 13.20 percent participants were non complaint to DOTS therapy. Positive Family behaviors were positively associated with compliance while alcohol consumption was found to be negatively associated with compliance however; age, sex and income were found to be non significant factors for compliance. Feeling of getting cure even before the course of DOTS therapy (feeling better after 2-3 months regular treatment) and drinking habits were found to be the major causes of non compliance. Supportive family behaviors and avoidance of alcohol consumption may promote the compliance. Excellent treatment compliance in the face of many odds is highly encouraging and the pattern can be useful in treatment despite little non compliances; furthermore compliance can be enhanced by acting on these causes of non compliances. Key words: Pulmonary, Tuberculosis, DOTS, Banke, Nepal


2017 ◽  
Vol 5 (3) ◽  
pp. 338
Author(s):  
Nazilatul Fadlilah

ABSTRACTTuberculosis (TB) on Sumenep district remains a major health problem especially in Pragaan. Puskesmas Pragaan was a health facility on Sumenep district which has many tuberculosis patients to the others, and success rate on this health facility in 2015 to 2016 was decreased. This research is analytic descriptive by using case control method, and was analyzed with chi-square statistic test. The study population were all PMO from pulmonary tuberculosis patients who went to Puskesmas Pragaan in January until December 2016, which was 106 patients. The sample of research were 60 peoples, that is 20 case PMOs and 40 control PMOs. This research uses interview with questionnaire which contains about general characteristics of PMO, knowledge of PMO about tuberculosis, knowledge of PMO about PMO role, and PMO attitude when patient during treatment period was 6 months. The results showed that the incidence of pulmonary tuberculosis in Puskesmas Pragaan was 104 patients. The informations obtained was presented with tables and narratives. The result of chi-square statistic test showed that there was no relationship between sex (p = 0.855), age (p = 0.106), occupation (p = 0.325), last education (p = 0.656), and family closeness between PMO with  patient (p = 0.112) with the patient's treatment of pulmonary tuberculosis. However, in this study there are relationships between knowledge (p =0.004) and attitude (p = 0.003) with treatment compliance patients pulmonary tuberculosis. It is suggested to optimizing PMO’s program, communication-information-education should be done continuely, than goverment should pay attention about transportation access in village that influence to health service.Keywords : characteristics, medication compliance, tubercolosis’s supervisory, tuberculosis


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