scholarly journals Analysis of Factors Associated with Compliance with Taking Medicines for Pulmonary Tuberculosis Patients at Lut Tawar Health Center, Central Aceh Regency

Author(s):  
Mappeaty Nyorong ◽  
Thomson P. Nadapdap ◽  
Linda Yanthy

There is a worldwide epidemic of tuberculosis (TB). As of May 31st, 2021, the Lut Tawar Health Center had recorded 10 instances in 2019, and 17 cases had been recorded as of that date. The purpose of this research is to evaluate the analysis of variables influencing medication adherence in pulmonary TB patients at the Lut Tawar Health Center, Lut Tawar District, Central Aceh Regency. Research is conducted using a cross-sectional design using quantitative analytic techniques. As many as 33 tuberculosis patients are enrolled in the Lut Tawar Health Center's TB treatment program. Total sampling was employed as the sampling strategy. Univariate, bivariate and multivariate analyses were used to analyze the data. There were no statistically significant differences in the p-values for education (0.000), employment (0.000), distance from home (0.000), knowledge (0.00), medication side effects (0.024), or family support (0.024) in the chi square analysis. Multivariate analysis indicated that the pharmacological side effect variable had a value (p=0.000) that was the most significant. Patients and families should be supported by the puskesmas, or health professionals, in charge of running the TB treatment program, so that they can keep tabs on their loved ones' medication compliance and avoid drug withdrawal and resistance. As part of the health education provided by health professionals, they describe the side effects of TB medications and encourage patients to continue taking them until they are well enough to do so.

2020 ◽  
Vol 4 (1) ◽  
pp. 65
Author(s):  
PUTU AYU INTAN PERMATASARI

ABSTRAKLatar Belakang : Kepatuhan minum obat masih menjadi masalah pada pasien Tuberculosis  (TB) meskipun  sudah ditetapkan pengawas  menelan obat (PMO) untuk mensukseskan pengobatan dan mencegah penularan TB dimasyarakat. Metode: Desain yang digunakan dalam penelitian ini  adalah analytic correlation dengan pendekatan cross sectional research. Teknik sampling yang digunakan adalah sampling jenuh dengan jumlah sampel 99  responden. Alat pengumpulan data pada penelitian ini menggunakan kuesioner dan dianalisis menggunakan Spearman Rho. Hasil : terdapat hubungan yang significan dengan korelasi kuat antara peran PMO dengan kepatuhan penderita mengkonsumsi obat TB (p-value 0,001 < α = 0,05, rs = 0,44). Kesimpulan : Semakin baik peran pengawas menelan obat maka semakin baik kepatuhan minum obat pasien tuberculosis TB. Diharapkan pada penelitian selanjutnya dapat memberikan  pengawasan secara berkala terhadap pasien dan pengawas menelan obat agar mendapatkan hasil yang lebih maksimal.Kata Kunci : Peran, PMO, Kepatuhan minum obat, Tuberculosis.ABSTRACT Background: Adherence to TB treatment still as a problem for patients even the family member was taken role to observed taking medication directly. Methods: The study employed analytic correlation with a cross sectional approach. There were 99 respondents recruited as the sample by using a total sampling technique. The data were collected using questionnaire and analyzed used Spearman Rho's Correlation. Results: The finding indicated that there was a positive and strong statistically significant correlation between the role of the medication supervisors and medication compliance of TB patients in the Public Health Center South Denpasar with (p-value of 0.001 <α 0.05; r = 0.441).Conclusion: The better the role of supervisor, the better the medication compliance of tuberculosis patients. It is expected that in future studies can provide regular supervision of patients to get maximum results.Keywords: Role, Medication supervisor, Medication compliance, Tuberculosis


2021 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Ayu Putri Utami ◽  
Fajar Ariyanti

Tuberculosis is a chronic disease that requires prolonged medication and slow recovery, hence the problem that often occurs is the patients’ medication compliance. This study is aimed to identify the Description of the Medication Compliance for Tuberculosis Patients with Quote TB Light in Public Health Center. The method of this study was quantitative descriptive using cross sectional design with 92 patients from February to March 2020. The results showed that 51% of tuberculosis patients had complied with the medication. Based on the dimensions of Quote TB Light, the majority of patients have a good perception regarding: TB services (93.65%); the information received is appropriate (100%); health workers when providing consultations (100%); the availability of infrastructures (66%); the service provided by health workers is appropriate (74.5%); the affordability of TB medication is good (100%); and the attitude of health workers (100%). The conclusion is that the description of the medication compliance of tuberculosis patients based on Quote TB Light is good, but it is necessary to improve the quality of services on health workers’ capability and competence, to make improvements and consistent interventions in waiting time, and to pay attention to the infrastructure in order to provide the comfort for patients.


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


Author(s):  
CITRA FEBRIONY ◽  
PURWANTYASTUTI . ◽  
MEANALDI RASMIN ◽  
VIVIAN SOETIKNO

Objective: Appropriate tuberculosis (TB) treatment guidelines are one of the many factors that influence the success of TB treatment. The patient’sdrug supervisor is a functional role that is part of the directly observed treatment short course, a program to support the success of TB treatment.The aim of this study was to analyze the TB treatment suitability in a community health center and the benefit of treatment compliance supervisionby the patient’s designated drug supervisor.Methods: We conducted a cross-sectional study in the Community Health Center of Pademangan subdistrict, North Jakarta, involving 205 subjects toanalyze appropriate fixed-dose combination (FDC) anti-TB drug administration and an experimental study involving 23 control group TB patients and23 intervention group TB patients to assess the benefit of supervision by each patient’s drug supervisor.Results: The association of FDC anti-TB drug side effects with the success of TB treatment was not statistically significant (p=0.173). There wasan increase in drug supervisor knowledge of 8.6% in the intervention group and 13% in the control group. There was no statistically significantassociation between the knowledge of the drug supervisor and the 2nd month (p=0.575) and the 6th month of sputum treatment.Conclusion: Minor side effects of FDC anti-TB drug did not affect the success of TB treatment; therefore, treatment was continued if these adverseevents occurred. There were no correlations between the drug supervisor knowledge level with medication compliance or with sputum conversion(months 2 and 6).


Author(s):  
N.M. Rai Widiastuti ◽  
N.L.P Suaryani ◽  
Mangku Karmaya

Background and purpose: The Indonesian Demographic Health Survey of 2012 indicated that the prevalence of contraceptive use in Bali Province has decreased compared to 2007. In addition, the proportion of the use an intrauterine device (IUD) also continues to decline. To increase number of IUD acceptors is to promote post-placental intrauterine device (PPIUCD), however the acceptance remains low. This study aims to determine factors associated with acceptance of post-placental intrauterine device in Denpasar.Methods: Study was cross sectional with a total of 100 respondents selected by consecutive sampling. Respondents were mothers who had gave birth in January-February 2016 at Wangaya General Hospital and three health centers (Dauh Puri Sub Health Center, East Denpasar I and South Denpasar IV). Data were collected by interview in hospital and health center. Chi square test was conducted for bivariate analysis and multivariate using logistic regression.Results: Proportion of PPIUCD acceptance was 35%. Multivariate analysis indicated that PPIUCD acceptance was associated with perception of benefits (AOR=10.39; 95% CI: 2.792-38.56), perception of low side effects (AOR=5.288; 95%CI: 1.085-25.761), role of health workers (AOR=7.1; 95%CI: 1.781-28.60) and support of the husband (AOR=12.020; 95% CI=2.888-50.01).Conclusion: Variables associated with PPIUCD acceptance were perception of low side effects, perception of benefits, role of health workers and husband support.


2020 ◽  
Vol 2 (2) ◽  
pp. 1
Author(s):  
Jufri Hidayat ◽  
Mei-Chen Lee ◽  
Ming-Der Lee ◽  
Chen-Hsiu Chen

Tuberculosis (TB) remains the highest priority among infectious diseases in the world today with increasing morbidity and mortality every year. Adherence to treatment plays an important role in the success of therapy among TB patients. This study aims to explore the relationship between demographic characteristics, knowledge, and medication compliance behavior among patients with tuberculosis in Indonesia. This study was descriptive correlational and cross-sectional design with the total sample was 150 tuberculosis confirmed in Medan Pulmonary Hospital, Indonesia. In this study found that there is a significant relationship between ethnicity and medication adherence (continues variable) with p = 0.01. Meanwhile when medication compliance behavior was treated as categorical variables, a significant relationship was found between medication compliance behavior and medical history (p = 0.03), smoking (p = 0.005), and alcohol (p = 0.03) among tuberculosis patients in Indonesia. In the multivariate analysis, multiple linear regression was performed which surprisingly shows that education was significantly associated with knowledge of TB (p = 0,02), and ethnicity (0.04).


2019 ◽  
Vol 3 (3) ◽  
pp. 176
Author(s):  
Milda Hidayah

Background: Diabetes Mellitus (DM) is one of the four priorities for Non-Contagious Diseases in the world. According to the IDF (International Diabetes Federation), people with Diabetes Mellitus in Indonesia will increase from 9.1 million in 2014 to 14.1 million in 2035. Diabetes Mellitus Type 2 can affect can affect the quality of life from the sufferers and can be at risk of causing complications, these problems can be solved by applying self-management to their disease.Objectives: The purpose of this research is to describe the self-management behavior which consists of five aspects, that is settings of diet, physical activity/exercise, self/foot care, medication compliance, and monitoring of blood sugar in Type 2 Diabetes Mellitus patients at Pucang Sewu Health Center, Surabaya.Methods: This research used observational study design using cross sectional approach. The population in this research were outpatients with Type 2 Diabetes Mellitus in Pucang Sewu Health Center, Surabaya. Data collection using random sampling technique and obtained 79 respondents. The research data was obtained using the SDSCA (The Summary of Self-Care Activities) questionnaire developed by the General Service Administration (GSA) Regulatory Information Servive Center (RISC).Results: The research found that some respondents had a good level of self-management (59.5%). In several aspects such as settings of diet, and medication compliance, most respondents were included in the good category, but in physical activity/ exercise, self/foot care, and monitoring of blood sugar aspect were still in the less category. In addition, most of the respondents had normal blood glucose levels (50.6%). Conclusion: There is a relationship between self-management behavior with blood glucose levels in patients with Type 2 Diabetes Mellitus in Pucang Sewu Health Center, SurabayaABSTRAK Latar Belakang: Diabetes Mellitus (DM) menjadi satu dari empat prioritas Penyakit Tidak Menular di dunia. Menurut IDF (International Diabetes Federation), peningkatan penyandang DM di Indonesia akan mengalami peningkatan dari 9,1 juta di tahun 2014 menjadi 14,1 juta di tahun 2035. Penyakit DM Tipe 2 dapat mempengaruhi kualitas hidup penderitanya dan dapat beresiko menimbulkan terjadinya komplikasi, masalah tersebut dapat dikendalikan salah satunya dengan menerapkan perilaku self-management terhadap penyakitnya.Tujuan: Tujuan dari penelitian ini yaitu untuk mengetahui gambaran serta hubungan perilaku self-management (pengaturan pola makan, aktivitas fisik/olahraga, perawatan diri/kaki, kepatuhan konsumsi obat, dan monitoring gula darah) dengan kadar gula darah pada pasien Diabetes Mellitus Tipe 2 di wilayah kerja Puskesmas Pucang Sewu, Surabaya.Metode: Penelitian ini menggunakan desain studi observasional dengan menggunakan pendekatan cross sectional. Populasi pada penelitian ini adalah pasien rawat jalan yang menderita Diabetes Mellitus Tipe 2 di Puskesmas Pucang Sewu, Surabaya. Pengambilan data menggunakan teknik random sampling dan didapatkan 79 responden. Data penelitian didapatkan dengan menggunakan kuisioner SDSCA (The Summary of Diabates Self-Care Activities) yang telah dikembangkan oleh General Service Administration (GSA) Regulatory Information Servive Center (RISC). Analisis data menggunakan uji statistik chi-square.Hasil: Hasil penelitian didapatkan bahwa sebagian responden memiliki tingkat self-management baik (59.5%). Beberapa aspek seperti pengaturan pola makan, dan kepatuhan konsumsi obat, sebagian besar responden termasuk dalam kategori baik, namun pada aspek aktivitas fisik/olahraga, perawatan diri/kaki, dan monitoring gula darah masih dalam kategori kurang. Selain itu, sebagian besar responden memiliki kadar gula darah yang terkontrol (50,6%).Kesimpulan: Terdapat hubungan antara perilaku self-management dengan kadar gula darah pada pasien Diabetes Mellitus Tipe 2 di wilayah kerja Puskesmas Pucang Sewu Surabaya.


2020 ◽  
pp. 1-3
Author(s):  
Kabir Bansal ◽  
Anika Chhabra

Caffeine is the most widely consumed central nervous system stimulant in the world. Medical students and health professionals are more prone to consumption of high amounts of caffeinated products because they are regularly exposed to stress conditions. The current study is cross sectional study. The participants were selected on the basis of inclusion and exclusion criteria. Around 500 participants composed of the sample size who were distributed with the questionnaire and the responses were recorded. The study showed consumption of caffeinated products by major portion of the sample size. Major reasons of consumption being to feel more awake, mood elevation and focus and concentration. Various side effects faced were difficulty in sleep, frequent urination, tremors and palpitations. Long term consumption showed various withdrawal symptoms is many individuals like headache, fatigue and cravings. Awareness among medical students and health professionals regarding this topic is important as future healthcare lies in their hand.


2020 ◽  
Vol 12 (2) ◽  
pp. 280
Author(s):  
Devi Ristian Octavia ◽  
Primanitha Ria Utami

Treatment non-adherence in tuberculosis (TB) patients is a challenge in TB treatment. This research was an observational analysis study with a cross-sectional design. The population of this study were all tuberculosis patients at Karanggeneng Community Health Center, Lamongan from January to September 2018 who were still undergoing treatment process. Total sampling technique was utilized which obtained 40 patients. The data were collected through a closed questionnaire sheet of the method applied by the MMAS (Morisky Medication Adherence Scale). Then, the data were analyzed by editing, coding, scoring and tabulating. The results showed that 92% of patients adhered to Tuberculosis treatment and their influential perceptions included patients’ belief, family support, and motivation from health personnel. Treatment supporter is very influential on the success of Tuberculosis therapy.


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