Analisis Kepatuhan Makan OAT pada Penderita Tuberkulosa Paru di  Puskesmas Karya Mukti Kabupaten OKU

Darneli; Chairil Chairil; Ali Harokan

doi:10.32524/jksp.v6i1.813

Penulis

Darneli STIK Bina Husada
Chairil Chairil STIK Bina Husada
Ali Harokan STIK Bina Husada

DOI:

https://doi.org/10.32524/jksp.v6i1.813

Kata Kunci:

Compliance, Health Center, Pulmonary Tuberculosis

Abstrak

Pulmonary tuberculosis is a disease caused by Mycobacterium tuberculosis; these bacteria can live in the lungs and in various other organs of the body. This study aimed to determine what factors relate to adherence to pulmonary anti-tuberculosis drugs in patients with pulmonary tuberculosis at the Karya Mukti Public Health Center, Ogan Komering Ulu District in 2022. The quantitative research method used in this study was a cross sectional design. The population in this study was families with pulmonary TB patients in the work area of ??the Karya Mukti Health Center in 2022. The sampling method in this study used a total sampling technique. The number of samples in this study was 36 respondents. a questionnaire distributed to collect the data. From the results of statistical analysis by using the chi-square test, it shows that there was a significant relationship (p value < 0.05) for knowledge (p value 0.008), motivation (p value 0.019), and family support (p value 0.048). There was no relationship between age (p value 0.49), gender (p value 0.345) and the role of officers (p value 0.296). From the results of the multivariate analysis, it was found that the dominant factor on adherence to pulmonary OAT in patients with pulmonary tuberculosis at the Karya Mukti Health Center, Ogan Komering Ulu Regency in 2022, was knowledge (p value 0.011) (OR 6.87). From this research, it is hoped that the Health Center will provide counseling guidance to families, so that families can find out what can be done for families with pulmonary TB.

Referensi

BPS Provinsi Sumatera Selatan, (2022). Kasus Penyakit Menurut Kabupaten/Kota dan Jenis Penyakit 2019-2020. https://su mse l.bp s.go.id/indicator/30/848/1/kasus-pen ya k it-menurut-kabupaten-kota-dan –jen is-penyakit.html

CDC. (2021). Reported Tuberculosis in the United States, 2020. https: //w ww.cdc.gov/tb/statistics/reports/2020/demographics.htm

Fadhila, & Gustin, R. K. (2019). Kepatuhan penderitatuberculosis paru dalam menjalani pengobatan. Jurnal Kesehatan STIKER Prima Nusantara Bukittinggi, 10(01), 47–52.

Fitri, L. D., Marlindawani, J., & Purba, A. (2018). Kepatuhan minum obat pada pasien tuberkulosis paru. Jurnal Ilmu Kesehatan Masyarakat, 07(01), 33–42. https://journals.stikim.ac.id/index.php/jikm/article/view/50/42

Herawati, C., Abdurakhman, R. N., & 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. https://doi.org/10.26714/jkmi.15.1.2020.19-23

Hernilawati. (2013). Konsep dan proses keperawatan keluarga. Pustaka As Salam.

Iwan Samsugito, H. (2018). Hubungan jenis kelamin dan lama kontak dengan kejadian tuberkulosis paru di Rumah Sakit A. Wahab Sjahranie Samarinda. Jurnal Kesehatan Pasak Bumi Kalimantan, 1(1), 51–71. http://e-journals.unmul.ac.id/index.php/JKPBK/article/view/3621

Jiménez-Corona, M. E., García-García, L., DeRiemer, K., Ferreyra-Reyes, L., Bobadilla-Del-Valle, M., Cano-Arellano, B., Canizales-Quintero, S., Martínez-Gamboa, A., Small, P. M., Sifuentes-Osornio, J., & Ponce-De-León, A. (2006). Gender differentials of pulmonary tuberculosis transmi ssion and reactivation in an endemic area. Thorax, 61(4), 348–353. htt ps://d oi.org /10. 113 6/th x.2 005 .049452

Kemenkes. (2021). Situasi TBC di Indonesia. https:// tbindo nesia.o r.id/pusta ka-tbc/informasi/tentang-tb c/ situa si-tbc-di-indonesia-2/

Kemenkes. (2021). Jadikan Penerus Bangsa Bebas TBC, dimulai dari Diri Sendiri dan Keluarga. htt ps://ww w.kemkes.go.id/article/view/2 103 2 50 0001/jadikan-penerus-ba ng sa-bebas-tbc-dimulai-dari-diri-sen diri -dan-k eluar ga.html #:~:text =Jakarta Mengacu pada WHO Global,juta orang meninggal setiap tahunnya.

Nautiyal, R. G., Mittal, S., Awasthi, S., & Singh, R. K. (2019). Knowledge about tuberculosis among pulmonary tuberculosis patients: A cross-sectional study from Uttarakhand. Journal of Family Medicine and Primary Care, 8(5), 1735–1740. https://doi.org/10.4103/jfmpc.jfmpc

Notoatmodjo, S. (2007). Kesehatan Masyarakat Ilmu & Seni. Rineka Cipta.

Notoatmodjo, S. (2010). Metodologi Penelitian Kesehatan. Rineka Cipta.

Pangestu, T. H., Aisyiah, & Nurani, I. A. (2022). Faktor-Faktor Yang Berhubu ngan Dengan Tingkat Kepatuhan Minum Obat Pada Anggota Keluarga Yang Menderita Hipertensi Di Kelurahan Ciriung. Mahesa: Malahayati Health Student Journal, 2(2), 184–198.

Priyino. (2007). Pengantar Manajemen. In Zifatama Publisher. Zifatama Publisher. http://perpus.stiehidayatullah.ac.id/file_ebook/Pengantar Manajemen.pdf

Putra, M. M., Menardi, M., Purwantara, K. G. T., & Dewi, P. I. S. (2020). Relationship Between Family Support and Self Motivation With Compliance in Taking Medication in Patients With Tuberculosis. Jurnal Ilmu Keperawatan (Journal of Nursing Science), 8(2), 108–112. https://doi.org/10.21776/ub.jik.2020.008.02.7

Ratnasari, N. Y., & Nurtanti, S. (2018). Analysis on Factors Related with Treatment Behavior of Pulmonary Tuberculosis Patient. Jurnal Kesehatan Masyarakat, 14(1), 81–89. https://doi.org/10.15294/kemas.v14i1.12518

Republik Indonesia. (2014). Undang-Undang RI Nomor 36 Tahun 2014 tentang Tenaga Kesehatan. In Presiden Republik Indonesia (pp. 1–78). http://www.pdpersi.co.id/diknakes/data/regulasi/undang_undang/uu362014.pdf

Rosadi, D. (2020). Faktor-Faktor yang Berhubungan dengan Kepatuhan Pasien Tuberkulosis Paru Terhadap Obat Anti Tuberkulosis. Jurnal Berkala Kesehatan, 6(2), 80–84. https://doi.org/10.20527/jbk.v6i2.9452

Rumimpunu, R., Maramis, F. R. ., & Kolibu, F. K. (2018). Hubungan antara dukungan keluarga dan dorongan petugas kesehatan dengan kepatuhan berobat penderita tuberkulosis paru di Puskesmas Likupang Kabupaten Minahasa Utara. Jurnal Kesmas, 7(4). https://ejourna l.unsrat.ac.id/index.php/kesmas/article/view/23114

Samory, U. S., Yunalia, E. M., Perdana, I. S. S., & Nurseskasatmata, S. E. (2022). Faktor-faktor yang berhubungan dengan kepatuhan pasien terhadap pengobatan tuberkulosis paru di Puskesmas Urei-Faisei (URFAS). Indonesian Health Science Journal, 2(1), 37–45. https://doi.org/https://doi.org/10.52298/ihsj.v2i1.25

Simata. (2020). Jumlah Kasus Penyakit Menurut Kabupaten/Kota dan Jenis Penyakit di Provinsi Sumatera Selatan, 2019. http://satud ata.sum selpr ov.go. id/v3/d ata/inde x.php?q=Data-View&s=59

Sukartini, T., Widianingrum, T. R., & Yasmara, D. (2020). The relationship of knowledge and motivation with anti tuberculosis drugs compliance in tuberculosis patients. Systematic Reviews in Pharmacy, 11(5), 603–606. https://do i.org/10.3 1838/srp. 2020.5.82

Surani, V., Pranata, L., Sestiyowati, T. E., Anggraini, D., & Ernawati, S. (2022). Relationship between Family Support and Self-Care in Hypertension Patients. Formosa Journal of Multidisciplinary Research, 1(7), 1447-1458.

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

WHO. (2021a). Tuberculosis. https://w ww.who.int/news-room/fact-sheet s/ de tail/tube rculosis#:~:text=In 202 0%2C an estimated 10,TB is curable and preventable.

WHO. (2021b). Tuberculosis. https://www .who.int/news-room/fact-sheets/detail/tuberculosis

Widianingrum, T. R. I. R. (2018). Hubungan pengetahuan dan motivasi dengan kepatuhan minum obat anti tuberkulosis pada pasien Tb di Wilayah Kerja Puskesmas Perak Timur Surabaya. Perpustakaan Universitas Airlangga. https://re pository. unair.ac.id/77638/

World Health Organization. (2019). Global Tuberculosis Report 2012: Fact sheet. World Health Orga nization, 160.

Wulandari, D. (2015). Analisis faktor-faktor yang berhubungan dengan kepatuhan pasien tuberkulosis paru tahap lanjutan untuk minum obat di RS Rumah Sehat Terpadu Tahun 2015. Jurnal Administrasi Rumah Sakit, 2(1), 17–28. https://doi.org/http ://dx.doi.org/10.7454/arsi.v2i1.2186

Zhu, Q. Q., Wu, Q., Wang, A. M., Bao, F. J., Zhang, Y. Z., Liu, J., Yan, J. W., Fang, X. H., Li, L., Zhang, Z. K., Wang, R., Bao, X., Yao, S., & Pan, H. F. (2020). Epidemiological characteristics of pulmonary tuberculosis in Anhui Province, Eastern China from 2013 to 2018. PLoS ONE, 15(8 August), 1–11. https://doi.org/10.1371/journal.pone.0237311