Analisa Kepatuhan Minum Obat Anti Tuberculosis: Perbandingan Penggunaan Layanan Pesan Singkat dengan Pengawas Minum Obat

Maulan Agung Nugroho, Kumboyono Kumboyono, Setyoadi Setyoadi

Abstract


The Directly Observed Treatment Short-course (DOTS) strategy is the best strategy recommendation for pulmonary tuberculosis (TB) intervention at the international level and has been implemented in Indonesia. However, the bored may also occur among Medication Supervisor (PMO) resulted medication non-adherence to the TB patients. This study aims to determine differences in the level of patient medication adherence through the use of Short Message Service (SMS) with PMO at Puskesmas Dinoyo, Malang. The post-test only control group design was used on a population of pulmonary TB patients who were registered at the Puskemas Dinoyo Malang during July to December 2012 with a total of 33 patients. The sample were recruited using simple random sampling. The Self Reported Questionnaire and observation form used as study instrument. Fisher exact test was used in hypothesis testing. The results showed non- significant difference between the drug adherence among respondents who received SMS and respondents who received reminders from PMO only (p-value 0.50 > 0.05). Providing reminders at the same time every day, either by SMS or PMO only, is equally beneficial in the success of treatment. Together will increase compliance and reduce the negligence to take medication. Longitudinal design is recommended for further study.


Keywords


drug adherence, drug drinking supervisor, pulmonary, short messages services, tuberculosis

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References


Anita, Y., & Candrawati, E. (2018). Hubungan Pengetahuan Pasien Tuberculosis Tentang Penyakit Tuberculosis dengan Kepatuhan Berobat di Unit Rawat Jalan Rumah Sakit Panti Waluya Sawahan Malang. Nursing News: Jurnal Ilmiah Keperawatan, 3(3).

PMK No 67 Tahun 2016 tentang Penanggulangan Tuberculosis, Dinas Kesehatan 163 (2017).

Dewi, F. S. T., Sudiya, S., Supriyati, S., Purwanta, P., Madyaningrum, E., Aulia, F. U., ... & Utarini, A. (2019). Preparing short message service reminders to improve treatment adherence among tuberculosis patients in Sleman District, Indonesia. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine, 44(2), 81.

Erawatyningsih, E., & Purwanta, H. S. (2009). Faktor-faktor yang mempengaruhi ketidakpatuhan berobat pada penderita tuberkulosis paru. Berita Kedokteran Masyarakat, 25(3), 117.

Fuad, A., Herwanto, G. B., Pertiwi, A. A. P., Wahyuningtias, S. D., Harsini, H., Maula, A. W., ... & Ahmad, R. A. (2021). Design and prototype of TOMO: an app for improving drug resistant TB treatment adherence. F1000Research, 10(983), 983.

Hutabarat, B. (2008). Pengaruh faktor internal dan eksternal terhadap kepatuhan minum obat penderita kusta di Kabupaten Asahan Tahun 2007.

Karimah, S. (2022). Konsep Diklat Dalam Pandangan Notoatmodjo. Jurnal Konseling Pendidikan Islam, 3(2), 367–373.

Karuniawati, H., Putra, O. N., & Wikantyasning, E. R. (2019). Impact of pharmacist counseling and leaflet on the adherence of pulmonary tuberculosis patients in lungs hospital in Indonesia. Indian Journal of Tuberculosis, 66(3), 364-369.

Kemenkes RI. (2018). Tuberkulosis ( TB ). Tuberkulosis, 1(april), 2018. www.kemenkes.go.id

Lester, R. T., Ritvo, P., Mills, E. J., Kariri, A., Karanja, S., Chung, M. H., Jack, W., Habyarimana, J., Sadatsafavi, M., & Najafzadeh, M. (2010). Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomised trial. The Lancet, 376(9755), 1838–1845.

Mando, N. J., Widodo, D., & Sutriningsih, A. (2018). Hubungan Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Pasien TB Di Puskesmas Janti Kota Malang. Nursing News: Jurnal Ilmiah Keperawatan, 3(3).

Maulidya, Y. N., Redjeki, E. S., & Fanani, E. (2017). Faktor yang Mempengaruhi Keberhasilan Pengobatan Tuberkulosis (TB) Paru pada Pasien Pasca Pengobatan di Puskesmas Dinoyo Kota Malang. Preventia: The Indonesian Journal of Public Health, 2(1), 44-57.

Nurhaini, R., Hidayati, N., & Oktavia, W. N. (2019). Gambaran Kepatuhan Minum Obat Pasien Tuberculosis di Balai Kesehatan Masyarakat (BALKESMAS) Wilayah Klaten. Proceeding of The URECOL, 788–795.

Otu, A. A. (2013). Is the directly observed therapy short course (DOTS) an effective strategy for tuberculosis control in a developing country? Asian Pacific Journal of Tropical Disease, 3(3), 227–231.

Perwitasari, D. A., Setiawan, D., Nguyen, T., Pratiwi, A., Rahma Fauziah, L., Saebrinah, E., ... & Arfianti Wiraagni, I. (2022). Investigating the Relationship between Knowledge and Hepatotoxic Effects with Medication Adherence of TB Patients in Banyumas Regency, Indonesia. International Journal of Clinical Practice, 2022.

Prasetya, J. (2009). Hubungan Motivasi Pasien TB Paru dengan Kepatuhan Dalam Mengikuti Program Pengobatan Sistem DOTS di Wilayah Puskesmas Genuk Semarang. Jurnal Visikes, 8(1).

Puspitasari, I. N. (2018). GAMBARAN Penyebab Ketidakpatuhan Berobat Pada Pasien Tuberculosis (TB) (Doctoral dissertation, Universitas Muhammadiyah Malang).

Samsugito, I. (2020). Hubungan Jenis Kelamin dan Lama Kontak Dengan Kejadian Tuberkulosis Paru Di Rumah Sakit A. Wahab Sjahranie Samarinda. Jurnal Kesehatan Pasak Bumi Kalimantan, 1(1), 28–39.

Sari, R. (2015). Hubungan Kejadian Efek Samping Obat Anti Tuberkulosis Dengan Kepatuhan Minum Obat Pada Penderita Tb Di Puskesmas Gribig Kota Malang (Doctoral dissertation, Universitas Brawijaya).

Sari, Y. S., & Kamil, H. (2022). The patient with multi-drug resistant–pulmonary tuberculosis adherence to treatment: a qualitative study. Enfermería Clínica, 32, S58-S61.

Saskia, S., & Susanto, N. A. (2019). Pengaruh Peran Pmo (Pengawas Minum Obat) Terhadap Kepatuhan Pengobatan Tuberculosis Paru Di Puskesmas Tajinan Malang (Doctoral dissertation, Akademi Farmasi Putera Indonesia Malang).

Seniantara, I. K., Ivana, T., & Adang, Y. G. (2018). Pengaruh efek samping OAT (obat anti tuberculosis) terhadap kepatuhan minum obat pada pasien TBC di puskesmas. Jurnal Keperawatan Suaka Insan (JKSI), 3(2), 1–12.

Skinner, C. S., Tiro, J., & Champion, V. L. (2015). Background on the health belief model. Health Behavior: Theory, Research, and Practice, 75, 1–34.

Swamardika, I. B. A. (2009). Pengaruh radiasi gelombang elektromagnetik terhadap kesehatan manusia. Majalah Ilmiah Teknologi Elektro, 8(1), 106–109.

Tombokan, G. A., Palandeng, H. M. F., & Sapulete, M. R. (2015). Gambaran Faktor Risiko Pengobatan Tuberkulosis Paru di Kota Manado Tahun 2014. JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK, 3(4).

Widjanarko, B., Gompelman, M., Dijkers, M., & van der Werf, M. J. (2009). Factors that influence treatment adherence of tuberculosis patients living in Java, Indonesia. Patient preference and adherence, 231-238.

Yani, D. I., Juniarti, N., & Lukman, M. (2022). Factors Related to Complying with Anti-TB Medications Among Drug-Resistant Tuberculosis Patients in Indonesia. Patient preference and adherence, 3319-3327.

Zhang, H., Ehiri, J., Yang, H., Tang, S., & Li, Y. (2016). Impact of community-based DOT on tuberculosis treatment outcomes: a systematic review and meta-analysis. PloS One, 11(2), e0147744.




DOI: http://dx.doi.org/10.36565/jab.v12i1.588

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