Counselling and Education to Improve Adherence Tuberculosis Treatment
Abstract
With the development of nursing science and practice, it is important for nurses to make efforts to control TB, one of the nursing interventions that can be developed in a family-centred TB control programme is counselling and education. This study aims to determine the effectiveness of counselling and education in improving TB treatment adherence in the Puskesmas Ciamis working area. This study is a quantitative study with Quasy experimental design with non-randomised control group design. The population of this study were all TB patients in Puskesmas Ciamis Working Area, a total of 28 patients divided into intervention and control groups. This research was conducted from August 2023 to January 2024. The research instruments used were questionnaires which has been tested for validity and reliability and observation sheets. Data analysis was performed using univariate and bivariate techniques with paired t-test and independent t-test. The results showed that there was an increase in medication adherence before and after the provision of counselling and education in the intervention and control groups. The intervention group experienced a more significant increase in medication adherence p-value 0.027 < 0.05 compared to the control group p-value 0.030 < 0.05, while the comparison of the increase in the intervention and control groups showed a p-value of 0.021 < 0.05. Conclusions: There is a significant effect of the application of counselling and education to improve compliance with the COVID-19 pandemic.
References
Adhanty, S., & Syarif, S. (2023). Kepatuhan Pengobatan pada Pasien Tuberkulosis dan Faktor-Faktor yang Mempengaruhinya: Tinjauan Sistematis. Jurnal Epidemiologi Kesehatan Indonesia, 7(1), 7–15. https://doi.org/10.7454/epidkes.v7i1.6571
Akbari, H., Mohammadi, M., & Hosseini, A. (2023). Disease-Related Stigma, Stigmatizers, Causes, and Consequences: A Systematic Review. Iranian Journal of Public Health, 52(10), 2042–2054. https://doi.org/10.18502/ijph.v52i10.13842
Anggiareni, S., Wardhani, U. C., & Muharni, S. (2023). Hubungan Peran Perawat Edukator dengan Kepatuhan pasien TB Paru dalam pengobatan di RSUD Kabupaten Bintan Tahun 2022. Nursing Update, 4(1), 255–265. https://doi.org/https://doi.org/10.36089/nu.v14i1.1070
Chavez-Rimache, L., Ugarte-Gil, C., & Brunette, M. J. (2023). The community as an active part in the implementation of interventions for the prevention and care of tuberculosis: A scoping review. PLOS Global Public Health, 3(12), 1–16. https://doi.org/10.1371/journal.pgph.0001482
Chen, X., Xu, J., Chen, Y., Wu, R., Ji, H., Pan, Y., … Zhou, L. (2021). The Relationship Among Social Support, Experienced Stigma, Psychological Distress, and Quality of Life Among Tuberculosis Patients in China. Scientific Reports, 11(1), 1–11. https://doi.org/10.1038/s41598-021-03811-w
Dilas, D., Flores, R., Morales-García, W. C., Calizaya-Milla, Y. E., Morales-García, M., Sairitupa-Sanchez, L., & Saintila, J. (2023). Social Support, Quality of Care, and Patient Adherence to Tuberculosis Treatment in Peru: The Mediating Role of Nurse Health Education. Patient Preference and Adherence, 17, 175–186. https://doi.org/10.2147/PPA.S391930
Dinkes Ciamis. (2023). Profil Kesehatan Kabupaten Ciamis. Ciamis.
Diwyarthi, N. D. M. S., Pratama, I. W. A., Habibi, Anurogo, D., & K, S. M. (2023). Kemajuan dalam Psikoterapi dan Konseling untuk Meningkatkan Hasil Kesehatan Mental. Jurnal Multidisiplin West Science, 2(10), 868–880. https://doi.org/10.58812/jmws.v2i10.702
Erwinsyah, E., Yusmahendra, D., Jannah, M., & Martawinarti, R. N. (2023). Pengaruh Edukasi Kesehatan terhadap Tingkat Pengetahuan Keluarga tentang Pengawas Minum Obat (PMO) pada Pasien Tuberkulosis Paru di Kota Jambi Tahun 2022: Studi Kasus. Jurnal Ilmiah Ners Indonesia, 4(1), 124–133. https://doi.org/10.22437/jini.v4i1.25366
Febriani, E., Wibowo, A., Kak, N., & Al-Mossawi, H. J. (2021). Empowering Health Cadres to Support Drug-Resistant Tuberculosis (DR-TB) Patient to Enroll in Treatment. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 16(2), 84–90. https://doi.org/10.21109/KESMAS.V16I2.3307
Lay, K. Y. Y., Manurung, I. F. E., & Landi, S. (2020). Stigma and Family Knowledge of Tuberculosis Patients at Naibonat and Oesao Health Center. Timorese Journal of Public Health, 2(3), 140–146. https://doi.org/https://doi.org/10.35508/tjph
Loh, S. Y., Zakaria, R., & Mohamad, N. (2023). Knowledge, Attitude, and Stigma on Tuberculosis and the Associated Factors for Attitude Among Tuberculosis Contacts in Malaysia. Medeniyet Medical Journal, 38(1), 45–53. https://doi.org/10.4274/MMJ.galenos.2023.14478
Mohammedhussein, M., Hajure, M., Shifa, J. E., & Hassen, T. A. (2020). Perceived stigma among patient with pulmonary tuberculosis at public health facilities in southwest Ethiopia: A cross-sectional study. PLoS ONE, 15(12), 1–11. https://doi.org/10.1371/journal.pone.0243433
Mujamil, Sety, L. O. M., Zainuddin, A., & Kusnan, A. (2021). Analisis Faktor yang Berhubungan Terkait Kepatuhan Minum Obat Pasien Tuberkulosis Paru BTA+ di Masa Pandemi Covid 19 Puskesmas Wilayah Kota Kendari. Nursing Update, 12(2), 1–14. https://doi.org/https://doi.org/10.36089/nu.v12i2.348
Notoatmodjo, S. (2010). Promosi Kesehatan & Ilmu Perilaku. Jakarta: Rineka Cipta.
Nurhafiza, N., Karneli, Y., Hariko, R., & Hasgimianti, H. (2023). Proses Diagnosis dalam Konseling: Konsep dan Menganalisa sebagai Konselor Profesional dalam Problem Solving Klien. Educational Guidance and Counseling Development Journal, 6(1), 59–65. https://doi.org/10.24014/egcdj.v6i1.22483
Oktaviani, K. G., & Mahwati, Y. (2022). Kajian Naratif: Intervensi untuk Meningkatkan Kepatuhan Pengobatan Tuberculosis. Jurnal Keperawatan Soedirman, 14(2), 213–215. https://doi.org/10.20884/1.ki.2022.14.2.5655
Parwati, N. M., Bakta, I. M., Januraga, P. P., & Wirawan, I. M. A. (2021). A Health Belief Model-based Motivational I-nterviewing for Medication Adherence and Treatment Success in Pulmonary Tuberculosis Patients. International Journal of Environmental Research and Public Health, 18(24), 1–10. https://doi.org/10.3390/ijerph182413238
Rasdianah, N., Akuba, J., Abdulkadir, W. S., Tuloli, T. S., Dalanggo, F., Farmasi, J., … Kesehatan, D. (2024). Pengaruh Konseling Terhadap Kepatuhan Penggunaan Obat Anti Tuberkulosis Pada Pasien Tuberkulosis di Puskesmas Gorontalo. Indonesian Journal of Pharmaceutical Education (e-Journal), 4(1), 2775–3670. https://doi.org/10.37311/ijpe.v4i1.20501
Riani, D. A., Ikawati, Z., & Kristina, S. A. (2017). Validasi 8-Item Morisky Medication Adherence Scale Versi Indonesia Pada Pasien Hipertensi Dewasa Di Puskesmas Kabupaten Sleman Dan Kota Yogyakarta. Repository UGM, xiii–xiv.
Saidi, S. S., & Abdul Manaf, R. (2023). Effectiveness of family support health education intervention to improve health-related quality of life among pulmonary tuberculosis patients in Melaka, Malaysia. BMC Pulmonary Medicine, 23(1), 1–9. https://doi.org/10.1186/s12890-023-02440-5
Serrao, I. F. (2019). Egan ’ s Skilled Helper Model. Researchgate. Retrieved from https://www.researchgate.net/publication/337084700
Stang, S., Marwang, S., Rachmat, M., Balumbi, M., & Ohorella, F. (2023). Successful Treatment of Tuberculosis Using a Collaborative Approach Between Family and Health Workers. Journal of Public Health in Africa, 14(11), 1–4. https://doi.org/10.4081/jphia.2023.2455
Subu, M. A., Wati, D. F., Netrida, N., Priscilla, V., Dias, J. M., Abraham, M. S., … Al-Yateem, N. (2021). Types of stigma experienced by patients with mental illness and mental health nurses in Indonesia: a qualitative content analysis. International Journal of Mental Health Systems, 15(1), 1–12. https://doi.org/10.1186/s13033-021-00502-x
Sutryawan, A., Nofianti, & Halim, R. (2020). Faktor-faktor yang Mempengaruhi Kejadian Tuberkulosis. Jurnal Ilmiah Kesehatan, 4(1), 98–105. https://doi.org/https://doi.org/10.36590/jika.v4i1.228
WHO. (2022). Global Tuberculosis Report.
Zhai, X., Wang, M., & Ghani, U. (2020). The SOR (stimulus-organism-response) paradigm in online learning: an empirical study of students’ knowledge hiding perceptions. Interactive Learning Environments, 28(5), 586–601. https://doi.org/10.1080/10494820.2019.1696841
Zuliani, Z. (2019). The Effect of Motivational Interviewing on Despair, Motivation and Medication Compliance for Tuberculosis Patients. Indonesian Journal of Health Research, 2(1), 1–8. https://doi.org/10.32805/ijhr.2019.2.1.14.
Copyright (c) 2024 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
