HUBUNGAN PERCEIVED SUSCEPTIBILITY, PERCEIVED SEVERITY, PERCEIVED BENEFITS, PERCEIVED BARRIER, CUT OF ACTION DAN SELF EFFICACY DENGAN KEPATUHAN MINUM OBAT PADA PASIEN TUBERKULOSIS DI PUSKESMAS PANCORAN MAS KOTA DEPOK
DOI:
https://doi.org/10.31004/jkt.v4i2.14907Keywords:
Kepatuhan Minum Obat, Pasien, TuberkulosisAbstract
Secara global, tuberkulosis telah menyerang 10 juta orang di dunia. 824.000 kasus di antaranya berasal dari Indonesia. Jawa Barat merupakan provinsi pertama dengan penemuan kasus mencapai 73%. Beberapa puskesmas di Kota Depok memiliki tingkat penderita tuberculosis yang cukup tinggi. Salah satunya adalah Puskesmas Pancoran Mas sebanyak 152 kasus. Teori health belief model berisi beberapa konsep utama yang memprediksi mengapa orang akan mengambil tindakan untuk mencegah, menyaring, atau mengendalikan kondisi penyakit, hal ini termasuk kerentanan, keseriusan, manfaat dan hambatan terhadap suatu prilaku, isyarat untuk bertindak dan efikasi diri.Tujuan dari penelitian ini adalah untuk mengetahui hubungan perceived susceptibility, perceived severity, perceived benefits,perceived barrier, cut of action dan self efficacy dengan kepatuhan minum obat pada pasien tuberculosis. Penelitian ini menggunakan jenis penelitian cross sectional. Populasi penelitian sebanyak 152 pasien. Sampel penelitian sebanyak 110 pasien. Teknik pengumpulan data dengan kuesioner. Analisis data yang digunakan adalah analisi univariat dan bivariat.Hasil dalam penelitian adalah ada hubungan perceived susceptibility, hubungan perceived severity, perceived benefits, perceived barrier, cut of action ,self efficacy dengan kepatuhan minum obat pada pasien tuberculosis. Kesimpulan dalam penelitian adalah ada hubungan perceived susceptibility, hubungan perceived severity, perceived benefits, perceived barrier, cut of action ,self efficacy dengan kepatuhan minum obat pada pasien tuberculosis.References
Bonita, Cahyo Kusyogo, E. (2018). Hubungan Usia dan Persepso Kerentanan Dengan Perilaku Proteksi Penularan TB Pada Anak di Wilayah Kerja Puskesmas Kota Semarang.Riskesdas., pp. 151–155. http://e-journals.unmul.ac.id/index.php/JKPBK/article/view/3621/2356.
Baral, S. C., Aryal, Y., Bhattrai, R., King, R., & Newell, J. N. (2014). The importance of providing counselling and financial support to patients receiving treatment for multi-drug resistant TB: Mixed method qualitative and pilot intervention studies. BMC Public Health, 14(1). https://doi.org/10.1186/1471-2458-14-46
Craig, G. M., & Zumla, A. (2015). The social context of tuberculosis treatment in urban risk groups in the United Kingdom: a qualitative interview study. International Journal of Infectious Diseases?: IJID?: Official Publication of the International Society for Infectious Diseases, 32, 105–110. https://doi.org/10.1016/j.ijid.2015.01.007
Deshmukh, R. D., Dhande, D. J., Sachdeva, K. S., Sreenivas, A., Kumar, A. M. V., Satyanarayana, S., Parmar, M., Moonan, P. K., & Lo, T. Q. (2015). Patient and provider reported reasons for lost to follow up in MDRTB treatment: A qualitative study from a drug resistant TB Centre in India. PLoS ONE, 10(8), 1–11. https://doi.org/10.1371/journal.pone.0135802
Diefenbach-Elstob, T., Plummer, D., Dowi, R., Wamagi, S., Gula, B., Siwaeya, K., Pelowa, D., Siba, P., & Warner, J. (2017). The social determinants of tuberculosis treatment adherence in a remote region of Papua New Guinea. BMC Public Health, 17(1), 70. https://doi.org/10.1186/s12889-016-3935-7
Eastment, M. C., McClintock, A. H., McKinney, C. M., Narita, M., & Molnar, A. (2017). Factors That Influence Treatment Completion for Latent Tuberculosis Infection. Journal of the American Board of Family Medicine?: JABFM, 30(4), 520–527. https://doi.org/10.3122/jabfm.2017.04.170070
Fezeu, L., Kengne, A. P., Balkau, B., Awah, P. K., & Mbanya, J. C. (2010). Ten-year change in blood pressure levels and prevalence of hypertension in urban and rural Cameroon. Journal of Epidemiology and Community Health, 64(4), 360–365. https://doi.org/10.1136/jech.2008.086355
Gugssa Boru, C., Shimels, T., & Bilal, A. I. (2017). Factors contributing to non-adherence with treatment among TB patients in Sodo Woreda, Gurage Zone, Southern Ethiopia: A qualitative study. Journal of Infection and Public Health, 10(5), 527–533. https://doi.org/10.1016/j.jiph.2016.11.018.
Herrero, M. B., Ramos, S., & Arrossi, S. (2015). Determinants of non adherence to tuberculosis treatment in Argentina: barriers related to access to treatment. Revista Brasileira de Epidemiologia, 18(2), 287–298. https://doi.org/10.1590/1980-5497201500020001
Horne, R., Chapman, S. C. E., Parham, R., Freemantle, N., Forbes, A., & Cooper, V. (2013). Understanding patients’ adherence-related beliefs about medicines prescribed for long-term conditions: a meta-analytic review of the Necessity-Concerns Framework. PloS One, 8(12), e80633. https://doi.org/10.1371/journal.pone.0080633
Jadga, K. M., Nakhaei - Mogh adam, T., Alizadeh - Seiouki, H., Zareban, I., & Sharifi - Rad, J. (2015). Impact of Educational Intervention on Patients Behavior with Smear - positive Pulmonary Tuberculosis: A Study Using the Health Belief Model. Mater Sociomed, 27 (4), 229 – 233. https://doi.org/10.5455/msm.201 5.27.229-233
Johari, M., Eslami, A. A., Alahverdipoor, H., Hasanzade, A., & Farid, F. (2014). Factors related to adopting healthy behaviors by patients with tuberculosis in Isfahan: Application of health belief model. Journal of Education and Health Promotion, 3(August), 86. https://doi.org/10.4103/2277-9531.139600
Klemens, M. (2018) ‘Analisis Faktor-Faktor yang Berhubungan dengan Kejadian Drop Out Pengobatan Kategori 1 pada Penderita TB Paru di Wilayah Kerja 66 Dinas Kesehatan Kota Kupang’, CHMK Health Journal, 2(April), p. 2.
Khanal, S., Elsey, H., King, R., Baral, S. C., Bhatta, B. R., & Newell, J. N. (2017). Development of a patient-centred, psychosocial support intervention for multi-drug-resistant tuberculosis (MDR-TB) care in Nepal. PLoS ONE, 12(1), 1–16. https://doi.org/10.1371/journal.pone.0167559
Ramadhayanti, D.A., Cahyo, K. and Widagdo, L. (2018). ‘Faktor- Faktor Yang Mempengaruhi Pencegahan Kejadian Drop Out Tuberkulosis Pada Keluarga Di Seluruh Wilayah Kerja Puskesmas Kota Semarang’, Jurnal Kesehatan Masyarakat (e-Journal), 6(2), pp. 163–169.
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the Health Belief Model. Health Education Quarterly, 15(2), 175–183. https://doi.org/10.1177/109019818801500203
Sanchez-Padilla, E., Marquer, C., Kalon, S., Qayyum, S., Hayrapetyan, A., Varaine, F., Bastard, M., & Bonnet, M. (2014). Reasons for defaulting from drug-resistant tuberculosis treatment in Armenia: a quantitative and qualitative study. The International Journal of Tuberculosis and Lung Disease?: The Official Journal of the International Union against Tuberculosis and Lung Disease, 18(2), 160–167. https://doi.org/10.5588/ijtld.13.0369
Shringarpure, K. S., Isaakidis, P., Sagili, K. D., Baxi, R. K., Das, M., & Daftary, A. (2016). “When treatment is more challenging than the disease”: A qualitative study of MDR-TB patient retention. PLoS ONE, 11(3), 1–12. https://doi.org/10.1371/journal.pone.0150849
Simpson, V. (2015). Models and Theories to Support Health Behavior Intervention and Program Planning In Health and Human Science (pp. 1-5). Purdue University?: Purdue Extension.
Tang, Y., Zhao, M., Wang, Y., Gong, Y., Yin, X., Zhao, A., Zheng, J., Liu, Z., Jian, X., Wang, W., Wu, C., & Lu, Z. (2015). Non-adherence to anti-tuberculosis treatment among internal migrants with pulmonary tuberculosis in Shenzhen, China: A cross-sectional study. BMC Public Health, 15(1), 1–6. https://doi.org/10.1186/s12889-015-1789-z
Tola, H. H., Shojaeizadeh, D., Tol, A., Garmaroudi, G., Yekaninejad, M. S., Kebede, A., Ejeta, L. T., Kassa, D., & Klinkenberg, E. (2016). Psychological and Educational Intervention to Improve Tuberculosis Treatment Adherence in Ethiopia Based on Health Belief Model: A Cluster Randomized Control Trial. PloS One, 11(5), e0155147. https://doi.org/10.1371/journal.pone.0155147
Tupasi, T., Garfin, A. M. C. G., Mangan, J. M., Orillaza-Chi, R., Naval, L. C., Balane, G. I., Basilio, R., Golubkov, A., Joson, E. S., Lew, W.-J., Lofranco, V., Mantala, M., Pancho, S., Sarol, J. N., Blumberg, A., Burt, D., & Kurbatova, E. V. (2017). Multidrug-resistant tuberculosis patients’ views of interventions to reduce treatment loss to follow-up. The International Journal of Tuberculosis and Lung Disease?: The Official Journal of the International Union against Tuberculosis and Lung Disease, 21(1), 23–31. https://doi.org/10.5588/ijtld.16.0433
Van Hoorn, R., Jaramillo, E., Collins, D., Gebhard, A., & van den Hof, S. (2016). The effects of psycho-emotional and socioeconomic support for tuberculosis patients on treatment adherence and treatment outcomes – A systematic review and meta-analysis. PLoS ONE, 11(4), 1–27. https://doi.org/10.1371/journal.pone.0154095
Vera, Rahardjo, S. S., & Murti, B. (2017). Health Belief Model and PRECEDE PROCEED on the Risk Factors of Multidrug Resistant Tuberculosis in Surakarta, Central Java. Journal of Epidemiology and Public Health, 2(3), 241–254. https://doi.org/10.26911/theicph.2017.064
Viegas, A. M., Miranda, S. S. de, Haddad, J. P., Ceccato, M. das G., & Carvalho, W. da S. (2017). Association of outcomes with comprehension, adherence and behavioral characteristics of tuberculosis patients using fixed-dose combination therapy in Contagem, Minas Gerais, Brazil. Revista Do Instituto de Medicina Tropical de Sao Paulo, 59, e28. https://doi.org/10.1590/S1678-9946201759028
Woimo, T. T., Yimer, W. K., Bati, T., & Gesesew, H. A. (2017). The prevalence and factors associated for anti-tuberculosis treatment non-adherence among pulmonary tuberculosis patients in public health care facilities in South Ethiopia: a cross-sectional study. BMC Public Health, 17(1), 1–10. https://doi.org/10.1186/s12889-017-4188-9
Zhang, Q., Wu, Z., Zhang, Z., Sha, W., Shen, X., & Xiao, H. (2016). Efficacy and effect of free treatment on multidrug-resistant tuberculosis. Experimental and Therapeutic Medicine, 11(3), 777–782. https://doi.org/10.3892/etm.2015.2966
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