The  Study of Relationship between the Knowledge and Attitude of Tuberculosis (TB) Patients about Drug Compliance at the Health Centre

Zulfa Ismaniar Fauzi; Zulfikri Zulfikri; Inmariahni Harefa

doi:10.62404/jhse.v2i1.47

Authors

Zulfa Ismaniar Fauzi Politeknik Kesehatan MoH Medan
Zulfikri Zulfikri Politeknik Kesehatan MoH Medan
Inmariahni Harefa Politeknik Kesehatan MoH Medan

DOI:

https://doi.org/10.62404/jhse.v2i1.47

Keywords:

Knowledge, Attitude, Compliance, Tuberculosis

Abstract

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis, which most often attacks various organs, especially the lungs. This study aimed to determine the relationship between knowledge and TB patients' attitudes toward compliance with tuberculosis drugs at the Helvetia Medan Health Center. This type of research used an analytical observational method with the cross-sectional approach. The sampling technique used was quota sampling, with 75 respondents. Data collection in this study used to form sheets in questionnaires given to respondents directly and data analysis using the chi-square test. The results showed that respondents with good knowledge were 29 respondents (38.7%), good enough 33 respondents (44%), not good enough 12 respondents (16%), and not good one respondent (1.3%). A good attitude was 23 respondents (30.7%), good enough 37 respondents (49.3%), not good enough 14 respondents (18.7%), and not good one respondent (1.3%). Obedient compliance to TB medication was 25 respondents (33.3%), quite obedient 33 respondents (44%), and less obedient 17 respondents (22.7%). This study concluded that knowledge and attitude had a significant relationship with adherence to tuberculosis medication, with a knowledge p-value of 0.003 <0.05 and an attitude p-value of 0.037 <0.05. Healthcare professionals must employ innovative strategies to enhance knowledge and attitudes, raise public awareness, and ensure full compliance with the TB treatment program. It is crucial to implement this measure to mitigate the future prevalence of antibiotic resistance in treating tuberculosis.

References

Basnyat, B., Caws, M., & Udwadia, Z. (2018). Tuberculosis in South Asia: A tide in the affairs of men. In Multidisciplinary Respiratory Medicine (Vol. 13, Issue 1). https://doi.org/10.1186/s40248-018-0122-y

Bhatia, V., Rijal, S., Sharma, M., Islam, A., Vassall, A., Bhargava, A., Thida, A., Basri, C., Onozaki, I., Pai, M., Rezwan, M. K., Arinaminpathy, N., Chandrashekhar, P., Sarin, R., Mandal, S., & Raviglione, M. (2023). Ending TB in South-East Asia: flagship priority and response transformation. In The Lancet Regional Health - South-east Asia (Vol. 18). https://doi.org/10.1016/j.lansea.2023.100301

Cabinet Secretary of The Indonesia Republic. (2023). Gov’t Committed to Speeding up TB Elimination. https://setkab.go.id/en/govt-committed-to-speeding-up-tb-elimination/

Chakaya, J., Khan, M., Ntoumi, F., Aklillu, E., Fatima, R., Mwaba, P., Kapata, N., Mfinanga, S., Hasnain, S. E., Katoto, P. D. M. C., Bulabula, A. N. H., Sam-Agudu, N. A., Nachega, J. B., Tiberi, S., McHugh, T. D., Abubakar, I., & Zumla, A. (2021). Global Tuberculosis Report 2020 – Reflections on the Global TB burden, treatment and prevention efforts. International Journal of Infectious Diseases, 113. https://doi.org/10.1016/j.ijid.2021.02.107

Du, L., Wu, R., Chen, X., Xu, J., Ji, H., & Zhou, L. (2020). Role of treatment adherence, doctor–patient trust, and communication in predicting treatment effects among tuberculosis patients: Difference between urban and rural areas. Patient Preference and Adherence, 14. https://doi.org/10.2147/PPA.S277650

Kemenkes. (2019). Laporan Nasional Riskesdas 2018. In Kementerian Kesehatan RI.

Ministry of Health. (2022). Profil Kesehatan Indonesia.

Motappa, R., Fathima, T., & Kotian, H. (2022). Appraisal on patient compliance and factors influencing the daily regimen of anti-tubercular drugs in Mangalore city: A cross-sectional study. F1000Research, 11. https://doi.org/10.12688/f1000research.109006.2

Notoatmodjo, S. (2012). Pendidikan dan Perilaku Kesehatan. Jakarta: Rineka Cipta. Rineka Cipta: Jakarta, 2(1).

Noviyani, A., Nopsopon, T., & Pongpirul, K. (2021). Variation of tuberculosis prevalence across diagnostic approaches and geographical areas of Indonesia. PLoS ONE, 16(10 October). https://doi.org/10.1371/journal.pone.0258809

Rajagopalan, S. (2001). Tuberculosis and aging: A global health problem. Clinical Infectious Diseases, 33(7). https://doi.org/10.1086/322671

Rindy, Z. A. F., Mahadewi, E. P., Heryana, A., & Ayu, I. M. (2022). Medication Compliance Analysis in Pulmonary Tuberculosis Patients at Bekasi Jaya Health Center Indonesia. International Journal of Health and Pharmaceutical (IJHP), 2(3). https://doi.org/10.51601/ijhp.v2i3.51

Rohmawati, P., Sekarwati, N., Damayanti, S., Health, P., Program, S., Wira, S., & Yogyakarta, H. (2024). Determinants of Compliance with Pulmonary Tuberculosis Medication. Public Health Journal, 18(1), 17–25. http://journal2.uad.ac.id/index.php/dpphj/index

Saragih, F. L., & Sirait, H. (2020). HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN KEPATUHAN MINUM OBAT ANTI TUBERKULOSIS PADA PASIEN TB PARU DI PUSKESMAS TELADAN MEDAN TAHUN 2019. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 5(1). https://doi.org/10.34008/jurhesti.v5i1.131

Susilo, S., & Peristiowati, Y. (2023). Analysis of Drug Compliance in Pulmonary TB Patients Reviewing from Attitude, Motivation and Family Suport. Jurnal Keperawatan, 15(1).

Utami, A. P., & Ariyanti, F. (2021). Medication Compliance for Tuberculosis Patients with Quote TB Light at Public Health Center in 2020. Jurnal Berkala Kesehatan, 7(1). https://doi.org/10.20527/jbk.v7i1.9088

Wahyuni, A. S., Soeroso, N. N., Wahyuni, D. D., Amelia, R., & Alona, I. (2018). Relationship of attitudes and perceptions with adherence in treatment of pulmonary tuberculosis patients in Medan, Indonesia. Asian Journal of Pharmaceutical and Clinical Research, 11(Special Issue 1). https://doi.org/10.22159/ajpcr.2018.v11s1.26612

WHO. (2021). Indonesia's commitment to eliminate TB by 2030 is supported by the highest-level government. https://www.who.int/indonesia/news/detail/28-11-2021-indonesia-commitment-to-eliminate-tb-by-2030-supported-by-the-highest-level-government

Zaman, K. (2010). Tuberculosis: A global health problem. In Journal of Health, Population and Nutrition (Vol. 28, Issue 2). https://doi.org/10.3329/jhpn.v28i2.4879