PENGARUH PEMBERIAN KONSELING OBAT TERHADAP KEPATUHAN PENGGUNAAN OBAT TUBERKULOSIS DI PUSKESMAS RASIMAH AHMAD DAN PUSKESMAS MANDIANGIN KOTA BUKITTINGGI

Widya Sari; Deswati Deswati; Khairil Armal

doi:10.1144/jscpr.v2i1.448

Authors

Widya Sari Universitas Mohammad Natsir Bukittinggi, Indonesia
Deswati Deswati Universitas Mohammad Natsir Bukittinggi, Indonesia
Khairil Armal Universitas Mohammad Natsir Bukittinggi, Indonesia

DOI:

https://doi.org/10.1144/jscpr.v2i1.448

Keywords:

Tuberculosis, Treatment Adherence, Medication Counseling, Pharmacist, Quasi-Experimental

Abstract

Tuberculosis (TB) is a global health problem requiring patient adherence to treatment. This study aimed to evaluate the effect of pharmacist-led medication counseling on tuberculosis medication adherence in patients at Puskesmas Rasimah Ahmad and Puskesmas Mandiangin, Bukittinggi City. The research employed a quasi-experimental design with a pretest-posttest one-group approach. The sample comprised 24 TB patients selected through total sampling. Data were collected using the Morisky Medication Adherence Scale-8 (MMAS-8) questionnaire before and after the counseling intervention. Data analysis included univariate and bivariate analyses using Kendall's tau-b, Wilcoxon signed-rank test, and Mann-Whitney U test. The findings indicated no association between age and TB treatment adherence before and after counseling. However, there was an association between gender, education, and occupation with TB treatment adherence after counseling. Treatment duration also showed a significant influence on patient adherence. Patient adherence levels increased significantly after counseling in both health centers (Puskesmas Rasimah Ahmad: p=0.024; Puskesmas Mandiangin: p=0.034). No significant difference in adherence levels was found between the two health centers post-counseling (p=0.320). This study concludes that pharmacist-led medication counseling effectively improves TB patient adherence. Healthcare professionals, particularly pharmacists, are encouraged to provide interactive and repetitive counseling to TB patients to support treatment success.

Downloads

Download data is not yet available.

References

Agatha, & Bratadiredja, T. (2019). Hubungan Kepatuhan Minum Obat dengan Kejadian TB Kambuh pada Pasien TB Paru di Puskesmas X Kota Bandung. Jurnal Kesehatan Bakti Husada, 10(2), 138-146.

Aldina, N. (2020). Pengaruh Konseling Farmasi Terhadap Kepatuhan Pengobatan Pasien Tuberkulosis di Puskesmas Wilayah Kabupaten Poso. [Skripsi]. Universitas Tadulako.

Anggreni, L. D. (2021). Efektivitas Konseling Obat oleh Apoteker Terhadap Kepatuhan Pengobatan Pasien Tuberkulosis. Jurnal Ilmiah Farmasi, 17(2), 105-112.

Gebreweld, T. G., Mulugeta, A., & Hussen, A. M. (2018). Factors Associated with Treatment Adherence among Tuberculosis Patients in Public Health Facilities of Tigray Region, Ethiopia. Journal of Public Health Research, 7(1), 1252.

Gugssa Boru, G., Yizengaw, E. G., & Tamir, N. (2017). Factors Associated with Tuberculosis Treatment Adherence in Ethiopia: A Systematic Review and Meta-Analysis. PLoS One, 12(8), e0183413.

Hulley, S. B., Cummings, S. R., Browner, W. S., Grady, D. G., & Newman, T. B. (2006). Designing Clinical Research (3rd ed.). Lippincott Williams & Wilkins.

Morisky, D. E., Ang, A., Krousel-Wood, M. J., & Ward, H. J. (2008). Predictive Validity of a Medication Adherence Measure in an Outpatient Setting. Journal of Clinical Pharmacy and Therapeutics, 33(4), 349-354.

Mustaqim, M. A., Kurnia, A. S., & Wati, D. T. (2017). Hubungan Tingkat Pengetahuan Pasien Tentang Tuberkulosis dengan Kepatuhan Minum Obat di Puskesmas Pringsewu. Jurnal Medika Urip, 1(1), 41-48.

Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric Theory (3rd ed.). McGraw-Hill.

Pameswari, R., Indrayani, & Wahyuni, S. (2016). Peran Apoteker dalam Meningkatkan Kepatuhan Pengobatan Pasien Tuberkulosis. Jurnal Farmasi Indonesia, 13(2), 87-95.

Rasdianah, N., Sari, D. P., & Fadhilah, S. (2024). Faktor-Faktor yang Berhubungan dengan Kepatuhan Pengobatan Tuberkulosis pada Pasien di Lembaga Pemasyarakatan. Majalah Farmasetika, 19(1), 123-130.

Sugiyono. (2017). Metode Penelitian Kuantitatif, Kualitatif dan R&D. Alfabeta.

Sari, A. M., Budihastuti, U. R., & Wibowo, S. (2017). Faktor-faktor yang Berhubungan dengan Kepatuhan Berobat Pasien Tuberkulosis di Puskesmas Gayamsari Kota Semarang. Jurnal Kesehatan Masyarakat, 5(4), 121-129.

WHO. (2023). Global Tuberculosis Report 2023. World Health Organization.

Yuliana, A., Larasati, T. D., & Wijaya, H. (2019). Pengaruh Konseling Obat oleh Apoteker Terhadap Kepatuhan Minum Obat Pasien Tuberkulosis. Farmasi Klinik Indonesia, 6(1), 1-8.