•  
  •  
 

Abstract

Instrumental support is concrete and tangible, for instance, helping to provide food or accompanying patients to health care facilities. However, its impact on medication adherence among tuberculosis patients in Indonesia needs to be explored. This study aimed to examine the impact of instrumental support from family on tuberculosis patients’ adherence to medication in Bogor City, West Java Province, Indonesia. A cross-sectional study involving 106 participants with an age average of 39.7 (SD = 14.9) was conducted in 12 primary health care (PHC). The independent variables (age, sex, education, employment status, wealth index, and the distance between home and PHC) of instrumental support from family was assessed using MMAS-8. In contrast, the dependent variable of medication adherence was assessed using a self-reported instrument. Multivariate binary logistic regression was used in the analysis and indicated that participants receiving family support were more likely to adhere to medication protocol (95% CI = 1.1–6.3; p-value = 0.029). Instrumental support from family was associated with medication adherence among tuberculosis patients in Bogor City, West Java Province, Indonesia. It is necessary to design further comprehensive interventions in the community setting to encourage the family to support tuberculosis patients following medication protocol.

References

1. World Health Organization. Global tuberculosis report 2022. Geneva: World Health Organization; 2022.

2. Kementerian Kesehatan Republik Indonesia. Infodatin tuberkulosis 2018 - Dicari para pemimpin untuk dunia bebas TBC. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.

3. Dinas Kesehatan Kota Bogor. Profil Kesehatan 2018. Bogor; Dinas Kesehatan Kota Bogor; 2019.

4. World Health Organization. Communicable diseases cluster. What is DOTS?: a guide to understanding the WHO-recommended TB control strategy known as DOTS. Geneva: World Health Organization; 1999.

5. World Health Organization. Guidelines for treatment of drug-susceptible tuberculosis and patient care, 2017 update. Geneva: World Health Organization; 2017.

6. Chapman H. Nursing theories 4: adherence and concordance. Nursing Times. 2018; 114 (2): 50.

7. Wulandari DH. Analisis faktor-faktor yang berhubungan dengan kepatuhan pasien tuberkulosis paru tahap lanjutan untuk minum obat di RS Rumah Sehat Terpadu tahun 2015. Jurnal Arsi. 2015; 2 (1): 17–28.

8. Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Nomor 67 Tahun 2016 Tentang Penanggulangan Tuberkulosis. Jakarta: Kementerian Kesehatan Republik Indonesia; 2016.

9. Jufrizal J, Hermansyah H, Mulyadi M. Peran keluarga sebagai peng -awas minum obat (PMO) dengan tingkat keberhasilan pengobatan penderita tuberkulosis paru. J Ilmu Keperawatan. 2016; 4 (1): 25–36.

10. Jakaria. Keberhasilan pengobatan dalam kepatuhan minum obat TB paru di Puskesmas Dramaga Kabupaten Bogor Provinsi Jawa Barat [Undergraduate Thesis]. Depok: Universitas Indonesia; 2017.

11. Sutini E. Hubungan dukungan keluarga terhadap kepatuhan minum obat pada klien TB di Puskesmas Pancoran Mas [Undergraduate Thesis]. Depok: Universitas Indonesia; 2016.

12. Chen LC, Chen TC, Huang Y Bin, Chang CS. Disease acceptance and adherence to imatinib in Taiwanese chronic myeloid leukaemia outpatients. Int J Clin Pharm. 2014; 36 (1): 120–7.

13. Arifin VN, Juariah, Nur A, Uzair FM. The relationship of social support with medication adherence pulmonary tuberculosis patients through DOTS strategy in Pidie Aceh Indonesia. In IOP Conference Series: Materials Science and Engineering. IOP Publishing Ltd; 2019; 4691.

14. Cross CJ, Nguyen AW, Chatters LM, Taylor RJ. Instrumental social support exchanges in African American extended families. J Fam Issues. 2018; 39 (13): 3535–63.

15. Goldsmith LJ, Kolhatkar A, Popowich D, Holbrook AM, Morgan SG, Law MR. Understanding the patient experience of cost-related non-adherence to prescription medications through typology development and application. Soc Sci Med Internet. 2017; 194: 51–9.

16. Maulidia DF. Hubungan antara dukungan keluarga dan kepatuhan minum obat pada penderita tuberkulosis di wilayah Ciputat tahun 2014 [Undergraduate Thesis]. South Tangerang: Universitas Islam Negeri Syarif Hidayatullah Jakarta; 2014.

17. Tamamengka D, Kepel B, Rompas S. Fungsi afektif dan perawatan keluarga dengan kepatuhan pengobatan TB paru. J Keperawatan. 2019; 7 (2): 1-10.

18. Chen X, Du L, Wu R, Ji H, Zhang Y, Zhu X, et al. The effect of family, society and national policy support on treatment adherence among newly diagnosed tuberculosis patients: a cross-sectional study. BMC Infectious Diseases. 2020; 20: 623.

19. Hugtenburg JG, Timmers L, Elders PJ, Vervloet M, van Dijk L. Definitions, variants, and causes of nonadherence with medication: a challenge for tailored interventions. Patient Prefer Adherence. 2013; 7: 675-82.

20. Riani DA. Validasi 8-item morisky medication adherence scale versi Indonesia pada pasien hipertensi dewasa di Puskesmas Kabupaten Sleman dan Kota Yogyakarta [Thesis]. Yogyakarta: Universitas Gadjah Mada; 2017.

21. Masithoh AR. Hubungan tingkat ekonomi dengan kejadian tuberkulo-sis paru di Puskesmas Kaliwungu Kecamatan Kaliwungu Kabupaten Kudus. J Ilmu Keperawatan Kebidanan. 2013; 4 (2): 35–44.

22. Narasimhan P, Wood J, MacIntyre CR, Mathai D. Risk factors for tuberculosis. 2013; 2013: 828939.

23. Nurjana MA. Faktor risiko terjadinya tubercolosis paru usia produktif (15-49 tahun) di Indonesia. Media Penelitian dan Pengembangan Kesehatan. 2015; 25 (3): 163–70.

24. Manan, I. Gambaran dukungan dan peran keluarga sebagai PMO dalam pencegahan TB MDR di wilayah kerja Puskesmas Gang Kelor Kota Bogor Tahun 2017. 2018; 10 (2).

25. Kant S, Gupta H, Ahluwalia S. Significance of nutrition in pulmonary tuberculosis. Crit Rev Food Sci Nutr. 2015; 55 (7): 955–63.

26. Ren Z, Zhao F, Chen H, Hu D, Yu W, Xu X, et al. Nutritional intakes and associated factors among tuberculosis patients: a cross-sectional study in China. BMC Infect Dis. 2019; 19: 907.

27. Samuel B, Volkmann T, Cornelius S, Mukhopadhay S, MejoJose, Mitra K, et al. Relationship between nutritional support and tuberculosis treatment outcomes in West Bengal, India. J Tuberc Res. 2016; 4 (4): 213–9.

28. Deshmukh RD, Dhande DJ, Sachdeva KS, Sreenivas AN, Kumar AMV, Parmar M. Social support a key factor for adherence to multi-drug-resistant tuberculosis treatment. Indian J Tuberc. 2018; 65 (1): 41–7.

29. Sanusi GN, Satus AS, Karso I. Hubungan tingkat ekonomi dengan kepatuhan minum obat penderita TB paru BTA positif di wilayah kerja Puskesmas Cukir Kabupaten Jombang. JIKep. 2017; 3 (1).

30. Iksan RR, Muhaimin T, Anwar S. Fungsi-fungsi keluarga dengan hasil pengobatan tuberculosis program DOTS. J Keperawatan Silampari. 2020; 3 (2): 638–47.

31. Septia A, Rahmalia S, Sabrian F. Hubungan dukungan keluarga deng -an kepatuhan minum obat pada penderita TB paru. JOMPSIK. 2014; 1 (2).

32. Gugssa Boru C, Shimels T, Bilal AI. Factors contributing to non-adherence with treatment among TB patients in Sodo Woreda, Gurage Zone, Southern Ethiopia: a qualitative study. J Infect Public Health. 2017; 10 (5): 527–33.

Download

Share

COinS