Riwayat Pengobatan, Efek Samping Obat dan Penyakit Penyerta Pasien Tuberkulosis Paru Terhadap Tingkat Kepatuhan Berobat

P. Wiratmo, Widanarti Setyaningsih, Fitriani
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Abstract

Introduction: Tuberculosis requires long-term treatment to achieve a cure. This type of long-term treatment causes patients to be non-adherent in undergoing treatment. Adherence to taking medication is a key factor in the success of treatment. Several patients discontinue treatment before completion for various reasons. Meanwhile, the characteristics related to the level of adherence to taking pulmonary TB drugs at the Cengkareng District Health Center have not been identified. Objective: The purpose of this study was to determine the relationship between treatment history, drug side effects, and disease history on TB treatment adherence at the Cengkareng District Health Center. Method: This study used a cross-sectional analytic observation design with 170 respondents through a judgmental sampling technique. The research instrument used secondary data from medical records to obtain medical history data, drug side effects, and comorbidities. Meanwhile, to measure the level of compliance used a questionnaire that has been tested for validity and reliability with a Cronbach Alpha value of 0.789. Data analysis was using Chi-square. Results and discussion: The results showed that there was no relationship between medication history and adherence to TB treatment with a p-value of 0.722. Meanwhile, there is a relationship between drug side effects and comorbidities with the level of adherence to TB treatment with p-values ​​of 0.002 and p-0.001. Conclusion: It is necessary to strengthen the role of community health workers in the role of education and monitoring of TB patient treatment together with patients and families so that TB treatment can be carried out. carried out to completion
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治疗史,药物副作用和肺结核病因
结核病需要长期治疗才能治愈。这种类型的长期治疗导致患者在接受治疗时不坚持。坚持服药是治疗成功的关键因素。一些患者因各种原因在完成治疗前停止治疗。与此同时,尚不清楚曾卡伦区卫生院肺结核药物依从性水平的相关特征。目的:本研究的目的是确定治疗史、药物副作用和疾病史与曾卡伦区卫生中心结核病治疗依从性的关系。方法:本研究采用横断面分析观察设计,通过判断抽样技术对170名受访者进行调查。研究工具使用医疗记录中的二手数据来获得病史数据、药物副作用和合并症。同时,为了测量依从性水平,使用了一份经过效度和信度测试的问卷,Cronbach Alpha值为0.789。数据分析采用卡方法。结果与讨论:结果显示用药史与TB治疗依从性无相关性,p值为0.722。同时,药物副作用和合并症与结核病治疗依从程度存在相关性,p值分别为0.002和p-0.001。结论:应加强社区卫生工作者的作用,与患者和家属一起对结核病患者的治疗进行教育和监测,以促进结核病治疗的开展。执行至完成
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