{"title":"Saiful Anwar地区总医院医护人员社会支持对多重耐药结核病患者服药依从性的影响","authors":"Fauzan Adima, Merita Arini","doi":"10.1016/j.cegh.2024.101890","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Tuberculosis (TB) remains a significant public health issue that poses a worldwide challenge. Indonesia has the second highest incidence of tuberculosis (TB) globally, following India. The Ministry of Health of the Republic of Indonesia reported that the estimated incidence of tuberculosis (TB) in Indonesia in 2021 is 969,000 cases, which corresponds to a rate of 354 cases per 100,000 population. Patients with drug-resistant strains of tuberculosis require an extended duration of treatment due to its classification as a chronic illness. Individuals afflicted with tuberculosis (TB) will face a complex array of challenges, including significant levels of stress. In addition to medical intervention, they will also require social assistance from their family and community. According to Johnson and Johnson (2009), health workers can provide role and social support in the form of emotional support, informational support, instrumental support, and assessment and appreciation support. Emotional support refers to provision of emotional encouragement and motivation by health workers. Informational support refers to delivery of information offered by health workers. Instrumental support refers to provision of material assistance to patient that includes transportation, financial, and access support to TBC treatment by health workers. Appreciation support refers to encouragement, praise, or corrective feedback given by health workers to the patient on TB-RO treatment. This study aims to evaluate the influence of healthcare professionals' social support on medication adherence in patients with multi drug resistant tuberculosis (MDR-TB) at the Regional General Hospital of Dr. Saiful Anwar in Malang.</div></div><div><h3>Method</h3><div>This study employed a quantitative research methodology, specifically utilizing a cross-sectional study design. The study included 78 MDR-TB patients currently receiving treatment at RSUD Dr. Saiful Anwar Malang, located in Indonesia's East Java Province. In 2023, the Ministry of Health registered these patients in its Tuberculosis Information System.</div></div><div><h3>Results</h3><div>The most common gender was male at 60.26 %, while the age of most respondents was 45–64 years (43.59 %) and the most education was high school graduation at 38.47 %. The instrumental support variable is the variable that has the most influence on adherence to medication in MDR-TB patients with (Sig. <0.005).</div></div><div><h3>Conclusion</h3><div>Social support from health workers influences adherence to medication in MDR-TB patients.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101890"},"PeriodicalIF":1.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The influence of healthcare workers' social support on compliance to medication in multi drug resistant tuberculosis patients at the Regional General Hospital of Dr. Saiful Anwar\",\"authors\":\"Fauzan Adima, Merita Arini\",\"doi\":\"10.1016/j.cegh.2024.101890\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Tuberculosis (TB) remains a significant public health issue that poses a worldwide challenge. Indonesia has the second highest incidence of tuberculosis (TB) globally, following India. The Ministry of Health of the Republic of Indonesia reported that the estimated incidence of tuberculosis (TB) in Indonesia in 2021 is 969,000 cases, which corresponds to a rate of 354 cases per 100,000 population. Patients with drug-resistant strains of tuberculosis require an extended duration of treatment due to its classification as a chronic illness. Individuals afflicted with tuberculosis (TB) will face a complex array of challenges, including significant levels of stress. In addition to medical intervention, they will also require social assistance from their family and community. According to Johnson and Johnson (2009), health workers can provide role and social support in the form of emotional support, informational support, instrumental support, and assessment and appreciation support. Emotional support refers to provision of emotional encouragement and motivation by health workers. Informational support refers to delivery of information offered by health workers. Instrumental support refers to provision of material assistance to patient that includes transportation, financial, and access support to TBC treatment by health workers. Appreciation support refers to encouragement, praise, or corrective feedback given by health workers to the patient on TB-RO treatment. This study aims to evaluate the influence of healthcare professionals' social support on medication adherence in patients with multi drug resistant tuberculosis (MDR-TB) at the Regional General Hospital of Dr. Saiful Anwar in Malang.</div></div><div><h3>Method</h3><div>This study employed a quantitative research methodology, specifically utilizing a cross-sectional study design. The study included 78 MDR-TB patients currently receiving treatment at RSUD Dr. Saiful Anwar Malang, located in Indonesia's East Java Province. In 2023, the Ministry of Health registered these patients in its Tuberculosis Information System.</div></div><div><h3>Results</h3><div>The most common gender was male at 60.26 %, while the age of most respondents was 45–64 years (43.59 %) and the most education was high school graduation at 38.47 %. The instrumental support variable is the variable that has the most influence on adherence to medication in MDR-TB patients with (Sig. <0.005).</div></div><div><h3>Conclusion</h3><div>Social support from health workers influences adherence to medication in MDR-TB patients.</div></div>\",\"PeriodicalId\":46404,\"journal\":{\"name\":\"Clinical Epidemiology and Global Health\",\"volume\":\"31 \",\"pages\":\"Article 101890\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Epidemiology and Global Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213398424003877\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/12/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Epidemiology and Global Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213398424003877","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/28 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
结核病（TB）仍然是一个重大的公共卫生问题，对全世界构成挑战。印度尼西亚是全球结核病发病率第二高的国家，仅次于印度。印度尼西亚共和国卫生部报告说，2021年印度尼西亚结核病的估计发病率为969 000例，相当于每10万人中有354例。耐药结核菌株患者需要延长治疗时间，因为它被归类为慢性疾病。结核病患者将面临一系列复杂的挑战，包括巨大的压力。除了医疗干预外，他们还需要家庭和社区的社会援助。Johnson and Johnson（2009）认为，卫生工作者可以通过情感支持、信息支持、工具支持、评估和欣赏支持等形式提供角色支持和社会支持。情感支持是指卫生工作者提供情感鼓励和激励。信息支持是指卫生工作者提供信息。工具性支持是指向患者提供物质援助，包括交通、财政和卫生工作者对TBC治疗的获取支持。赞赏支持是指卫生工作者对TB-RO治疗患者给予的鼓励、赞扬或纠正性反馈。本研究旨在评估医疗专业人员的社会支持对玛琅Saiful Anwar地区总医院耐多药结核病（MDR-TB）患者服药依从性的影响。方法本研究采用定量研究方法，特别采用横断面研究设计。该研究包括78名耐多药结核病患者，目前正在印度尼西亚东爪哇省的RSUD Dr. Saiful Anwar Malang接受治疗。2023年，卫生部在其结核病信息系统中登记了这些患者。结果受访者性别以男性居多（60.26%），年龄以45 ~ 64岁居多（43.59%），高中学历居多（38.47%）。辅助支持变量是对耐多药结核病患者药物依从性影响最大的变量（Sig. <0.005）。结论卫生工作者的社会支持影响耐多药结核病患者的药物依从性。
The influence of healthcare workers' social support on compliance to medication in multi drug resistant tuberculosis patients at the Regional General Hospital of Dr. Saiful Anwar
Introduction
Tuberculosis (TB) remains a significant public health issue that poses a worldwide challenge. Indonesia has the second highest incidence of tuberculosis (TB) globally, following India. The Ministry of Health of the Republic of Indonesia reported that the estimated incidence of tuberculosis (TB) in Indonesia in 2021 is 969,000 cases, which corresponds to a rate of 354 cases per 100,000 population. Patients with drug-resistant strains of tuberculosis require an extended duration of treatment due to its classification as a chronic illness. Individuals afflicted with tuberculosis (TB) will face a complex array of challenges, including significant levels of stress. In addition to medical intervention, they will also require social assistance from their family and community. According to Johnson and Johnson (2009), health workers can provide role and social support in the form of emotional support, informational support, instrumental support, and assessment and appreciation support. Emotional support refers to provision of emotional encouragement and motivation by health workers. Informational support refers to delivery of information offered by health workers. Instrumental support refers to provision of material assistance to patient that includes transportation, financial, and access support to TBC treatment by health workers. Appreciation support refers to encouragement, praise, or corrective feedback given by health workers to the patient on TB-RO treatment. This study aims to evaluate the influence of healthcare professionals' social support on medication adherence in patients with multi drug resistant tuberculosis (MDR-TB) at the Regional General Hospital of Dr. Saiful Anwar in Malang.
Method
This study employed a quantitative research methodology, specifically utilizing a cross-sectional study design. The study included 78 MDR-TB patients currently receiving treatment at RSUD Dr. Saiful Anwar Malang, located in Indonesia's East Java Province. In 2023, the Ministry of Health registered these patients in its Tuberculosis Information System.
Results
The most common gender was male at 60.26 %, while the age of most respondents was 45–64 years (43.59 %) and the most education was high school graduation at 38.47 %. The instrumental support variable is the variable that has the most influence on adherence to medication in MDR-TB patients with (Sig. <0.005).
Conclusion
Social support from health workers influences adherence to medication in MDR-TB patients.
期刊介绍：
Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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