The Role of Nurses in Improving Adherence to Taking Medication in Tuberculosis Patients

Authors

  • Grace Carol Sipasulta Poltekkes Kemenkes Kalimantan Timur
  • Rus Andraini Poltekkes Kemenkes Kalimantan Timur

DOI:

https://doi.org/10.69855/mgj.v2i1.115

Keywords:

Tuberculosis (TB), Treatment Adherence, Nurse

Abstract

Tuberculosis (TB) remains a significant global health threat, especially in Indonesia, which has one of the highest incidence rates. Effective treatment adherence is essential for controlling the disease. This study aimed to explore the relationship between the role of nurses and patient adherence in TB treatment, taking into account various social and economic factors. Methods Using a quantitative cross-sectional design, data were collected from 41 TB patients and nurses at Pondok Meja Health Center through the Morisky Medication Adherence Scale (MMAS-8) and semi-structured interviews. Data were analyzed using univariate statistical test, and bivariate with chi-square test. The results showed a strong correlation between patient adherence and the role of nurses as educators and motivators. Providing active education had a p-value of 0.002, while regular reminders had a p-value of 0.001. It can be concluded that the role of nurses in education, routine reminders, communication with families, and home visits have a significant relationship with the level of adherence of TB patients. Socioeconomic factors such as family support, access to health services, and economic conditions also play an important role in improving patient compliance.

References

Amalya, R. (2020). Patient Compliance in Taking Anti-Tuberculosis Drugs at Y Hospital. Health Journal, 5(1), 45-50. https://openjournal.wdh.ac.id/index.php/Phrase/article/download/400/pdf

Alipanah, N.; Jarlsberg, L.; Miller, C.; Linh, N. N.; Falzon, D.; Jaramillo, E.; Nahid, P. Adherence Interventions and Outcomes of Tuberculosis Treatment: A Systematic Review and Meta-Analysis. Bull. World Health Organ. 2018, 96, 583–598. https://doi.org/10.2471/BLT.17.199687.

Barik, A.; Mazumder, S.; Arafat, S. Y. Factors Influencing Treatment Adherence in Tuberculosis Patients: A Systematic Review. J. Clin. Tuberc. Other Mycobact. Dis. 2020, 19, 100164. https://doi.org/10.1016/j.jctube.2020.100164.

Fitri, L. D., Marlindawani, J., & Purba, A. "The Relationship between Education Level and Drug Adherence in Pulmonary Tuberculosis Patients at the Harapan Raya Health Center Pekanbaru." Journal of Community Health, vol. 5, no. 2, 2019, pp. 79-84. https://doi.org/10.25311/keskom.Vol5.Iss2.343

Gunawan, M.R., & Jay Sendiri, D. "The Relationship between the Role of Nurses as Educators and Motivators with Drug Medication Compliance for TB Patients at Dr. H. Abdul Moeloek Hospital, Lampung Province in 2019." Scientific Journal of Nursing Sai Betik, vol. 15, no. 1, 2020, pp. 1-8. https://ejurnalmalahayati.ac.id/index.php/manuju/article/view/1700

Handayani, D.; Wulandari, R. D.; Sari, D. K. Family Support and Drug Adherence in Pulmonary Tuberculosis Patients. A. Health. Society 2023, 19, 89–96. https://doi.org/10.15294/kemas.v19i1.29456.

Indasari, S., Wulandari, R.D., & Pratiwi, D.A. "The Relationship between the Role of Nurses and Medication Adherence in Pulmonary Tuberculosis Patients." Journal of Nursing, vol. 10, no. 1, 2018, pp. 45-52.

Kusuma, H. M.; Wahyuni, S. The Effect of Health Service Accessibility on Treatment Compliance of Tuberculosis Patients. J. Health 2021, 12, 123–130. https://doi.org/10.26630/jk.v12i2.2021.

Ministry of Health of the Republic of Indonesia. "Indonesia's Health Profile in 2023." Ministry of Health of the Republic of Indonesia, 2023.

Mishra, P., Hansen, E.H., Sabroe, S., & Kafle, K.K. "Adherence is associated with the quality of professional-patient interaction in Directly Observed Treatment Short-course, DOTS." Social Science & Medicine, vol. 50, no. 5, 2000, pp. 719-728. https://doi.org/10.1016/S0277-9536(99)00338-X

Putri, D.A., Sari, D.K., & Yuniarti, E. "The Effect of Family Support on Treatment Adherence of Tuberculosis Patients." Journal of Public Health, vol. 14, no. 3, 2019, pp. 210-217.

Rahayu, S., & Surya, R. "Factors Influencing Tuberculosis Patients' Compliance in Undergoing Treatment." Indonesian Journal of Health Epidemiology, vol. 5, no. 1, 2021, pp. 33-40.

Rahman, A.; Sari, D. K.; Wulandari, R. D. The Effect of Home Visits on Drug Adherence in Tuberculosis Patients. A. Health. Society 2022, 18, 234–240. https://doi.org/10.15294/kemas.v18i2.29345.

Sulis, G., Roggi, A., Matteelli, A., & Raviglione, M. C. "Tuberculosis: Epidemiology and Control." Mediterranean Journal of Hematology and Infectious Diseases, vol. 6, no. 1, 2014, e2014070. https://doi.org/10.4084/MJHID.2014.070

Tyas, E. H., et al. (2022). Level of Compliance of Tuberculosis Patients in Undergoing Treatment at Health Center X. Journal of Public Health, 10(2), 123-130. https://journal.uinjkt.ac.id/index.php/pbsj/article/download/38174/14322

Wahdi, M. "Penularan Tuberkulosis: Prevention and Treatment Methods." Journal of Public Health, vol. 16, no. 2, 2021, pp. 123-130.

Wahdi, M. "Tuberculosis Transmission: How to Prevent and Treat." Journal of Public Health, vol. 16, no. 2, 2021, pp. 123-130.

Wijayanti, T. W.; Nurjanah, S.; Wulandari, R. D. Nurse Therapeutic Communication Strategies in Increasing Motivation of Tuberculosis Patients to Complete Therapy. J. Soedirman Nursing 2020, 15, 77–84. https://doi.org/10.20884/1.jks.2020.15.2.1130.

World Health Organization (WHO). "Global Tuberculosis Report 2021." World Health Organization, 2021. https://www.who.int/publications/i/item/9789240037021

World Health Organization (WHO). "Global Tuberculosis Report 2021." World Health Organization, 2021.

Yuliana, E.; Wahyuni, S.; Ningsih, S. The Role of Nurses in Improving Drug Adherence in Pulmonary Tuberculosis Patients. J. Nursing 2019, 10, 45–52.

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Published

2025-03-08

How to Cite

Grace Carol Sipasulta, & Rus Andraini. (2025). The Role of Nurses in Improving Adherence to Taking Medication in Tuberculosis Patients. Miracle Get Journal, 2(1), 56–63. https://doi.org/10.69855/mgj.v2i1.115