PENGARUH DUKUNGAN KADER KESEHATAN MELALUI MEDIA GRUP WHATSAPP TERHADAP KEPATUHAN MINUM OBAT PADA PASIEN TBC PARU
Abstract
Compliance with taking medication is still a problem for pulmonary TB patients even though a medication supervisors (PMO) has been appointed to make treatment successful and prevent TB transmission in the community. Non-compliance with treatment will cause a high rate of treatment failure in pulmonary TB patients and the incidence of drug resistance. This study aims to determine the Influence of Health Cadre Support as Medication Supervisors (PMO) through WhatsApp Group Media on Medication Compliance in Pulmonary Patients in the UPTD Puskesmas Pungging Area.This research uses a research design pre-experiment one group pretest-posttest. The population in this study was 40 respondents. The sample in this study consisted of 15 respondents, who are taken using tsimple random sampling echniques. The instrument used was the MMAS-8 questionnaire to measure medication adherence. Statistical test using Wilcoxon sign rank test. The research results show that the average score of adherence to taking medication in pulmonary TB patients before intervention was given in the UPTD Puskesmas Pungging area was 5.47 in the low compliance category. Meanwhile, the average score of adherence to taking medication in pulmonary TB patients after being given intervention in the UPTD Puskesmas Pungging area was 7.47 in the moderate compliance category.Statistical test results show significance value (p) 0.001 which means that there is an influence of support from health cadres as medication supervisors (PMO) through WhatsApp group media on medication compliance in pulmonary TB patients in the UPTD Puskesmas Pungging area. The test results also show mark positive rank 15, which means that all respondents (100%) experienced an increase in compliance scores (positive ranks 15). Based on the results of this study, it is expected that the UPTD Puskesmas Punggig area can continue to implement PMO in the WhatsApp group which aims to monitor OAT consumption in pulmonary TB patients. In addition, a WhatsApp group can be formed within the patient's family members to help supervise the patient's medication consumption.
References
Akta, P. A., Arifin Noor, M., & Suyanto. (2024). Hubungan Dukungan Keluarga dengan Kepatuhan Konsumsi Minum Obat Anti Hipertensi Informasi Artikel Abstrak. Keperawatan Berbudaya Sehat, 2(1), 2986–8548. http://jurnal.unw.ac.id/index.php/JKBS
Komariah, E. D., Rosdewi, Hamid, O. G., & Garus, V. G. (2023). Peran PMO dan Kepatuhan Minum Obat pada Pasien Tuberkolosis Paru. Watson Journal of Nursing, 2(1), 14–20.
Maretasari, F. D. (2022). Kepatuhan Pengobatan TBC. Kemenkes RI. https://yankes.kemkes.go.id/view_artikel/637/kepatuhan-pengobatan-pada-tbc
Nizar, M. (2017). Pemberantasan dan Penanggulangan Tuberkulosis. Gosyen Publishing.
Permatasari, P. A. I., Darmini, Y., & Widiasa, I. M. (2017). Hubungan antara Peran Pengawas Menelan Obat dengan Kepatuhan Penderita Mengkonsumsi Obat AntiTuberculosis. Jurnal Sains Dan Seni ITS, 6(1), 51–66. http://repositorio.unan.edu.ni/2986/1/5624.pdf%0Ahttp://fiskal.kemenkeu.go.id/ejournal%0Ahttp://dx.doi.org/10.1016/j.cirp.2016.06.001%0Ahttp://dx.doi.org/10.1016/j.powtec.2016.12.055%0Ahttps://doi.org/10.1016/j.ijfatigue.2019.02.006%0Ahttps://doi.org/10.1
Pertiwi, D., & Kharin Herbawani, C. (2021). Pengaruh Pengawas Minum Obat Terhadap Keberhasilan Pengobatan Pasien Tuberkulosis Paru: a Systematic Review. Jurnal Kesehatan Tambusai, 2(4), 168–175. https://doi.org/10.31004/jkt.v2i4.3036
Promkes, T. (2022). Pengawas Menelan Obat (PMO) Tuberkulosis Paru. Dinas Kesehatan Depok. https://dinkes.depok.go.id/User/DetailArtikel/apa-peran-pengawas-menelan-obat-pmo-tuberkulosis-paru#:~:text=Berdasarkan PMK Nomor 67 Tahun,untuk minum obat secara teratur.
Seniantara, I. K., Ivana, T., & Gabrilinda, A. Y. (2018). Pengaruh Efek Samping Oat ( Obat Anti Tuberculosis ) Terhadap Kepatuhan Minum. Jurnal Keperawatan Suaka Insan (Jksi), 3(2), 1–12.
Sitorus, R. (2022). KEPATUHAN LANSIA UNTUK MINUM OBAT. Badan Pendidikan Dan Pelatihan Kepulauan Bangka Belitung. https://dinsospmd.babelprov.go.id/content/artikel-kesehatan-kepatuhan-lansia-untuk-minum-obat
Suryana, I., & Nurhayati. (2021). Hubungan Antara Peran Pengawas Menelan Obat (Pmo) Terhadap Kepatuhan Minum Obat Penderita Tb Paru. Indonesian Journal of Nursing Sciences and Practices Indonesian, 4(2), 93–98. https://jurnal.umj.ac.id/index.php/ijnsp/article/view/14616/0
Tambuwun, A. A., Kandou, G. D., & Nelwan, J. E. (2021). HUBUNGAN KARAKTERISTIK INDIVIDU DENGAN KEPATUHAN BEROBAT PADA PENDERITA HIPERTENSI DI PUSKESMAS WORI KABUPATEN MINAHASA UTARA. Kesmas, 5(4).
Tim Kerja TBC. (2023). Laporan Program Penanggulangan Tuberkulosis tahun 2022. Kemenkes RI.
Trishela, D., Dewi Amir, M., & Lidiyawati, H. (2024). Pengaruh Pendidikan Kesehatan Terhadap Kepatuhan Minum Obat Pada Penderita TB Paru Di Wilayah Kerja UPTD Puskesmas Gunungguruh Kabupaten Sukabumi. Jurnal Health Society, 13(1), 10–19. https://doi.org/10.62094/jhs.v13i1.125
Yulianti, N., & Khairuddin, H. (2024). Lupa MInum Obat pada Pasien TB. TOSS TBC. https://tbindonesia.or.id/apabila-lupa-minum-obat-tbc-apa-yang-harus-dilakukan/#:~:text=Apa dampaknya bila putus obat,tingkat keberhasilan pengobatan yang rendah.







