The Influence Of Individual Characteristics, Health Service Factors And The Role Of Guardians Swallowing Drugs On Compliance With Pulmonary Sever Treatment At The Sukaraya Puskesmas

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The Influence of Individual Characteristics, Health Service Factors, and the Role of Supervisors to Swallow Drugs on Compliance with Treatment of Pulmonary TB Patients at the Sukaraya Health Center

Introduction

Tuberculosis (TB) remains a significant public health challenge worldwide, particularly in developing countries like Indonesia. Despite the availability of effective treatments, TB continues to affect millions of people, causing significant morbidity and mortality. In Indonesia, the Sukaraya Puskesmas has reported a low healing rate of patients with pulmonary TB, with only 2 people (6.25%) declared cured out of 32 sufferers. This study aims to investigate the factors influencing compliance with pulmonary TB treatment at the Sukaraya Health Center, with a focus on individual characteristics, health service factors, and the role of supervisors to swallow drugs (PMO).

Background

TB is a bacterial infection that primarily affects the lungs, but can also affect other parts of the body. It is caused by the bacterium Mycobacterium tuberculosis and is transmitted through the air when an infected person coughs, sneezes, or talks. TB is a major public health concern, particularly in developing countries where access to healthcare is limited. In Indonesia, TB is a significant health problem, with an estimated 1.2 million new cases reported in 2020.

Research Methods

This study employed a quantitative approach using the cross-sectional method to collect data from patients with pulmonary TB at the Sukaraya Health Center. A total of 32 patients were selected for the study, and data were collected using a standardized questionnaire. The data were then analyzed using multiple linear regression to identify factors contributing to treatment compliance.

Research Results

The results of the study showed a significant relationship between respondents' attitudes and treatment compliance, with a value of P = 0.005. This suggests that individuals with a positive attitude towards treatment are more likely to comply with treatment recommendations. Additionally, the role of PMO was found to have a significant effect on treatment compliance, with a value of P = 0.013. This indicates that PMO involvement is crucial in encouraging patients to adhere to treatment.

Analysis and Implications

The study's findings suggest that individual characteristics, such as attitudes and understanding of TB disease, play a significant role in treatment compliance. Individuals who have a good understanding of TB disease and believe in the success of treatment are more likely to comply with treatment recommendations. The role of PMO as a supervisor swallowing drugs is also critical in encouraging compliance. PMO involvement not only helps patients in undergoing treatment correctly but also provides the necessary psychological motivation and support.

In the context of health services, the study's findings highlight the need to improve service quality, including training for health workers and increasing public knowledge about TB. Effective counseling to TB sufferers and their families about the importance of obeying treatment is a crucial step to improve the recovery of patients.

Recommendations

To achieve the healing target, the Sukaraya Health Center is advised to:

  1. Improve treatment services by providing better access to patients, including increasing the availability of medication and improving the quality of care.
  2. Provide training for health workers so that they are more effective in providing services, including training on counseling and patient education.
  3. Conduct more intensive counseling to sufferers and the community to increase awareness of the importance of pulmonary TB treatment.
  4. Increase the role of PMO to be more active in assisting and motivating patients during the treatment period.

Conclusion

The study's findings highlight the importance of individual characteristics, health service factors, and the role of PMO in treatment compliance. By addressing these factors, the Sukaraya Health Center can improve treatment outcomes and increase the healing rate of patients with pulmonary TB. The study's recommendations provide a framework for improving treatment services and increasing compliance with pulmonary TB treatment.

Limitations

This study has several limitations, including the small sample size and the use of a cross-sectional design. Future studies should aim to recruit a larger sample size and use a longitudinal design to examine the effects of treatment compliance over time.

Future Research Directions

Future research should focus on examining the effects of treatment compliance on treatment outcomes, including the healing rate and mortality rate. Additionally, studies should aim to identify effective strategies for improving treatment compliance, including the use of technology and social media to increase awareness and education about TB.

References

  • World Health Organization. (2020). Global Tuberculosis Report 2020.
  • Ministry of Health Indonesia. (2020). National Tuberculosis Control Program.
  • Sukaraya Health Center. (2020). Annual Report 2020.
    Frequently Asked Questions (FAQs) about the Influence of Individual Characteristics, Health Service Factors, and the Role of Supervisors to Swallow Drugs on Compliance with Treatment of Pulmonary TB Patients at the Sukaraya Health Center

Q: What is the main objective of this study?

A: The main objective of this study is to investigate the factors influencing compliance with pulmonary TB treatment at the Sukaraya Health Center, with a focus on individual characteristics, health service factors, and the role of supervisors to swallow drugs (PMO).

Q: What are the individual characteristics that affect treatment compliance?

A: The study found that individual characteristics, such as attitudes and understanding of TB disease, play a significant role in treatment compliance. Individuals who have a good understanding of TB disease and believe in the success of treatment are more likely to comply with treatment recommendations.

Q: What is the role of PMO in treatment compliance?

A: The study found that the role of PMO as a supervisor swallowing drugs is critical in encouraging compliance. PMO involvement not only helps patients in undergoing treatment correctly but also provides the necessary psychological motivation and support.

Q: What are the health service factors that affect treatment compliance?

A: The study found that health service factors, such as the quality of care and access to medication, also play a significant role in treatment compliance. Improving these factors can help increase treatment compliance.

Q: What are the recommendations for improving treatment compliance at the Sukaraya Health Center?

A: The study recommends that the Sukaraya Health Center improve treatment services by providing better access to patients, including increasing the availability of medication and improving the quality of care. Additionally, the study recommends providing training for health workers, conducting more intensive counseling to sufferers and the community, and increasing the role of PMO.

Q: What are the limitations of this study?

A: The study has several limitations, including the small sample size and the use of a cross-sectional design. Future studies should aim to recruit a larger sample size and use a longitudinal design to examine the effects of treatment compliance over time.

Q: What are the future research directions for this study?

A: Future research should focus on examining the effects of treatment compliance on treatment outcomes, including the healing rate and mortality rate. Additionally, studies should aim to identify effective strategies for improving treatment compliance, including the use of technology and social media to increase awareness and education about TB.

Q: What are the implications of this study for public health policy?

A: The study's findings have significant implications for public health policy, particularly in the context of TB control. The study highlights the need for improved treatment services, including training for health workers and increasing public knowledge about TB. Additionally, the study emphasizes the importance of PMO involvement in treatment compliance.

Q: What are the potential applications of this study?

A: The study's findings have potential applications in the development of effective TB control strategies, including the use of PMO to improve treatment compliance. Additionally, the study's findings can inform the development of public health policies aimed at improving TB treatment outcomes.

Q: What are the potential limitations of applying the study's findings to other settings?

A: The study's findings may not be generalizable to other settings, particularly those with different cultural, social, and economic contexts. Future studies should aim to examine the transferability of the study's findings to other settings.

Q: What are the potential benefits of applying the study's findings to other settings?

A: The study's findings have the potential to improve TB treatment outcomes in other settings, particularly those with similar cultural, social, and economic contexts. Additionally, the study's findings can inform the development of effective TB control strategies that can be applied in other settings.