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All Journal Indonesian Journal of Global Health research Holistik Jurnal Kesehatan
Kurniati, Amelia
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Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Konseling kesehatan dalam meningkatkan kepatuhan pengobatan pada pasien tuberkulosis resisten obat: A systematic review Ramlah, Ramlah; Kurniati, Amelia; Faradita, Denissa; Waluyo, Agung
Holistik Jurnal Kesehatan Vol. 18 No. 11 (2025): Volume 18 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i11.512

Abstract

Background: One of the challenges of the Drug-Resistant Tuberculosis (DRTB) control program in Indonesia is the significantly increasing incidence of treatment discontinuation. One of the factors that influences the low level of treatment compliance in patients with DRTB is mental health. Health counseling is a psychological intervention that can overcome mental health problems and help improve treatment compliance in patients with DRTB. Purpose: To provide an overview of whether health counseling interventions are effective in improving treatment compliance in patients with DRTB. Method: A systematic review was conducted through a search strategy on 4 databases, namely PubMed, ProQuest, Cochrane, ScienceDirect with a total of 4,832 articles obtained. The articles were then filtered based on inclusion and exclusion criteria until 6 articles remained. A total of 6 articles that met the criteria were then subjected to critical appraisal with the JBI Critical Appraisal Checklist guidelines. Results: In general, this systematic review shows that health counseling interventions can effectively improve treatment compliance in patients with DRTB. Conclusion: This review identified that counseling combined with education has been shown to be effective in improving medication adherence in pulmonary TB patients. However, there are still few studies that use counseling as an intervention to improve medication adherence specifically for pulmonary TB patients. Suggestion: Further research is needed on providing counseling specifically for TB-RO patients as an effort to improve treatment compliance. In addition, further research is needed on counseling interventions with a cultural approach which is expected to vary in each country and will affect the success of the intervention.   Keywords: Compliance; Drug Resistance; Health Counseling; Treatment; Tuberculosis.   Pendahuluan: Salah satu tantangan program pengendalian Tuberculosis Resisten Obat (TB-RO) di Indonesia adalah angka kejadian putus berobat yang meningkat secara signifikan. Adapun salah satu faktor yang memengaruhi  tingkat kepatuhan pengobatan yang rendah pada pasien TB-RO yaitu kesehatan mental. Konseling kesehatan merupakan intervensi psikologis yang dapat mengatasi masalah kesehatan mental serta membantu meningkatkan kepatuhan pengobatan pada pasien TB-RO. Tujuan: Untuk memberikan gambaran apakah intervensi konseling kesehatan efektif dalam meningkatkan kepatuhan pengobatan pada pasien TB-RO. Metode: Systematic review yang dilakukan melalui strategi pencarian pada 4 database yaitu PubMed, ProQuest, Cochrane, ScienceDirect dengan total artikel yang didapatkan sebanyak 4.832 artikel. Artikel-artikel tersebut kemudian disaring berdasarkan kriteria inklusi dan ekslusi hingga menyisakan 6 artikel. Sebanyak 6 artikel yang memenuhi kriteria kemudian dilakukan critical appraisal dengan pedoman JBI Critical Appraisal Checklist. Hasil: Secara umum telaah systematic review ini menunjukkan bahwa intervensi konseling kesehatan efektif dalam meningkatkan kepatuhan pengobatan pada pasien TB-RO. Simpulan: Tinjauan ini mengidentifikasi bahwa pemberian konseling ditambah dengan pemberian edukasi terbukti efektif untuk meningkatkan kepatuhan pengobatan pada pasien TB Paru. Namun masih tidak banyak penelitian yang menggunakan konseling sebagai salah satu intervensi untuk meningkatkan kepatuhan pengobatan, khusus dilakukan pada pasien TB-RO. Saran: Diperlukan penelitian lebih lanjut terkait pemberian konseling secara khusus pada pasien TB-RO sebagai upaya untuk meningkatkan kepatuhan pengobatan. Selain itu, penelitian lebih lanjut tentang intervensi konseling dengan pendekatan budaya yang diperkirakan akan bervariasi pada setiap negara dan akan memengaruhi  keberhasilan intervensi tersebut.   Kata Kunci: Kepatuhan; Konseling Kesehatan; Pengobatan; Resisten Obat; Tuberkulosis.
The Predictors of Diabetic Nephropathy in Adult Patient with Diabetes: Systematic Literature Review Azizatunnisa, Nurul; Kurniati, Amelia; Kurnia, Dikha Ayu
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5065

Abstract

Diabetes is a type of chronic disease that progresses over time and can lead to various complications, one of which is diabetic nephropathy. The prevalence of kidney disorders in individuals with diabetes at a productive age in Indonesia is 4%, but only 0.6% have been diagnosed. This systematic review provide information about many factors affecting diabetic nephropathy, both physical and psychological factors in adult patient with diabetes. This systematic literature review utilizes several databases, i.e EBSCO, Oxford Journal, ProQuest, PubMed, Sage Journal, Science Direct, and Springer Link which published in the past five years (2019-2024). We used PICO in literature searching process, i.e. diabetic nephropathy (population), self-care OR family support OR risk factor OR primary assessment OR early warning signs (intervention), standard care (comparison), diabetic nephropathy OR diabetic kidney disease OR glomerulosclerosis, diabetic (outcome). Articles were selected based on inclusion and exclusion criteria and are presented using the PRISMA diagram. There were 10 relevant articles were identified. The sample size in this study was 7.892 from many health care areas from primary health care, outpatient clinic, and emergency department. Diabetic patients in this study include prediabetes, type 1 diabetes, and type 2 diabetes, DM ESRD and asymptomatic severe hypertension that potential to suffer kidney disfunction. The physical factors of diabetic nephropathy were body mass index (BMI), duration of diabetes diagnosis, vital signs, laboratory examination and comorbidity. Psychological factors include family support, self-care, diabetes control and education, Quality of Life (QoL) or Well-Being Index. There were six physical factors and four psychological factors that could be predictors of diabetic nephropathy.
Co-Authors Agung Waluyo Dikha Ayu Kurnia Faradita, Denissa Nurul Azizatunnisa Ramlah Ramlah