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Analysis of Stigma and Myths on Medication Adherence in Pulmonary Tuberculosis Patients Vivop Marti Lengga; Nur Intan Hayati Husnul Khotimah; Silvi Nindiani Putri; Raden Siti Jundiah; Haerul Imam; Sri Wulan Megawati; Ade Iwan Mutiudin; Sumbara Sumbara
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.979

Abstract

Pulmonary Tuberculosis (TB) remains a global and national health problem, including in Indonesia as the country with the second-highest TB burden in the world. TB control efforts are strongly influenced by patient adherence to long-term treatment. Various social and psychological factors, including stigma and myths about TB, have the potential to affect patient adherence, but empirical evidence at the community level is still limited. This research aims to analyze the relationship between stigma and myths and medication adherence in pulmonary tuberculosis patients. The research design used a quantitative correlational approach. A sample of 40 respondents was obtained through a total sampling technique. The instruments used included the ISTB-12 to measure stigma and the M-TBQ for myths, that have undergone content validity testing and were declared valid by two experts and construct validity test yielded a Cronbach's alpha > 0.6 (reliable). The third instrument measuring medication adherence was the MARS-5, which has been validated and proven reliable. Correlation analysis was performed using the Theta (θ) test because the data was not normally distributed with an ordinal-numeric scale. The Theta test results showed a relationship between stigma and medication adherence (θ = 0.219; low correlation), while myths were not related to adherence (θ = 0.038). Stigma is proven to be associated with medication adherence, although with a low strength of relationship, while myths do not affect adherence in pulmonary TB patients.
Optimalisasi Peran Kader PKK dan Posyandu dalam Pencegahan Kegawatdaruratan Hipertensi Nur Intan Hayati Husnul Khotimah; Agus Mi'raj Darajat; Widyawati Widyawati; Tri Nur Jayanti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.24097

Abstract

ABSTRAK Hipertensi merupakan salah satu masalah kesehatan masyarakat yang berpotensi menimbulkan komplikasi serius apabila tidak ditangani dengan tepat. Kondisi kegawatdaruratan hipertensi kerap muncul tanpa gejala awal yang jelas, sehingga masyarakat sering kali tidak menyadari ancaman yang ada. Situasi ini menuntut adanya deteksi dini serta peningkatan kesiapsiagaan komunitas sebagai langkah preventif untuk menekan angka morbiditas dan mortalitas. Tingginya prevalensi hipertensi di RW 10 Kelurahan Binong, Kecamatan Batununggal, belum diimbangi dengan sistem penanganan darurat yang terstruktur. Kader PKK dan Posyandu sebagai ujung tombak pelayanan kesehatan masih menghadapi keterbatasan pengetahuan dan keterampilan dalam mendeteksi serta menangani kondisi darurat hipertensi. Metode: Program Pengabdian kepada Masyarakat ini dirancang untuk meningkatkan kapasitas kader melalui pelatihan intensif yang mencakup edukasi kesehatan, simulasi penanganan darurat, diskusi kelompok terarah, serta monitoring dan evaluasi berkala. Hasil: Kegiatan menunjukkan peningkatan signifikan pengetahuan kader (p = 0,000; uji Wilcoxon), dengan rata-rata skor pengetahuan meningkat dari 56 menjadi 88. Selain itu, terbentuk prosedur operasional penanganan darurat hipertensi yang aplikatif dan dapat diterapkan di tingkat komunitas. Kesimpulan: Intervensi ini menghasilkan kader yang lebih responsif dalam memberikan pertolongan pertama, sehingga berkontribusi pada penurunan risiko komplikasi serta peningkatan kualitas hidup masyarakat. Kata Kunci: Hipertensi, Kegawatdaruratan, Kader PKK Posyandu, Edukasi, Simulasi.  ABSTRACT Introduction: Hypertension is a major public health issue that can lead to serious complications if not properly managed. Hypertensive emergencies often occur without clear initial symptoms, making communities less aware of the potential risks. This situation highlights the need for early detection and improved community preparedness as preventive measures to reduce morbidity and mortality. The high prevalence of hypertension in RW 10, Binong Village, Batununggal District, has not been supported by a structured emergency response system. PKK and Posyandu cadres, as the frontline of community health services, still face limitations in knowledge and skills to detect and manage hypertensive emergencies. Methods: This community service program aimed to strengthen cadre capacity through intensive training, including health education, emergency response simulations, focused group discussions, and regular monitoring and evaluation. Results: The program demonstrated a significant improvement in cadre knowledge (p = 0.000; Wilcoxon test), with the average knowledge score increasing from 56 to 88. In addition, an applicable standard operating procedure for hypertensive emergency management was successfully developed. Conclusion: This intervention produced cadres who are more responsive in providing first aid, thereby contributing to reduced risk of complications and improved community quality of life. Keywords: Hypertension, Emergency, PKK Posyandu Cadres, Education, Simulation.