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Dewi Dewi
Medical Faculty Atma Jaya Indonesia Catholic University, Jakarta
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Journal : Edu Masda Journal

 1 
EFEKTIVITAS INTERVENSI PSIKO-EDUKASI BERBASIS HEATLH BELIEVE MODEL (HBM) DALAM MENINGKATKAN SELF EFFICACY PENGOBATAN TB MDR Dewi, Dewi; Rayasari, Fitran; Anggraini, Dewi; Hasanah, Uswatun
Edu Masda Journal Vol 9, No 1 (2025): EDU MASDA JOURNAL
Publisher : STIKes Kharisma Persada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52118/edumasda.v9i1.280

Abstract

                                                    ABSTRACTBackground: Multidrug-Resistant (MDR) Tuberculosis (TB) is a global health problem that demands innovative approaches to improve treatment adherence and treatment outcomes. Objectives: This study evaluates the effectiveness of an independent nursing intervention that combines psychological counseling and education based on the Health Belief Model (HBM) on the self-efficacy and treatment compliance of MDR TB patients at Persahabatan Hospital. Method: A quasi-experimental method with a control group design and pre-test post-test was used on a sample of 32 patients, divided into intervention and control groups. Results: showed a significant reduction in non-adherence rates in the intervention group from 19.4% to 9.5%, while the control group experienced an increase from 19.4% to 24.4%. Statistical analysis showed a significant difference between the two groups (AOR = 0.31, 95% CI [0.18-0.53], p<0.001), indicating that the intervention was successful in increasing medication adherence. These findings emphasize the importance of integrating psychosocial approaches in the management of MDR TB to improve treatment adherence. Conclusion: This study provides empirical evidence of the effectiveness of HBM-based interventions in improving self-efficacy and treatment adherence, recommending their adoption in routine TB treatment strategies.                                                ABSTRAKTuberculosis (TB) Multidrug-Resistant (MDR) adalah masalah kesehatan global yang menuntut pendekatan inovatif untuk meningkatkan kepatuhan pengobatan dan hasil pengobatan. Penelitian ini mengevaluasi efektivitas intervensi keperawatan mandiri yang menggabungkan konseling psikologis dan edukasi berbasis Health Belief Model (HBM) terhadap self-efficacy dan kepatuhan pengobatan pasien TB MDR di RSUP Persahabatan. Metode quasi-eksperimental dengan desain kelompok kontrol dan pre-test post-test digunakan pada sampel sejumlah 32 pasien, dibagi menjadi kelompok intervensi dan kontrol. Hasil menunjukkan penurunan signifikan dalam tingkat ketidakpatuhan pada kelompok intervensi dari 19,4% menjadi 9,5%, sementara kelompok kontrol mengalami peningkatan dari 19,4% menjadi 24,4%. Analisis statistik menunjukkan perbedaan yang signifikan antara kedua kelompok (AOR = 0.31, 95% CI [0.18-0.53], p<0.001), menandakan bahwa intervensi berhasil meningkatkan kepatuhan pengobatan. Temuan ini menegaskan pentingnya integrasi pendekatan psikososial dalam pengelolaan TB MDR untuk meningkatkan kepatuhan pengobatan. Penelitian ini memberikan bukti empiris tentang efektivitas intervensi berbasis HBM dalam meningkatkan self-efficacy dan kepatuhan pengobatan, merekomendasikan adopsinya dalam strategi pengobatan TB rutin. 
Co-Authors A, Syam Abd. Hakim Laenggeng, Abd. Hakim Ahdan, Muh. Riad Ahmadong, Ahmadong Ajeng Muliasari Alhadi, Syarifah Soraya Alifiansyah, Fikri Anarky, Lheo Andi Alimuddin Unde, Andi Alimuddin Andi Velahyati Baharuddin Andriani, Desi Fatimah Andriani, Puspa Sari Angery, Evi Yessy Anita, Nur Anshari, Ahmad Azzahra, Nurma Annisa Beelena, Beelena Bohari, Nurul Hidayah Bramaditra, Muhammad Elvio Budiarti, L Endang Bulan, Bulan Cahyadi, Julia Vanessa Christian, Natalis Darlina Darlina Denny Denmar Dermawan, Zikri Setia Desyanti, Harwin Holilah Devi Devi, Devi Dewi Anggraini Dila, Ratna Erfina, Erfina Ernawati Ernawati Erniawati, Erniawati Esron Siregar Fauzi, Lilianty Fikri, Ajief Aufa Furi Indriyani Grahita Kusumastuti, Grahita H, Anita Kartini Hardi Hardi, Hardi Harliani, Harliani Hasan, Aswar Hatimah, Khusnul Helena, Shifa Heriana, Heriana Hisrah, Hisrah Hj. Musdalifah Nurdin Husna, Amelia Mujahadah Hwa, Lee Yong idel waldelmi, idel Iqbal Iqbal Irmayanti Irmayanti, Irmayanti Ismar Hamid Ivone, Ivone Iwan Dwiprahasto Jayanti, Meivina Jumiati Jumiati Kartini H, Anita Kartini, Anita Khairussalam, Khairussalam Kushadiwijayanto, Arie Antasari Laihi, Moh. Alfit A. Larashandy, Heydi Ruth Larashandy, Larashandy Lee, Yonghwa Liani, Sava'ah Intan Lumbanraja, Grace Maria Maleha, Nova Yanti Mantasia , Mantasia Mantasia Mantasia Masitah Masitah Masnia Ningsih Mucthar, Helmi Muhammad Ilham Muhammad Jufri Muhammad Luthfi Mukaromah, Ayu nanda, eka Naniar, Naniar Nasruddin, Nurfitraeny Nazif, Ahmad Netsen, Netsen Nizami, Ahmad Wafa Nopriansyah, Waldi Nur Inayah Nurdiansyah, Syarif Irwan Nurhayani nurhayani Nurmala Dewi, Nurmala Nurrahman, Yusuf Arif Nuryana, Riska Nuryani Nuryani Nurzaman, Bela Purbaningsih, Yuli Puteri, Sri Kurnia Sah Putra, Albert Fajar Yuga Yusdi Putri, Deandra Emilya Rahmatika, Tasha Ramadhan, Mufti Ratnaningrum Zusyana Dewi Rayasari, Fitran Rianda Nurarianti Riandhani Mulyoto, Raufina Rifki Arif Nugraha Rifqi, Mohammad Risal, Muh. Riska Riska Rita Rita, Rita Sahidin . Sarmin, Yuti Sarpan, Lisna Wati Sayyidah, Sayyidah Septiany, Sheila Siagian, Jhonatan Silalahi, Jessica Sinambela, Dandi Suhailiza, Nur Sumarmi Syam, Agus Syarifuddin Syarifuddin Syuhada, Rahmat Tati Mardewi Tuladang, Cindy Adelia Ummah, Delatul Uswatun Hasanah Vicky, Agnes Wahid, Raseliya Ananda Wartoyo, Franciscus Xaverius Wijaya, Ericko Wiyono, Aurelia Carissa Anindita Wulandari, Rezky yogin, Yogin Yuli Puji Astutik, Yuli Yulianti Kalaba Yumni, Dhiya Yusdiana, Yusdiana Yusnaini Yusnaini Zaenal Arifin Zakariah, Miftahul Hidayah