Purnawan Junadi
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Factors Associated for Anti Tuberculosis Treatment Non-Adherence Among Tuberculosis Patients: Scoping Review Agus, Zumardi; Purnawan Junadi; Rosmala Atina Rusadi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 9 (2024): September 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i9.5874

Abstract

Introduction: Tuberculosis (TB) is one of the leading causes of death in the world. Every year more than 10 million people continue to be infected with TB. One of the main challenges in controlling TB is patient non-compliance in taking medication. This causes TB treatment failure, drug resistance, high mortality rates, and prolonged transmission of TB in the community. Objective: This article aims to describe the factors associated for anti tuberculosis treatment amongTB patients. Method: This study uses a literature review from 2021-2024 on four databases, namely Scopus, ProQuest, ScienceDirect, PubMed using the keywords factors associated, non-adherence, anti-tuberculosis treatment. The results of the screening obtained 111 articles and after selection, 5 articles were obtained that met the criteria for the purpose of writing. Result: The review results found that lack of family support (OR = 3.51, 95% CI: 1.15, 10.75), socio-demographic status male (OR = 1.41, 95% CI: 1.18, 1.68), older age (OR = 1.56, 95% CI: 1.05, 1.67), lower education (OR = 1.60, 95% CI: 1.27, 2.03) , drug side effect (OR = 2.3, 95% CI: 1.1, 4.9) , smoking status (OR = 1.78, 95% CI: 1.47, 2.16) assosiated for non-adherence anti tuberculosis treatment among TB pastients. Conclusion: Factors such as lack of family support, demographic status (male and older age), lower education, drug side effects, smoking status affect non-adherence to medication in TB patients. Interventions targeting the importance of family support, campaigns targeting older age, males and smokers need to be conducted to increase knowledge about TB, as well as increasing counseling on drug side effects and emphasizing the importance of medication adherence when providing counseling to TB patients.
The Effectiveness of Family Support on Medication Adherence in Preventing Recurrence in People with Schizophrenia: Scoping Review Liman, Yohani Satya Putri; Purnawan Junadi; Rosmala Atina Rusadi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 10 (2024): October 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i10.5999

Abstract

ntroduction: Schizophrenia is a chronic mental disorder that generally occurs in individuals in their late teens to early thirties. This disorder has symptoms including irrational thoughts, delusions, persistent hallucinations, disorganised behaviour accompanied by high anxiety, and decreased cognitive function which causes schizophrenics to experience decreased social function, so they have difficulty in living their daily lives and require long-term treatment. One of the biggest challenges in managing schizophrenia is preventing recurrence. Recurrence in people with schizophrenia is often caused by their non-compliance in taking medication and following a series of treatments. The recurrence rate also depends on how the family provides support and attention to the patient, so that the patient can be obedient and regular in taking medication. Objective: This article aims to describe the effectiveness of family support on medication adherence in preventing recurrence in people with schizophrenia. Method: This research uses the literature review method by searching three databases namely Scopus, ProQuest and ScienceDirect. The selected articles were analysed using prism flowchart for data extraction. The article search results found 3 related studies. Result: The review found 68.3% of individuals with schizophrenia had low medication adherence, and more than 50% experienced a decline in social functioning. There was a relationship between medication adherence and social functioning of schizophrenia patients (r = 0.83; p = 0.001). Family support is closely related to schizophrenia adherence to medication. Schizophrenia patients who get strong family support are usually more disciplined in taking medication and have a lower risk of recurrence. Conclusion: The results of this study conclude that family support will be effective on patient compliance in taking medication, if the family has provided attention and support consistently. Thus, health care providers need to integrate family support programmes and psychoeducation on how to provide effective support as part of the treatment plan. In addition, public health policies are also needed to encourage the development of programmes that support family involvement in schizophrenia treatment.