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PENGARUH KEPATUHAN MINUM OBAT TERHADAP OUTCOME PENGOBATAN TUBERKULOSIS PARU DI INDONESIA: TINJAUAN SISTEMATIS 2020–2025 Chairil; Tri Siwi Kusumaningrum; Maswarni
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.858

Abstract

Background:Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia, characterized by a high disease burden and persistent treatment failure. Adherence to anti-tuberculosis drug (ATD) therapy is a key determinant of successful treatment. This study aimed to analyze the relationship between medication adherence and treatment outcomes among patients with pulmonary tuberculosis in Indonesia through a systematic review. Methods: This study employed a systematic review based on the PRISMA 2020 guidelines. A literature search was conducted for articles published between January 2020 and March 2026 using several scientific databases. Eligible studies assessing medication adherence as the primary variable and treatment outcomes in patients with pulmonary tuberculosis were included and analyzed qualitatively. Results: A total of eight studies met the inclusion criteria. All included studies reported a significant association between medication adherence and treatment outcomes. Patients with high adherence were more likely to achieve successful treatment and recovery, whereas poor adherence was associated with an increased risk of treatment failure, loss to follow-up, relapse, and drug-resistant tuberculosis. Factors influencing medication adherence included patients’ knowledge and motivation, family support, the role of Treatment Supporters (PMO), and access to and quality of healthcare services. Conclusion: Medication adherence is significantly associated with treatment outcomes among patients with pulmonary tuberculosis in Indonesia. Therefore, interventions aimed at improving adherence through patient education, strengthening family support, optimizing the role of Treatment Supporters (PMO), and improving healthcare service quality should be prioritized to enhance the success of the national tuberculosis control program.
HUBUNGAN APGAR KELUARGA DENGAN MOTIVASI INSTRINSIK PASIEN DIABETES MELLITUS MELAKUKAN PERAWATAN KAKI DIABETIK Tri Siwi Kusumaningrum; Maswarni Maswarni; Pratiwi Gasril; Chairil Chairil
Menara Medika Vol 9, No 1 (2026): VOL 9 No 1 SEPTEMBER 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v9i1.7860

Abstract

Pendahuluan: Kaki diabetik merupakan komplikasi yang paling banyak dialami oleh pasien Diabetes Mellitus yang dapat mengakibatkan tindakan amputasi. Penerapan fungsi keluarga yang optimal dapat membantu meningkatkan motivasi intrinsik pasien DM untuk melakukan perawatan kaki sebagai upaya pencegahan kaki diabetik. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi  hubungan  APGAR keluarga   dengan  motivasi intrinsik pasien DM melakukan  perawatan kaki diabetik. Metode: Metode yang digunakan pada penelitian ini adalah kuantitatif. Pengumpulan data dilakukan menggunakan  data karakteristik responden, data pendukung, kuesioner APGAR keluarga, Kuesioner motivasi intrinsik Treatment Self-Regulation Questionnaire) pada 118 responden. Analisis data  menggunakan uji Pearson korelasi,  Hasil: Hasil penelitian menunjukkan bahwa nilai korelasi  variabel  APGAR keluarga  dan   variabel  motivasi intrinsik  pasien DM melakukan perawatan kaki diabetik (r)  sebesar 0,801, menunjukkan adanya hubungan korelasi  yang kuat. Serta uji signifikansi hubungan dengan nilai Pvalue 0,001. Kesimpulan dan saran :  APGAR keluarga memiliki  hubungan  yang signifikan  dengan  motivasi intrinsik pasien DM melakukan perawatan kaki diabetik.   Oleh karena itu diharapkan kepada Penanggungjawab DM dan Promosi kesehatan di Pusat Kesehatan Masyarakat agar lebih meningkatkan program   dukungan sosial berbasis  keluarga  untuk mengatasi berbagai permasalahan yang dialami oleh penderita DM sehingga tidak terjadi komplikasi kaki diabetik.