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Counseling and Supervision Impact on Elderly Tuberculosis Patients’ Medication Compliance Mamang, Aisah; Anwar, Syamsul; Yunitri, Ninik; Herlinah, Lily
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3292

Abstract

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, which spreads mainly through the air, especially attacking the lungs but can infect any organ, including the brain, kidneys, bones, and lymph nodes. One factor contributing to non-compliance in TB patients is irregular treatment. If treatment is not consistent, it can lead to drug-resistant germs, prolonging treatment and reducing success. Objective: The aim of this study was to improve medication compliance through evidence-based nurturing practices. Method: This study employed two phases including a systematic review to determine the EBNP and the second phase was the implementation of the EBNP. We gathered the participant using total participant but stricly applied the inclusion and exlcusion criteria. Fifteen elderly aged 63±3.314 years in Karanganya, Sawah Besar, Jakarta Pusat were participated in this study. The data analysis using Jamovi aimed to assess the impact of counseling and medication supervision on medication compliance in elderly TB patients. Results: Surprisingly, there was no significant increase in compliance after the intervention (p-value of 0.134). However, the X2 continuity correction analysis revealed that counseling and supervision doubled medication adherence in the elderly. Conclusions: health counseling, consisting of 30-minute sessions from diagnosis to recovery, utilizing media such as posters, is highly recommended by health workers. This intervention aims to improve medication compliance and adherence to the recommended schedule effectively.
The Impact of Family Psychoeducation on Medication Adherence in Schizophrenia Clients for Preventing Rehospitalization Mamang, Aisah; Winahyu, Neng Esti; Kahiriyah, Okti Hanalutfi; Musadad, Dede Anwar; Rustika, Rustika
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): 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.v7i1.5507

Abstract

Schizophrenia is a serious mental illness that can significantly impact the quality of life. Families play a crucial role as primary caregivers, providing both physical and mental support to individuals with schizophrenia. Family psychoeducation therapy is a structured intervention designed to address relapse-related challenges in schizophrenia clients. The purpose of this study was to examine the impact of family psychoeducation interventions on medication adherence in schizophrenia clients. This study used a quasi-experimental design with 62 families divided randomly into intervention and control groups (31 each). Families with a member diagnosed with schizophrenia and willing to participate were included. The intervention group received four weekly psychoeducation sessions, while the control group received standard care. Medication adherence was measured using a validated scale. Data were analyzed with the Mann-Whitney U test (p < 0.05) to assess the intervention’s impact. The study found no significant effect of psychoeducation on medication adherence based on age (p = 0.968), gender (p = 0.172), and education level (p = 0.148). However, there was a significant effect of psychoeducation on medication adherence related to employment (p = 0.023), knowledge (p = 0.023), attitudes (p = 0.001), and overall adherence (p = 0.001). The family psychoeducation intervention program showed significant benefits, including improved medication adherence, better family perceptions of medication, enhanced understanding of schizophrenia, and reduced relapse rates and hospital readmissions.