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HEALTH EDUCATION TO IMPROVE MEDICATION ADHERENCE AMONG TUBERCULOSIS PATIENTS: A SYSTEMATIC REVIEW Qomariyah, Farida Nur; Susanti, Ika Adelia; Basri, Achmad Ali
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 9, No 1 (2024): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v19i1.552

Abstract

Introduction: Adherence to tuberculosis (TB) therapy is critical for the cure.  This paper aimed to review current evidence on the effect of health education interventions on medication adherence among patients with tuberculosis.Methods: A systematic review of this study used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Six databases were included in this study including Scopus, Ebsco, PubMed, ProQuest, Science Direct, and Google Scholar published between 2011 and 2020. This study targeted patients with TB, and health education intervention will be extracted. The Joanna Briggs Institute (JBI) Critical Appraisal tools used the level of evidence, grade of recommendation, and risk of bias assessment.Results: Eleven articles were enrolled in the study. Most of all the health education programs have satisfactory results in improving medication adherence among tuberculosis patients. There are many strategies to carry out health education, from conventional ways to the use of technology in order to find the best results to improve compliance. There are seven types of interventions, and the most widely used are individual, paper-based, audiovisual, and education with the reminder. The frequent duration of health education intervention was 1-2 months.Conclusion: An appropriate health education program can improve medication adherence in patients with tuberculosis. This strategies can implement in clinical and community settings to increase health status among tuberculosis patients.
The Association between Demographic Factors and Health Literacy AmongPost-Treatment Recovery of Pulmonary Tuberculosis Patients Qomariyah, Farida Nur
Journal of Nursing Periodic Vol. 1 No. 1 (2024): January
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jnp.v1i1.10

Abstract

Introduction: Health literacy on successful pulmonary tuberculosis treatment is a intricate problem influenced by factors such as demographic factors. This research aimed to analyze the association between demographic factors and health literacy among post-treatment recovery of pulmonary tuberculosis patients.Methods: This retrospective study analyzed the association between demographic factors and health literacy levels of 128 among post-recovery treatment of pulmonary tuberculosis patients in four primary health care settings in Jember Regency from October-November 2022. The inclusion criteria in this research were as follows: 1) must be older or equal to 18 years of age, 2) declared cured of tuberculosis in the of the treatment in 2021, 3) Indonesia citizens, and 4) able to speak, write and read the Indonesia language. This study used demographic questionnaire and health literacy questionnaire for data collection. The chi-square test was used to analyze all of the variables with significance level of 95%(α = 0.05). Results: This research found that the demographic factors that had an association with health literacy level were age (p=0.04), educational level (p<0.01), income (p<0.01), and living area (p<0.01). While,the demographic factors that were unassociated with health literacy level were gender (p=0.67),occupation (p=0.33) and marital status (p=0.41). Conclusions: To make the TB medication program more successful, healthcare providers and the government should pay attention to demographic characteristics that influence health literacy and drug adherence.
Medication Adherence and Treatment Outcomes Among Tuberculosis Patients in Jember Regency, East Java, Indonesia Qomariyah, Farida Nur; Mustaming, Mustaming; Sonthisombat, Paveena
Media of Health Research Vol. 4 No. 1 (2026): Media of Health Research, February 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i1.399

Abstract

Medication adherence remains a critical determinant of tuberculosis (TB) treatment success, particularly in high-burden settings such as Indonesia. Suboptimal adherence contributes to prolonged infectiousness, treatment failure, and the emergence of drug-resistant TB. This study aims to analyze medication adherence and its relationship with treatment outcomes among tuberculosis patients in Jember Regency, East Java, Indonesia. A cross-sectional analytical design was employed involving pulmonary TB patients receiving treatment at community health centers in Jember Regency. Data were collected using structured questionnaires assessing socio-demographic characteristics, health literacy, family support, the role of drug swallowing supervisors (Pengawas Menelan Obat/PMO), and self-reported medication adherence. Treatment outcomes were obtained from medical records. Descriptive and inferential analyses were conducted to examine associations between adherence and treatment outcomes. The findings indicate that the majority of patients demonstrated high medication adherence, which was significantly associated with successful treatment outcomes. Health literacy, effective PMO involvement, and strong family support emerged as key factors influencing adherence. These results are consistent with previous studies conducted in various Indonesian regions, highlighting adherence as a central pathway linking social and health system factors to TB treatment success. In conclusion, strengthening patient education, family engagement, and PMO performance is essential to improving TB treatment outcomes. The study provides empirical evidence to support integrated adherence-focused interventions within primary health care settings.