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All Journal Innovative Approaches in Health Science Journal Journal of Evidence-Based Community Health Jurnal Ilmu Keperawatan dan Kebidanan
M. Alfian Rajab
STIKes Graha Edukasi Makassar
Health Professions Medicine & Pharmacology Nursing Physics Public Health Other

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Factors Influencing Medication Adherence Among Children and Adolescents with Tuberculosis: Factors Affecting TB Medication Adherence in Youth Rindani Claurita Toban; M. Alfian Rajab; Astri Yuliandini
Innovative Approaches in Health Science Journal Vol. 3 No. 1 (2026): Innovative Approaches in Health Science Journal
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/9xwet743

Abstract

Background: Tuberculosis (TB) remains a major global health challenge, particularly in low-resource and geographically isolated areas such as Papua, Indonesia. Medication adherence among children and adolescents is crucial to achieving successful treatment outcomes and preventing drug resistance. However, adherence rates remain suboptimal due to various individual, familial, and healthcare-related factors. This study aimed to identify factors associated with medication adherence among children and adolescents with TB undergoing treatment at the Agats Public Health Center, Asmat Regency, South Papua.. Methods: A quantitative analytical observational study with a cross-sectional design was conducted from November to December 2024. The study included all 35 pediatric and adolescent TB patients registered at the health center, using a total sampling technique. Data were collected through validated questionnaires measuring knowledge, attitude, family support, the role of healthcare workers, and medication adherence using the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using univariate and bivariate analyses with the Chi-square test at a 95% confidence level (p ≤ 0.05). Results: Most respondents had low knowledge (77.1%), negative attitudes (85.7%), and poor family support (77.1%), while the majority perceived the role of healthcare workers as good (82.9%). Significant associations were found between knowledge (p = 0.033), attitude (p = 0.000), and the role of healthcare workers (p = 0.000) with medication adherence. Family support was not significantly associated with adherence (p = 0.068). Conclusion: Knowledge, attitude, and the role of healthcare workers significantly influence medication adherence among children and adolescents with TB. Although family support was not statistically significant, it remains an important contextual factor. Strengthening community-based health education, enhancing healthcare worker engagement, and empowering families are recommended to improve treatment adherence and outcomes, particularly in remote settings such as South Papua.
EFEKTIFITAS DIGITAL STORYTELLING DALAM MENINGKATKAN SELF EFFICACY PASIEN DENGAN PENYAKIT KRONIS : SISTEMATIK REVIEW Andi Sulfikar; Indah Restika; M. Alfian Rajab
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 2 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i2.2449

Abstract

Bercerita secara digital telah diakui sebagai metode inovatif untuk meningkatkan efikasi diri dan keterampilan manajemen diri pada pasien dengan penyakit kronis. Metode ini menggunakan narasi digital untuk membantu pasien lebih memahami dan mengelola kondisi kesehatannya. Tinjauan sistematis ini bertujuan untuk mengevaluasi efektivitas penceritaan digital dalam meningkatkan efikasi diri pada pasien dengan kondisi kronis, dengan fokus pada desain penelitian, jenis intervensi, durasi intervensi, ukuran sampel, dan temuan utama dari penelitian yang relevan. Tinjauan ini mengumpulkan dan menganalisis hasil dari berbagai penelitian yang menggunakan digital storytelling sebagai intervensi untuk meningkatkan efikasi diri. Studi diidentifikasi melalui penelusuran database literatur ilmiah, dan hanya studi yang memenuhi kriteria inklusi yang dimasukkan. Data yang dikumpulkan meliputi negara penelitian, desain penelitian, jenis intervensi, durasi intervensi, ukuran sampel, dan temuan utama. Tujuh penelitian yang relevan diidentifikasi dan dianalisis. Jenis intervensi yang digunakan antara lain video storytelling, slideshow dengan narasi foto, diskusi kelompok yang difasilitasi, serta intervensi berbasis internet dan seluler (IMI). Durasi intervensi berkisar dari satu sesi 10-15 menit hingga 8 sesi, masing-masing berlangsung selama 1 jam. Ukuran sampel bervariasi dari 10 hingga 1000 pasien. Temuan utama menunjukkan bahwa semua bentuk cerita digital secara signifikan meningkatkan efikasi diri pada pasien dengan kondisi kronis. Hasil sintesis menunjukkan bahwa video storytelling dan intervensi berbasis internet memiliki tingkat bukti yang kuat (2b) dengan rekomendasi kelas B, sedangkan digital storytelling menggunakan iPad memiliki tingkat bukti yang lebih rendah (4) dengan rekomendasi kelas C. Digital storytelling efektif meningkatkan efikasi diri pada pasien penyakit kronis. Meskipun terdapat variasi dalam desain penelitian, jenis intervensi, durasi, dan ukuran sampel, temuan utama secara konsisten menunjukkan efek positif dari intervensi ini. Keterbatasan seperti ukuran sampel yang kecil dan durasi penelitian yang singkat harus dipertimbangkan dalam penelitian masa depan untuk mengkonfirmasi temuan ini dan mengoptimalkan penerapan cerita digital dalam konteks klinis.
Medical Check-ups and Counseling for Early Disease Detection and Health Knowledge Improvement Andi Sulfikar; M. Alfian Rajab; Rindani Claurita Toba; Rusli Taher
Journal of Evidence-Based Community Health Vol. 2 No. 2 (2025): Journal of Evidence-Based Community Health
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/0ze98f62

Abstract

Non-communicable diseases (NCDs) such as hypertension, diabetes mellitus, and hyperuricemia are among the major public health challenges in Indonesia. Health promotion and disease prevention efforts through medical check-ups and education are important strategies to increase public awareness and enable early detection of NCD risk factors. This community service program was conducted in Adatongeng Village, Turikale District, Maros Regency, involving 12 residents. The intervention consisted of three stages: anamnesis, vital signs examination including blood pressure, and blood sugar and uric acid level tests. Counseling was then provided on healthy lifestyle practices, including a balanced diet, regular physical activity, and the importance of routine medical check-ups. The results showed active community participation in both the examinations and educational sessions, as well as increased awareness of the importance of early detection and prevention of NCDs. This activity suggests that integrating medical check-ups and education is an effective strategy in health promotion and disease prevention efforts to improve community quality of life.
Co-Authors Andi Sulfikar Andi Sulfikar Astri Yuliandini Restika, Indah Rindani Claurita Toba Rindani Claurita Toban Rusli Taher