Rahma Fajrin Novitasari, Ida Nur Imamah, Norman Wijaya Gati

Gambaran Tingkat Kepatuhan Pengobatan pada Pasien Diabetes Mellitus di Puskesmas Boja 1 Kendal

Introduction

Gambaran tingkat kepatuhan pengobatan pada pasien diabetes mellitus di puskesmas boja 1 kendal. Penelitian ini mengukur tingkat kepatuhan pengobatan pasien Diabetes Mellitus (DM) di Puskesmas Boja 1 Kendal. Temuan menunjukkan kepatuhan sedang, menyoroti pentingnya edukasi.

Abstract

Diabetes Mellitus (DM) merupakan penyakit kronis dengan prevalensi tinggi yang memerlukan kepatuhan pengobatan jangka panjang untuk mencegah komplikasi. Namun, ketidakpatuhan pasien terhadap pengobatan masih menjadi tantangan di layanan primer. Penelitian ini bertujuan untuk menggambarkan tingkat kepatuhan pengobatan pada pasien Diabetes Mellitus di Puskesmas Boja 1 Kendal. Desain penelitian menggunakan deskriptif dengan pendekatan kuantitatif. Sampel berjumlah 30 responden yang dipilih dengan teknik total sampling, dengan kriteria inklusi pasien DM berusia ≥18 tahun dan telah menjalani terapi minimal tiga bulan. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki tingkat kepatuhan sedang yaitu sebanyak 12 orang (40,0%), kepatuhan tinggi sebanyak 10 orang (33,3%), dan kepatuhan rendah sebanyak 8 orang (26,7%). Karakteristik responden didominasi oleh usia pertengahan (40–60 tahun), tingkat pendidikan perguruan tinggi (53,4%), serta status bekerja (53,3%), dengan distribusi jenis kelamin seimbang. Temuan ini mengindikasikan bahwa kepatuhan pengobatan pasien DM di Puskesmas Boja 1 Kendal masih berada pada kategori sedang. Oleh karena itu, diperlukan upaya peningkatan edukasi, motivasi, dan pendampingan oleh tenaga kesehatan untuk mendorong pasien mencapai kepatuhan optimal.

Review

This study tackles a highly pertinent issue in public health: medication adherence among patients with Diabetes Mellitus (DM), particularly within a primary healthcare context. The objective to describe adherence levels at Puskesmas Boja 1 Kendal is well-articulated and directly addresses the acknowledged difficulties in managing chronic diseases effectively. Employing a descriptive quantitative design with total sampling of 30 respondents, the methodology is appropriate for gathering preliminary, localized data. The research offers a valuable snapshot of the current situation, serving as a foundational assessment for the specific primary care facility and underscoring the ongoing need for targeted interventions. The findings present a detailed overview of adherence levels, indicating that the majority of respondents exhibit moderate adherence (40.0%), with substantial proportions also demonstrating high (33.3%) and low (26.7%) adherence. These results clearly affirm the study's premise regarding the persistent challenge of achieving optimal patient compliance in chronic disease management, even among a diverse demographic group characterized by middle age, higher education, and employment. The authors' subsequent recommendation for enhanced education, motivation, and companionship from healthcare professionals is a practical and well-aligned suggestion, consistent with established strategies for fostering better patient engagement and self-management in DM care. While offering crucial insights, the descriptive nature of this study inherently limits its capacity to explore the underlying *reasons* for the observed adherence patterns. Future investigations could benefit significantly from employing qualitative or mixed-methods approaches to uncover the specific barriers and facilitators influencing patient adherence in this population. Furthermore, the generalizability of these findings is constrained by the relatively small sample size (N=30) and its single-center scope. Expanding future research to include multiple primary care centers or larger cohorts would enhance the broader applicability and robustness of the results. Despite these limitations, this paper provides a clear, actionable assessment for healthcare providers at Puskesmas Boja 1 Kendal, highlighting areas for immediate intervention.

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