Clara Aulia Rachmah, Adi Dwi Susanto, Imas Sartika

Hubungan Tingkat Pengetahuan Dan Motivasi Dengan Kepatuhan Minum Obat Anti Tuberkulosis Pada Penderita TB Paru Di Rumah Sakit An-Nisa Tangerang

Introduction

Hubungan tingkat pengetahuan dan motivasi dengan kepatuhan minum obat anti tuberkulosis pada penderita tb paru di rumah sakit an-nisa tangerang. Studi ini menganalisis hubungan pengetahuan dan motivasi dengan kepatuhan minum obat anti-TB pada penderita TB paru di RS An-Nisa Tangerang. Edukasi & motivasi pasien penting untuk kepatuhan.

Abstract

Background: Pulmonary tuberculosis (pulmonary TB) is a chronic infectious disease caused by the bacterium Mycobacterium tuberculosis. Mycobacterium tuberculosis is a bacterium that causes tuberculosis infection which is transmitted by droplet splashes and becomes a vector of transmission when a person interacts physically. Objective: This study aims to determine the relationship between the level of knowledge and motivation with adherence to taking anti-tuberculosis medication at An-Nisa Hospital Tangerang. Methods: This study used descriptive analytic quantitative research with a cross sectional approach. The sampling technique used was purposive sampling method, where this technique selected subjects in a population that matched the criteria as a sample, namely pulmonary TB patients who were undergoing initial and advanced treatment at An-Nisa Hospital, Tangerang, totaling 102 respondents. Data analysis was performed using the chi-square test. Results: The results of the respondent's data processing showed that the level of knowledge with adherence to taking anti-tuberculosis medication showed a significant relationship with value (p-value 0.021), and motivation with adherence to taking anti-tuberculosis medication showed a significant relationship with value (p-value 0.027 ). Conclusion: It can be concluded that there is a relationship between the level of knowledge and motivation with adherence to taking anti-tuberculosis medication in patients with pulmonary TB. Therefore, to reduce the occurrence of drug-resistant TB, efforts should be made to increase adherence to treatment in TB patients, either through the method of providing direct motivation or through counseling about pulmonary TB disease.

Review

The study, "Hubungan Tingkat Pengetahuan Dan Motivasi Dengan Kepatuhan Minum Obat Anti Tuberkulosis Pada Penderita TB Paru Di Rumah Sakit An-Nisa Tangerang," addresses a critically important public health issue: medication adherence among pulmonary tuberculosis (TB) patients. Given the chronic nature of TB and the global rise of drug-resistant strains, understanding the factors that influence patient compliance with anti-tuberculosis treatment is essential for effective disease management and control. The authors' objective to investigate the relationship between patient knowledge, motivation, and medication adherence provides valuable insights into crucial determinants of treatment success within the specific context of An-Nisa Hospital, Tangerang. Methodologically, the study adopted a descriptive analytic quantitative research approach with a cross-sectional design, which is appropriate for identifying associations between variables at a single point in time. The use of a purposive sampling technique to recruit 102 pulmonary TB patients undergoing initial or advanced treatment at the hospital ensured that the relevant population was included. The data analysis, performed using the chi-square test, is suitable for examining the statistical significance of relationships between categorical variables. The core findings are robust: a significant relationship was found between the level of knowledge and adherence to medication (p-value 0.021), and similarly, between motivation and adherence (p-value 0.027). These results strongly suggest that both informed understanding and patient drive are key contributors to treatment compliance. While the findings are compelling and highlight the importance of patient education and intrinsic motivation, the cross-sectional design inherently limits the ability to infer causality, establishing association rather than direct cause-and-effect. Future research could benefit from longitudinal studies or intervention trials to confirm causal links and assess the efficacy of specific educational or motivational programs. Furthermore, the purposive sampling method, while practical, may influence the generalizability of these findings beyond the specific hospital setting. Despite these minor limitations, the study's conclusion, advocating for direct motivation and counseling to enhance adherence and reduce drug-resistant TB, offers crucial practical recommendations for healthcare providers. This research serves as a strong foundation for developing targeted interventions aimed at improving TB treatment outcomes.

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