Pengaruh Pengawas Menelan Obat terhadap Kepatuhan Minum Obat Penderita TB Paru di Puskesmas Glugur Darat Kota Medan Tahun 2014
7
ABSTRAK
Penderita TB Paru di Indonesia prevalensi 5,8%. Penderita TB Paru yang
melakukan pengobatan ulang pada tahun 2013 di Kota Medan berjumlah 62 orang,
sedangkan di Puskesmas Glugur Darat tahun 2013 terdapat 4 orang yang tidak patuh
minum obat dan 1 orang drop out. Penelitian ini bertujuan untuk menjelaskan
pengaruh pengawas menelan obat terhadap kepatuhan minum obat penderita TB Paru
di Puskesmas Glugur Darat Kota Medan.
Jenis penelitian ini adalah survei analitik dengan rancangan cross sectional.
Populasi dalam penelitian ini adalah seluruh pengawas menelan obat pada penderita
TB Paru pada tahun 2012 sampai 2013 di Puskesmas Glugur Darat Kota Medan
berjumlah 169 orang dan sampel pada penelitian ini berjumlah 100 orang,
pengambilan sampel dengan cara systematik random sampling. Data diperoleh
dengan wawancara menggunakan kuesioner, dianalisis dengan regresi logistik ganda
pada α = 5% .
Hasil penelitian menunjukkan bahwa terdapat pengaruh sikap mendukung
dengan nilai RP 2,138 (95% CI = 1439-3,176), sikap positif dengan nilai RP 1,958
(95% CI = 1,325-2,892), empati dengan nilai RP 1.374 (95% CI = 1,000-1,888).
Hasil penelitian juga menunjukkan tidak ada pengaruh keterbukaan dengan nilai RP
1,173 (95% CI = 0,912-1,509), kesetaraan dengan nilai RP 1,253 (95% CI = 0,9531,649), pengetahuan dengan nilai RP 0,953 (95% CI = 0,742-1,223), siapa PMO
dengan nilai RP 1,211 (95% CI = 0,586-2,503) dan variabel yang paling dominan
berpengaruh terhadap kepatuhan minum obat penderita TB Paru di Puskesmas Glugur
Darat Kota Medan adalah variabel sikap mendukung dengan nilai RP 6,404 (95% CI
= 2,027-20,231).
Disarankan kepada pengawas menelan obat untuk selalu memberikan motivasi
kepada penderita TB Paru dengan selalu mengingatkan penderita agar minum obat
secara teratur setiap hari, mendampingi penderita TB Paru disaat minum obat, serta
mendorong untuk tetap semangat dalam pengobatan sehingga penderita TB Paru akan
merasa tenang dan nyaman dalam menghadapi proses pengobatan yang harus
dijalaninya.
Kata Kunci : Pengawas Menelan Obat, Kepatuhan Minum Obat, TB Paru
i
Universitas Sumatera Utara
8
ABSTRACT
The prevalence of Lung TB sufferers in Indonesia is 5.8% . The Lung TB
sufferers who did re-treatment in 2013 in the City of Medan were 62 persons. In 2013,
at Puskesmas (Community Health Center) Glugur Darat, 4 patients did not comply
with taking medicine and 1 patient dropped out. The purpose of this study was to
explain the influence of the supervisor taking the medicine on the compliance with
taking medicine in the sufferers of Lung TB at Puskesmas (Community Health Center)
Glugur Darat, the city of Medan.
This is an analytical survey study with cross-sectional design. The population
of this study was all of the 169 supervisors of taking medicine in the sufferers of Lung
TB at Puskesmas (Community Health Center) Glugur Darat, the city of Medan from
2012 to 2013 and 100 of them were selected to be the samples for this study through
systematic random sampling technique. The data for this study was obtained through
questionnaire-based interviews. The data obtained were analyzed through multiple
logistic regresion tests at α = 5%.
The result of this studied showed that the influence of supportive attitude with
RP 2.138 (95% CI = 1439-3.176), positive attitude with RP 1.958 (95% CI = 1.3252.892), empathy with RP 1.374 (95% CI = 1.000 – 1.888). The result of this study
showed that there was no influence of transparency with RP 1.173 (95% CI = 0.912 –
1.509), equivalence with RP 1.253 (95% CI = 0.953 – 1.649) knowledge with RP
0.953 (95% CI = 0.742 – 1.223), who the Supervisor supervising the patient taking
the medicine was with RP 1.211 (95% CI = 0.586 – 2.503) and the most dominant
variable influencing the compliance with taking medicine in the sufferers of Lung TB
at Puskesmas (Community Health Center) Glugur Darat, the city of Medan was the
supportive attitude with RP 6.404 (95% CI = 2.027 – 20.231).
The supervisors of taking medicine are suggested to frequently motivate the
sufferers of Lung TB by reminding the sufferers to regulary take the medicine every
day, accompanying the Lung TB sufferers when taking medicine, and encouraging
the Lung TB sufferers to keep their spirit during the treatment that the sufferers will
feel calm, relax and comfortable during the treatment process.
Keywords : Supervisor of Taking Medicine, Compliance With Taking Medicine,
Lung TB
ii
Universitas Sumatera Utara
ABSTRAK
Penderita TB Paru di Indonesia prevalensi 5,8%. Penderita TB Paru yang
melakukan pengobatan ulang pada tahun 2013 di Kota Medan berjumlah 62 orang,
sedangkan di Puskesmas Glugur Darat tahun 2013 terdapat 4 orang yang tidak patuh
minum obat dan 1 orang drop out. Penelitian ini bertujuan untuk menjelaskan
pengaruh pengawas menelan obat terhadap kepatuhan minum obat penderita TB Paru
di Puskesmas Glugur Darat Kota Medan.
Jenis penelitian ini adalah survei analitik dengan rancangan cross sectional.
Populasi dalam penelitian ini adalah seluruh pengawas menelan obat pada penderita
TB Paru pada tahun 2012 sampai 2013 di Puskesmas Glugur Darat Kota Medan
berjumlah 169 orang dan sampel pada penelitian ini berjumlah 100 orang,
pengambilan sampel dengan cara systematik random sampling. Data diperoleh
dengan wawancara menggunakan kuesioner, dianalisis dengan regresi logistik ganda
pada α = 5% .
Hasil penelitian menunjukkan bahwa terdapat pengaruh sikap mendukung
dengan nilai RP 2,138 (95% CI = 1439-3,176), sikap positif dengan nilai RP 1,958
(95% CI = 1,325-2,892), empati dengan nilai RP 1.374 (95% CI = 1,000-1,888).
Hasil penelitian juga menunjukkan tidak ada pengaruh keterbukaan dengan nilai RP
1,173 (95% CI = 0,912-1,509), kesetaraan dengan nilai RP 1,253 (95% CI = 0,9531,649), pengetahuan dengan nilai RP 0,953 (95% CI = 0,742-1,223), siapa PMO
dengan nilai RP 1,211 (95% CI = 0,586-2,503) dan variabel yang paling dominan
berpengaruh terhadap kepatuhan minum obat penderita TB Paru di Puskesmas Glugur
Darat Kota Medan adalah variabel sikap mendukung dengan nilai RP 6,404 (95% CI
= 2,027-20,231).
Disarankan kepada pengawas menelan obat untuk selalu memberikan motivasi
kepada penderita TB Paru dengan selalu mengingatkan penderita agar minum obat
secara teratur setiap hari, mendampingi penderita TB Paru disaat minum obat, serta
mendorong untuk tetap semangat dalam pengobatan sehingga penderita TB Paru akan
merasa tenang dan nyaman dalam menghadapi proses pengobatan yang harus
dijalaninya.
Kata Kunci : Pengawas Menelan Obat, Kepatuhan Minum Obat, TB Paru
i
Universitas Sumatera Utara
8
ABSTRACT
The prevalence of Lung TB sufferers in Indonesia is 5.8% . The Lung TB
sufferers who did re-treatment in 2013 in the City of Medan were 62 persons. In 2013,
at Puskesmas (Community Health Center) Glugur Darat, 4 patients did not comply
with taking medicine and 1 patient dropped out. The purpose of this study was to
explain the influence of the supervisor taking the medicine on the compliance with
taking medicine in the sufferers of Lung TB at Puskesmas (Community Health Center)
Glugur Darat, the city of Medan.
This is an analytical survey study with cross-sectional design. The population
of this study was all of the 169 supervisors of taking medicine in the sufferers of Lung
TB at Puskesmas (Community Health Center) Glugur Darat, the city of Medan from
2012 to 2013 and 100 of them were selected to be the samples for this study through
systematic random sampling technique. The data for this study was obtained through
questionnaire-based interviews. The data obtained were analyzed through multiple
logistic regresion tests at α = 5%.
The result of this studied showed that the influence of supportive attitude with
RP 2.138 (95% CI = 1439-3.176), positive attitude with RP 1.958 (95% CI = 1.3252.892), empathy with RP 1.374 (95% CI = 1.000 – 1.888). The result of this study
showed that there was no influence of transparency with RP 1.173 (95% CI = 0.912 –
1.509), equivalence with RP 1.253 (95% CI = 0.953 – 1.649) knowledge with RP
0.953 (95% CI = 0.742 – 1.223), who the Supervisor supervising the patient taking
the medicine was with RP 1.211 (95% CI = 0.586 – 2.503) and the most dominant
variable influencing the compliance with taking medicine in the sufferers of Lung TB
at Puskesmas (Community Health Center) Glugur Darat, the city of Medan was the
supportive attitude with RP 6.404 (95% CI = 2.027 – 20.231).
The supervisors of taking medicine are suggested to frequently motivate the
sufferers of Lung TB by reminding the sufferers to regulary take the medicine every
day, accompanying the Lung TB sufferers when taking medicine, and encouraging
the Lung TB sufferers to keep their spirit during the treatment that the sufferers will
feel calm, relax and comfortable during the treatment process.
Keywords : Supervisor of Taking Medicine, Compliance With Taking Medicine,
Lung TB
ii
Universitas Sumatera Utara