ISKANDAR, JONI
(2022)
PENGARUH SELF MANAGEMENT EDUCATION BERBASIS HEALTH BELIEF MODEL TERHADAP KEPATUHAN MINUM OBAT DAN KEPATUHAN KONTROL PASIEN TUBERKULOSIS PARU.
Masters thesis, University of Nahdlatul Ulama Surabaya.
Abstract
Introduction: Non-adherence to treatment of TB patients is caused by the feeling of
being bored with taking treatment for too long, the patient's lack of knowledge about
pulmonary TB, the distance between the patient's home and public health services, health
workers who do not remind the patient when neglecting treatment and there is a perception
that treatment at the Puskesmas is not good . This can cause TB sufferers not to complete
treatment. Research objective: This study aims to analyze the effect of self-management
education based on the health belief model on medication adherence and TB patient control
compliance at Waru Health Center and Batumarmar Health Center, Pamekasan Regency.
Methods: this study used a Quasy-Experimental design with a pre post test control group
design approach with a total population of 124, a sample of 84 was obtained using a simple
random sampling technique. The independent variable is self-management education based
on the health belief model, and the dependent variable is medication adherence and control
compliance. The research instrument is using a questionnaire. Chi-square test analysis.
Results: Pulmonary tuberculosis patients at the Waru Health Center before the intervention
showed that most of them were non-adherent in taking medication (54.8%), and after the
intervention showed that almost all of them were adherent in taking medication (83.3%).
Pulmonary tuberculosis patients at the Batumarmar Health Center before the intervention
showed that most of them were adherent to taking medication (59.5%), and after the
intervention most of them were disobedient in taking medication (54.8%). Pulmonary
tuberculosis patients at the Waru Health Center before the intervention showed that most of
them were not compliant with the controls (54.8%), and after the intervention, almost all of
them were obedient to the controls (85.7%). Pulmonary tuberculosis patients at the
Batumarmar Health Center showed that most of them were adherent to controls (54.7%), and
after the intervention, most of them were not adherent to controls (85.7%). Based on the
results of the chi-square analysis test, it was found to be 0.000 (<0.05) meaning that there
was an influence of self-management education based on the health belief model on
medication adherence and control adherence in pulmonary tuberculosis patients.
Conclusion: After carrying out education based on the health belief model in tuberculosis
patients, patients can be directed to better behavior, namely adherence to treatment and
increased control. This education is an effort that can be carried out by health workers in
changing patient behavior and increasing adherence to treatment and routine control.
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