PENGARUH PERAN PENGAWAS MENELAN OBAT (PMO) TERHADAP KEPATUHAN PENDERITA TUBERKULOSIS DALAM MENGIKUTI PROGRAM PENGOBATAN DOTS (DIRECTLY OBSERVED TREATMENT SHORTCOUSE)

  • Nilna Sa’adatar Rohmah
  • RR. Sri Ratna Rahayu Universitas Negeri Semarang
  • Fitri Indrawati Universitas Negeri Semarang

Abstract

Background: Tuberculosis (TBC) treatment regimens require the introduction of PMO (Drugs Swallowing Drug) standardized on International Standards for Tuberculosis Care (ISTC) with DOTS strategy (Directly Observed Treatment Shortcouse). The goal of controlling new challenges such as TB/HIV co-infection, Multi Drug Resistance (MDR), Extensively Drug Resistance (XDR) and Loss to follow-up.

Objective: Type of cross sectional study. Population 35 PMO using saturated samples.
Methods: The instruments used are questionnaires and in-depth interviews. Data analysis is univariate, bivariate and multivariate.

Results: The result of the study was the relationship between the role of PMO from family members in the supervision of taking medicine (p=0,024), there was a relationship between the role of PMO from family members in drug taking assistance in Fasyankes (p=0,002) and there was relationship between the influence of PMO role from family member accompaniment of sputum checks in Fasyankes (p=0,005) to TBC patient compliance.

Conclusion: There is a statistical correlation between the roles of PMO from the family towards adherence to tuberculosis patients. Suggestion of research is given to related parties be reformed TBC control policy related to election criteria of PMO coming from family member in Semarang regency.

Author Biographies

RR. Sri Ratna Rahayu, Universitas Negeri Semarang

Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang

Fitri Indrawati, Universitas Negeri Semarang

Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang

References

1. WHO. Global Tuberculosis Report 2018. Switzerland: WHO Press, 2019.
2. WHO. Global Tuberculosis Report 2015. Switzerland: WHO Press, 2016.
3. Nakita. Mencegah Tuberculosis. Retrived Juli, 28, 2017, from Press Reader Web Site: https://www.pressreader.com/indonesia/nakita/20170322/281509341012879/
4. Sidy Y. N. Pengaruh Peran Pengawas Menelan Obat dari Anggota Keluarga Terhadap Kepatuhan Pengobatan Penderita Tuberkulosis di Kota Pariaman Tahun 2010-2011. Tesis. Depok: Universitas Indonesia, 2012.
5. PPTI. Buku Saku Perkumpulan Pemberantasan Tuberkulosis Indonesia (PPTI) The Indonesiaan Association Against Tuberculosis. Jakarta: PPTI, 2010.
6. Dinas Kesehatan Provinsi Jawa Tengah. Buku Saku Kesehatan Triwulan 3. Semarang: Dinas Kesehatan Provinsi Jawa Tengah, 2015.
7. Dinas Kesehatan Kabupaten Semarang. Profil kesehatan Tahun 2015. Semarang: Dinas Kesehatan Kabupaten Semarang, 2016.
8. Yoisangadji, A.S., Maramis F. R. R., & Rumaya A. A.,. Hubungan Antara Pegawas Menelan Obat (PMO) Dan Peran Keluarga Dengan Kepatuhan Minum Obat Pada Pasien Tuberkulosis Di Wilayah Kerja Puskesmas Sario Kota Manado. Ilmiah Farmasi UNSRAT, 5 (2), 2016.
9. Puskesmas Pringapus. Data Rekam Medis Tuberkulosis. Semarang: Puskesmas Pringapus, 2017.
10. Kementerian Kesehatan RI. TOSS TBC : Temukan TBC Obati Sampai Sembuh. Jakarta: Departemen Kesehatan Republik Indonesia, 2016.
11. Firdaus Kholifatul Ma’arif Zainul. Pengaruh Peranan Pengawas Menelan Obat (PMO) Terhadap Keberhasilan Pengobatan TBC Paru di Wilayah Kerja Puskesmas Baki Sukoharjo. Naskah Publikasi. Surakarta: Universitas Muhammadiyah Surakarta, 2013.
12. Oey, L. Family matters. How patients and treatment supporters experience directly observed TBC treatment in Kota Bogor, Indonesia. The Amsterdam Master’s in Medical Anthropology, University of Amsterdam, 2007
13. Kemenkes RI. Pedoman Nasional Pengendalian Tuberkulosis. Jakarta: Departemen Kesehatan Republik Indonesia, 2014.
14. Setiadi. Konsep & keperawatan keluarga. Yogyakarta: Graha Ilmu, 2008.
15. Pare L. A., Amiruddin R., & Leida I. Hubungan Antar Pekerjaan, PMO, Pelayanan Kesehatan, Dukungan Keluarga dan Diskriminasi dengan Perilaku Berobat Pasien Paru. Fakultas Kesehatan Mayarakat Universitas Hasanuddin, 2012.
16. Limbu R & Marni. Peran Keluarga Sebagai Pengawas Minum Obat (PMO) dalam Mendukung Proses Pengobatan Penderita TBC Paru Di Wilayah Kerja Puskesmas Baumata Kecamatan Taebenu Kabupaten Kupang. MKM, 02 (01), 2007.
17. Dubale S., Barkesa T., Dereje O. Quality and Treatment Outcomes of Directly Observed Treatment of Short-Course of Tuberculosis (DOTS) in South West Ethiopian: A Cohort Study. Indo American Journal of Pharmaceutical Researc, 2017; 47(2):7703-7710.
18. Khachadourian V., Truzyan N., Hatutyunyan A., Thompson M. E., Harutyunyan T., & Petrosyan V. People-centered Tuberculosis Care Versus Standard Directly Observed Therapy: Study Protocol for a Cluster Randomized Controlled Trial. BioMed Central, 2015; 16-281.
19. M’Imunya J.M., Kredo T., & Volmink Jimmy. Patient Education and Counselling for Promoting Adherence to Treatment for Tuberculosis. The Cochrane, 2012
20. Kemenkes RI. Infodatin Tuberkulosis Temukan Obat Sampai Sembuh. Jakarta: Departemen Kesehatan Republik Indonesia, 2015.
21. WHO.Treatment Tuberculosis Guidelines for National Programmes Global. Switzerland: WHO Press, 2003.
22. Kemenkes RI. Startegi Nasional Pengendalian TBC di Indonesia 2010-2014. Jakarta: Departemen Kesehatan Republik Indonesia, 201.
Published
2020-03-11
How to Cite
1.
Sa’adatar Rohmah N, Ratna Rahayu RS, Indrawati F. PENGARUH PERAN PENGAWAS MENELAN OBAT (PMO) TERHADAP KEPATUHAN PENDERITA TUBERKULOSIS DALAM MENGIKUTI PROGRAM PENGOBATAN DOTS (DIRECTLY OBSERVED TREATMENT SHORTCOUSE). Media ilmu kesehatan [Internet]. 2020Mar.11 [cited 2020Jul.13];8(2):116-25. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/view/302