Artikel Ilmiah : I1J022035 a.n. AUDHI NUR FITRIANI
| NIM | I1J022035 |
|---|---|
| Namamhs | AUDHI NUR FITRIANI |
| Judul Artikel | The Relationship Between Income, Education, and Access to Health Services with Treatment Adherence among Tuberculosis Patient in Kembaran Public Health Centers 1 and 2 |
| Abstrak (Bhs. Indonesia) | Latar Belakang: Tuberkulosis (TB) masih merupakan masalah kesehatan masyarakat yang signifikan dan memerlukan pengobatan jangka panjang dengan tingkat kepatuhan yang tinggi. Kepatuhan pengobatan yang rendah dapat menyebabkan kegagalan terapi, kekambuhan, serta munculnya resistensi obat. Berbagai faktor sosial ekonomi dan lingkungan, seperti tingkat pendidikan, pendapatan, serta akses terhadap pelayanan kesehatan, sering dianggap berpengaruh terhadap kepatuhan pengobatan pasien TB. Pemahaman mengenai hubungan faktor-faktor tersebut dengan kepatuhan pengobatan sangat penting untuk mendukung upaya pengendalian TB yang efektif. Metodologi: Penelitian ini menggunakan desain kuantitatif dengan pendekatan deskriptif korelasional dan potong lintang (cross-sectional). Penelitian dilaksanakan di Puskesmas Kembaran 1 dan 2, Kabupaten Banyumas. Populasi penelitian mencakup seluruh pasien TB yang terdaftar di kedua puskesmas tersebut, yaitu sebanyak 228 orang yang tersebar di 16 desa. Pengambilan sampel dilakukan dengan teknik stratified proportional sampling. Analisis data dilakukan menggunakan uji korelasi Spearman Rho. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar responden berada pada kategori usia dewasa (64,2%), berjenis kelamin laki-laki (54,9%), tidak bekerja (53,7%), dan berpendidikan terakhir sekolah dasar (32,7%). Mayoritas responden memiliki pendapatan rendah (74,7%) dan akses terhadap pelayanan kesehatan dalam kategori sedang (46,9%). Tingkat kepatuhan pengobatan tergolong tinggi, dengan 72,2% responden menunjukkan kepatuhan yang baik. Analisis statistik menunjukkan tidak terdapat hubungan yang signifikan antara pendapatan, tingkat pendidikan, maupun akses pelayanan kesehatan dengan kepatuhan pengobatan (p > 0,05). Kesimpulan: Pendapatan, pendidikan, dan akses pelayanan kesehatan bukan merupakan faktor yang memengaruhi kepatuhan pengobatan pasien TB dalam penelitian ini. Faktor lain, seperti dukungan keluarga, peran Pengawas Menelan Obat (PMO), serta dukungan kader kesehatan masyarakat, memiliki peran yang lebih dominan dalam meningkatkan kepatuhan pengobatan pasien TB. |
| Abtrak (Bhs. Inggris) | Background: Tuberculosis (TB) remains a major public health concern requiring prolonged treatment and strict medication adherence. Poor adherence can result in treatment failure, relapse, and the emergence of drug-resistant TB. Various socio-economic and environmental factors—such as education level, income, and access to health services—are often assumed to influence patients’ adherence to TB treatment. Understanding whether these factors are associated with adherence is crucial for strengthening TB control programs and improving treatment outcomes. Methodology: This study used a quantitative design with a descriptive correlational and cross-sectional approach. The research was conducted at Kembaran Public Health Centers 1 and 2 in Banyumas Regency. The study population included all registered TB patients at both health centers, totaling 228 individuals across 16 villages. Samples were selected using stratified proportional sampling to ensure representation. Data analysis was performed using the Spearman Rho correlation test to examine the relationship between socio-economic factors, access to health services, and treatment adherence. Results: The findings showed that most respondents were adults (64.2%), male (54.9%), unemployed (53.7%), and had an elementary school education (32.7%). The majority were categorized as having low income (74.7%) and moderate access to health services (46.9%). Despite these conditions, treatment adherence was predominantly high, with 72.2% of patients demonstrating good adherence. Statistical analysis revealed no significant relationship between income, education level, or access to health services and treatment adherence (p > 0.05). Conclusion: Income, education, and access to health services were not determining factors in TB treatment adherence in this study. Instead, adherence was more strongly influenced by other factors, such as family support, the role of treatment supervisors (PMO), and assistance from community health cadres, highlighting the importance of social and community-based support systems in TB management. |
| Kata kunci | tuberculosis, medication adherence, education, income, access to health services |
| Pembimbing 1 | Dr. Iwan Purnawan, S.Kep., Ns., M.Kep |
| Pembimbing 2 | Koernia Nanda Pratama, S.Kep., M.Kep., Ns., Sp.Kep.Kom |
| Pembimbing 3 | |
| Tahun | 2026 |
| Jumlah Halaman | 10 |
| Tgl. Entri | 2026-02-23 20:34:19.683079 |