Hubungan Antara Dukungan Keluarga dengan Kepatuhan Minum Obat pada Penderita Tuberkulosis Paru di Puskesmas Pangaribuan, Puskesmas Situmeang Habinsaran dan Puskesmas Hutabaginda di Kabupaten Tapanuli Utara

Abstract

Latar belakang : Besarnya angka ketidak patuhan berobat akan mengakibatkan tingginya angka kegagalan pengobatan penderita TB paru dan menyebabkan semakin banyak ditemukan penderita TB paru. Salah satu faktor penyebab ketidak patuhan minum obat penderita TB paru adalah penderita itu sendiri.Tujuan penelitian ini adalah untuk mengetahui hubungan dukungan keluarga dengan kepatuhan minum obat pada penderita TB paru di Puskesmas Pangaribuan, Puskesmas Situmeang Habinsaran, dan Puskesmas Hutabaginda di Kabupaten Tapanuli Utara. Penelitian ini dilakukan dari bulan Juni – September 2017 di Puskesmas Pangaribuan, Puskesmas Situmeang Habinsaran, dan Puskesmas Hutabaginda di Kabupaten Tapanuli Utara. Metode: Penelitian ini adalah penelitian kuantitatif cross sectional pada 60 responden dengan teknik total sampling di Puskesmas Pangaribuan, Puskesmas Situmeang Habinsaran, dan Puskesmas Hutabaginda. Pengumpulan data dilakukan dengan 2 instrumen, yaitu Kuisioner Kepatuhan Morinsky Medication Adherence Scale (MMAS) dan Kuisioner Dukungan Keluarga. Analisis data menggunakan Analisis Univariat dan uji Chi Square pada analisis bivariat. Hasil: Persentase responden yang memiliki Dukungan Keluarga baik sebesar 96,7%, Dukungan Keluarga tidak baik sebesar 3,3%. Persentase responden yang patuh sebesar 95,0%, dan tidak patuh sebesar 5,0%. Hasil uji analisa Chi Square didapatkan nilai p value = 0,002 yakni lebih kecil dari 0,05(bermakna). Kesimpulan: Hitungan statistik bermakna terdapat hubungan antara variabel dukungan keluarga terhadap variabel kepatuhan minum obat. Sehingga disarankan untuk melibatkan keluarga dalam pengobatan.

Tuberculosis : It is noted highly obedience patient not to take medicines that may cause highly rate failure in treatment of patient wish pulmonary TB, unfortunately it also resulted in found more higher patient with TB. One of factors noted to disobedience by patient to take medicine drink surely his/her self as patient. The objective of this study is to determine the correlation of family supportive of patient itself cause obedience to drink the medicines in treatment of patient with pulmonary TB noted in Puskesmas Pangaribuan, Situmeang Habinsaran, and Puskesmas Hutabaginda public health centers to serve public of Kabupaten Tapanuli Utara District. This study was conducted since June – September 2017 around the region where the Puskesmas Public Clinic serving people surrounding. Method : This study is cross sectional quantitative research done to 60 respondents with total sampling method, all well done to Puskesmas Pangaribuan, Puskesmas Situmeang Habinsaran and Puskesmas Hutabaginda public service center. In collecting the data, it has been done in 2 instruments, they are by questionnaire of obedience by patients with Morinsky Medication Adherence Scale (MMAS) and questionnaire with family support. The data analysis adopted a Univariant analysis and Chi Square test as be bi-variant analysis. Results : Percentage of respondent with family supportive with good sense noted 96.7%, with not good supportive by family noted 3.3%. Still, percentage of respondent is obedience noted 95.0%, for dis-obedience by patient is 5.0%, The result of Chi-Square test noted the scale p value = 0.002 it is smaller than 0.05. Conclusion : By statistic point it is found significant increased up, so it is found a correlation of variable in family support to the variable of obedience to take the medicines in treatment. Advices to those the family of patients should take part actively in order to have the best healing from the illness.