Peningkatan Kualitas Hidup Pasien Tuberkulosis dengan Pemantauan Peran Pengawas Minum Obat (PMO)
Abstract
This study aims to analyze the relationship between the role of drug supervisors (PMOs) on improving the quality of life of tuberculosis patients. This research method is quantitative research with correlation research design with a sample of 40 tuberculosis patients. The sampling technique used purposive sampling according to the inclusion criteria. Data analysis used Chi-Square test. The results showed that 29 people (72.5%) had an active PMO role. The majority of quality of life based on aspects obtained in poor physical health is 33 people (82.5%) and the overall quality of life is good as many as 26 people (65%). Chi-Square statistical test results with an Asym.Sig value of 0.034 <0.05 means that there is a significant relationship between the role of PMO and quality of life. In conclusion, PMO has a very important role in the process of treating TB patients regularly so as to improve the health status and quality of life of patients.
Keywords: Quality of Life, Drug Supervisor (PMO), Tuberculosis
References
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Handayani, D., Ramadhani, N., Samudera, A. G., Ditasari, U., & Rina, D. E. (2021). Pelatihan Pengawas Menelan Obat (Pmo) Pasien Tuberkulosis dalam Rangka Mengoptimalkan Peran PMO untuk Meningkatkan Kepatuhan Minum Obat di Puskesmas Beringin Raya. Abdimas Unwahas, 6(1).
Jaber, A. A. S., & Ibrahim, B. (2019). Health-related Quality of Life of Patients with Multidrug-Resistant Tuberculosis in Yemen: Prospective Study. Health and Quality of Life Outcomes, 17(1), 1–14. https://doi.org/10.1186/s12955-019-1211-0
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Ramkumar, S., Vijayalakshmi, S., Seetharaman, N., Pajanivel, R., & Lokeshmaran, A. (2017). Health-Related Quality of Life Among Tuberculosis Patients Under Revised National Tuberculosis Control Programme in Rural and Urban Puducherry. Indian Journal of Tuberculosis, 64(1), 14–19. https://doi.org/10.1016/j.ijtb.2016.11.004
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Salehitali, S., Noorian, K., Hafizi, M., & Dehkordi, A. H. (2019). Quality of Life and Its Effective Factors in Tuberculosis Patients Receiving Directly Observed Treatment Short-Course (DOTS). Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, 15, 100093. https://doi.org/10.1016/j.jctube.2019.100093
Salodia, U. P., Sethi, S., & Khokhar, A. (2019). Depression Among Tuberculosis Patients Attending A DOTS Centre in A Rural Area of Delhi: A Cross-Sectional Study. Indian Journal of Public Health, 63(1), 39–43. https://doi.org/10.4103/ijph.IJPH_109_18
Selasa, P., Teli, M., Merlin, N. M., Wawomeo, A., & Acob, J. R. U. (2022). Tuberculosis Drugs Supervisior Roles Improved the TB Recovery at The Community Health Center in Kupang City. Window of Health : Jurnal Kesehatan, 5(3), 697–705. https://doi.org/10.33096/woh.vi.90
Swarjana, I. K. D., Sukartini, T., & Makhfudli, M. (2020). Gambaran Perilaku Pengawas Minum Obat (PMO) Terhadap Sikap, Kepatuhan Minum Obat Dan Kualitas Hidup Pasien TB Paru. Jurnal Penelitian Kesehatan" SUARA FORIKES"(Journal of Health Research" Forikes Voice"), 12(1), 39-42. http://dx.doi.org/10.33846/sf12110
Wartonah, W., Riyanti, E., & Yardes, N. (2019). Peran Pendamping Minum Obat (PMO) dalam Keteraturan Konsumsi Obat Klien TBC. Jkep, 4(1), 54–61. https://doi.org/10.32668/jkep.v4i1.280
WHO. (2022). Global Tuberculosis Report 2022 (Issue 1). https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022
Xu, M., Markström, U., Lyu, J., & Xu, L. (2017). Detection of Low Adherence in Rural Tuberculosis Patients in China: Application of Morisky Medication Adherence Scale. International Journal of Environmental Research and Public Health, 14(3). https://doi.org/10.3390/ijerph14030248
Chen, X., Du, L., Wu, R., Xu, J., Ji, H., Zhang, Y., Zhu, X., & Zhou, L. (2020). The Effects of Family, Society and National Policy Support on Treatment Adherence Among Newly Diagnosed Tuberculosis Patients: A Cross-Sectional Study. BMC Infectious Diseases, 20(1), 1–11. https://doi.org/10.1186/s12879-020-05354-3
CDC. (2020). Latent TB Infection and TB Disease. https://www.cdc.gov/tb/topic/basics/tbinfectiondisease.htm
Dar, S. A., Shah, N. N., Wani, Z. A., & Nazir, D. (2019). A Prospective Study on Quality of Life in Patients with Pulmonary Tuberculosis at A Tertiary Care Hospital in Kashmir, Northern India. Indian Journal of Tuberculosis, 66(1), 118–122. https://doi.org/10.1016/j.ijtb.2018.07.002
Datta, S., Gilman, R. H., Montoya, R., Cruz, L. Q., Valencia, T., Huff, D., Saunders, M. J., & Evans, C. A. (2020). Quality of Life, Tuberculosis and Treatment Outcome; A Case-Control and Nested Cohort Study. European Respiratory Journal, 56(2). https://doi.org/10.1183/13993003.00495-2019
De Fretes, F., Mangma, Y. E., & Dese, D. C. (2021). Analisa Peran Pengawas Minum Obat (PMO) dalam Mendampingi Pasien Tuberkulosis di Kota Kupang. Jurnal Keperawatan Muhammadiyah, 6(3). https://doi.org/10.30651/jkm.v6i3.9058
Dinas Kesehatan Sumatera Utara (2019). Laporan Akuntabilitas Kinerja Instansi Pemerintah (Lakip) Program Pencegahan dan Pengendalian Penyakit (Satker Dekonsentrasi 05). https://e-renggar.kemkes.go.id/file_performance/1-079022-2tahunan-169.pdf
Evawaty, Yundin, J., Irwan, M., & Idawati. (2019). Hubungan Peran Pengawas Minum Obat (PMO) terhadap Kualitas Hidup Pasien TB Paru. Jurnal Ilmiah Maju, 2(2), 33–41. https://core.ac.uk/download/pdf/288100818.pdf
Handayani, D., Ramadhani, N., Samudera, A. G., Ditasari, U., & Rina, D. E. (2021). Pelatihan Pengawas Menelan Obat (Pmo) Pasien Tuberkulosis dalam Rangka Mengoptimalkan Peran PMO untuk Meningkatkan Kepatuhan Minum Obat di Puskesmas Beringin Raya. Abdimas Unwahas, 6(1).
Jaber, A. A. S., & Ibrahim, B. (2019). Health-related Quality of Life of Patients with Multidrug-Resistant Tuberculosis in Yemen: Prospective Study. Health and Quality of Life Outcomes, 17(1), 1–14. https://doi.org/10.1186/s12955-019-1211-0
Juliasih, N. N., Mertaniasih, N. M., Hadi, C., Soedarsono, Sari, R. M., & Alfian, I. N. (2020). Factors Affecting Tuberculosis Patients’ Quality of Life in Surabaya, Indonesia. Journal of Multidisciplinary Healthcare, 13, 1475–1480. https://doi.org/10.2147/JMDH.S274386
Kemenkes RI. (2021). Tuberkulosis (TB). Tuberkulosis, 1(april), 2018. www.kemenkes.go.id
Laxmeshwar, C., Stewart, A. G., Dalal, A., Kumar, A. M. V., Kalaiselvi, S., Das, M., Gawde, N., Thi, S. S., & Isaakidis, P. (2019). Beyond ‘Cure’ and ‘Treatment Success’: Quality of Life of Patients with Multidrug-Resistant Tuberculosis. International Journal of Tuberculosis and Lung Disease, 23(1), 73–81. https://doi.org/10.5588/ijtld.18.0149
Mokambu, Z. A., Yunus, P., & Syamsuddin, F. (2023). Peran Pengawas Minum Obat (PMO) terhadap Keberhasilan Pengobatan TB Paru di Wilayah Kerja Puskesmas Bulango Ulu. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 1(2), 22-28. https://doi.org/https://doi.org/10.55606/detector.v1i2.1357
Mukarromah, N., & Badriyah, F. L. (2018, October). Correlation Between Family Support and Quality of Life: People Living With Tuberculosis in Surabaya. In 1st International Conference on Social Sciences (ICSS 2018), 1300-1302. Atlantis Press. https://doi.org/10.2991/icss-18.2018.273
Nasution, S. A., Ariga, R. A., Siregar, C. T., & Amal, M. R. H. (2020). Family Support Perceived among Pulmonary Tuberculosis (TB) Patients in Medan, Indonesia. SCITEPRESS–Science and Technology Publications, 188-195. https://doi.org/10.5220/0008788701880195
Qiu, L., Yang, Q., Tong, Y., Lu, Z., Gong, Y., & Yin, X. (2018). The Mediating Effects of Stigma on Depressive Symptoms in Patients with Tuberculosis: A Structural Equation Modeling Approach. Frontiers in Psychiatry, 9(2), 1–9. https://doi.org/10.3389/fpsyt.2018.00618
Ramkumar, S., Vijayalakshmi, S., Seetharaman, N., Pajanivel, R., & Lokeshmaran, A. (2017). Health-Related Quality of Life Among Tuberculosis Patients Under Revised National Tuberculosis Control Programme in Rural and Urban Puducherry. Indian Journal of Tuberculosis, 64(1), 14–19. https://doi.org/10.1016/j.ijtb.2016.11.004
Riskesdas. (2018). Laporan-Riskesdas-Nasional-2018.pdf. https://dinkes.babelprov.go.id/sites/default/files/dokumen/bank_data/20181228%20-%20Laporan%20Riskesdas%202018%20Nasional-1.pdf
Saleem, S., A. Malik, A., Ghulam, A., Ahmed, J., & Hussain, H. (2018). Health-Related Quality of Life Among Pulmonary Tuberculosis Patients in Pakistan. Quality of Life Research, 27(12), 3137–3143. https://doi.org/10.1007/s11136-018-1954-9
Salehitali, S., Noorian, K., Hafizi, M., & Dehkordi, A. H. (2019). Quality of Life and Its Effective Factors in Tuberculosis Patients Receiving Directly Observed Treatment Short-Course (DOTS). Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, 15, 100093. https://doi.org/10.1016/j.jctube.2019.100093
Salodia, U. P., Sethi, S., & Khokhar, A. (2019). Depression Among Tuberculosis Patients Attending A DOTS Centre in A Rural Area of Delhi: A Cross-Sectional Study. Indian Journal of Public Health, 63(1), 39–43. https://doi.org/10.4103/ijph.IJPH_109_18
Selasa, P., Teli, M., Merlin, N. M., Wawomeo, A., & Acob, J. R. U. (2022). Tuberculosis Drugs Supervisior Roles Improved the TB Recovery at The Community Health Center in Kupang City. Window of Health : Jurnal Kesehatan, 5(3), 697–705. https://doi.org/10.33096/woh.vi.90
Swarjana, I. K. D., Sukartini, T., & Makhfudli, M. (2020). Gambaran Perilaku Pengawas Minum Obat (PMO) Terhadap Sikap, Kepatuhan Minum Obat Dan Kualitas Hidup Pasien TB Paru. Jurnal Penelitian Kesehatan" SUARA FORIKES"(Journal of Health Research" Forikes Voice"), 12(1), 39-42. http://dx.doi.org/10.33846/sf12110
Wartonah, W., Riyanti, E., & Yardes, N. (2019). Peran Pendamping Minum Obat (PMO) dalam Keteraturan Konsumsi Obat Klien TBC. Jkep, 4(1), 54–61. https://doi.org/10.32668/jkep.v4i1.280
WHO. (2022). Global Tuberculosis Report 2022 (Issue 1). https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022
Xu, M., Markström, U., Lyu, J., & Xu, L. (2017). Detection of Low Adherence in Rural Tuberculosis Patients in China: Application of Morisky Medication Adherence Scale. International Journal of Environmental Research and Public Health, 14(3). https://doi.org/10.3390/ijerph14030248
