Qualitative Analysis of Factors Influencing Compliance with Medication in Pregnant Women and Suffering Families Tuberculosis: Application of Theory Health Belief Model

Dewi Ratnasari, Sahrudi Sahrudi
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Abstract

Tuberculosis (TB) has contributed 25% of the total number of deaths. It is estimated that 98% of deaths due to TB occur in developing countries. So the success of treating TB really depends on the patient's compliance with taking medication, especially in groups at risk of contracting TB such as pregnant women. Compliance is greatly influenced by various factors and is very dependent on behavior. One of the most popular theories in explaining behavior is the health belief model. The aimed of this research is to explore the factors influencing compliance with medication in pregnant women with tuberculosis using theory of health belief model.  This research is a qualitative analysis using a health belief model approach. This research will be conducted in the work area of the Cimarga Community Health Center in December 2023. Data collection was carried out using in-depth interviews with researchers using the triangulation method. There were 4 main informants, 2 triangulators, and 4 supporting informants. The approach used is perception of vulnerability, severity and perception of benefits The result of this research are: (1) perceived susceptibility shows that the majority of respondents who adhere to taking medication are aware that this disease is serious and after they are infected, this makes them afraid that people around them such as parents and fetuses will also be infected. (2) Perceived benefits can be measured in the context of TB treatment behavior in pregnant women by asking about improvements in symptoms and perceived changes in physical condition during the treatment process. (3) The perception of severity begins to be felt when the disease begins to cause symptoms and family members become infected quickly. Moreover, those infected are mothers who are pregnant.
定性分析影响孕妇和肺结核患者服药依从性的因素:健康信念模式理论的应用
结核病(TB)造成的死亡人数占总死亡人数的 25%。据估计,98%因结核病死亡的病例发生在发展中国家。因此,治疗结核病的成功与否真正取决于病人服药的依从性,尤其是孕妇等结核病高危人群。服药依从性在很大程度上受到各种因素的影响,并且与行为密切相关。解释行为的最流行理论之一是健康信念模式。本研究旨在利用健康信念模式理论探讨影响结核病孕妇服药依从性的因素。 本研究采用健康信念模式方法进行定性分析。本研究将于 2023 年 12 月在 Cimarga 社区卫生中心的工作区进行。采用三角测量法对研究人员进行深入访谈,收集数据。共有 4 名主要信息提供者、2 名三角测量者和 4 名辅助信息提供者。采用的方法是感知易感性、严重性和感知收益:(1)感知易感性表明,大多数坚持服药的受访者都意识到这种疾病的严重性,在感染后,这使他们害怕身边的人,如父母和胎儿也会被感染。(2)在孕妇结核病治疗行为中,可以通过询问治疗过程中症状的改善情况和身体状况的感知变化来衡量感知到的益处。(3) 当疾病开始出现症状,家庭成员很快受到感染时,就会开始感觉到严重性。此外,受感染的是怀孕的母亲。
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