Impact of Instrumental Support from Family on Medication Adherence among Tuberculosis Patients: A Cross-Sectional Study

IF 0.4 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
A. Y. Nursasi, Mega Hasanul Huda, Syifa Widya Rahmasari
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Abstract

Instrumental support is concrete and tangible, for instance, helping to provide food or accompanying patients to health care facilities. However, its impact on medication adherence among tuberculosis patients in Indonesia needs to be explored. This study aimed to examine the impact of instrumental support from family on tuberculosis patients’ adherence to medication in Bogor City, West Java Province, Indonesia. A cross-sectional study involving 106 participants with an age average of 39.7 (SD = 14.9) was conducted in 12 primary health care (PHC). The independent variables (age, sex, education, employment status, wealth index, and the distance between home and PHC) of instrumental support from family was assessed using MMAS-8. In contrast, the dependent variable of medication adherence was assessed using a self-reported instrument. Multivariate binary logistic regression was used in the analysis and indicated that participants receiving family support were more likely to adhere to medication protocol (95% CI = 1.1–6.3; p-value = 0.029). Instrumental support from family was associated with medication adherence among tuberculosis patients in Bogor City, West Java Province, Indonesia. It is necessary to design further comprehensive interventions in the community setting to encourage the family to support tuberculosis patients following medication protocol.
家庭辅助支持对结核病患者服药依从性的影响:一项横断面研究
工具性支持是具体和有形的,例如,帮助提供食物或陪同病人到卫生保健机构。然而,它对印度尼西亚结核病患者服药依从性的影响需要探索。本研究旨在调查来自家庭的辅助支持对印度尼西亚西爪哇省茂物市结核病患者坚持服药的影响。在12个初级卫生保健(PHC)进行了一项横断面研究,涉及106名平均年龄为39.7岁(SD = 14.9)的参与者。采用MMAS-8评估家庭工具支持的自变量(年龄、性别、受教育程度、就业状况、财富指数、家与初级保健中心的距离)。相反,药物依从性的因变量使用自我报告的工具进行评估。多变量二元logistic回归分析表明,接受家庭支持的参与者更有可能坚持服药方案(95% CI = 1.1-6.3;p值= 0.029)。来自家庭的工具性支持与印度尼西亚西爪哇省茂物市结核病患者的药物依从性有关。有必要在社区环境中设计进一步的综合干预措施,鼓励家庭支持遵循药物治疗方案的结核病患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Kesmas-National Public Health Journal
Kesmas-National Public Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.70
自引率
0.00%
发文量
39
审稿时长
10 weeks
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