INFLUENCE OF INFORMATION, MOTIVATION, AND BEHAVIOR OF “TRISNA” TO DRUG COMPLIANCE. NUTRITIONAL STATUS, AND FAMILY SUPPORT IN PATIENTS WITH TUBERCULOSI

  • Rita Benya Adriani Medical Polytechnic Surakarta, Jl. Letjen Sutoyo, Mojosongo, Kec. Jebres, Surakarta, West Java, Indonesia.
  • Jenita DT Donsu Health Polytechnic Yogyakarta, Jl. Tatabumi No.3, Banyuraden, Gamping, Sleman, Yogyakarta.
  • Dwi Sulistyowati Medical Polytechnic Surakarta, Jl. Letjen Sutoyo, Mojosongo, Kec. Jebres, Surakarta, West Java, Indonesia.
Keywords: IMB, medication, nutritional status, Trisna, tuberculosis

Abstract

Indonesia is one of the five countries with the highest number of patients with tuberculosis (TB) worldwide, owing to patients being undetected and untreated. This study aims to analyze the effect of the Information, Motivation, and Behavior (IMB) Skill with “Trisna” approach on the management of drug compliance, nutritional status, and family support for patients with TB. This research is a quasi-experiment with pretest-posttest and control group design. Information about tuberculosis, medication adherence, nutritional status, family support and motivation are provided through training. At the end of training, each patient is given an alarm clock that can be used as a reminder to take medication. One form of family support is done by teaching the song “satu-satu” to remind patients to take medicine so as to minimize forgetting to take medicine. “TRISNA” is an attitude that accompanies TB cadres in providing health services to TB patioents. The socialization of the attitude of “TRISNA” was given by researchers to TB cadres before carrying out IMB training for TB patients. Compliance after intervention in the intervention group (mean, 10.80; SD, 0.98) was higher than in the control group (mean, 10.46; SD, 1.12) and effect size (ES) value of 4.16. Body mass index (BMI) in the intervention group (mean, 23.40; SD, 1.08) was higher than in the control group (mean, 21.43; SD, 0.75) and ES value of 1.95. Family support in the intervention group (mean, 106.28; SD, 22.00) was higher than in the control group (mean, 94.00; SD, 8.40) and ES value of 0.69.  In managing patients with TB, the provision of IMB Intervention Skill with “Trisna” approach could improve medication compliance, nutritional status, and family support.

References

1. Keshavjee S, Farmer PE. Tuberculosis, Drug Resistance, and The History Of Modern Medicine. N Engl J Med 2012; 367: 931-936.
2. Mahan LK, Merianne. Krause’s Food and Nutrition Therapy. 12th ed. Philadelphia: Saunders Elsevier; 2008.
3. Health Ministry of Indonesia. Pedoman Nasional Pengendalian Tuberkulosis. Jakarta: Kemenkes RI; 2014. [in Indonesian].
4. WHO. Global Tuberculosis Report. Europe: World Health Organization publication, https://apps.who.int/iris/handle/10665/191102; 2015 [accessed 15 June 2019].
5. WHO. Global Tuberculosis Report. Europe: World Health Organization publication, https://www.who.int/TBC/publications/global_report/en/; 2018 [accessed 13 June 2019].
6. Gupta KB, Gupta R, Atreja A, Vema M, Vishvkarma S. Tuberculosis and nutrition. Lung India 2009;26:9-16.
7. Dargie B, Tesfaye G, Worku A. Prevalence of undernutrition among adult tuberculosis patients in Ethiopia: A systematic review and meta-analysis. Wondmieneh A, Gedefaw G, Getie A, Demis A. Prevalence of undernutrition among adult tuberculosis patients in Ethiopia: A systematic review and meta-analysis. J Clin Tuberc Other Mycobact Dis 2020;22:100211.
8. Praygod G, Range N, Faurholt‐Jepsen D, Jeremiah K, Faurholt‐Jepsen M, Aabye MG, et al. The effect of energy-protein supplementation on weight, body composition and handgrip strength among pulmonary tuberculosis HIV-co-infected patients: randomised controlled trial in Mwanza, Tanzania. Br J Nutr 2011; 107:263-271
9. Sianturi R. Analisis Faktor Yang Berhubungan Dengan Kekambuhan TBC Paru, http://lib.unnes.ac.id/17921/1/6411409109.pdf; 2014 [accessed 13 June 2019].
10. Fisher WA, Fisher, JD, Harman J. The Information-Motivation, Behavioral Skills Model: A General Socia Psychological Approach to Understanding and Promoting Health Behavior. In: Suls J, Wallston KA, editors. Social Psychological Foundation of Health and Illness. Victoria, Australia: Australia Blackwell Publishing, Ltd; 2003, p. 82-106.
11. Kotler P, Lee NR. Social Marketing: Influencing Behaviors for Good. 2011. New York: Sage Publications; 2011.
12. Kanjee Z, Amico KR, Li F, Mbolekwa K, Moll AP, Friendland GH. Tuberculosis Infection Control In a High Drug-Resistance Setting in Rural South Africa: Information, Motivation, And Behavioral Skills. J Infect Public Health 2012;5:67-81.
13. Irribaren SJ, Beck SL, Pearce PF, Chirico C, Etchevarria M, Rubinstein F. Health Intervention Development To Support Patients With Active Tuberculosis. J Mob Technol med 2014;3:16-27.
14. Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich) 2008;10:348-354.
15. Health Ministry of Indonesia. Pedoman Penanggulangan Tuberkulosis. Jakarta: Depkes RI; 2006. [in Indonesian]
16. Bello SI, Itiola OA. Drug Compliance amongst tuberculosis patients in the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Afr J Pharm Pharmacol 2010;4:109-114.
17. Notoatmodjo S. Pendidikan dan Perilaku Kesehatan. Jakarta: Rineka Cipta; 2010. [in Indonesian]
18. Hurlock. Psikologi Perkembangan. 5th ed. Jakarta:Erlangga; 1998.
19. Snewe FP. Faktor-Faktor Yang Mempengaruhi Kepatuhan Berobat Penderita Tuberkulosis Paru. Depok. Bul Penel Kesehatan 2002;30:32-38.
20. Hayati A. Evaluasi Kepatuhan Berobat Penderita Tuberkulosis Paru Tahun 2010 –2011 di Puskesmas Kecamatan Pancoran Mas Depok. Jakarta: Fakultas Ilmu Matematika dan IPA Departemen Farmasi; 2011
21. Pusponegoro HD, Sri RSH, Dody F, Bambang TA, Antonius HP, Sholeh MK, Rusmil K. Standar pelayanan medis kesehatan anak. 1st ed. 2005. Jakarta: IDAI (Ikatan Dokter Anak Indonesia); 2005. [in Indonesian]
22. Ezekiel M, Isabel MP, Daniel JT, Harriet KM, Christopher CW. Low Nutrient Intake among Adult Women and Patients with Severe Tuberculosis Disease in Uganda: A Cross-Sectional Study. BMC Public Health 2012;12:1050-1057.
23. Cegielski P, McMurray DN. The relationship between malnutrition and tuberculosis; evidence from studies in humans and experimental animals. Int J Tuberc Lung Dis 2004; 8: 286-298.
24. Meena M. Impact of nutrition education on pulmonary tuberculosis patients. Global Journal for Research Analysis 2016;5: 317-320.
25. Yung-Feng Y, Pei-Hung C, MuhYong Y, Shu-Yi L, Pei-Chuang, Mei-Jen Y, et.al. Association of body mass index with tuberculosis mortality. Medicine 2016;95:e2300.
26. Tirtana B. Faktor-faktor yang mempengaruhi keberhasilan pengobatan pada pasien tuberkulosis paru dengan resistensi obat tuberkulosis di wilayah Jawa Tengah, http://eprints.undip.ac.id/32879/1/Bertin.pdf; 2011 [accessed 13 June 2019]. [in Indonesian]
27. Smet B. Psikologi Kesehatan, Jakarta: EGC; 1994.
28. Kusumoningrum TA, Susanto N, Marlinawati VU, Puspitawati T. Hubungan Dukungan keluarga dan kepatuhan minum obat terhadap kesembuhan penderita tuberkulosis (TB) di Kabupaten Bantul. Jurnal Formil (Forum Ilmiah) KesMas Respati 2020;5: 29-35. [in Indonesian]
29. Niven, N. Psikologi Kesehatan. Jakarta: EGC; 2000. [in Indonesian]
30. Perhimpunan Dokter Paru Indonesia. Pedoman Diagnosis & Penatalaksanaan Tuberkulosis di Indonesia. Jakarta: PDPI; 2008. [in Indonesian]
31. Rachmawati T, Laksmiati T, Soenarsongko. Hubungan Kekeluargaan dan Tempat Tinggal Serumah Merupakan Karakteristik Pengawas Minum Obat yang Berpengaruh Terhadap Keteraturan Minum Obat Penderita Tuberkulosis Paru. Bulletin Penelitian Sistem Kesehatan 2008;11:184-191.[in Indonesian]
32. Asra S, Siti R, Febriana S. Hubungan Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Penderita TB Paru. Jom Psik 2017;1-10.
33. Pare LA, Amiruddin R, Leida I. Hubungan antara pekerjaan, pmo, pelayanan kesehatan, dukungan keluargadan diskriminasi dengan perilaku berobat pasien TB Paru. www.jurnal.unair.ac.id/index.P2hp/j2222mpk/article/download/23422222 22225/ 264; 2012 [accessed 13 June 2019]. [in Indonesian]
Published
2021-12-28
How to Cite
Benya Adriani, R., Donsu, J. D., & Sulistyowati, D. (2021). INFLUENCE OF INFORMATION, MOTIVATION, AND BEHAVIOR OF “TRISNA” TO DRUG COMPLIANCE. NUTRITIONAL STATUS, AND FAMILY SUPPORT IN PATIENTS WITH TUBERCULOSI. Malaysian Journal of Public Health Medicine, 21(3), 222-229. https://doi.org/10.37268/mjphm/vol.21/no.3/art.1137