Vol. 20 No. 8 (2025): Special Issue
Open Access
Peer Reviewed

The Effect of Family Support on the Level of Adherence to Medication Among Pulmonary Tuberculosis Patients at the Tenggarong District Health Center

Authors

Diana Kurnia Apriani , Agustiqori Al-Mubarak , M. Yudha Pratama

DOI:

10.29303/jpm.v20i8.8086

Published:

2025-12-25

Downloads

Abstract

Tuberculosis (TB) remains one of the leading causes of death worldwide, and the success of its treatment largely depends on patient adherence to medication. Since non-adherence is still common, this study aims to analyze the influence of family support on medication adherence among pulmonary TB patients at the Tenggarong District Health Center, Indonesia. The research employed a quantitative method with a cross-sectional design and a prospective approach, involving 60 patients with pulmonary TB selected through convenience sampling. The research instruments included a demographic questionnaire, a family support questionnaire, and the Morisky Medication Adherence Scale-8 (MMAS-8) to assess patient adherence levels. The results showed that most respondents received good family support (95%) and had a high level of adherence (86.67%). The chi-square test indicated a significant relationship between family support and medication adherence (p = 0.000), while multivariate analysis using Principal Component Analysis (PCA) also confirmed a positive correlation between the two variables.

Keywords:

Adherence Level; Family Support; MMAS-8; Tuberculosis; Questionnaire

References

W. H. O. (WHO), “Global Tuberculosis Report 2023.” Geneva: World Health Organization, 2023.

P. I. I. Indraswari, I. N. O. Arsana, and N. N. W. Tegmini, “Monitoring Kepatuhan Minum Obat serta Keberhasilan terapi pada Pasien Tuberkulosis Paru Di UPTD Puskesmas Karangasem I,” J. Pharmactive, vol. 1, no. 1, pp. 11–15, 2022.

P. Pameswari, A. Halim, and L. Yustika, “Tingkat Kepatuhan Penggunaan Obat Pada Pasien Tuberkulosis Di Rumah Sakit Mayjen H. a Thalib Kabupaten Kerinci,” J. Sains Farm. dan Klin., vol. 2, no. 2, pp. 116–121, 2016.

A. Widiyanto, “Hubungan Kepatuhan Minum Obat dengan Kesembuhan Pasien Tuberkulosis Paru BTA Positif Di Puskesmas Delanggu Kabupaten Klaten,” J. Terpadu Ilmu Kesehat., vol. 6, no. 1, pp. 7–12, 2016.

I. S. Pradipta, D. Houtsma, J. F. M. van Boven, J.-W. C. Alffenaar, and E. Hak, “Interventions to Improve Medication Adherence in Tuberculosis Patients: A Systematic Review of Randomized Controlled Studies,” npj Prim. Care Respir. Med., vol. 30, no. 1, p. 21, 2020, doi: 10.1038/s41533-020-0179-x.

Warjiman, Berniati, and E. E. Unja, “Hubungan Dukungan Keluarga terhadap Kepatuhan Minum Obat Pasien Tuberkulosis Paru Di Puskesmas Sungai Bilu,” J. Keperawatan Suaka Insa., vol. 7, no. 2, pp. 163–169, 2022.

R. Alhaq and E. Indawati, “Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat pada Pasien Tuberculosis Paru,” Manuju Malahayati Nurs. J., vol. 6, no. 11, pp. 4446–4454, 2024.

M. Murwanti, “Studi Fenomenologi : Dukungan terhadap Kepatuhan Minum Obat pada Penderita Tuberculosis dengan Multidrug-Resistant,” J. Delima Harapan, vol. 8, pp. 12–20, Feb. 2021, doi: 10.31935/delima.v8i1.106.

R. Gurusinga, A. Afrizal, and A. Bachtiar, “The Relationship Between Family Support and Treatment Adherence in Patients with Tuberculosis in Deli Serdang Regency, Indonesia, 2022 : A Cross-sectional Study,” Nurs. Midwifery Stud., vol. 13, no. 3, pp. 132–139, 2024.

Karbito, D. Purwaningsih, W. Aliyanto, A. Muslim, A. Fikri, and B. Murwanto, “Evaluasi Program Penanggulangan TB Paru,” Midwifery J., vol. 4, no. 2, pp. 60–69, 2024.

R. Marçôaa, A. I. Ribeirob, and R. D. I. Zãoc, “Tuberculosis and Gender - Factors Influencing the Risk of Tuberculosis Among Men and Women by Age Group,” Pulmonulogy J., vol. 24, no. 03, 2018.

K. C. Horton, P. MacPherson, R. M. G. J. Houben, R. G. White, and E. L. Corbett, “Sex Differences in Tuberculosis Burden and Notifications in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis,” PLOS Med., vol. 13, no. 9, p. e1002119, Sep. 2016, [Online]. Available: https://doi.org/10.1371/journal.pmed.1002119.

H. Yasni, Rasima, N. Usrina, and P. Raisah, “Faktor Resiko Merokok terhadap Tuberkulosis Studi Kasus Di Wilayah Kerja Puskesmas Ladang Tuha Aceh Selatan,” Manuju Malahayati Nurs. J., vol. 6, no. 12, pp. 5170–5178, 2024.

P. Goyani, R. Christodoulou, and E. Vassiliou, “Immunosenescence: Aging and Immune System Decline,” Vaccines, vol. 12, no. 12. p. 1314, 2024, doi: 10.3390/vaccines12121314.

T. Mohamed Dharvees et al., “Facilitators and Barriers of Medication Adherence Amongst the Geriatrics: A Cross-Sectional Study,” J. Pharm. Heal. Serv. Res., vol. 13, no. 3, pp. 230–239, Sep. 2022, doi: 10.1093/jphsr/rmac023.

Z. Dong et al., “Age–period–cohort Analysis of Pulmonary Tuberculosis Reported Incidence, China, 2006–2020,” Infect. Dis. Poverty, vol. 11, no. 1, p. 85, 2022, doi: 10.1186/s40249-022-01009-4.

I. Samsugito and Hambyah, “Hubungan Jenis Kelamin dan Lama Kontak dengan Kejadian Tuberkulosis Paru Di Rumah Sakit A. Wahab Sjahranie Samarinda,” J. Kesehat. Pasak Bumi Kalimantan, vol. 1, no. 1, pp. 28–40, 2018.

B. Widiati and M. Majdi, “Analisis Faktor Umur, Tingkat Pendidikan, Pekerjaan, dan Tuberkulosis Paru Di Wilayah Kerja Puskesmas Korleko, Kabupaten Lombok Timur,” J. Sanitasi dan Lingkung., vol. 2, no. 2, pp. 173–184, 2021.

R. Istiqomah and Naryati, “Hubungan Pengetahuan Pasien dan Dukungan Keluarga terhadap Kepatuhan Minum Obat pada Penderita Tuberkulosis Di Puskesmas Padurenan Mustikajaya Kota Bekasi,” Manuju Malahayati Nurs. J., vol. 5, no. 5, pp. 1440–1452, 2023.

S. Sibua et al., “Hubungan Dukungan Keluarga dengan Kepatuhan Berobat Penderita Tuberkulosis di Kabupaten Bolaang Mongondow Timur,” AKSARA J. Ilmu Pendidik. Nonform., vol. 07, no. 3, pp. 1443–1450, 2021.

Suwanto, R. Rusdi, and S. K. Pasola, “Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat Anti Tuberkulosis (OAT) pada Penderita Penyakit Tuberkulosis Paru Di Puskesmas Maridan Kabupaten Penajam Paser Utara,” J. Keperawatan Wiyata, vol. 5, no. 2023, pp. 62–71, 2024.

A. R. Sari, H. Purwanto, and A. Y. A. B. Rofi’i, “Gambaran Keberhasilan Pengobatan pada Pasien Tuberkulosis Paru Di Puskesmas Semanding,” J. Keperawatan Widya Gantari Indones., vol. 6, no. 2, pp. 11–21, 2022.

G. Aulia, R. Rafie, Z. Mandala, and D. Hermawan, “Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat pada Pasien Tuberkulosis Di Wilayah Kerja Puskesmas Kedaton Bandar Lampung,” J. Ilmu Kedokt. dan Kesehat., vol. 10, no. 8, pp. 2634–2643, 2023.

M. D. Padmawati, L. G. Pradnyawati, D. Ayu, and P. Ratna, “Hubungan Dukungan Keluarga terhadap Kepatuhan Minum Obat Penderita Tuberculosis Paru di Wilayah Kerja UPTD Puskesmas Kuta Selatan,” AMJ (Aesculapius Med. Journal), vol. 4, no. 2, pp. 217–227, 2024.

R. Dwiningrum, R. Y. Wulandari, and E. Yunitasari, “Hubungan Pengetahuan dan Lama Pengobatan TB Paru dengan Kepatuhan Minum Obat pada Pasien TB Paru Di Klinik Harum Melati,” J. Aisyah J. Ilmu Kesehat., vol. 6, no. 1, 2021.

D. Butar-Butar, R. J. Laia, M. A. Silitonga, and L. A. Simaremare, “Hubungan Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Pasien TB Paru Di Wilayah Kerja Puskesmas Singosari Tahun 2024,” BEST J. (Journal Biol. Educ. Sci. Technol., vol. 7, no. 2, pp. 715–721, 2024.

N. Fitriani, T. Sinaga, and A. Syahran, “Hubungan Antara Pengetahuan, Motivasi Pasien dan Dukungan Keluarga Terhadap Kepatuhan Minum Obat Anti Tuberkulosis (OAT) Pada Penderita Penyakit TB Paru BTA (+) di Puskesmas Pasundan Kota Samarinda,” KESMAS UWIGAMA J. Kesehat. Masy., vol. 5, p. 124, Mar. 2020, doi: 10.24903/kujkm.v5i2.838.

T. Wiyati, Maifitrianti, and A. R. Nabilla, “Karakteristik yang terkait dengan Pengetahuan dan Kepatuhan Minum Obat Pasien Tuberkulosis Paru di RSUD Raja Ahmad Tabib Tanjung Pinang,” J. Islam. Pharm., vol. 9, no. 2, pp. 92–96, 2024, doi: 10.18860/jip.v9i2.29829.

O. Laowo, R. Dachi, F. Tarigan, K. Manurung, and J. Sinaga, “Factors Affecting Compliance with Taking Anti-Tuberculosis Drugs at the UPTD Pulmonology Hospital of North Sumatra Province,” J. Pharm. Sci., pp. 1125–1141, Jun. 2025, doi: 10.36490/journal-jps.com.v8i2.821.

Author Biographies

Diana Kurnia Apriani, Department of Pharmacy, Sekolah Tinggi Ilmu Kesehatan Samarinda

Author Origin : Indonesia

Agustiqori Al-Mubarak, Department of Pharmacy, Sekolah Tinggi Ilmu Kesehatan Samarinda

Author Origin : Indonesia

M. Yudha Pratama, Department of Pharmacy, Sekolah Tinggi Ilmu Kesehatan Samarinda

Author Origin : Indonesia

Downloads

Download data is not yet available.

How to Cite

Apriani, D. K., Al-Mubarak, A., & Pratama, M. Y. (2025). The Effect of Family Support on the Level of Adherence to Medication Among Pulmonary Tuberculosis Patients at the Tenggarong District Health Center. Jurnal Pijar MIPA, 20(8), 1439–1443. https://doi.org/10.29303/jpm.v20i8.8086