Peran Pengawas Minum Obat dan Kepatuhan Periksa Ulang Dahak Fase Akhir Pengobatan Tuberkulosis di Kabupaten Bangkalan

Abstract

Penderita tuberkulosis yang telah selesai pengobatan namun tidak melaksanakan periksa ulang dahak pada fase akhir pengobatan jumlahnya mencapai 117 orang (20% dari total penderita). Pengawas Minum Obat (PMO) mempunyai tugas untuk mengingatkan penderita agar melaksanakan periksaulang dahak. Penelitian ini bertujuan untuk mengetahui hubungan peran PMO dengan kepatuhan periksa ulang dahak pada fase akhir pengobatan. Desain penelitian yang digunakan adalah kasus kontrol. Kasus adalah penderita tuberkulosis paru basil tahan asam (BTA) positif berumur > 15 tahun yang telah selesai mendapatkan pengobatan kategori 1 dan tidakmelakukan periksa ulang dahak pada bulan kelima atau akhir pengobatan. Hasil penelitian menunjukkan bahwa secara statistik variabel confounder yaitu penyuluhan petugas dan pengetahuan penderita berhubungan bermakna dengan kepatuhan periksa ulang dahak pada fase akhir pengobatanpenderita tuberkulosis dewasa. Hasil multivariat dengan regresilogistik menunjukkan bahwa peran PMO yang kurang baik berisiko sebesar 3,013 kali untuk menyebabkan penderita tidak patuh periksa ulang dahak pada fase akhir pengobatan dibandingkan dengan penderita yang memiliki peran PMO baik (95% CI = 1,615-5,621) setelah dikontrol variabel penyuluhan petugas dan pengetahuan penderita.Kata kunci: Pengawas minum obat, periksa ulang dahak, tuberkulosisAbstractPatients with tuberculosis who had completed treatment but did not do sputum rechecking at the end of treatment phase reached 117 people (20% of total patients). The drug consumption supervisor has a duty to remind the patient to carry out sputum rechecking. This study aims to determine thecorrelation role of drug consumption supervisor with the compliance sputum rechecking at the end of treatment phase. The design study is case-control. Cases are positive pulmonary tuberculosis patients aged > 15 years who had completed a treatment category 1 and did not recheck the sputum at month 5 or the end of treatment. The results showed that statistically variable confounder knowledge of extension workers and patients correlated significantly with the compliance sputum rechecking at the end of treatment phase of adult tuberculosis patients. The results of multivariate showed logistic regretion that drug consumption supervisor’s role is less well having3,013 times the risk of causing the patient not adherent to recheck the sputum at the final phase of treatment compared to patients whose drug consumption supervisor role well (95% CI = 1,615 to 5,621) after the controlled variable extension officers and the knowledge of the patient.Key words: Drug consumption supervisor, sputum recheck, tuberculosis

Relationship Between Drug Consumption, Supervisors' Knowledge and Support, and Patients' Obedience to Take Tuberculosis Drugs

“…with active PMO has 16 times more obedient than those with inactive PMO. Similarly, the research by Sumarman and Bantas (2011) reveals that PMO's poor role is at risk of 3.013 times to make the patients disobey the recheck of phlegm in the final phase of treatment compared to patients who have a good role of PMO.…”