The Relation between Knowledge and Belief with Adult Patient’s Antibiotics Use Adherence

Abstract

The inappropriate use of antibiotics has resulted in bacterial resistance to antibiotics. One of the factors supporting this phenomenon is the lack of patient knowledge and belief of antibiotics. The study aimed to know the relationship between knowledge and belief with adherence in using antibiotics in adult patients at Syarifah Ambami Rato Ebu Hospital, Bangkalan, based on the Health Belief Model theory. This research is observational analysis using cross-sectional study. There were 103 patients chosen by incidental sampling. Data collection about knowledge was obtained through questionnaires containing 13 questions, while one about belief used a questionnaire containing 30 valid and reliable questions. Adherence was measured by the pill count method. The relationship between knowledge and belief to adherence was analyzed using logistic regression test. The relationship between demography and adherence was analyzed using Spearman correlation test with α = 0.05. The result of this research shows that most patients had sufficient knowledge (57,2%), sufficient belief (69,9%) and adherence (55,3%). There was a significant relationship between knowledge with adherence in the use of antibiotics (p = 0.011) and a significant relationship between belief and adherence in the use of antibiotics (p = 0.046). In terms of belief, perceived benefits have a significant effect on adherence. The conclusions of this study is that there is a relationship between knowledge and belief with adherence in the use of antibiotics and in accordance with health belief model (HBM) theory.

Optimizing antibiotic use in Indonesia: a systematic review and synthesis of current evidence to inform opportunities for intervention

“…96 Antibiotic adherence levels were not associated with education level or employment status (2 studies). 98, 101…”

“…96 Antibiotic adherence levels were not associated with education level or employment status (2 studies). 98,101 Third, antibiotic dispensing without prescription was the most important theme reported among health care providers, with conflicting findings. A survey among 250 community pharmacists in Yogyakarta (Java), 68% reported that they would dispense antibiotics without prescription, 116 whereas a survey among 110 health providers in community health centres in Padang (Sumatera) found that 98.8% did not prescribe antibiotics without a prescription, despite patient request.…”

Artikel Review: Tingkat Kepatuhan dan hal - hal yang yang Mempengaruhi Kepatuhan dalam Penggunaan Obat Antibiotik

“…antibiotik menjadi masalah utama perhatian dunia karena menyebabkan mortalitas, menurunkan efektifitas terapi. (Nuraini, et al, 2019). Saat menggunakan antibiotik, dianggap rasional jika tepat indikasi, dosis, interval, durasi, dan biaya semuanya dipertimbangkan.…”

“…Antibiotik dapat digunakan secara bijak dan tepat untuk menurunkan tingkat resistensi. Kemanjuran terapi dan untuk mencegah munculnya resistensi, pemahaman masyarakat tentang obat antibiotik sangat penting (Nuraini, et al, 2019). Pemberian informasi farmakologi atau konseling pasien merupakan salah satu cara untuk meningkatkan kepatuhan pasien terhadap terapi.…”

“…Dengan memberikan informasi kepada pasien dapat meningkatkan kepatuhan, pengetahuan, dan motivasi pasien (Maljabar, et al, 2014). Penelitian oleh Nuraini menyatakan bahwa adanya pengaruh antara pengetahuan dan keyakinan pasien terhadap kepatuhan dalam menggunakan antibiotik secara signifikan dan terdapat kesesuaian dengan teori health belief model (HBM) (Nuraini, et al, 2019). Penggunaan antibiotik oleh pasien ISPA dipengaruhi oleh kepatuhan dalam konseling.…”