Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat Anti Tuberkulosis pada Pasien Tuberkulosis

Latar Belakang: Tuberkulosis adalah penyakit menular yang disebabkan oleh infeksi bakteri Mycobacterium tuberculosis, yang umumnya menyerang paru-paru, tetapi juga dapat menyerang organ tubuh lainnya. Penyakit ini dapat bersifat laten tanpa gejala atau berkembang menjadi penyakit aktif yang progresif. Penelitian ini bertujuan menganalisis hubungan dukungan keluarga dengan kepatuhan minum obat anti tuberkulosis pada pasien di Puskesmas Sidotopo Kota Surabaya. Metode: Menggunakan desain kuantitatif cross-sectional, penelitian ini melibatkan 22 pasien tuberkulosis paru di Puskesmas Sidotopo melalui total sampling. Data dikumpulkan menggunakan kuesioner MARS-10 dan dukungan keluarga. Analisis: Analisis univariat dilakukan untuk karakteristik responden, sementara uji Chi-Square digunakan untuk analisis bivariat. Hasil: Persentase responden didominasi usia 35 – 44 tahun (32%), laki-laki (64%), berpendidikan SMA/SMK/STM (45%), pekerjaan wirausaha (41%). Proporsi pasien pada fase pengobatan intensif dan lanjutan seimbang (masing-masing 50%). Mayoritas responden (68%) menerima dukungan keluarga yang baik dan menunjukkan kepatuhan minum obat tinggi (55%). Namun, uji Chi-Square menunjukkan nilai p = 0,732 (p > 0,05), menunjukkan tidak ada hubungan signifikan antara dukungan keluarga dan kepatuhan minum OAT di lokasi penelitian. Kesimpulan: Meskipun dukungan keluarga dan kepatuhan minum obat pada pasien tuberkulosis di Puskesmas Sidotopo tergolong baik, penelitian ini tidak menemukan hubungan statistik yang signifikan di antara keduanya, kemungkinan adanya faktor lain yang lebih berpengaruh terhadap kepatuhan pasien.

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Introduction: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, which generally attacks the lungs but can also affect other organs. This disease can be latent without symptoms or develop into a progressive active disease. This study aims to analyze the relationship between family support and adherence to taking anti-tuberculosis medication in patients at Puskesmas (community health center) Sidotopo in Surabaya City. Methods: This research was conducted using a quantitative cross-sectional design. This study involved 22 pulmonary tuberculosis patients at the Sidotopo community health center through total sampling. Data were collected using the MARS-10 questionnaire and family support. Analysis: Univariate analysis was conducted for respondent characteristics, while the Chi-Square test was used for bivariate analysis. Results: The percentage of respondents was dominated by ages 35-44 years (32%), male (64%), education of high school/vocational high school (45%), and self-employed (41%). The proportion of patients in the intensive and continuation treatment phases was balanced (50% each). The majority of respondents (68%) received good family support and showed high adherence to taking medication (55%). However, the Chi-Square test showed a p-value of 0,732 (p > 0.05), indicating no significant relationship between family support and adherence to anti-tuberculosis medication at the study site. Discussion: Although family support and medication adherence in tuberculosis patients at Sidotopo community health center were relatively good, this study did not find a statistically significant relationship between the two. Other factors may have a greater influence on patient adherence.