Pengaruh Psikoedukasi Audio Visual Berbasis Implementation Intention Terhadap Niat dan Perilaku Kepatuhan Minum Obat Pasien Tuberkulosis (TB) di Wilayah Kerja Dinas Kesehatan Kabupaten Tulungagung

Anita Dewi Anggraini, Soedarsono Soedarsono, Laily Hidayati

Abstract


Introduction: Treatment failure, disease transmission and drug resistance were problems that occur due to non-compliance. One of the factors caused non-compliance was a prolonged psychological problem and a lack of patient commitment to treatment. Psychoeducation which was guided by implementation intention and packaged in audio-visual form was expected to improve intention and medication adherence behaviour. Aims: This study aims to explain the effect of implementation intention based audiovisual psychoeducation on intention and taking medicine adherence behaviour of TB patients in the Tulungagung District Health Office. Methods: The research method used was a quasi-experimental design with a pre-post control group. The study sample was 72 TB patients who underwent intensive category 1 treatment as many as 2 divided into 2 intervention groups (n=36) and controls (n=36). Samples were taken by cluster random sampling, inclusion criteria for intensive treatment category 1 TB patients (1-2 months), aged 18-65 years and able to communicate verbally and in writing well. The intention of taking medicine was assessed using a questionnaire about intentions developed from Sari et all research, while taking medicine adhererence behaviour was assessed using the Morisky Medication Adherence Scale (MMAS-8) questionnaire which has been developed by Mahayu et al. Data was analyzed using the Wilcoxon-marked ranking test and Mann-Whitney test. Results: After audio visual psychoeducation intervention based on implementation intention, it was found that there was a significant increase in intetion and taking medicine adherence behaviour in the intervention group with P<0.05. Conclusion: Audio visual psychoeducation based on implementation intention is an effective intervention to improve intention and taking medicine adherence behaviour of TB patients.
Keywords: audio-visual psychoeducation, implementation intentions, intention, taking medicine adherence behaviour
ABSTRAK

Pendahuluan: Kegagalan pengobatan, penularan penyakit, dan resistensi obat merupakan masalah yang terjadi akibat ketidakpatuhan. Salah satu faktor penyebab ketidakpatuhan adalah masalah psikologis yang berkepanjangan dan kurangnya komitmen niat pasien untuk melakukan pengobatan. Psikoedukasi yang dipandu dengan Implementation intention dan dikemas dalam bentuk audio visual diharapkan dapat meningkatkan niat dan perilaku kepatuhan pasien dalam melakukan pengobatan. Tujuan: Penelitian ini bertujuan untuk menjelaskan pengaruh psikoedukasi audio visual berbasis implementation intention terhadap niat dan perilaku kepatuhan minum obat pasien TB di Wilayah Kerja Dinas Kesehatan Kabupaten Tulungagung. Metode: Tujuh puluh dua pasien yang menjalani pengobatan TB kategori 1 fase intensif dilibatkan pada penelitian quasy experiment dengan pre – post control group design ini. Responden dibagi menjadi 2 kelompok intervensi dan kontrol, masing-masing kelompok terdiri dari 36 responden. Tehnik pengambilan sampel dengan cluster random sampling pada seluruh Puskesmas di Wilayah Kerja Kabupaten Tulungagung. Niat minum obat dinilai menggunakan kuesioner tentang niat yang dikembangkan dari penelitian Sari dkk, sedangkan kepatuhan minum obat dinilai menggunakan kuesioner Morisky Medication Adherence Scale (MMAS-8) yang telah dikembangkan oleh Mahayu dkk. Data dianalis menggunakan Wilcoxon signed ranks test dan mann-whitney test. Hasil: Setelah dilakukan intervensi psikoedukasi audio visual berbasis implementation intention didapatkan hasil bahwa ada peningkatan signifikan terhadap niat dan perilaku kepatuhan minum obat pada kelompok intervensi dengan P<0.05. Kesimpulan: Psikoedukasi audio visual berbasis implementation intention adalah intervensi yang efektif untuk meningkatkan niat dan perilaku kepatuhan pasien TB dalam minum obat.
Kata kunci: psikoedukasi audio visual; implementation intention; niat; perilaku kepatuhan minum obat

Keywords


psikoedukasi audio visual; implementation intention; niat; perilaku kepatuhan minum obat



DOI: http://dx.doi.org/10.33846/sf.v10i4.529

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