Relationship between Side Effects of Anti-tuberculosis Drugs (ATDs) and Adherence to Medication in Elderly Patients with Tuberculosis
Keywords:
Drug Side Effects, Anti-Tuberculosis Drugs (ATDS), Medications Adherence, Elderly PeopleAbstract
One of the obstacles to the treatment of tuberculosis (TB) patients is the side
effects of anti-tuberculosis drugs (ATDs) which cause patients to be reluctant to continue the medication. The elderly experience various physical and physiological changes in the body
system, including susceptibility to drug side effects, decreased knowledge and memory,
resulting in non-compliance with taking the medication. This study aims to determine the
relationship between ATDs side effects and compliance with taking medication for elderly
patients at the Tanjung Selor Health Center, Bulungan Regency, North Kalimantan Province.
This study used a quantitative cross-sectional approach. The sample was taken by total
population, namely elderly tuberculosis patients undergoing tuberculosis treatment as many as
30 respondents. The research instrument was a questionnaire of drug side effects and ATDs
compliance. Statistical test used Fisher's Exact. The results showed that most patients (76.7%)
complained of OAT side effects and the rest without OAT side effects (23.3%). Treatment
compliance was 20% compliant, and 80% were non-compliant. Fisher's Exact statistical test
obtained p-value = 0.016 (< α = 0.05). It was concluded that there was a significant relationship between OAT side effects and treatment compliance in elderly patients with tuberculosis. Recommendations for health workers to give special attention to elderly patients with medication monitoring and compliance motivation. Future researchers should identify the involvement of family and health workers to monitor the side effects of anti-tuberculosis drugs.
References
Cavalhiero AP. Tuberculosis. In: Hunter’s Tropical Medicine and Emerging Infectious Diseases. Elsevier. 2020.
WHO. Global TB Report 2022. World Health Organization (WHO); 2022. Retrieved from https://reliefweb.int/report/world/global-tuberculosis-report-2022?psafe_param
World Health Organization (WHO). TB Mortality. Published 2019. Retrieved from https://www. who.int/es/emergencies/diseases/novel-coronavirus-2019/advice-for-public/q-a-coronaviruses#:~:text=sintomas
Kemenkes RI. Profil Kesehatan Indonesia 2021. Kementerian Kesehatan RI; 2022. https://ebooks.gramedia.com/id/buku/profil-kesehatan-indonesia-2021
Dinas Kesehatan Provinsi Kalimantan Utara. Jumlah Kasus Penyakit 2020. Badan Pusat Statistik Kalimantan Utara. Published 2020. Toegang verkry Maart 21, 2023. https://kaltara.bps.go.id/indicator/ 30/107/1/jumlah-kasus-penyakit.html
Pramono JS. Menemukan kasus baru penderita tuberkulosis dengan pendekatan investigasi kontak pedoman bagi Kader Kesehatan. 1st ed. Madza Media; 2022.
Caraux-Paz P, Diamantis S, de Wazières B, Gallien S. Tuberculosis in the Elderly. Journal of Clinical Medicine. 2021 Dec 15;10(24):5888.
Manggasa DD, Suharto DN. Riwayat Pengobatan dan Komorbid Diabetes Mellitus Berhubungan Dengan Kejadian Tuberkulosis Resisten Obat. Poltekita J Ilmu Kesehat. 2022;15(4):403–408. doi:10.33860/jik.v15i4.659
Kemenkes RI. Permenkes RI No. 67/2016 tentang Penanggulangan Tuberkulosis. Kemenkes RI; 2017. www.Kemkes.go.id
Seniantara IK et al. Pengaruh efek samping obat anti tuberculosis terhadap kepatuhan minum. J Keperawatan Suaka Insa. 2018;3(2). doi:10.51143/jksi.v3i2.98
Pramono JS, Noorma N, Gandini AL, Fitriani S. The Effect of Side Effects Tuberculosis Treatment in the Early Stage Towards Compliance with Tuberculosis Patients. Health Notions. 2021 Jan 11;5(01):29-32.
Fraga AD, Oktavia N, Mulia RA. Evaluasi Penggunaan Obat Anti Tuberkulosis Pasien Baru Tuberkulosis Paru Di Puskesmas Oebobo Kupang. Jurnal Farmagazine. 2021 Feb 27;8(1):17-24.
Mustaming M. Efek Obat Antituberkulosis Fase Intensif dan Konsumsi Purin Terhadap Kadar Asam Urat Pasien Tuberkulosis. The Journal of Muhammadiyah Medical Laboratory Technologist. 2022 Jun 29;5(1):15-23.
Utukaman KA, Laksmitawati DR, Sumarny R, Tomasoa E. Peran Apoteker Terhadap Keberhasilan Pengobatan Tahap Intensif Pasien Tuberkulosis. Poltekita: Jurnal Ilmu Kesehatan. 2021 Nov 27;15(3):263-73.
Chan AH, Horne R, Hankins M, Chisari C. The medication adherence report scale: a measurement tool for eliciting patients' reports of nonadherence. British journal of clinical pharmacology. 2020 Jul;86(7):1281-8.
BPOM. Farmakovigilans (Keamanan Obat) : Panduan Deteksi dan Pelaporan Efek Samping Obat Untuk Tenaga Kesehatan. (Andyani D et al., reds). Balai Pengawasan Obat dan Makanan (BPOM) Kemenkes RI; 2019.
Fransiska M, Hartati E. Faktor resiko kejadian tuberculosis. Jurnal Kesehatan. 2019 Nov 1;10(3).
Sterlikov SА., Gаlkin VB., Mаliev BM., Shirokovа АА., Khorotetto VА., Mаyzhegishevа АS. Impact of Active Case Finding on Treatment Outcomes in Adult Pulmonary Tuberculosis Patients. Tuberculosis and Lung Diseases. 2021;99(7):33-40. (In Russ.) https://doi.org/10.21292/2075-1230-2021-99-7-33-40
Saunders MJ, Tovar MA, Collier D, Baldwin MR, Montoya R, Valencia TR, Gilman RH, Evans CA. Active and passive case-finding in tuberculosis-affected households in Peru: a 10-year prospective cohort study. The Lancet Infectious Diseases. 2019 May 1;19(5):519-28.
Wahyudin E. Buku Ajar Farmakokinetik. PT. Nasya Expanding Management; 2020.
An Q, Song W, Liu J, Tao N, Liu Y, Zhang Q, Xu T, Li S, Liu S, Li Y, Yu C. Primary drug-resistance pattern and trend in elderly tuberculosis patients in Shandong, China, from 2004 to 2019. Infection and Drug Resistance. 2020 Nov 13:4133-45.
Rochimah SE. Farmasi Klinik. Penerbit Deepublish; 2018.
Kemenkes RI. Petunjuk Teknis Investigasi kontak Pasien TBC bagi Petugas Kesehatan dan Kader. Dirjen Pencegahan dan Pengendalian Penyakit Menular; 2019.
Velayutham B, Jayabal L, Watson B, Jagadeesan S, Angamuthu D, Rebecca P, Devaleenal B, Nair D, Tripathy S, Selvaraju S. Tuberculosis screening in household contacts of pulmonary tuberculosis patients in an urban setting. Plos one. 2020 Oct 15;15(10):e0240594.
Ragonnet R, Trauer JM, Geard N, Scott N, McBryde ES. Profiling Mycobacterium tuberculosis transmission and the resulting disease burden in the five highest tuberculosis burden countries. BMC medicine. 2019 Dec;17(1):1-12.
Susilo R, Maftuhah A, Hidayati NR. Kepatuhan Pasien TB Paru Terhadap Penggunaan Obat TB Paru dI RSUD Gunung Jati Kota Cirebon Tahun 2017. Medical Sains: Jurnal Ilmiah Kefarmasian. 2018 Apr 3;2(2):83-8.
Du L, Chen X, Zhu X, Zhang Y, Wu R, Xu J, Ji H, Zhou L, Lu X. Determinants of medication adherence for pulmonary tuberculosis patients during continuation phase in Dalian, Northeast China. Patient preference and adherence. 2020 Jul 7:1119-28.
Anam AK. tuberculosis, efek samping, Ota Keluhan Penderita Tuberculosis Tentang Efek Samping Obat Anti Tuberculosis Dan Faktor Yang Mempengaruhinya Di Uptd Kesehatan. Jurnal Keperawatan Malang. 2018;3(2):85-93.
Asriati A, Kusnan A. Faktor Risiko Efek Samping Obat dan Merasa Sehat Terhadap Ketidakpatuhan Pengobatan Penderita Tuberkulosis Paru. Jurnal Kesehatan Perintis. 2019 Dec 31;6(2):134-9.
Adrian MM, Purnomo EP, Agustiyara A. Implementasi Kebijakan Pemerintah PERMENKES NO 67 Tahun 2016 Dalam Penanggulangan Tuberkulosis di Kota Yogyakarta. Jurnal Kebijakan Kesehatan Indonesia: JKKI. 2020;9(2):83-8.
Mashidayanti A, Nurlely N, Kartinah N. Faktor Risiko Yang Berpengaruh Pada Kejadian Tuberkulosis dengan Multidrug-Resistant Tuberculosis (MDR-TB) di RSUD Ulin Banjarmasin. Jurnal Pharmascience. 2020 Oct;7(2):139-48.
Farlinza SV, Lestari F, Choesrnia R. Studi Kepatuhan Penggunaan Obat Anti Tuberkulosis pada Pasien Tuberkulosis di Puskesmas Kalibalangan Lampung Utara. InBandung Conference Series: Pharmacy 2022 Aug 10:1116–1122.
Ambarwati SC, Perwitasari DA. Kepatuhan minum obat anti tuberkulosis pasien tuberkulosis di beberapa Puskesmas di Kabupaten Sleman , Yogyakarta. J Farm Klin dan Sains. 2022;2(April 2020):59–65. doi:10.26753/jfks.v2i1.732
Chebet NA, Kirui J, Otieno G, Sanga D, Wanjau G, Yoos A. Tuberculosis Treatment Adherence among Patients Taking Anti-TB Drugs in Kilifi County, Kenya. African Journal of Health Sciences. 2022 Jun 20;35(2):210-23.
Mahwati Y. Kajian naratif: intervensi untuk meningkatkan kepatuhan pengobatan tuberkulosis. Kesmas Indones. 2022;14(2):213–225.
Pakpahan M, Siregar D, Susilawaty A, Tasnim T, Ramdany R, Manurung EI, Sianturi E, Tompunu MR, Sitanggang YF, Maisyarah M. Promosi kesehatan dan perilaku kesehatan. Yayasan Kita Menulis; 2021.
Bea S, Lee H, Kim JH, Jang SH, Son H, Kwon JW, Shin JY. Adherence and associated factors of treatment regimen in drug-susceptible tuberculosis patients. Frontiers in pharmacology. 2021 Mar 15;12:625078.
Nyorong M, Nadapdap TP, Yanthy L. Analysis of Factors Associated with Compliance with Taking Medicines for Pulmonary Tuberculosis Patients at Lut Tawar Health Center, Central Aceh Regency. Journal of Asian Multicultural Research for Medical and Health Science Study. 2021 Dec 30;2(4):82-94.
Sutarto S, Fauzi YS, Indriyani R, RW DW, Wibowo A. Efikasi Diri pada Kepatuhan Minum Obat Anti Tuberkulosis (OAT). Jurnal Kesehatan. 2019 Nov 30;10(3):405-12.
Published
How to Cite
Issue
Section
Authors who publish with Poltekita : Jurnal Ilmu Kesehatan agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
This work is licensed under a Creative Commons Attribution-ShareAlike 2.0 Generic License.
Poltekita : Jurnal Ilmu Kesehatan is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.