Effectiveness of health coaching nursing education based on the precede-proceed model theory on medication compliance of TB Patients
DOI:
https://doi.org/10.21927/jnki.2026.14(2).399-409Keywords:
pulmonary tuberculosis, medication adherence, health coaching nursing education, precede-proceed modelAbstract
Background: Tuberculosis is a contagious infectious disease where its control efforts are one of the world's targets, namely the Sustainable Development Goals (SDGs). Compliance with taking medication in pulmonary TB patients is an obstacle often faced by patients because they have to take medication continuously until the specified time, however in Indonesia there are still many cases of drop out for various reasons such as drug side effects, level of knowledge, habits, lack of family support, environment, socio-economic and health education strategies. The education provided is still one-way and has not touched on psychological, social, and motivational aspects, even though patients have the potential to act as facilitators of behavior change.
Objectives: The purpose of this study is to determine the development of health coaching nursing education based on the precede-proceed model theory on medication adherence for TB patients in the Pleret Bantul DIY Community Health Center Working Area.
Methods: This research design is quasi- experimental with Non Equivalent Control Group approach. The number of samples in this study refers to Non Probability Sampling type of total sampling amounting to 32, which are divided into 2 intervention and control group of 16 respondents each. The d ata analysis of this study used the Wilcoxon Signed Rank Test and Mann-Withney. Instrument for medication adherence was measured using the Medication Morisky Adherence Scale (MMAS-8).
Results: The results showed a significant difference between the control group and the intervention group after health coaching nursing education based on the precede-proceed model theory with a value of p= 0.049 < 0,05.
Conclusions: It was concluded that health coaching nursing education based on the precede-proceed model theory influenced medication adherence of TB patients in the Pleret Bantul DIY Community Health Center Work Area
References
Kemenkes. Profil Kesehatan Indonesia 2021. 2022.
WHO. Global Tuberculosis Report. 2020.
Kemenkes. Profil Kesehatan Indonesia 2023. 2024.
Riskesdas. Laporan Provinsi DI. Yogyakarta. DIY; 2018.
Dinas Kesehatan Kabupaten Bantul. Pofil Dinas Kesehatan Kabupaten Bantul. Yogyakarta; 2016.
Nizar M. Pemberantasan dan Penanggulangan Tuberculosis. Yogyakarta: Gosyen; 2017.
Hikmawati, Anna Nur dan Riyadi ME. The Family Experience as A Supervisor of Ingesting Drugs to the Adherence to Treatment of Tuberculosis Patients. Jurnal Keperawatan [Internet]. 2020;12(3):789–98. Available from: http://www.journal.stikeskendal.ac.id/index.php/Keperawatan/article/view/971
Widyastuti H. Faktor-Faktor Yang Berhubungandengan Kepatuhan Berobat Pasien TB Paru Di Balai Kesehatan Paru Masyarakat Kota Pekalongan. Doctoral dissertation, Universitas Negeri Semarang [Internet]. 2016; Available from: http://lib.unnes.ac.id/id/eprint/27967
Syatif Buang, Muhamad, Rahmalia, Siti A. Efektifitas Pendidikan Kesehatan Dengan Audiovisual Terhadap Pengetahuan Dan Perilaku Hidup Sehat Keluarga Tentang Pencegahan Penularan Tuberkulosis Paru. JOM [Internet]. 2015;2(2). Available from: https://www.neliti.com/publications/184291/efektifitas-pendidikan-kesehatan-dengan-audio-visual-terhadap-pengetahuan-dan-pe
Hikmawati AN, Hartiningsih N, Setyawan A, Adkhana DN, Stikes S, Global S, et al. Pendidikan Kesehatan Dengan Media Audio Visual Berpengaruh Terhadap Dukungan Keluarga Pada Pasien TBC. Jurnal Keperawatan [Internet]. Available from: http://journal.stikeskendal.ac.id/index.php/PSKM
Evi Supriatun, Insani U. Pengaruh Health Coaching terhadap Peningkatan Perilaku Pencegahan Tuberkulosis di Kabupaten Tegal. Jurnal Kesehatan Komunitas. 2021 Apr 30;7(1):97–105.
Notoatmodjo S. Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta; 2010.
Afilla Christy B, Susanti R, Nurmainah N. Hubungan Tingkat Kepatuhan Minum Obat Pasien Tuberkulosis Terhadap Efek Samping Obat Anti Tuberkulosis (OAT). Journal Syifa Sciences and Clinical Research. 2022 Jun 14;4(1).
Nur Hasina S, Rahmawati A, Faizah I, Yunita Sari R, Rohmawati Fakultas Keperawatan dan Kebidanan R, Nahdlatul Ulama Surabaya U, et al. Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat Anti Tuberkulosis (OAT) Pada Pasien Tuberkulosis Paru. Jurnal Keperawatan [Internet]. Available from: http://journal.stikeskendal.ac.id/index.php/PSKM
Luh N, Dewi KF, Dewi Puspawati P, Sumberartawan IM. GAMBARAN KEPATUHAN MINUM OBAT PADA PENDERITA TUBERKULOSIS PARU Description of Medication Adherence in Pulmonary Tuberculosis Patients. Vol. 3, CARING. 2019.
Notoatmodjo S. Promosi Kesehatan dan Ilmu Perilaku. Jakarta: PT. Rineka Cipta.; 2014.
Gusneli. Pengaruh Pendidikan Kesehatan terhadap Perilaku Keluarga Penderita TB dalam Upaya Penanggulangan TB Dewasa di Kabupaten ABC Sumatera Barat. Jurnal Ilmiah Universitas Batanghari Jambi, [Internet]. 2020;20(2):630–6. Available from: http://ji.unbari.ac.id/index.php/ilmiah/article/view/1001/712
Humaidi F, Ratna Anggarini D. Kepatuhan Minum Obat Anti Tuberkulosisi Pada Pasien TBC regimen Kategori I di Puskesmas Palengan. JIFA : Jurnal Ilmiah Farmasi ATTAMRU. 2020;01:1.
Sary, A. N., Putri, R. N., & Marini, N. (2024). Faktor-Faktor Kepatuhan Minum Obat Anti Tuberculosis Pada Penderita Tb Paru. Ensiklopedia of Journal, 6(2), 205-208.
V, Rahardjo SS, Murti B. Health Belief Model and PRECEDE PROCEED on the Risk Factors of Multidrug Resistant Tuberculosis in Surakarta, Central Java. Journal of Epidemiology and Public Health [Internet]. 2017;02(03):241–54. Available from: http://www.jepublichealth.com/index.php?journal=jepublichealth&page=article&op=view&path%5B%5D=56&path%5B%5D=58
