© 2021 The Author(s). This article is open access
Jurnal Biologi Tropis
This article is licensed under a Creative Commons Attribution 4.0
International License.
Original Research Paper
The Correlations of Knowledge, Attitude and Practice with Compliance in
Treatment of Pulmonary Tuberculosis Patients in Puskesmas Cakranegara
Auliana Puji Lestari
1
, Prima Belia Fathana
1*
, Wahyu Sulistya Affarah
1
1
Program Studi Pendidikan Dokter, Fakultas Kedokteran Universitas Mataram, Mataram, Indonesia
Article History
Received : December 30
th
, 2020
Revised : January 06
th
, 2021
Accepted : January 16
th
, 2021
Published : January 20
th
, 2021
*Corresponding Author:
Prima Belia Fathana,
Program Studi Pendidikan
Dokter, Fakultas Kedokteran
Universitas Mataram, Mataram,
Indonesia
Email: ninaalestari@gmail.com
Abstract: Patient compliance refers to the suitability of behavior against
treatment recommendations include timing, dose and frequency of treatment.
Compliance to tuberculosis treatment was actually very complex and
dynamic with various factors that interacted each other, and therefore it will
influence on patient’s behavior decision. Patient who has a good compliance
will increase success to his recovery. This study was carried out to determine
the correlation between tuberculosis patient behavior which consists of the
domain of knowledge, attitudes and practices with compliance to taking anti-
tuberculosis drugs at the Puskesmas Cakranegara commencing on July to
November 2020. This research was an observational analytic study using a
cross sectional method. Population sample was patients who diagnosed with
pulmonary tuberculosis which undergoing category 1 treatment at
Puskesmas Cakranegara. The data used in the study was primary data
established from interviewing patients using a questionnaire on selected
Pulmonary TB patients including respondents who eligible as the inclusion
and exclusion criteria. The number of samples in this study were 30 infected-
people. The data obtained were analyzed using the Spearman correlation test.
The correlation test of the study showed that there was no significant
correlation between variable of knowledge and medication compliance (p =
0.079, r = 0.325). However, the attitude variables had a significant
correlation with medication compliance (p = 0.000, r = 0.715). Similarly, the
practices variable has a significant correlation to the medication compliance
(p = 0.000, r = 0.656). This study found that there was no significant
correlation between knowledge and compliance taking anti-tuberculosis
drugs. However, it was found that there was a significant correlation between
attitudes and practices with compliance to taking anti-tuberculosis drugs.
Keywords: Attitude; Behavior; Compliance; Knowledge; Practice.
Pendahuluan
Tuberkulosis (TB) adalah salah satu
penyakit menular yang masih menjadi masalah
kesehatan masyarakat yang utama di seluruh
dunia dengan menginfeksi sekitar seperempat
dari populasi dunia. TB menjadi penyebab
utama kematian setiap tahunnya dengan
menginfeksi sekitar 10 juta orang dan sekitar
1,5 juta kematian terkait dengan TB dilaporkan
pada tahun 2018 (WHO, 2019). Jumlah kasus
TB di Indonesia yang dilaporkan pada tahun
2018 mencapai 845.000 kasus (WHO, 2019).
Jumlah pasien TB pada tahun 2018 di Provinsi
Nusa Tenggara Barat (NTB) mencapai 6.162
orang, dengan 4.367 orang merupakan kasus
TB paru BTA (+). Case Notification Rate
(CNR) yaitu jumlah kasus TB yang diobati dan
dilaporkan di antara 100.000 penduduk di NTB
pada tahun 2017 sebesar 134,12 dan
mengalami penurunan pada tahun 2018
menjadi 123. Angka keberhasilan pengobatan
penderita TB BTA (+), kasus baru di NTB pada
tahun 2018 juga terjadi penurunan
dibandingkan tahun 2017, yakni dari 87,75
menjadi 86,3% (Dikes NTB, 2019).
Case Detection Rate (CDR)
menggambarkan cakupan penemuan pasien
baru BTA (+) pada wilayah tersebut. Menurut
dinas kesehatan kota Mataram tahun 2019,