Analysis Of the Health Services of Tuberculosis Patients Regarding Compliance with Drinking Drugs In Puskesmas Of Medan

Abstract

Tuberculosis is the second most deadly infectious disease. Indonesia is in the top three countries after India and China. The number of patients in North Sumatra in 2019 was recorded at 37,865 people while in 2020 there were 33,779 cases. Medan has the highest number of cases, which were 12,105 cases in 2020. This research aims to analyze health services such as pharmacy services and nursing services for tuberculosis patients in relation to medication compliance in Puskesmas of Medan. This research uses an observational method with a cross-sectional design. The number of samples is 100 people with purposive sampling technique. The analysis used is univariate, bivariate and multivariate. The pharmaceutical service shows that there is an effect of pharmaceutical service with medication compliance (p= 0.004; 95% CI 1.550-9.309). The OR value is 3.798 meaning that people who experience less effective pharmaceutical service have a risk of 3.798 time to not comply with medication compared to people who experience effective pharmaceutical services. The nursing service shows that there is an effect of nursing service with medication compliance (p= 0.002; 95% CI 1.671-10.602) with an OR value of 4.209, meaning that people who experience ineffective nursing services have a risk of 4.209 times to not comply with medication compared to people who experience effective nursing care. There is an influence of pharmacy services and nursing services with medication compliance in tuberculosis patients in Puskesmas of Medan.