Hubungan Kepatuhan Pengobatan dengan Kualitas Hidup Pasien Tuberkulosis di Poliklinik TB-DOTS Rumah Sakit Prof. Chairuddin P. Lubis USU Medan

Abstract

Introduction. Tuberculosis (TB) is an infectious disease and the second leading cause of death in the world. The level of treatment adherence of TB patients is closely related to the quality of life of these patients. Objectives. This study aims to analyze the relationship between treatment adherence and quality of life of pulmonary TB patients. Methods. This study is an observational analytic study with a cross sectional design. The sample in this study was 101 pulmonary TB patients aged >18 years who were undergoing treatment from August to October 2024 and patients lost to follow up in the period December 2023-May 2024 at the TB-DOTS polyclinic of Prof. Chairuddin P. Lubis USU Medan Hospital. The sampling technique used consecutive sampling with direct interviews using the MMAS-8 and WHOQOL-BREF questionnaires. The analysis used was frequency distribution analysis, Chi-square test. Results and Discussion. The results of bivariate analysis using the Chi-square test showed that there was a significant relationship between treatment compliance with general QOL, general health, physical domain (p-value <0.05). There is no significant relationship between treatment compliance with the psychological domain and social relationships (pvalue> 0.05). While in the environmental domain, highly significant results were obtained (p-value <0.001). Conclusion. There is a significant relationship between medication adherence with general QOL, general health, physical and environmental domains but there is no significant relationship between medication adherence with the psychological domain and the social relationship domain of quality of life.