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GHMJ (Global Health Management Journal)GHMJ (Global Health Management Journal)

Background: Tuberculosis (TB) is one of the top ten causes of death worldwide, caused by the Mycobacterium tuberculosis germ. Adherence to medication is a key factor in successful treatment and efforts to improve the quality of life of TB patients. Aims: Analyzing the relationship between characteristics with medication adherence and quality of life of pulmonary TB patients at the Cirebon City Community Lung Health Center. Methods: This study used an analytic observation method with a Cross Sectional design. The measuring instruments used were medical records and questionnaires that had been tested for validity and reliability, with a total of 131 respondents of pulmonary TB patients at the Cirebon City Community Lung Health Center (BKPM). Results: The most common characteristics were adult age 90.8%, female gender 56.5%, secondary education 50.4%, student 28.2%, length of treatment at the advanced stage 59.5%, adherent to taking medication 87.0%, good quality of life 54.2%. Based on the Chi-Square test, the relationship between characteristics and drug compliance from age p-value=0.189, gender p-value=0.320, education p-value=0.447, occupation p-value=0.594, length of treatment p-value=0.014. The relationship between characteristics and quality of life from age p-value=0.688, gender p-value=0.550, education p-value=0.838, occupation p-value=0.519, length of treatment p-value=0.604. Based on the logistic regression test, the relationship between characteristics and drug compliance from age p-value=0.058, length of treatment p-value=0.006. Conclusion: There is no relationship between age, gender, education, and occupation with medication adherence (p>0.05). Whereas in the length of treatment there is a relationship with adherence to taking medication. There is no relationship between characteristics and quality of life of pulmonary TB patients (p>0.05). The characteristic most associated with adherence to taking medication is length of treatment (p=0.006). Future researchers are advised to explore other factors that may be related to medication adherence and quality of life in patients with pulmonary TB.

The study concludes that there is no significant relationship between age, gender, education, and occupation with medication adherence.However, a significant relationship exists between the length of treatment and adherence to medication.Furthermore, no relationship was found between patient characteristics and quality of life.The length of treatment is the most significant characteristic associated with adherence to medication.

Penelitian lebih lanjut perlu dilakukan untuk mengidentifikasi faktor-faktor lain yang mungkin memengaruhi kepatuhan pengobatan dan kualitas hidup pasien TB paru, terutama yang berkaitan dengan aspek psikososial dan dukungan sosial. Selain itu, studi komparatif dapat dilakukan untuk membandingkan tingkat kepatuhan dan kualitas hidup pasien TB paru di berbagai pusat kesehatan dengan karakteristik demografis dan sosial ekonomi yang berbeda. Terakhir, pengembangan dan evaluasi intervensi berbasis teknologi, seperti aplikasi seluler atau platform telemedicine, dapat dipertimbangkan untuk meningkatkan kepatuhan pengobatan dan memantau kualitas hidup pasien TB paru secara berkelanjutan, dengan mempertimbangkan kemudahan akses dan penerimaan oleh pasien dari berbagai kelompok usia dan tingkat pendidikan.

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