Pengaruh Edukasi Kesehatan Berbasis Pendekatan Health Belief Model (HBM) terhadap Peningkatan Motivasi Minum Obat pada Pasien TB Paru di Kelurahan Sindangsari
DOI:
https://doi.org/10.55606/jpikes.v6i1.6667Keywords:
Health Belief Model, Health Education, Patient Motivation, Pulmonary TuberculosisAbstract
Pulmonary tuberculosis remains a major public health problem, with medication non-adherence being a key challenge in achieving optimal treatment outcomes. Low motivation to take medication regularly increases the risk of treatment failure and drug resistance. This study aimed to analyze the effect of health education based on the Health Belief Model (HBM) on improving medication-taking motivation among pulmonary tuberculosis patients. A quantitative pre-experimental study with a one-group pretest–posttest design was conducted at Cikundul Public Health Center from October 2025 to January 2026. The study involved 15 pulmonary tuberculosis patients selected using total sampling. Data were collected using a validated and reliable motivation questionnaire administered before and after HBM-based health education. Data analysis included univariate analysis and bivariate analysis using the Wilcoxon Signed Rank Test. The results showed a significant increase in patients’ motivation to take medication after the intervention, with all respondents reaching a good motivation level in the posttest. Statistical analysis revealed a significant difference between pretest and posttest motivation scores (p < 0.001). These findings indicate that HBM-based health education has a significant positive effect on improving medication-taking motivation among pulmonary tuberculosis patients. The study implies that integrating HBM-based educational interventions into routine tuberculosis care may enhance treatment adherence and support the success of tuberculosis control programs.
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References
Aja, N., Ramli, R., & Rahman, H. (2022). Penularan tuberkulosis paru dalam anggota keluarga di wilayah kerja Puskesmas Siko Kota Ternate. Jurnal Kedokteran dan Kesehatan, 18(1), 78–87. https://doi.org/10.24853/jkk.18.1.78-87
Apriliza, C., Buaton, R., Sembiring, H., Tinggi, S., & Informatika, M. (2025). Pengelompokan penyakit tuberkulosis paru berdasarkan penyebabnya menggunakan metode clustering (Studi kasus: UPT Puskesmas Selesai). Prosiding/Artikel Ilmiah, 1.
Asri Jumadewi, & Setiawan, H. (2024). Buku ajar promosi kesehatan dan screening scabies.
Firmanda, G. I., Pratiwi, W. N., Sunarno, R. D., & Wahyuningsih, A. (2025). Pengaruh edukasi terhadap pengetahuan dan kepatuhan obat pada penderita TB di Karanganyar. Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal), 9(1), 28. https://doi.org/10.22146/jkkk.104297
Fortuna, T. A., Rachmawati, H., Hasmono, D., & Karuniawati, H. (2022). Studi penggunaan obat anti tuberkulosis (OAT) tahap lanjutan pada pasien baru BTA positif. Pharmacon: Jurnal Farmasi Indonesia, 19(1), 62–71. https://doi.org/10.23917/pharmacon.v19i1.17907
H., S., Humaidi, F., & Anggarini, D. R. (2020). Kepatuhan minum obat anti tuberkulosis pada pasien TBC regimen kategori I di Puskesmas Palengaan. Jurnal Ilmiah Farmasi Attamru, 1(1), 7–14. https://doi.org/10.31102/attamru.v1i1.917
Handayani, F., Mawarti, H., & Asumta, M. Z. (2024). Pengaruh komponen Health Belief Model terhadap self-awareness pada pasien TB paru yang LTFU (Lost to Follow Up): Literatur review. Jurnal Keperawatan Jiwa, 12(4), 829–839. https://doi.org/10.26714/jkj.12.4.2024.829-839
Hidayat, M., R. T., & A. (2022). Efektivitas media poster terhadap kepatuhan minum obat pasien hipertensi di Puskesmas Rawat Inap Alabio.
Irma Dwi Asri, & Mitra, A. (2024). Identifikasi penyebab tingginya jumlah kasus tuberculosis paru di Provinsi Riau. 6(2), 23–33. https://doi.org/10.14341/cong23-24.05.24-108
Juliati, L., Makhfudli, M., & Wahyudi, A. S. (2020). Analisis faktor yang memengaruhi kepatuhan perilaku pencegahan penularan dan kepatuhan minum obat pada pasien tuberkulosis paru berbasis teori Health Belief Model. Indonesian Journal of Community Health Nursing, 5(2), 62–69. https://doi.org/10.20473/ijchn.v5i2.17694
Patricia, N. B., D., & S. (2020). Efek pemberian edukasi Health Belief Model pada penderita tuberkulosis paru terhadap pengetahuan dan persepsi kepatuhan pengobatan. Gema Lingkungan Kesehatan, 18(1), 58–64. https://doi.org/10.36568/kesling.v18i1.1214
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the Health Belief Model. Health Education Quarterly, 15(2), 175–183. https://doi.org/10.1177/109019818801500203
Siburian, C. H., Silitonga, S. D., & Naibaho, E. N. V. (2023). Hubungan pengetahuan dengan kepatuhan minum obat pada pasien tuberkulosis paru. Sehat Rakyat: Jurnal Kesehatan Masyarakat, 2(1), 160–168. https://doi.org/10.54259/sehatrakyat.v2i1.1541
Tinjauan, M., & Adhanty, S. (2023). Kepatuhan pengobatan pada pasien tuberkulosis dan faktor-faktor yang memengaruhinya: Tinjauan sistematis. Jurnal Epidemiologi Kesehatan Indonesia, 7(1). https://doi.org/10.7454/epidkes.v7i1.6571
Widati, M. A. H., & S. (2021). Perilaku pengobatan TBC berdasarkan teori Health Belief Model: Literature review. 6, 167–186.
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