KONTRIBUSI PSIKOSOSIAL SEBAGAI DETERMINAN KEPATUHAN PENGOBATAN PADA PASIEN TB RESISTAN OBAT

Abstract

Drug-Resistant Tuberculosis (DR-TB) remains a major public health challenge in Indonesia due to the high rate of treatment failure associated with poor adherence to long-term therapy. Psychosocial support is considered a key determinant in improving patients’ motivation and consistency throughout the treatment process. This study aimed to analyze the effect of psychosocial support on treatment adherence among DR-TB patients. A quantitative analytic study with a cross-sectional design was conducted involving 72 DR-TB patients selected through purposive sampling. Data were collected using validated questionnaires: the Multidimensional Scale of Perceived Social Support (MSPSS) to measure psychosocial support and the Morisky Medication Adherence Scale (MMAS-8) to assess treatment adherence. Statistical analysis was performed using Pearson correlation and simple logistic regression. The results revealed a strong and significant positive correlation between psychosocial support and treatment adherence (r = 0.612; p = 0.000; OR = 3.87). It can be concluded that psychosocial support plays a crucial role in enhancing adherence to DR-TB treatment. This study contributes to the understanding that integrating psychosocial and emotional support interventions into TB control programs is essential to improve long-term treatment success.