Online ISSN: 2515-8260

Keywords : Compliance


NURSING RELATIONSHIP ANALYSIS OF NURSING AGENCY WITH DRUG COMPLIANCE IN THE PUBLIC HEALTH CENTER OF MALANG DISTRICT

Rahmania Ambarika; Novita Ana Anggraini; Dedi Saifullah; Alfian Fauzi; Sutrisno .; Joko Sutrisno; Erma Retnaningtyas; Nur Yeny Hidajaturrokhmah

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 5, Pages 976-985

The process of treating pulmonary tuberculosis patients must be done regularly so that the disease can be completely cured. Treatment of pulmonary tuberculosis that is incomplete will have an impact on the resistance of Mycobacterium tuberculosa so that it will be more difficult in the healing process. This research design is correlation analytic. The population in this study were all patients with pulmonary TB in the Wajak Public Health Center in Malang Regency, there were 33 respondents, a large sample of 30 respondents with accidental sampling technique. The independent variable is the nurse of nursing agency while the dependent variable is compliance. The test used is rho spearment. The results showed that 22 (73.3%) respondents thought that the nursing agency of nurses was sufficient, most respondents of family nursing agencies were quite good as many as 16 respondents (53.3%) and the majority of respondents complied with taking medication as many as 21 respondents (70%) . Based on the results of the analysis using the rho spearment test. The results obtained p = 0.020 there is a relationship between nursing agency nurses with medication adherence in TB patients and the research results obtained that p = 0.033, which means that there is a relationship between family nursing agency and medication adherence in TB patients in Puskesmas Wajak. The existence of a family and nurse nursing agency is a psychosocial support that is able to provide emotional strength, family affection and the attention of health workers increases the patient's enthusiasm to spend drugs with the aim of being cured

Nursing Relationship Analysis Of Nursing Agency With Drug Compliance In The Public Health Center Of Malang District

Rahmania Ambarika; Novita Ana Anggraini; Dedi Saifullah; Alfian Fauzi; Sutrisno .; Joko Sutrisno; Erma Retnaningtyas; Nur Yeny Hidajaturrokhmah

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 4668-4677

The process of treating pulmonary tuberculosis patients must be done regularly so that the disease can be completely cured. Treatment of pulmonary tuberculosis that is incomplete will have an impact on the resistance of Mycobacterium tuberculosa so that it will be more difficult in the healing process. This research design is correlation analytic. The population in this study were all patients with pulmonary TB in the Wajak Public Health Center in Malang Regency, there were 33 respondents, a large sample of 30 respondents with accidental sampling technique. The independent variable is the nurse of nursing agency while the dependent variable is compliance. The test used is rho spearment. The results showed that 22 (73.3%) respondents thought that the nursing agency of nurses was sufficient, most respondents of family nursing agencies were quite good as many as 16 respondents (53.3%) and the majority of respondents complied with taking medication as many as 21 respondents (70%) . Based on the results of the analysis using the rho spearment test. The results obtained p = 0.020 there is a relationship between nursing agency nurses with medication adherence in TB patients and the research results obtained that p = 0.033, which means that there is a relationship between family nursing agency and medication adherence in TB patients in Puskesmas Wajak. The existence of a family and nurse nursing agency is a psychosocial support that is able to provide emotional strength, family affection and the attention of health workers increases the patient's enthusiasm to spend drugs with the aim of being cured

Improvement of adherence to treatment in patients with nonmuscle invasive bladder cancer (NMIBC) by spreading the 12 months maintenance Bacillus Calmette-Guerin (BCG) regimen over 18 months

Rani Zreik; Boris Friedman; Nitza Hirshberg; Gal Rinott Mizrahi; Yael Hod; Ghazi Fari; Freifeld Yuval; Avi Stein; Yoram Dekel

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 30-34

Purpose - To evaluate what effect spreading the maintenance BCG regimen from 12 to 18 months has on the treatment completion rate. Patients and methods - Retrospective data about patients diagnosed with intermediate or high risk nonmuscle invasive bladder cancer were collected. Suggested regimen started with 6 weekly induction intravesical full dose BCG instillations followed by 3 weekly instillations, 3 months after the 6th instillation. Thereafter, 3 weekly instillations were delivered 6 months after the 9th and the 12th instillation. In total, 15 BCG instillations were administered within 18 months. Cystoscopy and urine cytology were performed one month following the 6th, 9th, 12th and 15th instillations and then according to guidelines Results - 195 patients met the inclusion criteria. 190 (97.4%) patients completed the induction instillations and 141 (72.3%) completed the treatment protocol. 39 patients discontinued treatment for medical reasons and 15 patients due to non-compliance. 162 patients completed follow up as recommended for a median of 46±20.1 months. Of those, 45 patients (27.8%) and 8 (4.9%) had disease recurrence and progression, respectively. Conclusion - Spreading BCG instillations during maintenance protocol might achieve a better treatment completion rate, mainly due to improved patient compliance. No impacts on recurrence and progression rates have been observed in our cohort. Prospective randomized trials are warranted before suggesting clinical application.