Susanti Ika A, Mahardita Nilam G P, Alfianto Rizky, Sujana I Made I W C, Susanto Tantut
School of Nursing, University of Jember, Indonesia.
School of Engineering, University of Jember, Indonesia.
J Taibah Univ Med Sci. 2017 Jul 25;13(1):97-102. doi: 10.1016/j.jtumed.2017.06.006. eCollection 2018 Feb.
Social stigma surrounding leprosy patients (LPs) in the community is still related to the adherence of these patients to medication and to their internal motivation for healing. Unfortunately, the leprosy case programme has not been optimally established in public health centres (PHCs). The aim of this study was to assess the social stigma towards adherence to medication and motivation for healing among LPs in PHCs in Indonesia.
A cross-sectional study was conducted from March to May 2017 at PHCs in Jember, Indonesia. Data were collected using a self-administered questionnaire, and secondary data related to medical treatment was assessed from PHCs' medical records. The data were analysed using a -test and a Chi-square test, while linear regression was used to evaluate factors that could influence LPs' adherence to medication and their motivation for healing.
Among the 35 LPs in this study, 25.7% and 74.3%, respectively, had paucibacillary and multibacillary types of leprosy. The type of leprosy was associated with the length of time patients were infected with the disease, their adherence to medication and their motivation for healing. The factors that influenced adherence to medication and motivation for healing were the time period that the LP remained infected and the type of leprosy.
Infection period and type of leprosy were associated with adherence to medication and motivation for healing in the community. Efforts should be made to find active cases of leprosy at PHCs. Activities at PHCs should include self-care groups to improve LP adherence to medication and their motivation for healing in the community.
社区中围绕麻风病患者的社会耻辱感仍与这些患者的药物依从性及其康复的内在动力有关。不幸的是，麻风病病例项目在公共卫生中心尚未得到最佳建立。本研究的目的是评估印度尼西亚公共卫生中心中麻风病患者对药物依从性和康复动力方面的社会耻辱感。
2017年3月至5月在印度尼西亚任抹的公共卫生中心进行了一项横断面研究。使用自填式问卷收集数据，并从公共卫生中心的医疗记录中评估与医疗治疗相关的二手数据。使用t检验和卡方检验分析数据，同时使用线性回归评估可能影响麻风病患者药物依从性及其康复动力的因素。
在本研究的35名麻风病患者中，分别有25.7%和74.3%患有少菌型和多菌型麻风病。麻风病类型与患者感染该疾病的时间长度、药物依从性及其康复动力有关。影响药物依从性和康复动力的因素是麻风病患者持续感染的时间段和麻风病类型。
感染期和麻风病类型与社区中的药物依从性和康复动力有关。应努力在公共卫生中心发现麻风病现症病例。公共卫生中心的活动应包括自我护理小组，以提高麻风病患者的药物依从性及其在社区中的康复动力。
