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采用基于社区的互动式方法的爪哇语视频作为结核病患者知识、认知和依从性教育工具的效果。

The Effect of Javanese Language Videos with a Community Based Interactive Approach Method as an Educational Instrument for Knowledge, Perception, and Adherence amongst Tuberculosis Patients.

作者信息

Herawati Fauna, Megawati Yuni, Andrajati Retnosari, Yulia Rika

机构信息

Department of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, Indonesia.

Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Indonesia, Depok 16424, Indonesia.

出版信息

Pharmacy (Basel). 2021 Apr 18;9(2):86. doi: 10.3390/pharmacy9020086.

Abstract

The long period of tuberculosis treatment causes patients to have a high risk of forgetting or stopping the medication altogether, which increases the risk of oral anti-tuberculosis drug resistance. The patient's knowledge and perception of the disease affect the patient's adherence to treatment. This research objective was to determine the impact of educational videos in the local language on the level of knowledge, perception, and adherence of tuberculosis patients in the Regional General Hospital (RSUD) Bangil. This quasi-experimental study design with a one-month follow-up allocated 62 respondents in the intervention group and 60 in the control group. The pre- and post-experiment levels of knowledge and perception were measured with a validated set of questions. Adherence was measured by pill counts. The results showed that the intervention increases the level of knowledge of the intervention group higher than that of the control group (-value < 0.05) and remained high after one month of follow-up. The perceptions domains that changed after education using Javanese (Ngoko) language videos with the Community Based Interactive Approach (CBIA) method were the timeline, personal control, illness coherence, and emotional representations (-value < 0.05). More than 95% of respondents in the intervention group take 95% of their pill compared to 58% of respondents in the control group (-value < 0.05). Utilization of the local languages for design a community-based interactive approach to educate and communicate is important and effective.

摘要

长期的结核病治疗使患者有很高的忘记服药或完全停药的风险,这增加了口服抗结核药物耐药性的风险。患者对疾病的认知和看法会影响其对治疗的依从性。本研究的目的是确定用当地语言制作的教育视频对邦吉尔地区综合医院(RSUD Bangil)结核病患者的知识水平、认知和依从性的影响。这项具有一个月随访期的准实验研究设计,将62名受访者分配到干预组,60名受访者分配到对照组。使用一组经过验证的问题来测量实验前后的知识和认知水平。通过清点药丸数量来衡量依从性。结果表明,干预使干预组的知识水平提高幅度高于对照组(P值<0.05),并且在随访一个月后仍保持较高水平。采用基于社区的互动方法(CBIA)并使用爪哇语(Ngoko)视频进行教育后,发生变化的认知领域包括病程、个人控制感、疾病连贯性和情感表现(P值<0.05)。干预组中超过95%的受访者服用了95%的药物,而对照组中这一比例为58%(P值<0.05)。利用当地语言设计基于社区的互动方法来进行教育和沟通既重要又有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40cb/8167738/48876da047cf/pharmacy-09-00086-g001.jpg

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