Dana Nindrea Ricvan, Chiau Ming Long, Rahman Agustian Dede
Department of Medicine, Faculty of Medicine, Universitas Negeri Padang, Bukittinggi, Indonesia, 26181.
School of Medical and Life Sciences, Sunway University, Malaysia, 47500.
Afr J Infect Dis. 2025 Apr 7;19(2):43-49. doi: 10.21010/Ajidv19i2.5. eCollection 2025.
Tuberculosis (TB) remains a significant public health issue globally, with patient adherence to treatment being critical for successful outcomes.This study aimed to investigate the roles of family support and motivation in influencing adherence to TB treatment in Indonesia.
A cross-sectional study was conducted among patients at four health centers in Padang Municipality, Indonesia, between January and November 2024. A total of 125 respondents diagnosed with drug-sensitive TB and in the second stage of treatment participated. Data were collected through structured interviews using validated questionnaires, assessing family support, motivation, and treatment adherence. Structural Equation Modeling (SEM) was used to analyze the relationships between variables.
The findings revealed significant relationships between family support and motivation (β = 0.931, t-value = 47.016, P<0.001), family support and adherence to TB treatment (β = 0.229, t-value = 2.743, P=0.006), and motivation and adherence to TB treatment (β = 0.775, t-value = 9.334, P<0.001).
Family support and motivation play crucial roles in enhancing patient adherence to TB treatment. Strategies to strengthen family involvement and patient motivation should be integrated into TB control programs to improve treatment outcomes. Further research is recommended to explore additional factors influencing adherence in different contexts.
结核病在全球范围内仍然是一个重大的公共卫生问题，患者坚持治疗对于取得成功的治疗效果至关重要。本研究旨在调查家庭支持和动机在影响印度尼西亚结核病治疗依从性方面的作用。
2024年1月至11月期间，在印度尼西亚巴东市的四个卫生中心对患者进行了一项横断面研究。共有125名被诊断为药敏结核病且处于治疗第二阶段的受访者参与。通过使用经过验证的问卷进行结构化访谈收集数据，评估家庭支持、动机和治疗依从性。采用结构方程模型（SEM）分析变量之间的关系。
研究结果显示家庭支持与动机之间存在显著关系（β = 0.931，t值 = 47.016，P<0.001），家庭支持与结核病治疗依从性之间存在显著关系（β = 0.229，t值 = 2.743，P = 0.006），以及动机与结核病治疗依从性之间存在显著关系（β = 0.775，t值 = 9.334，P<0.001）。
家庭支持和动机在提高患者对结核病治疗的依从性方面发挥着关键作用。应将加强家庭参与和患者动机的策略纳入结核病控制项目，以改善治疗效果。建议进一步开展研究，探索在不同背景下影响依从性的其他因素。
