Literature Review : Peran Keluarga dalam Keberhasilan Pengobatan Tuberkulosis
DOI:
https://doi.org/10.55123/sehatmas.v5i2.7609Kata Kunci:
Tuberculosis, Family Role, Treatment Adherence, DOTSAbstrak
Tuberculosis (TB) remains a major public health problem in Indonesia, with persistent challenges related to treatment adherence and completion due to the long duration of therapy. Non-adherence to TB treatment contributes to treatment failure, drug resistance, and continued transmission. Family involvement plays a crucial role in supporting TB patients throughout the prolonged treatment period and is considered an important component of patient-centered TB care. This study aimed to review the role of family support in the success of tuberculosis treatment through a structured literature review. A systematic literature search was conducted following PRISMA guidelines using Google Scholar, PubMed, and Garuda databases for articles published between 2015 and 2025. Eligible studies were analyzed using a narrative and thematic synthesis approach. The findings indicate that family support significantly contributes to improved treatment adherence, prevention of treatment default, reduction of stigma, and better overall treatment outcomes. Family roles identified include emotional support, instrumental assistance, provision of health information, and supervision of medication intake as treatment observers. However, several barriers were identified, including limited family knowledge about TB, persistent social stigma, and economic burden during treatment. Strengthening family-centered care through education, empowerment, and social support is essential to improve TB treatment success and achieve national TB control targets.
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Referensi
Alene, K. A., Yi, H., Viney, K., McBryde, E. S., Yang, K., Bai, L., & Xu, Z. (2021). Treatment outcomes of patients with multidrug-resistant and extensively drug-resistant tuberculosis in China. BMC Infectious Diseases, 21, 573. https://doi.org/10.1186/s12879-021-06251-9
Bond, V., Chileshe, M., Sullivan, C., Magazi, B., & Hargreaves, J. (2024). The role of household relationships in sustaining tuberculosis treatment adherence. Health Policy and Planning, 39(2), 190–198. https://doi.org/10.1093/heapol/czad072
Courtney, J., Mertens, A., & Bond, V. (2023). Stigma, family dynamics, and tuberculosis treatment adherence: A qualitative evidence synthesis. Social Science & Medicine, 317, 115553. https://doi.org/10.1016/j.socscimed.2022.115553
Datiko, D. G., & Lindtjorn, B. (2022). Community- and family-based tuberculosis care and treatment outcomes. Public Health Action, 12(3), 140–146. https://doi.org/10.5588/pha.22.0021
Falah, R., Hapsari, E. D., & Lazuardi, L. (2025). Family support and medication adherence among tuberculosis patients. Journal of Public Health Research, 14(1).
Gebreweld, F. H., Kifle, M. M., Gebremicheal, F. E., Simel, L. L., Gezae, M. M., & Mengsteab, Y. T. (2023). Factors influencing adherence to tuberculosis treatment in low- and middle-income countries. Patient Preference and Adherence, 17, 459–470. https://doi.org/10.2147/PPA.S392845
Hoa, N. P., Thorson, A., Long, N. H., & Diwan, V. K. (2022). Family and community support in tuberculosis treatment adherence. The International Journal of Tuberculosis and Lung Disease, 26(4), 321–329. https://doi.org/10.5588/ijtld.21.0589
Kigozi, N. G., Heunis, J. C., Engelbrecht, M. C., & Janse van Rensburg, A. P. (2021). Tuberculosis treatment adherence and support systems in low-income settings. BMC Public Health, 21, 1124. https://doi.org/10.1186/s12889-021-11112-3
Lestari, Y. (2023). The influence of family support on medication adherence among pulmonary tuberculosis patients. Eduhealth Journal, 20(1), 217.
MacNeil, A., Glaziou, P., Sismanidis, C., Date, A., Maloney, S., & Floyd, K. (2022). Global epidemiology of tuberculosis and progress toward tuberculosis elimination. Clinical Infectious Diseases, 75(12), 2156–2166. https://doi.org/10.1093/cid/ciac366
Munro, S. A., Lewin, S. A., Smith, H. J., Engel, M. E., Fretheim, A., & Volmink, J. (2021). Patient adherence to tuberculosis treatment: A systematic review of qualitative research. PLoS Medicine, 18(7), e1003750. https://doi.org/10.1371/journal.pmed.1003750
Tasyakurillah, D. (2023). Hubungan dukungan keluarga dengan kepatuhan pengobatan pasien tuberkulosis paru. Jurnal Keperawatan Silampari, 6(2), 789–798.
Tola, H. H., Garmaroudi, G., Shojaeizadeh, D., Tol, A., Yekaninejad, M. S., & Ejeta, L. T. (2021). The effect of psychosocial support on tuberculosis treatment outcomes: A systematic review. Patient Preference and Adherence, 15, 1237–1248. https://doi.org/10.2147/PPA.S303160
World Health Organization. (2022). Consolidated guidelines on tuberculosis: Module – Prevention and care. World Health Organization. https://www.who.int/publications/i/item/9789240046832
World Health Organization. (2023). Global tuberculosis report 2023. World Health Organization. https://www.who.int/publications/i/item/978924008385
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