The Influence of the Adherence Improvement Model Based on King’s Interaction System Theory towards Pulmonary Tuberculosis Patients

Tintin Sukartini, Ratna Sitorus, Agung Waluyo, Ede Surya Darmawan


Background: Indonesia is one of country with the
largest incidence of tuberculosis (TB) in the world. Adherence
to treatment is a significant problem to be managed. Therefore,
there needs to be an intervention model that focuses on the
interaction between the nurse and the patient.
Purpose: The purpose of this study was to analyze the
influence of an Adherence Improvement Model (AIM) on
pulmonary TB patients in Indonesia.
Methods: The study used pre-test, post-test quasiexperimental
design to compared several factors related to
treatment adherence over a six month period in 2013. The
intervention group (n=50) consisted of pulmonary TB patients
from one hospital in Surabaya, while the comparison group
(n=50) consisted of pulmonary TB patients from a regional
public hospital in East Java.
Results: Results showed that in the intervention group, there
were significant improvements in knowledge about the disease
and its treatment, motivation to continue with the medications,
and treatment adherence when compared to the comparison
Conclusion: In conclusion an improvement in treatment
adherence in patients with pulmonary TB can be achieved by
implementing the Adherence Improvement Model (AIM).


adherence improvement model, pulmonary tuberculosis, king’s interaction system theory

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