THE RELATIONSHIP BETWEEN MEDICATION ADHERENCE WITH KNOWLEDGE AND QUALITY OF LIFE OF RHEUMATOID ARTHRITIS PATIENTS IN TWO HEALTH CENTERS IN BANDUNG CITY
Rheumatoid arthritis is a chronic musculoskeletal disease that occurs in the joints and synovial lining that causes inflammation, stiffness, arthralgia and can result in worsening and damage to the joints that reduce mobility. If it occurs continuously and is not treated, it will cause disabil...
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| Format: | Theses |
| Language: | Indonesia |
| Online Access: | https://digilib.itb.ac.id/gdl/view/78262 |
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| Institution: | Institut Teknologi Bandung |
| Language: | Indonesia |
| Summary: | Rheumatoid arthritis is a chronic musculoskeletal disease that occurs in the joints
and synovial lining that causes inflammation, stiffness, arthralgia and can result in
worsening and damage to the joints that reduce mobility. If it occurs continuously
and is not treated, it will cause disability and death. Low medication adherence is
one of the persistent and frequent health problems in patients with chronic diseases.
This study was conducted to assess the level of patient compliance in the use of
drugs, quality of life and knowledge of rheumatoid arthritis patients in order to
achieve therapeutic effectiveness. In addition, this study was conducted to observe
the relationship between patient compliance and the quality of life and knowledge
of rheumatoid arthritis patients. The study used a descriptive observational
analytic design with a cross-sectional design involving 57 research subjects, which
were analyzed qualitatively and quantitatively. Primary patient data was collected
through the Adherence Refill Medication Scale (ARMS) questionnaire used for
patient compliance assessment, the WHOQOL-BREF questionnaire used for
quality of life assessment, and a questionnaire to assess patient knowledge
accompanied by an interview. The study was conducted on rheumatoid arthritis
patients at two health centers in Bandung, namely Puskesmas Ibrahim Adjie and
Puskesmas Pasirkaliki during March to June 2023. The results showed that 47.4%
of patients had high compliance, 52.6% with moderate compliance. Data on patient
characteristics showed that only two factors had a significant influence on
compliance with drug use in patients with rheumatoid arthritis, namely gender (p
= 0.004) and disease duration (p = 0.022). The level of compliance with drug use
has a significant influence on the level of patient knowledge, with p = 0.028. At the
level of patient compliance with quality of life, only domain 1, namely the physical
health aspect, has a significant relationship with compliance with drug use in
rheumatoid arthritis patients with p = 0.012.
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