Social Support dan Perceived Benefit Berpengaruh Terhadap Kepatuhan Pasien Prolanis di Wilayah Kerja Puskesmas Dlingo Bantul
DOI:
https://doi.org/10.58353/jurinse.v4i2.312Keywords:
Community nursing, Patient adherence, Perceived benefit, Prolanis, Social supportAbstract
Background: Patient adherence to the Chronic Disease Management Program (Prolanis) remains a challenge, particularly in semi-rural areas. While social and cognitive factors are known to influence health behavior, limited studies have emphasized the role of social support and perceived benefit in the Prolanis context. Objective: To examine the influence of social support and perceived benefit on patient adherence to Prolanis at Dlingo Community Health Center, Bantul. Methods: A quantitative cross-sectional study involving 163 active Prolanis participants. Data were analyzed using chi-square tests and binary logistic regression. Results: Both social support (OR=5.026; p<0.05) and perceived benefit (OR=5.637; p<0.05) were significantly associated with adherence, confirming their role as key predictors, alongside other Health Belief Model variables. Conclusion: Social support and perceived benefit substantially contribute to improving Prolanis adherence. This highlights the importance of holistic community nursing interventions through contextual education and engagement of families and health cadres.
References
WHO, Operational framework for primary health care: Transforming vision into action. Geneva: World Health Organization, 2020.
Riskesdas, Hasil Utama Riset Kesehatan Dasar 2018. Jakarta: Kementerian Kesehatan Republik Indonesia., 2018.
BPJS Kesehatan, Manfaat BPJS Kesehatan. Www.Bpjs-Kesehatan.Go.Id., 2019.
R. R. Cahyaningsih and A. S. Prasastin, “Hubungan pengetahuan, sikap, motivasi dan kemudahan informasi terhadap kepatuhan pasien Prolanis hipertensi,” J. Ilmu Kesehat. Masy., vol. 12, no. 1, pp. 55–61, 2021, doi: 10.14710/jikm.12.1.55-61.
A. N. Afifah, R. Wijaya, and Nurhayati, “Hubungan pengetahuan, sikap, dukungan keluarga, dan mutu pelayanan terhadap kepatuhan Prolanis hipertensi di Puskesmas,” J. Ilmu dan Teknol. Kesehat., vol. 7, no. 2, pp. 99–106, 2020, doi: https://garuda.kemdikbud.go.id/ documents/ detail/2212713.
C. A. Onggirawan, J. M. Kho, A. P. Kartiwa, Anderies, and A. A. S. Gunawan, “Systematic literature review: The adaptation of distance learning process during the COVID-19 pandemic using virtual educational spaces in metaverse,” Procedia Comput. Sci., vol. 216, pp. 274–283, 2023, doi: https://doi.org/10.1016/j.procs.2022.12.137.
R. Ahmalia and D. Desriyenti, “Knowledge Relationship and Family Support With Levels Compliance Following the Chronic Disease Management Program (Prolanis) in the Working Area of Kampung Dalam Health Centre Padang Pariaman District, 2018,” J. Kesehat., vol. 9, no. 2, pp. 116–123, 2018, doi: 10.35730/JK.V9I2.359.
A. Harniati, S. Suriah, and H. Amqam, “Ketidakpatuhan peserta bpjs kesehatan mengikuti kegiatan prolanis di puskesmasrangas kabupaten mamuju,” 2019. doi: 10.30597/JKMM.V1I1.8689.
E. Bianciardi et al., “Measuring Knowledge, Attitudes, and Barriers to Medication Adherence in Potential Bariatric Surgery Patients,” Obes. Surg., vol. 31, no. 9, pp. 4045–4054, 2021, doi: 10.1007/S11695-021-05485-9.
K. Kvarnström, A. Westerholm, M. Airaksinen, and H. Liira, “Factors Contributing to Medication Adherence in Patients with a Chronic Condition: A,” Scoping Rev. Qual. Res. Pharm., vol. 13, no. 7, p. 1100, 2021, doi: 10.3390/PHARMACEUTICS13071100.
M. Al Farisi, “Faktor-Faktor yang Mempengaruhi Ketaatan Minum Obat pada Penyakit Kronik,” 2020. doi: 10.33087/JIUBJ.V20I1.883.
K. Dewi and F. P. Diantina, “Studi Korelasi Social Support dengan Adherence to Treatment pada Pasien Prolanis Penderita Diabetes Melitus,” 2017. doi: 10.29313/.V0I0.7617.
S. Notoatmodjo, “Promosi Kesehatan dan Ilmu Perilaku. ” Jakarta: Rineka Cipta, 2012.
A. Houghton, M. Santoso, and H. Bernstein, “Medical regimen adherence,” 2023. doi: 10.1016/b978-0-323-91497-0.00203-4.
P. Khortwong and J. Kaewkungwal, “Thai health education program for improving TB migrant’s compliance,” J. Med. Assoc. Thail. Chotmaihet Thangphaet, vol. 96, no. 3, pp. 365–373, 2013.
I. Noviyati, F. A. Amin, A. Agustina, G. Amin, and N. Arlianti, “Compliance of the prospective brides and grooms in laboratory examinations and premarital counseling in the working area of mutiara barat health center, pidie regency,” J. Kesehat. Masy. Aceh (Jukema, vol. 10, no. 1, pp. 9–19, 2024, doi: 10.37598/jukema.v10i1.2089.
V. L. Champion and C. S. Skinner, “The Health Belief Model, in Health Behavior and Health Education: Theory, Research, and Practice, ” 4th ed., K. Glanz, B. K. Rimer, and K. Viswanath, Eds., Jossey-Bass, 2008, pp. 45–65.
Sugiyono, “Metode Penelitian Kualitatif, Kuantitatif, dan R&D,” Alfabeta, Bandung, 2019.
Z. Zulfianti, S. Patimah, and N. Jafar, “Faktor Determinan Yang Berpengaruh Terhadap Pemanfaatan Pos Binaan Terpadu Penyakit Tidak Menular di Wilayah Kerja Puskesmas Cempa Kabupaten Pinrang,” J. Muslim Community Heal., vol. 4, no. 1, pp. 57–68, 2023, doi: https://doi.org/10.52103/jmch.v4i1.1187.
H. D. Utami, “Media, Tenaga Kesehatan, Lingkungan, Health Literacy, dan Motivasi terhadap Pemanfaatan Program Pengelolaan Penyakit Kronis,” J. Ilm. Kesehat., vol. 20, no. 1, 2021, doi: 10.33221/jikes.v20i1.932.
A. Primahuda And U. Sujianto, “Hubungan Antara Kepatuhan Mengikuti Program Pengelolaan Penyakit Kronis (Prolanis) Bpjs Dengan Stabilitas Gula Darah Pada Penderita Diabetes Melitus Di Puskesmas Babat Kabupaten Laomgan,” J. Jur. Keperawatan, pp. 1–8, 2016.
C. Lin et al., “The impact of perceived social support on chronic disease self-management among older inpatients in China: The chain-mediating roles of psychological resilience and health empowerment,” BMC Geriatr., vol. 25, no. 1, p. 24, 2025, doi: doi.org/10.1186/s12877-025-05902-z.
W. K. Witts, H. Amu, F. O. Kwafo, N. A. Angaag, and L. E. Bain, “Influence of perceived social support and other factors on treatment adherence among adults living with chronic non-communicable diseases in the Ho Municipality of Ghana: A health facility-based cross-sectional study.,” PLoS One, vol. 19, no. 9, p. e0308402, 2024.
V. D. Purnamasari, “Pengetahuan dan persepsi peserta prolanis dalam menjalani pengobatan di Puskesmas,” J. Kesehat. Masy., vol. 2, no. 1, 2018.
E. D. Apriliani, H. Prasetya, and B. Murti, “Meta-Analysis: Application of Health Belief Model on the Adherence to Antihypertensive Medication,” J. Heal. Promot. Behav., vol. 7, no. 3, pp. 238–249., 2022, doi: doi.org/10.26911/thejhpb.2022.07.03.06.
B. A. A. Arsiazi, A. Syamsun2, and I. L. Harahap, “Perbedaan Pengetahuan dan Sikap Masyarakat Perkotaan dan Pedesaan terhadap Protokol Jenazah Covid-19,” Lomb. Med. J., vol. 1, no. 1, pp. 8–13, 2022.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Jurnal Indonesia Sehat
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
