Abstract

Tuberculosis is a chronic, infectious disease caused by the bacterium Mycobacterium tuberculosis and remains a global health problem, including in Indonesia. Worldwide, TB is one of the 10 leading causes of death. Poor adherence to treatment is a major obstacle to efficient TB control. Innovative strategies are needed to improve access and adherence to treatment, one of which is the use of the Telenursing N-SMSIn (Nurse-Short Message Service Information) application. The purpose of this study was to determine the effectiveness of the Telenursing N-SMSIn (Nurse-Short Message Service Information) application on adherence to treatment and care for tuberculosis patients, preventing transmission and the occurrence of multidrug-resistant tuberculosis. The research method used a quasi-experimental pretest-posttest with a control group design. The sampling technique used accidental sampling, with a sample of 168 respondents with pulmonary TB in the Woha Community Health Center working area in 2025. The research instrument used the 8-item Morisky Medication Scale. The analysis used the Wilcoxon test and obtained a p-value of 0.001 < 0.05. Therefore, it can be concluded that the implementation of the N-SMSIn telenursing application technology significantly impacts adherence to treatment and care in tuberculosis patients, preventing transmission and the occurrence of multidrug-resistant tuberculosis in the Woha Community Health Center Work Area, Bima Regency.

Keywords

  • New staff orientation
  • Orientation program
  • New staff perception
  • Faculty recruitment
  • Orientation kit

References

  1. 1. NTB Provincial Health Office. NTB Provincial Health Profile. West Nusa Tenggara: NTB Provincial Health Office; 2021. pp. 1–101.
  2. 2. Andriani, D., & Sukardin S. Knowledge and Attitude of Families Regarding the Prevention of Tuberculosis (TB) Transmission in the Working Area of the Penana'e Community Health Center, Bima City. Indonesian Journal of Nursing Sciences. 2020;10(3):72–80.
  3. 3. Bima City Health Office. Bima City Health Profile. Bima City: 2017.; 2016.
  4. 4. Muhtar, M., & Aniharyati A. The effect of “TB Mataho” health cadres in improving self care capacity of patients with pulmonary tuberculosis. Indonesian Nursing Media. 2021;4(4):256.
  5. 5. Kumar, S. & Snooks H. Telenursing (Eds). New York : Springer; 2011.
  6. 6. Cynthia Devi Aristiana1 Magdalena Wartono2. Factors influencing the occurrence of Multi Drug Resistance Tuberculosis (MDR-TB). J Biomedicine and Health. 2018;1(1):65–74.
  7. 7. Rahmat Hidayat Sikumbanga, Putri Chairani Eyanoerb NPS. FACTORS RELATED TO THE INCIDENCE OF PULMONARY TB IN PRODUCTIVE AGE IN THE WORKING AREA OF TEGAL SARI PUBLIC HEALTH CENTER, MEDAN DENAI DISTRICT IN 2018. Ibnu Sina J Medicine and Health-Faculty of Medicine, Islamic University of North Sumatra. 2022;21(1):32–43.
  8. 8. Maelani T & Widya Hary Cahyati. Patient Characteristics, Drug Side Effects and Pulmonary Tuberculosis Treatment Dropouts. HIGEIA (Journal Public Heal Res Dev. 2019;3(4).
  9. 9. Restiana Rusida E, Ramadhani S OAD. The Relationship Between Knowledge and Behavior of Using Supplements and Herbal Medicines in Preventing Covid-19 Transmission in South Banjarbaru. J Ilm Ibnu Sina Ilmu Pertanian dan Kesejahteraan. 6(2):292–301.
  10. 10. Wiyati T, Nabilla AR. Characteristics Associated with Knowledge and Medication Adherence in Pulmonary Tuberculosis Patients at Raja Ahmad Tabib Tanjung Pinang Regional General Hospital. 2024;9(2):92–6.
  11. 11. Ratnasari PMD, Dhrik M UN. Level of Treatment Compliance of Pulmonary Tuberculosis Patients at the Outpatient Installation of Udayana Hospital Level II Denpasar. Pros Simp Nasional. 2023;3:13–20.
  12. 12. Zaid, M., Nasution, A., Tanjung, D., & Author C. The Controversy of Smoking Law: The Perspective of Muhammadiyah and Nahdlatul Ulama. Ahlana J Law and Law Kel Islam. 2024;1(1).
  13. 13. Dr. Agi Hidjri Tarigan, M.Ked (Pulmonary) S. PPTI (Tuberculosis Eradication Association)Indonesia. CIGARETTES AND TB: TWO SERIOUS THREATS FOR GENERAL Z. Available from: https://ppti.id/rokok-dan-tbc-dua-ancaman-serius-bagi-gen-z/
  14. 14. Dr. Reviono, dr. S. Aisyiyah Hospital, Boyolali. 2025. The Relationship Between Tuberculosis and Smoking. Available from: https://rspkuboyolali.co.id/3058/
  15. 15. Feldman, C., Theron, AJ, Cholo, MC, & Anderson R. Cigarette Smoking as a Risk Factor for Tuberculosis in Adults: Epidemiology and Aspects of Disease Pathogenesis. Pathog 2024 [Internet]. 2024;13(2):151. Available from: https://doi.org/10.3390/PATHOGENS13020151
  16. 16. Yen, Y.-F., Yen, M.-Y., Lin, Y.-S., Lin, Y.-P., Shih, H.-C., Li, L.-H., Chou, P., & Deng C.Y. Smoking Increases Risk of Recurrence After Successful Anti-Tuberculosis Treatment: A Population-Based Study. Int J Tuberc Lung Dis [Internet]. 2014; Available from: https://doi.org/10.5588/ijtld.13.0694
  17. 17. Yasni H, Rasima R, Usrina N, Raisah P. Risk Factors of Smoking on Tuberculosis Case Study in the Working Area of Ladang Tuha Community Health Center, South Aceh. Malahayati Nurs J. 2024;6(12):5170–8.
  18. 18. Febriza A, Anugrah R, Tajuddin A. Association Between Smoking Behavior and Pulmonary Tuberculosis Incidence. Orig Artic Mega Buana J Med Sci [Internet]. 2025;1(1):1–8. Available from: https://e-jurnal.umegabuana.ac.id/index.php/MBJMS
  19. 19. Lestari NPWA, Dedy MAE, Artawan IM FI. Differences in Age and Gender on the Completion of Pulmonary TB Treatment at Community Health Centers in Kupang City. Cendana Med J. 2022;23(1).
  20. 20. Desanti, G., & Ariusni A. The Effect of Age, Gender, Working Hours, Employment Status, and Education on Labor Income in Padang City. J Kaji Ekon Dan Pembang [Internet]. 2021;3(4):17. Available from: https://doi.org/10.24036/jkep.v3i4.12377%0D
  21. 21. Sibua, S., & Watung GI V. The Relationship Between Family Support and Treatment Compliance of Tuberculosis Patients in East Bolaang Mongondow Regency. Aksara J Ilmu Pendidik Nonform [Internet]. 2021;7(3):1443–1450. Available from: https://doi.org/10.37905/Aksara.7.3.1427-1434.2021
  22. 22. Sara, MS, & Suprayitno E. The Relationship Between Family Support and Medication Compliance in Pulmonary TB Patients at Umbulharjo Community Health Center, Yogyakarta. Unisa Yogyakarta [Internet]. 2019;1(1):1–10. Available from: http://digilib.unisayogya.ac.id/3968/1/Naskah Publikasi.Pdf
  23. 23. Meldawaty, S, Rizki Sari Utami YW. Factors related to Anti-Tuberculosis Drugs (OAT) in OAT Compliance in PatientsPulmonary Tuberculosis in the Working Area of the UPTD Health Center of Bintan Regency. Nurs Updat J Ilm Ilmu Keperawatan P-ISSN 2085-5931 eISSN 2623-2871 [Internet]. 2023; Available from: https://stikes-nhm.e-journal.id/NU/article/view/1063
  24. 24. Alwi, NP, Fitri, A. and Ambarita R. The Relationship Between Motivation and Compliance in Taking Anti-Tuberculosis Drugs (OAT) in Tuberculosis Patients. J Nursing Abdurrab. 2021;5(1):63–66.
  25. 25. Fitriani, NE, Sinaga, T., & Syahran A. The Relationship Between Knowledge, Patient Motivation, and Family Support on Anti-Tuberculosis Drug (OAT) Adherence in Patients with Pulmonary TB with Positive BTA at the Pasundan Community Health Center, Samarinda City. KESMAS UWIGAMA J Kesehat Masy [Internet]. 2020;5(2):124–134. Available from: https://doi.org/10.24903/kujkm.v5i2.838
  26. 26. Sari WA, Hartini S, Nisa N. The Effect of Leaflets and Whatsapp Reminders on Medication Compliance in Children with Tuberculosis. J Kesehat Tambusai. 2024;5(September):7558–65.
  27. 27. Rusdiaman R, Rusli R, Yuniati Y. The Effect of Drug Information Services (PIO) with Pill Count Combination Leaflet Method in Increasing Medication Compliance in Tuberculosis Patients at Pattingalloang Community Health Center, Makassar City. J Media Anal Kesehat. 2024;15(1):86–95.
  28. 28. Fang, XH, Guan, SY, Tang, L., Tao, FB, Zou, Z., Wang, JX, Kan, Effect of short message service on management of pulmonary tuberculosis patients in Anhui Province, China: A prospective, randomized, controlled study. A Prospect randomized, Control study Med Sci Monit. 2017;23:2465–2469.
  29. 29. Basri, AA, Khasanah, U., Anggraini, D., & Vitaliati T. Mobilephone Reminder Program to Improve Treatment Compliance of Pulmonary TB Patients. J Nursing [Internet]. 2023;15(1). Available from: https://doi.org/https://doi.org/10.32583/keperawatan.v15i1.489.
  30. 30. Haleem, A., Javaid, M., Asim, M., & Suman R. Understanding the role of digital technologies in education : A review. Sustain Operating Comput. 2022;3(5):275–85.
  31. 31. Edu Kasi, PH, Putu Ayu Sumertini, N., Arya Bagus Arisudhana, G., Wira Kusuma Putra P. The Effect of Short Message Service (SMS) Based Health Education on Self Care Management in Tuberculosis Patients in Klungkung Regency. J Nurs Res Publ Media. 2022;1(1):1–11.
  32. 32. Aisyan, SDS, & Lazuardi L. Effectiveness of Short Message Service (SMS) Reminder on Compliance. J Inf Syst Public Heal. 2018;3(1):1–7.
  33. 33. Gebremariam, KT, Zelenko, O., Mulugeta, ZA, & Gallegos D. Could mobile phone text messages beused for infant feeding education in Ethiopia ? A formative qualitative study. Health Informatics J. 2020;
  34. 34. Barik, AL, Indarwati, R. & S. The Effectiveness Of Using Text Messages Reminder On Adherence With Tuberculosis Patients : A Systematic Review. Str J Health Science. 2020;9(2):751–760.
  35. 35. Gashu, KD, Gelaye, KA, Lester, R., & Lester R. Combined effect of pill refilling and self-medication reminder system on patients' adherence to tuberculosis treatment during continuation phase in Northwest Ethiopia : a study protocol for randomized controlled trial. BMJ Heal Care Informatich. 2019;26(e100050:1–4.
  36. 36. Anggana, R., & Ikasari FS. Development of N-SMSI (Ners - Short Message Service Intervention) telenursing in the care of post-treatment TB (Tuberculosis) patients in hospitals. Indonesian Journal of Nursing Science. 2019;3(1):10–22.
  37. 37. Helena, M., Kovaleski, F., Picinin, CT, Pedroso, B., & Rubbo P. E-Health Practices and Technologies : A Systematic Review from 2014 to 2019. Healthcare. 2021;9(1192):1–32.
  38. 38. Samal, L., Bierman, A.S., Fu, H.N., Wang, J., & Dorr D.A. Health information technology to improve care for people with multiple chronic conditions. Heal Serv Res [Internet]. 2021;56(1):1006–1036. Available from: https://doi.org/10.1111/1475-6773.13860
  39. 39. Herliani, YK, Shabrina, AP, Andrini, NP, Melawardani, AF, Rahmi, HA, & Maulana MR. The Effectiveness of Telenursing on Patient Quality of Life: A Literature Review. J Nurs Sci [Internet]. 2021;9(2). Available from: https://doi.org/https://doi.org/10.21776/ub.jik.2021.009.02.9 Website
  40. 40. Oladeji, IA, Ohaeri, BM, Ojo, IO, & Moduupeore BO. Relevance of Telenursing as A New Dimension in Nursing Practice. Int J Acad Res Business, Arts Sci. 2022;4(8):14–30.
  41. 41. Sousa, VLP, Dourado Júnior, FW, Anjos, S. de JSB dos, Carvalho, REFL de, Oliveira, SKP, & Silva DC de A. Conceptual analysis of telenursing: an integrative review. Rev Rene. 2022;23:1–12.
  42. 42. Fitriya, L., & Artanti KD. Original Research Treatment Outcomes of Multidrug Resistant Tuberculosis Patients in East Java From 2014 to 2017. J Nursing Science. 2020;8(2):141–148.
  43. 43. Gashu, KD, Gelaye, KA, Mekonnen, ZA, Lester, R., & Tilahun B. Does telephone messaging improve tuberculosis treatment success? A systematic review and meta analysis. BMC Infect Dis [Internet]. 2020; Available from: https://doi.org/https://doi.org/10.1186/s12879-020-4765-x
  44. 44. Yani, DI, Juniarti, N., & Lukman M. Factors Relatedto Comply with Anti-TB Medications Among Drug-Resistant Tuberculosis Patients in Indonesia. Dovepress. Open Access to Sci Med Res [Internet]. 2022;16(12):3319–3327. Available from: https://doi.org/10.2147/PPA.S388989
  45. 45. Rahman IA, Gunawan A, Sundewi A, Azi DP, Ningtias PR. Implementation of Telenursing N-SMSI (Ners-Short Message Service Intervention) on Post-Care Management of Tuberculosis Patients. J Nursing [Internet]. 2023;15(3):1381–90. Available from: https://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/489/507
  46. 46. Dewi, PA, & Ayuningtyas D. Effectiveness of Text Message Reminder for Improving Compliance to Tuberculosis Drug Consumption: A Systematic Review. 6th Int Conf. 2019;
  47. 47. Liu, X., Lewis, J.J., Zhang, H., Lu, W., Zhang, S., Zheng, G., Bai, L., Li, J., Li, Effectiveness of Electronic Reminders to Improve Medication Adherence in Tuberculosis Patients: A Cluster-Randomised Trial. PLoS Med. 2015;12(9):1–18.