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Abstract

This qualitative phenomenological study was conducted to analyze the factors influencing tuberculosis (TB) treatment outcomes from the patient's perspective in Medan, North Sumatra, Indonesia. The objective was to uncover the nuanced human factors shaping the patient's treatment journey, moving beyond a sole reliance on statistics and quantitative methods. The research was conducted across all 41 Primary Health Centers (PHCs) in Medan. Through a purposive sampling strategy, data was collected from 22 TB patients via in-depth interviews until data saturation was achieved. The collected data was analyzed using thematic, narrative, and phenomenological approaches to interpret the detailed lived experiences of the participants. The findings identified six primary themes influencing treatment outcomes: patient demographics, knowledge about TB, adherence, medication side effects, healthcare provider services, and family support. The study found that intrinsic motivation, driven by a desire for recovery, was a paramount factor for positive treatment outcomes, and family support played a crucial role. Patient-reported challenges included a lack of formal education from healthcare providers and misconceptions within their families, which often hindered adherence. In conclusion, achieving successful TB treatment outcomes requires a holistic approach that goes beyond standard care. It is essential to focus on enhancing patient knowledge, boosting intrinsic motivation, and strengthening family support networks to improve treatment outcomes and effectively manage the disease. These findings provide a crucial foundation for developing more empathetic and effective healthcare policies that prioritize patient-centered education and psychosocial support.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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