The Relationship Between Health Belief and Self Acceptance and Self Management Behavior in Pulmonary Tuberculosis Clients in The Work Area of The Japan Kudus Health Center
DOI:
https://doi.org/10.51601/ijhp.v6i1.564Abstract
The study discusses pulmonary tuberculosis as a chronic infectious disease that is still a global health problem, with Indonesia ranking third in the world. The increase in tuberculosis cases is influenced by drug resistance, limited access to health services, and poor environmental hygiene conditions. Kudus Regency, especially the work area of the Japanese Health Center, is an area with a relatively high number of tuberculosis cases. This disease not only has an impact on the physical condition, but also affects the mental and social aspects of the patient, so that self-management skills are an important factor in the success of treatment. The Health Belief Model explains that an individual's perception of susceptibility, disease severity, benefits, and barriers to health measures plays a role in shaping health behavior. In addition, good self-acceptance can improve treatment adherence and coping ability of patients. Self-management includes medication adherence, symptom management, and lifestyle changes influenced by social support, education level, and understanding of disease. This study used a correlational design with a cross sectional approach and involved 53 respondents who were selected through purposive sampling techniques. The research instruments include the Health Belief Model questionnaire, self acceptance, and self-management. Data analysis was carried out univariate and bivariate using the chi square test. The results showed that most of the respondents had a high health belief of 79.2 percent and a high self-acceptance of 75.5 percent. The majority of respondents' self-management was in the good category, namely 94.3 percent. The bivariate test showed a significant relationship between health belief and self-management with a p value of 0.044 and an odds ratio of 9.111. In addition, there was a significant relationship between self acceptance and self-management with a p value of 0.02 and an odds ratio of 1.193. The conclusion of this study shows that health belief and self acceptance are meaningfully related to the self-management behavior of tuberculosis clients, so education and psychosocial support need to be improved on an ongoing basis.
Downloads
References
[1] Anggeria, E., Harahap, R. F., Silalahi, K. L., Hanum, P., & Silaban, V. F. (2022). The Effectiveness of Diabetes Self Management Education (DSME) With Self Acceptance and Self Care For Diabetes Mellitus Patients. Indian Journal of Forensic Medicine and Toxicology, 16(3), 140–144. https://doi.org/DOI:http://dx.doi.org/xxxxx/ijfmt.xxxx.16322.26
[2] Aprilia, D., & Wulandari, S. (n.d.). Health Confidence. Retrieved January 17, 2025, from https://www.academia.edu/download/95800751/Health_Belief_DWI_APRILIA_S.W.pdf
[3] Ardiana, H., Amin, M., & Hidayati, L. (2022). Intervention models in tuberculosis patients to improve adherence: a systematic review. Journal of Nursing Research and Scientific Thought, 7(2), 153–162. https://doi.org/10.30659/nurscope.7.2.153-162
[4] Asmi Rozali, Y., & Riskiafiani, D. (2020). Differences in Adolescent Health Beliefs Based on Gender in Interpreting Vapes. Journal of Excellence Studies, 17(3), 397–404. https://digilib.esaunggul.ac.id/public/UEU-Journal-18909-11_0942.pdf
[5] Banu, S., Haque, F., Ahmed, S., Sultana, S., Rahman, M. M., Khatun, R., Paul, K. K., Kabir, S., Rahman, S. M. M., Banu, R. S., Islam, M. S., Ross, A. G., Clemens, J. D., Stevens, R., & Creswell, J. (2020). Social Enterprise Model (SEM) for Private Sector Tuberculosis Screening and Care in Bangladesh. Plos One, 15. https://doi.org/10.1371/journal.pone.0241437
[6] Cahyanti, P., Rizki Al Farizi, G., & Dwi Arini, Y. (2024). Validity And Reliability Of Knowledge And Health Belief Model (HBM) In Pulmonary Tuberculosis Patients At Kedungmundu And Tlogosari Wetan Community Health Centers In Semarang City. Science and Community Pharmacy Journal, 3(1), 164–170. https://doi.org/12.23.23456/scienceandcommunitypharmacy.cj
[7] Dwi Rismawati, R., Yaqin Salam, A., & Fitria Nusantara, A. (2023). The Relationship between Family Support and Self-Acceptance of TB Patients in the Work Area of the Sukapura Health Center. Health Research Journal, 1, 22–33.
[8] Fitriani, M., & Khoiroh Muflihatin, S. (2020). The Relationship between Self-Acceptance and Self-Management in Patients with Type II Diabetes Mellitus in the Working Area of the Palaran Health Center, Samarinda City. Journal of Borneo Student Research, 2(1), 144–150.
[9] Harandi, T. F., Mahmoodi, Z., Ghavidel, N., & Sharifipour, Z. (2021). Factors Affecting Self Management in Iranian Tuberculosis Patients A Path Analysis Model. In Canadian Journal of Respiratory Therapy (Vol. 57, pp. 73–78). Canadian Society of Respiratory Therapists. https://doi.org/10.29390/cjrt-2021-009
[10] Hu, W., Li, T., Cao, S., Gu, Y., & Chen, L. (2023). Influence of Nurse Led Health Education on Self Management Ability, Satisfaction, and Compliance of Elderly Patients with Chronic Obstructive Pulmonary Disease Based on Knowledge, Belief, and Practice Model. Computational and Mathematical Methods in Medicine, 2023(1), 2–9. https://doi.org/10.1155/2023/9862142
[11] Isbaniah, F., Burhan, E., Y.M. Sinaga, B., Behtri, D., Yanifitri, Handayani, D., Harsini, Agustin, H., Nengah Artika, I., Aphrindasari, J., Lasmaria, R., Russilawati, Soedarsono, & Jane R. Sugiri, Y. (2021). Guidelines For Diagnosis And Management In Indonesia.
[12] Ministry of Health, & Ri, K. (2023). In The Figures Of The 2023 Ski Preparation Team In The Figures Of The Ministry Of Health Of The Republic Of Indonesia.
[13] Khasanah, D. U., Fauziyah, A., & Utomo, D. (2020). Diabetes Prevention Behavior and Health Beliefs of People with Prediabetes in Tegal City. Bhamada: Journal of Health Science and Technology (E-Journal), 11(2), 9. https://doi.org/10.36308/jik.v11i2.240
[14] Laili, N., Aini, E. N., & Rahmayanti, P. (2023). The Relationship of the Health Belief Model with Medication Adherence in Hypertensive Patients. Journal of Holistic Health, 7(2), 1–13. https://doi.org/10.33377/jkh.v7i2.157
[15] Laili, N., & Tanoto, W. (2021). Public Health Belief Model In The Implementation Of The Covid-19 Vaccine. Scientific Journal of Nursing Health, 17(3), 198. https://doi.org/10.26753/jikk.v17i3.625
[16] Li, J., Zhang, L., Zhou, J., Wang, G., Zhang, R., Liu, J., Liu, S., Chen, Y., Yang, S., Yuan, Q., & Li, Y. (2022). Development and validation of Self-Management Scale for Tuberculosis Patients. BMC Infectious Diseases, 22(1). https://doi.org/10.1186/s12879-022-07483-3
[17] Malinda, H., Sandra, S., & Rasyid, T. A. (2022). The relationship between self-acceptance and self management in patients with chronic kidney disease undergoing hemodialysis. Journal of Ners University of Pahlawan, 6(2), 209–221. http://journal.universitaspahlawan.ac.id/index.php/ners
[18] Mathofani, P. E., & Febriyanti, R. (2020). Factors Related to the Incidence of Pulmonary Tuberculosis (TB) in the Working Area of the Serang Kota Health Center in 2019. In Scientific Journal of Public Health (Vol. 12).
[19] Maya Ugar, S., Setia Anggreini, Y., & Kambu, Y. (2024). The Relationship Between Family Roles And Self-Management And Compliance With Tuberculosis Medication. Nursing Arts, 18(1), 1978–6298.
[20] Munawaroh Azizah, F. (2017). The Relationship Between Tawakal and Self-Acceptance in Adolescents with Physical Disabilities at the Bina Daksa Social Rehabilitation Center (BBRSBD) Prof. DR. Soeharso Surakarta.
[21] Murningtyas, A. (2024). The Relationship between Family Support and Self-Management in Pulmonary TB Patients in the Inpatient Room of Kartini Karangayar Hospital.
[22] Nopita, E., Suryani, L., & Evelina Siringoringo, H. (2023). Analysis of the incidence of pulmonary tuberculosis (TB). Saelmakers Perdana Health Journal, 6(1). https://doi.org/10.32524/jksp.v6i1.827
[23] Oktaviani, A., & Fauziah, M. (2025). Risk Factors Related to Type 2 DM Prevention Behavior Based on Health Belief Model Theory in Adolescents. Medical Vitality: Journal of Health and Medicine, 2, 298–310. https://doi.org/10.62383/vimed.v2i3.2119
[24] Permatasari, D., Handoko, G., Yunita, R., & Alfarizi, M. (2024). Hubungan Konsep Diri dengan Kepatuhan Pasien Tuberkulosis Paru dalam Menjalani Pengobatan The Relationship between Self-Concept and Pulmonary Tuberculosis Patient Compliance in Undergoing Treatment. Journal Of Health Poltekes Kemenkes Ri Pangkalpinang, 12(1), 29–36.
[25] Plaherti. (2020). Tuberculosis (TB).
[26] Personal, E. T., & Devy, S. R. (2020). Application of the Health Belief Model on the Intention To Stop Smoking Behavior Among Young Adult Women. Journal of Public Health Research, 9(2), 121–124. https://doi.org/10.4081/jphr.2020.1817
[27] Putri, J. (2023). The Relationship between Self-Acceptance and Self-Management of Type II Diabetes Mellitus in Prolanis Participants of the Menteng Palangka Raya Health Center.
[28] Safarina, N. A., & Maulayani, M. (2021). Self Acceptance As A Predictor of Self Esteem in Victims of Body Shaming. INSPIRA: Indonesian Journal of Psychological Research, 2(1), 5–11. https://doi.org/10.32505/inspira.v2i1.2946
[29] Seftiani, D. D., Kamillah, S., & Koto, Y. (2025). The Relationship between Self Acceptance and Quality of Life in Chronic Kidney Failure Patients in the Hemodialysis Room of Sayang Cianjur Hospital in 2024. Journal of Intellectual and Scholars of the Archipelago, 2, 8547–8561. https://jicnusantara.com/index.php/jicn
[30] Setiyowati, E., Hardiyanti, H., Setiawan, F. A., & Susilo, P. (2021). Overview of Self-Reliance and Self-Acceptance in Tuberculosis Patients. Medical and Health Science Journal, 5(2), 9–15. https://doi.org/10.33086/mhsj.v5i2.2160
[31] Shahnazi, H., Ahmadi-Livani, M., Pahl, B., Rajabi, A., Hamrah, M. S., & Charkazi, A. (2020). Assessing Preventive Health Behaviors From Coovid 19 A Cross Sectional Study With Health Belief Model in Golestan Province Northern of Iran. Infectious Diseases of Poverty, 9(1), 2–9. https://doi.org/10.1186/s40249-020-00776-2
[32] Siringorino, & Mariana. (2023). The Relationship between Health Worker Services and Medication Compliance in Multidrug-Resistant Tuberculosis Patients at H.Adam Malik Hospital Medan. https://repository.uhn.ac.id/handle/123456789/8646
[33] Sulistyono, R. E., Susanto, T., & Tristiana, R. D. (2020). Patients Experience and Perception in Preventing Tuberculosis Transmission in Rural Areas: A Qualitative Research. Journal of Nursing Padjajaran, 8(1). https://doi.org/10.24198/jkp
[34] Suratmini, D., & Berliana Togatorop, L. (2023). Self-Stigma and Self-Efficacy on Treatment Adherence in Tuberculosis Patients: A Literature Review. Journal of Nursing Widya Gantari Indonesia, 7(2). https://doi.org/10.52020/jkwgi.v7i2.5736
[35] Suryani, Ismonah, & Risca. (2021). The Relationship of Knowledge and Self-Efficacy to Adherence to Taking Advanced Stage Anti-Tuberculosis Drugs (OAT) in Patients with Pulmonary TB. 655, 1388–1399.
[36] Tsai, M. C., Chuang, H. L., Huang, C. Y., Lee, S. H., Liao, W. C., Lee, M. C., & Kuo, C. P. (2021). Exploring the Relationship of Health Beliefs and Self Care Behaviors Related to Diabetic Foot Ulcers of Type II Diabetes Mellitus Patients A Cross Sectional Study. International Journal of Environmental Research and Public Health, 18(13), 2–9. https://doi.org/10.3390/ijerph18137207
[37] Ugar, S. M., Setia Anggreini, Y., & Kambu, Y. (2024). The Relationship between Family Roles and Self-Management and Compliance with Tuberculosis Drug Compliance. Journal of the Sorong Ministry of Health, 18(1), 80–88.
[38] Ugar, S. M., Setia Anggreini, Y., Kambu, Y., Bomberay, P., Fakfak, K., & Sorong, P. K. (2024). The Relationship between Family Roles and Self-Management and Compliance with Tuberculosis Medication. In Nursing Arts (Vol. 18, Number 1).
[39] Zhang, A., Wang, J., Wan, X., Zhang, J., Guo, Z., Miao, Y., Zhao, S., Bai, S., Zhang, Z., & Yang, W. (2022). Mediation Effect of Self Efficacy Between Health Beliefs and Glycated Haemoglobin Levels in Elderly Patients with Type 2 Diabetes Mellitus A Cross Sectional Study. Patient Preference and Adherence, 16, 3015–3026. https://doi.org/10.2147/PPA.S388967
[40] Ziliwu, M., Lase, F., Munthe, M., & Laoli, J. K. (2023). Ability to accept self (self-acceptance) to bullying between students. Journal of Educational Education, 2(1), 203–210. https://doi.org/10.56248/educativo.v2i1.131.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Arda Aulia Chusna, Dewi Hartinah, Muhamad Jauhar
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
