The relationship between family support and improved nutritional status in Tuberculosis (TB) patients
Tuberculosis (TB) is an infectious disease that substantially affects the nutritional status of patients. Family support is believed to contribute to improved nutritional outcomes during the treatment. This study aimed to determine the relationship between family support and improvements in the nutritional status among TB patients with TB. A quantitative study with a cross-sectional design was conducted between May and June 2024, involving 44 patients with TB at the Langkahan Primary Health Center, North Aceh. Data were collected using a validated questionnaire that assessed four dimensions of family support and nutritional status. The Chi-square test was used for data analysis (p < 0.05). A total of 75% of the patients demonstrated improvements in their nutritional status. Overall family support was significantly associated with improved nutritional status (p = 0.013; OR = 7.875; 95% CI: 1.733–35.785), and all support dimensions showed significant relationships (p < 0.05). These findings indicate that family support plays an essential role in enhancing the nutritional status of patients with TB. Strengthening family based interventions is recommended to support nutritional recovery and successful treatment.
Keywords : Family support, nutritional status, tuberculosis
- Acoba, E. F. (2024). Social support and mental health: The mediating role of perceived stress. Frontiers in Psychology, 15, 1330720. https://doi.org/10.3389/fpsyg.2024.1330720
- Al Rahmad, A. H., & Annisa, S. F. (2025). Video animasi sebagai media penyuluhan dapat meningkatkan pengetahuan dan sikap remaja tentang bahaya fast food. Media Penelitian dan Pengembangan Kesehatan, 35(1), 11–18. https://doi.org/10.34011/jmp2k.v35i1.2054
- Al Rahmad, A. H., & Shavira, N. (2024). Media motion graphic empat pilar gizi seimbang meningkatkan pengetahuan dan sikap ibu balita. Jurnal Riset Gizi, 12(2), 183–189. https://doi.org/10.31983/jrg.v12i2.1208
- Alinaitwe, B., Shariff, N. J., & Madhavi Boddupalli, B. (2025a). Treatment adherence and its association with family support among pulmonary tuberculosis patients in Jinja, Eastern Uganda. Scientific Reports, 15, 11150. https://doi.org/10.1038/s41598-025-96260-8
- Alinaitwe, B., Shariff, N., & Madhavi Boddupalli, B. (2025b). Level of family support and associated factors among pulmonary tuberculosis patients in Eastern Uganda: A baseline cross-sectional study. Journal of Multidisciplinary Healthcare, 18, 2057–2073. https://doi.org/10.2147/JMDH.S511615
- Bagcchi, S. (2023). WHO’s Global Tuberculosis Report 2022. The Lancet Microbe, 4(1), e20. https://doi.org/10.1016/S2666-5247(22)00359-7
- Fahdhienie, F., Mudatsir, M., Abidin, T. F., & Nurjannah, N. (2024). Risk factors of pulmonary tuberculosis in Indonesia: A case-control study in a high disease prevalence region. Narra J, 4(2), e943. https://doi.org/10.52225/narra.v4i2.943
- Ingham, N., Labonté, K., Dubé, L., Paquet, C., & Nielsen, D. E. (2023). A more supportive social environment may protect against nutritional risk: A cross-sectional analysis using data from the Canadian Longitudinal Study on Aging. The Journal of Nutrition, 153(6), 1793–1802. https://doi.org/10.1016/j.tjnut.2023.01.020
- Khalid, S. (2021). The effect of nutrition education on nutritional status of tuberculosis patients. Biomedical Journal of Scientific & Technical Research, 33(3), [data tidak tersedia]. https://doi.org/10.26717/BJSTR.2021.33.005391
- Lahuo, S., Tololiu, K. E., Haryanto, J., & Wulansari, D. (2024). Dukungan keluarga untuk kepatuhan pengobatan tuberkulosis paru. Journal of Telenursing (JOTING), 6(1), 517–525. https://doi.org/10.31539/joting.v6i1.9115
- Li, D., Guo, H., Sun, Y., Zhang, Z., & Liu, H. (2025). Knowledge, attitude, and practice of stroke patients’ family members towards stroke rehabilitation: A cross-sectional study. Journal of Stroke and Cerebrovascular Diseases, 34(2), 108177. https://doi.org/10.1016/j.jstrokecerebrovasdis.2024.108177
- Litvinjenko, S., Magwood, O., Wu, S., & Wei, X. (2023). Burden of tuberculosis among vulnerable populations worldwide: An overview of systematic reviews. The Lancet Infectious Diseases, 23(12), 1395–1407. https://doi.org/10.1016/S1473-3099(23)00372-9
- Lutfian, L., Azizah, A., Wardika, I. J., Wildana, F., Maulana, S., & Wartakusumah, R. (2025). The role of family support in medication adherence and quality of life among tuberculosis patients: A scoping review. Japan Journal of Nursing Science, 22(1), e12629. https://doi.org/10.1111/jjns.12629
- Ma, X., Yu, W., Lu, Y., Yang, H., Li, X., & Kang, D. (2022). Pain knowledge of patients and family caregivers as predictors of pain management outcomes in cancer patients: A multicenter study in China. Supportive Care in Cancer, 30(1), 575–584. https://doi.org/10.1007/s00520-021-06457-6
- Mochartini, T. (2022). Relationship between family support and drug compliance in pulmonary tuberculosis patients. KnE Life Sciences, 7(2), [data tidak tersedia]. https://doi.org/10.18502/kls.v7i2.10365
- Neumann, E., Rössler, S., Vetter, S., Seifritz, E., Hotzy, F., & Mötteli, S. (2025). Dietary challenges and desired support strategies in patients with severe mental illness: Insights from a qualitative focus group study. Nutritional Neuroscience. Advance online publication. https://doi.org/10.1080/1028415X.2025.2502026
- Nursasi, A. Y., Huda, M. H., & Rahmasari, S. W. (2022). Impact of instrumental support from family on medication adherence among tuberculosis patients: A cross-sectional study. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 17(4), 251–256. https://doi.org/10.21109/kesmas.v17i4.5927
- Puspitasari, N., Mudigdo, A., & Adriani, R. B. (2017). Effects of education, nutrition status, treatment compliance, family income, and family support on the cure of tuberculosis in Mojokerto, East Java. Journal of Epidemiology and Public Health, 2(2), 141–153. https://doi.org/10.26911/jepublichealth.2017.02.02.05
- Simieneh, A., Gashaneh, S., & Dereje, R. (2024). Nutritional status and treatment outcomes of tuberculosis in Mizan Tepi University Teaching Hospital, a five-year retrospective study. PLOS ONE, 19(2), e0298244. https://doi.org/10.1371/journal.pone.0298244
- Surya, A., Setyaningsih, B., Nasution, H. S., Parwati, C. G., Yuzwar, Y. E., Osberg, M., Hanson, C. L., Hymoff, A., Mingkwan, P., Makayova, J., Gebhard, A., & Waworuntu, W. (2017). Quality tuberculosis care in Indonesia: Using patient pathway analysis to optimize public–private collaboration. The Journal of Infectious Diseases, 216(Suppl. 7), S724–S732. https://doi.org/10.1093/infdis/jix379
- Suryanti, S., & Adewale, A. I. (2024). A recent of tuberculosis’s burden and under-notification in Indonesia: A scoping review. International Journal of Chemical and Biochemical Sciences, 26(20), [data tidak tersedia]. https://doi.org/10.62877/5-IJCBS-24-26-20-5
- Tavakoli, N., Momeni, M. K., Sarani, H., Bouya, S., Imani, J. A. R., & Askari, H. (2022). Effectiveness of family-centered care education in care knowledge of caregivers of hemodialysis patients. Medical-Surgical Nursing Journal, 11(1), e130292. https://doi.org/10.5812/msnj-130292
- Wijayanto, T., Solikhah, S., & Sulistyawati, S. (2024). Relationship nutritional status and pulmonary tuberculosis: Literature review. Disease Prevention and Public Health Journal, 18(1), 11–16. https://doi.org/10.12928/dpphj.v18i1.9430
- Xu, Q., Shao, L., Zhao, S., Cai, J., Lu, L., Wang, B., & Liu, P. (2022). Social support and nutritional status: Positive psychological capital as a mediator. Social Behavior and Personality: An International Journal, 50(5), Article e11384. https://doi.org/10.2224/sbp.11384
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