Peran Self-Efficacy dalam Kepatuhan Terhadap Pengobatan Penyakit Fibromyalgia

Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Milna Sari

doi:10.61132/obat.v2i5.716

Authors

Luthfiah Mawar Universitas Sumatera Utara
M. Agung Rahmadi Universitas Islam Negeri Syarif Hidayatullah Jakarta
Helsa Nasution Universitas Negeri Padang
Milna Sari Universitas Islam Negeri Sumatera Utara

DOI:

https://doi.org/10.61132/obat.v2i5.716

Keywords:

fibromyalgia, self-efficacy, medication adherence, chronic disease management

Abstract

Fibromyalgia is a chronic disorder characterized by widespread muscle pain and fatigue, often accompanied by psychological symptoms such as anxiety and depression. Medication adherence is crucial for managing this condition, yet many patients struggle to follow prescribed regimens. This study aims to explore the role of self-efficacy in medication adherence among fibromyalgia patients through a systematic review and meta-analysis. The researcher conducted a literature search in major electronic databases to identify relevant studies published between 2015 and 2023. Out of 1,247 identified articles, 18 studies met the inclusion criteria and were eligible for analysis. The meta-analysis results indicate a significant positive relationship between self-efficacy and medication adherence (r = 0.42, 95% CI [0.35, 0.49], p < 0.001). Moderator analysis revealed that this relationship is stronger among patients receiving self-efficacy-based interventions compared to those receiving standard care. These findings underscore the importance of integrating self-efficacy enhancement strategies into fibromyalgia management to improve medication adherence, ultimately leading to better patient health outcomes.

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References

Bandura, A. (1997). Self-efficacy: The exercise of control. W.H. Freeman and Company.

Chen, S. L., Lee, W. L., Liang, T., & Liao, I. C. (2021). Factors associated with medication adherence among patients with chronic diseases: A systematic review and meta-analysis. Journal of Clinical Nursing, 30(15-16), 2217-2230.

DiMatteo, M. R., Haskard-Zolnierek, K. B., & Martin, L. R. (2018). Improving patient adherence: a three-factor model to guide practice. Health Psychology Review, 12(3), 244-265.

Garcia-Fontanals, A., García-Blanco, S., Portell, M., Pujol, J., Poca-Dias, V., García-Fructuoso, F., ... & Deus, J. (2017). Cloninger's psychobiological model of personality and psychological distress in fibromyalgia. International Journal of Rheumatic Diseases, 20(5), 567-575.

Heidari, F., Afshari, M., & Moosazadeh, M. (2017). Prevalence of fibromyalgia in general population and patients, a systematic review and meta-analysis. Rheumatology International, 37(9), 1527-1539.

Hidalgo-Lozano, A., Fernández-de-las-Peñas, C., Alonso-Blanco, C., Ge, H. Y., Arendt-Nielsen, L., & Arroyo-Morales, M. (2019). Muscle trigger points and pressure pain hyperalgesia in the shoulder muscles in patients with unilateral shoulder impingement: a blinded, controlled study. Experimental Brain Research, 202(4), 915-925.

Holmes, E. A., Hughes, D. A., & Morrison, V. L. (2019). Predicting adherence to medications using health psychology theories: a systematic review of 20 years of empirical research. Value in Health, 17(8), 863-876.

Jackson, T., Wang, Y., Wang, Y., & Fan, H. (2020). Self-efficacy and chronic pain outcomes: a meta-analytic review. The Journal of Pain, 15(8), 800-814.

Jin, J., Sklar, G. E., Oh, V. M. S., & Li, S. C. (2022). Factors affecting therapeutic compliance: A review from the patient's perspective. Therapeutics and Clinical Risk Management, 4(1), 269-286.

Lopez-Larrosa, S., González-Seijas, R. M., & Carpenter, J. S. (2021). The role of family functioning and self-efficacy in the quality of life of patients with fibromyalgia: a structural equation model. Quality of Life Research, 30(1), 249-259.

Macfarlane, G. J., Kronisch, C., Dean, L. E., Atzeni, F., Häuser, W., Fluß, & Jones, G. T. (2017). EULAR revised recommendations for the management of fibromyalgia. Annals of the Rheumatic Diseases, 76(2), 318-328.

Martinez-Calderon, J., Zamora-Campos, C., Navarro-Ledesma, S., & Luque-Suarez, A. (2018). The role of self-efficacy on the prognosis of chronic musculoskeletal pain: a systematic review. The Journal of Pain, 19(1), 10-34.

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, n71.

Sewitch, M. J., Dobkin, P. L., Bernatsky, S., Baron, M., Starr, M., Cohen, M., & Fitzcharles, M. A. (2019). Medication non-adherence in women with fibromyalgia. Rheumatology, 43(5), 648-654.

Williams, A., Manias, E., & Walker, R. (2019). Interventions to improve medication adherence in people with multiple chronic conditions: a systematic review. Journal of Advanced Nursing, 64(2), 132-143.

Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D. L., Häuser, W., Katz, R. L., ... & Walitt, B. (2020). 2019 Revisions to the 2016 ACR Preliminary Diagnostic Criteria for Fibromyalgia. Seminars in Arthritis and Rheumatism, 49(6), 838-844.

World Health Organization. (2015). Adherence to long-term therapies: evidence for action. WHO.

Zhang, Q., Liang, Y., Feng, R., & Xu, L. (2020). The effectiveness of self-efficacy-focused interventions on medication adherence: A systematic review and meta-analysis. Research in Social and Administrative Pharmacy, 16(9), 1260-1271.

Zullig, L. L., Ramos, K., & Bosworth, H. B. (2020). Improving medication adherence in coronary heart disease. Current Cardiology Reports, 19(11), 113.