Determinants of Medication Adherence in Hypertension Patients in Level I Health Facilities in Kembaran District
DOI:
https://doi.org/10.35960/vm.v17i2.1399Keywords:
Hypertension, medication adherence, blood pressureAbstract
Medication adherence is the key to controlling blood pressure in hypertensive patients to minimize the risk of complications. The research aims to assess level of medication adherence and identify influencing factors. The quasi-experimental research method used purposive sampling to create a control group and 2 intervention groups (pill box and medication chart) with each group 30 patients. Prospective data collection with pre-post design (week-1 and week-4) as well as observing clinical data on blood pressure, medication adherence. Questionnaire of medication non-adherence determinants was taken at week 4. The questionnaire instrument was validated with Cronbach Alpha reliability >0.06. The results of the statistical analysis were significant (p-value <0.05) with increasing the mean score of medication adherence in the pill box was 1.2 and the medication chart was 0.7. The reduction in systolic blood pressure in the intervention group was significant (p-value <0.05) by more than 2 mmHg. A total of 35.6% of patients were reluctant to ask health workers for medication information and 45.6% needed someone to remind them to take medication. In conclusion, increasing medication adherence and reducing blood pressure can be achieved with intervention and requires social support from family and health-care professional.
References
Burnier, M., & Egan, B. M. (2019). Adherence in Hypertension: A Review of Prevalence, Risk Factors, Impact, and Management. Circulation Research, 124(7), 1124–1140.https://doi.org/10.1161/CIRCRESAHA.118.313220
Dinkes. (2021). Profil Kesehatan Provinsi JawaTengah Tahun 2021. In Profil Kesehatan Provinsi JawaTengah Tahun 2021. https://dinkesjatengprov.go.id/v2018/dokumen/Profil_Kesehatan_2021/mobile/index.html
Dinkes. (2022). Profil Kesehatan kabupaten Banyumas tahun 2022. Dinas Kesehatan Kabupaten Banyumas. https://dinkes.banyumaskab.go.id/news/42432/profil-kesehatan-kabupaten-banyumas-tahun-2022
Ernawati, I., & Rahmatul Islamiyah, W. (2019). p-ISSN: 2502-647X; e-ISSN: 2503-1902. Uji Validitas Dan Reliabilitas Kuesioner Kepatuhan MGLS (Morisky, Green, Levine Adherence Scale) Versi Bahasa Indonesia Terhadap Pasien Epilepsi, 4(2), 305–313.
Gamage, D. G., Riddell, M. A., Joshi, R., Thankappan, K. R., Chow, C. K., Oldenburg, B., Evans, R. G., Mahal, A. S., Kalyanram, K., Kartik, K., Suresh, O., Thomas, N., Mini, G. K., Maulik, P. K., Srikanth, V. K., Arabshahi, S., Varma, R. P., Guggilla, R. K., D’Esposito, Thrift, A. G. (2020). Effectiveness of a scalable group-based education and monitoring program, delivered by health workers, to improve control of hypertension in rural India: A cluster randomised controlled trial. PLoS Medicine, 17(1).
https://doi.org/10.1371/journal.pmed.1002997
Getenet, A., E. al. (2019). Determinants of adherence to anti-hypertensive medications among adult hypertensive patients on follow-up in Hawassa Referral Hospital: A case–control study. JRSM Cardiovascular Disease, 8, 204800401989275.https://doi.org/10.1177/2048004019892758
Gibran, N. C., Perwitasari, D. A., Hayati, E. N., & Dahlan, U. A. (2021). Persepsi Pasien Hipertensi Tentang Kepatuhan Minum Obat Di Instalasi Rawat Jalan Rs Pku Muhammdiyah Yogyakarta : Studi Kualitatif. Medical Sains : Jurnal Ilmiah Kefarmasian, 5(2), 167–180. https://doi.org/10.37874/ms.v5i2.197
Hening, W., Sartika, R. D., & Sauriasari, R. (2019). Effect of hospital pharmacist counseling on clinical outcomes of type 2 diabetes mellitus outpatients. Journal of Research in Pharmacy Practice, 8(3), 155.https://doi.org/10.4103/jrpp.jrpp_19_67
Jatinugroho, Y. D., & Lontoh, S. O. (2021). Pengaruh perubahan posisi terhadap tekanan darah pada karyawan dan karyawati RSU Purwogondo. Tarumanagara Medical Journal, 3(1), 192–199. https://doi.org/10.24912/tmj.v3i2.11762
Jung, M., Choo, E., & Lee, S. (2023). A comparison of methods for the measurement of adherence to antihypertensive multidrug therapy and the clinical consequences: a retrospective cohort study using the Korean nationwide claims database. Epidemiology and Health, 45, 1–10. https://doi.org/10.4178/epih.e2023050
Krisna, et.al. (2020). The Role Of Medication Reminder Technology As An Enhancement Of Patients Compliance. July.https://doi.org/10.31838/ijpr/2020.SP1.052
Legido-Quigley, H., Naheed, A., Asita De Silva, H., Jehan, I., Haldane, V., Cobb, B., Tavajoh, S., Chakma, N., Kasturiratne, A., Siddiqui, S., Jafar, T. H., Clemens, J. D., Hasnat, M., Hameed, A., Khan, A. Z., Ranasinha, C., Fin-Kelstein, E., Bilger, M., Pryseley, A., … Turner, E. (2019). Patients’ experiences on accessing health care services for management of hypertension in rural Bangladesh, Pakistan and Sri Lanka: A qualitative study. PLoS ONE, 14(1), 1–23. https://doi.org/10.1371/journal.pone.0211100
Li, Y., Liu, G., Liu, C., Wang, X., Chu, Y., Li, X., Yang, W., Shen, Y., Wu, F., & Zhang, W. (2021). Effects of Pharmacist Intervention on Community Control of Hypertension: A Randomized Controlled Trial in Zunyi, China. Global Health Science and Practice, 9(4), 890–904. https://doi.org/10.9745/GHSP-D-20-00505
Makkulawu, A., Setiadi, A. P., Budi, T., Rahardjo, W., & Setiawan, E. (2018). The Development of a Questionnaire on Factors Affecting Non Adherence Behavior among Indonesian Elderly Population. Pharmaceutical Sciences and Research, 5(2), 49–57. https://doi.org/10.7454/psr.v5i2.3881
Mehdinia, A., E. al. (2020). The Effect of Pillbox Use on Medication Adherence Among Elderly Patients: A Randomized Controlled Trial. International Electronic Journal of Medicine, 9(1), 38–43. https://doi.org/10.34172/iejm.2020.07
Nikolic, A., et.al. (2023). Predictors of Non-Adherence to Medications in Hypertensive Patients. Iranian Journal of Public Health, 52(6), 1181–1189. https://doi.org/10.18502/ijph.v52i6.12960
Noreen, N., E. al. (2023). Determinants of Adherence to Antihypertension Medications Among Patients at a Tertiary Care Hospital in Islamabad, Pakistan, 2019. Preventing Chronic Disease, 20, 1–14.https://doi.org/10.5888/PCD20.220231
Pan, J., E. al. (2019). Determinants of hypertension treatment adherence among a Chinese population using the therapeutic adherence scale for hypertensive patients. Medicine [revista en Internet] 2019 [acceso 19 de setiembre de 2021]; 98(27): 1-7. Medicine, 98(279e16116)), 1–7.
Perhimpunan Dokter Hipertensi Indonesia (PERHI). (2021). KONSENSUS PENATALAKSANAAN HIPERTENSI 2021: Update Konsensus PERHI 2019. In Indonesian Society Hipertensi Indonesia.
http://www.inash.or.id/upload/event/event_Update_konsensus_2019123191.pdf
Pramesti, A., Ichsan, B., Romadhon, Y. A., & Dasuki, M. S. (2020). Faktor-Faktor Penyebab Ketidakpatuhan Berobat Penderita Hipertensi di Wilayah Kerja Puskesmas Kartasura: Studi Kualitatif. Proceeding Book Call for Paper Thalamus: Medical Research For Better Health In Pandemic, 117–129. https://publikasiilmiah.ums.ac.id/handle/11617/12436
Pui, E., & Choi, H. (2019). A Pilot Study to Evaluate the Acceptability of Using a Smart Pillbox to Enhance Medication Adherence Among Primary Care Patients.
Riskesdas Kementrian Kesehatan RI. (2018). Laporan Riskesdas 2018 Nasional.pdf. In Lembaga Penerbit Balitbangkes.
Sammulia, S.F., et.al. (2016). Perbandingan Pill Box Dan Medication Chart Dalam Meningkatkan Kepatuhan Dan Outcome Klinik Geriatri Kota Batam. Jurnal Manajemen Dan Pelayanan Farmasi, 6(4), 288–296.
Unger, T., E. al. (2020). 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension, 75(6), 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026
World Health Organization. (2023). Global Report on Hypertension: The Race Against a Silent Killer (World Health Organization (ed.)). World Health Organization. https://www.who.int/publications/i/item/9789240081062
Zhou, B., Carrillo-Larco, R. M., Danaei, G., Riley, L. M., Paciorek, C. J., Stevens, G. A., Gregg, E. W., Bennett, J. E., Solomon, B., Singleton, R. K., Sophiea, M. K., Iurilli, M. L. C., Lhoste, V. P. F., Cowan, M. J., Savin, S., Woodward, M., Balanova, Y., Cifkova, R., Damasceno, A., … Zuñiga Cisneros, J. (2021). Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. The Lancet, 398(10304), 957–980. https://doi.org/10.1016/S0140-6736(21)01330-1
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