Medication adherence and therapeutical outcome in hypertension patients at the Mlati II health center

  • Mardiana Puji Lestari Universitas Jenderal Achmad Yani Yogyakarta
  • Dewi Puspita Sari Universitas Jenderal Achmad Yani Yogyakarta

Abstract

Background: Hypertension is a chronic disease that needs to be treated properly and continuously. One of the critical successes of therapy is medication adherence by patients.
Objective: Determine the correlation between medication adherence and therapeutic outcome in hypertension patients at the Mlati II health center.
Methods: This is a non-experimental study with a cross sectional design analysis, by purposive sampling technique. Adherence was obtained in the form of adherence levels measured using the MMAS-8 questionnaire, therapeutic outcomes assessed by measuring a patient's blood pressure. Then the data were analyzed using the Chi-square test to determine the relationship between the level of adherence and therapeutic outcomes.
Results: From 76 hypertension patients, the majority aged 46-55 years (44.7%), female gender (69.7%), senior high school (39.5%), employment status did not work (55.3%), long suffering from hypertension <5 years (76.3%), received single therapy (61.8%) with the type of antihypertension drug amlodipine (59.2%), low adherence category rate (39.5%), outcome of therapy with uncontrolled blood pressure (60,5%), and significancy level p = 0,997>0,05
Conclusion: There is no relationship between the level of adherence to the use of antihypertension drugs and the outcome therapy of controlled blood pressure at the Mlati Il health center

Author Biographies

Mardiana Puji Lestari, Universitas Jenderal Achmad Yani Yogyakarta

Jalan Brawijaya Ambarketawang, Sleman Yogyakarta, Indonesia

Dewi Puspita Sari, Universitas Jenderal Achmad Yani Yogyakarta

Jalan Brawijaya Ambarketawang, Sleman Yogyakarta, Indonesia

References

Nurmainah, Achmad Fudholi, I. D. The Persistence in the Use of Antihypertension as the Predictor of. J. Manaj. dan Pelayanan Farm. 2014, 200–206 (2014).

Sinaga, D., Maruanaya, S. & Siahaya, P. G. Karakteristik dan Tingkat Kepatuhan Minum Obat Anti Hipertensi pada Pasien Hipertensi di Puskesmas Air Besar Tahun 2021. Pattimura Med. Rev. 4, 1–15 (2022).

Lestari, T. Tingkat Kepatuhan Penggunaan Obat Antihipertensi Di Puskesmas Bantul II Yogyakarta. J. Ilmu Kesehat. Bhakti Setya Med. 6, 30–36 (2021).

Joint, G. & Committee, N. Analisis JNC 8 : Evidence-based Guideline Penanganan Pasien Hipertensi Dewasa. 43, 54–59 (2016).

Kemenkes RI. Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehat. RI 53, 1689–1699 (2018).

Rahayu, E. S. et al. Hubungan Tingkat Pengetahuan dengan Kepatuhan Pasien Hipertensi di Rumah Sakit Anwar Medika sidoarjo. J. Ilm. Farm. Farmasyifa | 4, 87–97 (2021).

Tambuwun, A. A. et al. Hubungan Karakteristik Individu dengan Kepatuhan Berobat pada Penderita Hipertensi di Puskesmas Wori Kabupaten Minahasa Utara. J. Kesmas, Vol. 10, No. 4, April 2021 10, 112–121 (2021).

Ayuchecaria, N., Khairah, S. N. & Feteriyani, R. Tingkat kepatuhan minum obat pasien hipertensi di Puskesmas Pekauman Banjarmasin. J. Insa. Farm. Indones. 1, 234–242 (2018).

Fauziah, D. W. et al. Hubungan Pengetahuan Terhadap Tingkat Kepatuhan Minum Obat Anti Hipertensi. Indones. J. Pharm. Educ. 2, 94–100 (2022).

Hasyim Muh. Farid. Tingkat Pengetahuan Pasien Rawat Jalan Terhadap Penggunaan Obat Anti Hipertensi di Rumah Sakit Umum Daerah Daya Kota Makasar Oktober 2019. J. Farm. Sandi Karsa V, 127–132 (2019).

Hutauruk, D. Effect of Adherence with Clinical Outcomes and Quality of Life Primary Hypertension Patients in Pharmacy. Indones. J. Pharm. Clin. Res. Vol. 03, 47–53 (2021).

Djamil, M., Sastri, D., Yelly, M. & Sari, O. Hubungan Pengetahuan Pasien Hipertensi dengan Clinical Outcome Pasien Hipertensi di. J u r n a l S a i n s F a r m a s i K l i n i s 134–140 (2019).

Mutmainah, Nurul, M. R. Hubungan Antara Kepatuhan Penggunaan Obat dan Keberhasilan Terapi pada Pasien Hipertensi di Rumah Sakit Daerah Surakarta Tahun 2010. Pharmacon 11, 51–56 (2010).

Adipinasthika, S., Chintya, S. & Paramita, S. Tingkat Kepatuhan Minum Obat Pasien Hipertensi di Puskesmas Lempake Samarinda. Hawassa Referral Hospital di Kota Hawassa. J. Ked. Mulawarman 9, 55–63 (2022).

Kemenkes RI. Laporan Provinsi Jawa Tengah Riskesdas 2018. Kementerian Kesehatan RI (2018).

Indriana, N., Tri, M., Swandari, K. & Pertiwi, Y. Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat pada Pasien Hipertensi. J. Ilm. Jophus J. Pharm. UMUS 2, (2020).

Perhimpunan Dokter Spesialis Kardiovaskular Indonesia. Pedoman Tatalaksana Sindrom Koroner Akut. Jurnal Kardiologi Indonesia vol. 4 76 at https://doi.org/10.3945/ajcn.114.100065 (2018).

Riskesdas, K. Hasil Utama Riset Kesehata Dasar (Riskesdas). J. Phys. A Math. Theor. 44, 1–200 (2018).

Gamayana, Y. & Aji, T. Analysis of Medication Compliance in Hypertension Patients at the Cempaka Putih District Health Center , Jakarta. Asian J. Soc. Humanit. 1, 370–377 (2023).

Azmi Rizki Nur, Dwi Lestari, Dia Urahman, S. T. Hubungan Kepatuhan Minum Obat dengan Outcome Therapy Antihipertensi pada Geriatrik di Panti Sosial Tresna Werdha Nirwana Puri Samarinda2021. J. Farmagazine VIII, 8–12 (2021).

Dhrik M, Prasetya A, Ratnasari P. Analisis Hubungan Pengetahuan terkait Hipertensi dengan Kepatuhan Minum Obat dan Kontrol Tekanan Darah pada Pasien Hipertensi. Jurnal Ilmiah Medicamento (2023) 9(1) 70-77

Published
2024-04-27
How to Cite
1.
Lestari MP, Sari DP. Medication adherence and therapeutical outcome in hypertension patients at the Mlati II health center. Media ilmu kesehatan [Internet]. 2024Apr.27 [cited 2024May9];13(1):11-6. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/view/1237