KEPATUHAN MINUM OBAT PASIEN HIPERTENSI

Melisa Imanda, Devi Darliana, Ahyana Ahyana

Abstract


Hipertensi sebagai penyakit silent killer menjadi penyebab kematian global yang  menduduki peringkat ketiga dunia. Pasien hipertensi harus mengkonsumsi obat secara kontinyu untuk mempertahankan tekanan darah agar tetap stabil serta mencegah komplikasi dan perburukan prognosis. Tujuan penelitian adalah untuk mengetahui tingkat kepatuhan minum obat pada pasien hipertensi di RSUD dr. Zainoel Abidin Banda Aceh 2021. Jenis dan desain penelitian yang digunakan dalam penelitian  ini adalah  descriptive cross-sectional survey. Populasi penelitian yaitu pasien hipertensi di Poliklinik Jantung Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh. Teknik pengambilan sampel menggunakan teknik Total Sampling dengan jumlah sampel 133 responden. Teknik pengumpulan data menggunakan kuesioner Morisky Medication Adherence Scale -8 (MMAS-8). Hasil penelitian menunjukkan Gambaran Kepatuhan Minum Obat  pada Pasien Hipertensi di Poliklinik Jantung Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh berada di kategori rendah dengan jumlah responden sebanyak 55 responden (41.4%) kemudian diikuti oleh kepatuhan tinggi sebanyak 40 responden (30,1%) dan kepatuhan sedang sebanyak 38 responden (28,9%). Direkomendasikan bagi perawat poliklinik Jantung RSUDZA Banda Aceh agar dapat memberikan pendidikan kesehatan tentang pentingnya minum obat bagi pasien hipertensi agar dapat meningkatkan kepatuhan minum obat.

Full Text:

PDF

References


Abbas, H., Kurdi, M., de Vries, F., van Onzenoort, H. A. W., Driessen, J. H. M., Watfa, M., & Karam, R. (2020). Factors associated with antihypertensive medication non-adherence: a cross-sectional study among lebanese hypertensive adults. Patient Preference and Adherence, 14, 663–673. https://doi.org/10.2147/PPA.S238751

Al-Ramahi, R. (2015). Adherence to medications and associated factors: A cross-sectional study among Palestinian hypertensive patients. Journal of Epidemiology and Global Health, 5(2), 125–132. https://doi.org/10.1016/j.jegh.2014.05.005

Alvarez, C., Hines, A. L., Carson, K. A., Andrade, N., Ibe, C. A., Marsteller, J. A., Cooper, L. A., Ahima, R., Antoine, D. G., Avornu, G., Bhattarai, J., Bone, L., Boonyasai, R. T., Charleston, J., Chung, S., Cort, M., Crews, D. C., Daumit, G. L., Dietz, K. B., … Zeren, K. L. (2021). AssociAtion of perceived stress and discrimination on medication adherence among diverse patients with uncontrolled hypertension. Ethnicity and Disease, 31(1), 97–108. https://doi.org/10.18865/ED.31.1.97

Biffi, A., Rea, F., Iannaccone, T., Filippelli, A., Mancia, G., & Corrao, G. (2020). Sex differences in the adherence of antihypertensive drugs: A systematic review with meta-analyses. BMJ Open, 10(7). https://doi.org/10.1136/bmjopen-2019-036418

Boima, V., Ademola, A. D., Odusola, A. O., Agyekum, F., Nwafor, C. E., Cole, H., Salako, B. L., Ogedegbe, G., & Tayo, B. O. (2015). Factors Associated with Medication Nonadherence among Hypertensives in Ghana and Nigeria. International Journal of Hypertension, 2015. https://doi.org/10.1155/2015/205716

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

Chan, A. H. Y., Horne, R., Hankins, M., & Chisari, C. (2020). The Medication Adherence Report Scale: A measurement tool for eliciting patients’ reports of nonadherence. British Journal of Clinical Pharmacology, 86(7), 1281–1288. https://doi.org/10.1111/bcp.14193

Choi, A., Lovett, A. W., Kang, J., Lee, K., & Choi, L. (2015). Mobile Applications to Improve Medication Adherence: Existing Apps, Quality of Life and Future Directions. Advances in Pharmacology and Pharmacy, 3(3), 64–74. https://doi.org/10.13189/app.2015.030302

Ekman, I., Wolf, A., Vaughan Dickson, V., Bosworth, H. B., & Granger, B. B. (2017). Unmet expectations of medications and care providers among patients with heart failure assessed to be poorly adherent: results from the Chronic Heart Failure Intervention to Improve MEdication Adherence (CHIME) study. European Journal of Cardiovascular Nursing, 16 (7).

Jneid, S., Jabbour, H., Hajj, A., Sarkis, A., Licha, H., Hallit, S., & Khabbaz, L. R. (2018). Quality of Life and Its Association With Treatment Satisfaction, Adherence to Medication, and Trust in Physician Among Patients With Hypertension: A Cross-Sectional Designed Study. Journal of Cardiovascular Pharmacology and Therapeutics, 23(6), 532–542. https://doi.org/10.1177/1074248418784292

Kemenkes RI. (2019). Hipertensi Si Pembunuh Senyap. Kementrian Kesehatan RI, 1–5. https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-hipertensi-si-pembunuh-senyap.pdf

Kurtul, S., Ak, F. K., & Türk, M. (2020). The prevalence of hypertension and influencing factors among the employees of a university hospital. African Health Sciences, 20(4), 1725–1733. https://doi.org/10.4314/ahs.v20i4.24

Mahmood, S., Jalal, Z., Hadi, M. A., & Al, E. (2021). Prevalence of non-adherence to antihypertensive medication in Asia: a systematic review and meta-analysis. Int J Clin Pharm, 43, 486–50. https://doi.org/10.1007/s11096-021-01236-z

Mamaghani, E. A., Hasanpoor, E., Maghsoodi, E., & Soleimani, F. (2020). Barriers to Medication Adherence among Hypertensive Patients in Deprived Rural Areas. Ethiopian Journal of Health Sciences, 30(1), 85–94. https://doi.org/10.4314/ejhs.v30i1.11

Mills, K. T., Bundy, J. D., Kelly, T. N., Reed, J. E., Kearney, P. M., Reynolds, K., Chen, J., & He, J. (2016). Global disparities of hypertension prevalence and control. Circulation, 134(6), 441–450. https://doi.org/10.1161/CIRCULATIONAHA.115.018912

Niiranen, T. J., McCabe, E. L., Larson, M. G., Henglin, M., Lakdawala, N. K., Vasan, R. S., & Cheng, S. (2017). Heritability and risks associated with early onset hypertension: Multigenerational, prospective analysis in the Framingham Heart Study. BMJ (Online), 357, 1–8. https://doi.org/10.1136/bmj.j1949

Nuratiqa, N., Risnah, R., Hafid, M. A., Paharani, A., & Irwan, M. (2020). Faktor Yang Berhubungan Dengan Kepatuhan Minum Obat Anti Hipertensi. BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia), 8(1), 16–24. https://doi.org/10.53345/bimiki.v8i1.122

Paczkowska, A., Hoffmann, K., Kus, K., Kopciuch, D., Zaprutko, T., Ratajczak, P., Michalak, M., Nowakowska, E., & Bryl, W. (2021). Impact of patient knowledge on hypertension treatment adherence and efficacy: A single-centre study in poland. International Journal of Medical Sciences, 18(3), 852–860. https://doi.org/10.7150/ijms.48139

Ramirez, L. A., & Sullivan, J. C. (2018). Sex differences in hypertension: Where we have been and where we are going. American Journal of Hypertension, 31(12), 1247–1254. https://doi.org/10.1093/ajh/hpy148

Sevilla-Cazes, J., Ahmad, F. S., Bowles, K. H., Jaskowiak, A., Gallagher, T., Goldberg, L. R., Kangovi, S., Alexander, M., Riegel, B., Barg, F. K., & Kimmel, S. E. (2018). Heart Failure Home Management Challenges and Reasons for Readmission: a Qualitative Study to Understand the Patient’s Perspective. Journal of General Internal Medicine, 33(10), 1700–1707. https://doi.org/10.1007/s11606-018-4542-3

Sherman, B. W., & Lynch, W. D. (2014). The association of smoking with medical treatment adherence in the workforce of a large employer. Patient Preference and Adherence, 8, 477–486. https://doi.org/10.2147/PPA.S60927

Souliotis, K., Giannouchos, T. V., Golna, C., & Liberopoulos, E. (2021). Assessing forgetfulness and polypharmacy and their impact on health-related quality of life among patients with hypertension and dyslipidemia in Greece during the COVID-19 pandemic. Quality of Life Research. https://doi.org/10.1007/s11136-021-02917-y

Tasya, A. C., Isnindar, & Nurmainah. (2019). Kepatuhan Penggunaan Obat Antihipertensi Pada Pasien Hipertensi Dengan Menggunakan Kuesioner Morisky Medication Adherence Scale Di Puskesmas Sukadana Kabupaten Kayong Utara Arswendy. 1–14.

Uchmanowicz, B., Chudiak, A., Uchmanowicz, I., Rosińczuk, J., & Froelicher, E. S. (2018). Factors influencing adherence to treatment in older adults with hypertension. Clinical Interventions in Aging, 13, 2425–2441. https://doi.org/10.2147/CIA.S182881

Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., Tomaszewski, M., Wainford, R. D., Williams, B., & Schutte, A. E. (2020). 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension, 75(6), 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026

Vrijens, B., Antoniou, S., Burnier, M., de la Sierra, A., & Volpe, M. (2017). Current situation of medication adherence in hypertension. Frontiers in Pharmacology, 8(MAR), 1–8. https://doi.org/10.3389/fphar.2017.00100

Wahyudi, C. T., Ratnawati, D., & Made, S. A. (2018). Pengaruh Demografi, Psikososial, Dan Lama Menderita Hipertensi Primer Terhadap Kepatuhan Minum Obat Antihipertensi. Jurnal JKFT, 2(2), 14. https://doi.org/10.31000/jkft.v2i1.692


Refbacks

  • There are currently no refbacks.



JIM FKEP

JURNAL ILMIAH MAHASISWA FAKULTAS KEPERAWATAN

ISSN (Online) : 2716-3555

Fakultas Keperawatan, Universitas Syiah Kuala

Jl. Tgk. Tanoh Abee, Darussalam, Banda Aceh 23111,

Phone/Fax. Telp: +62651 7555249.

e-mail:jim.fkep@unsyiah.ac.id