Evaluasi Tingkat Kepatuhan Pasien Hipertensi dengan Penyakit Jantung terhadap Penggunaan Obat Hipertensi
DOI:
https://doi.org/10.56742/nchat.v6i1.245Keywords:
Antihipertensi, Dukungan Keluarga, Hipertensi, Kepatuhan Pasien, Penyakit Jantung, Rawat JalanAbstract
Ketidakpatuhan dapat menyebabkan tekanan darah tidak terkontrol dan meningkatkan risiko komplikasi kardiovaskular. Penelitian ini bertujuan untuk mengevaluasi tingkat kepatuhan pasien hipertensi dengan penyakit jantung terhadap penggunaan obat antihipertensi serta mendeskripsikan faktor-faktor yang berhubungan dengan kepatuhan tersebut di Instalasi Farmasi Rawat Jalan Rumah Sakit Royal Prima Jambi. Penelitian ini menggunakan desain deskriptif dengan pendekatan cross-sectional. Sebanyak 30 responden dipilih menggunakan teknik purposive sampling berdasarkan kriteria pasien hipertensi dengan penyakit jantung yang telah menjalani terapi antihipertensi rutin minimal selama tiga bulan. Data dikumpulkan menggunakan kuesioner Morisky Medication Adherence Scale (MMAS-8) dan telaah rekam medis. Analisis dilakukan secara deskriptif kuantitatif untuk menggambarkan distribusi karakteristik responden dan tingkat kepatuhan pasien terhadap penggunaan obat antihipertensi. Hasil penelitian menunjukkan bahwa sebagian besar pasien memiliki tingkat kepatuhan sedang hingga rendah terhadap penggunaan obat antihipertensi. Faktor-faktor seperti usia, jenis kelamin, pekerjaan, dan jenis obat rutin yang digunakan tampak berhubungan dengan variasi tingkat kepatuhan pasien. Pasien yang berusia lanjut, berjenis kelamin perempuan, bekerja sebagai ibu rumah tangga, serta menggunakan kombinasi dua hingga tiga jenis obat cenderung memiliki tingkat kepatuhan lebih tinggi dibandingkan kelompok lainnya. Kesimpulannya, tingkat kepatuhan pasien hipertensi dengan penyakit jantung terhadap penggunaan obat antihipertensi di Rumah Sakit Royal Prima Jambi masih tergolong sedang hingga rendah. Faktor demografi dan regimen pengobatan berpengaruh terhadap pola kepatuhan pasien.
References
Bangu, Siagian, H.J AL. The impact of health literacy on adherence to isometric exercise and its effect on blood pressure in hypertensive patients. Retos. 2025;73:883–92. [View at Publisher] [Google Scholar]
Siagian HJ, Alifariki LO, Tukatman T. Characteristics of smoking and blood pressure in men 30-65 years old: a cross-sectional study. 2021; [View at Publisher] [Google Scholar]
Religioni U, Barrios-Rodríguez R, Requena P, Borowska M, Ostrowski J. Enhancing therapy adherence: impact on clinical outcomes, healthcare costs, and patient quality of life. Medicina (B Aires). 2025;61(1):153. [View at Publisher] [Google Scholar]
Purwanta P, Sadewa DMA, Sahrinanda D, Rizky I, Muthoharoh IM, Yunistyaningrum V. Enabling the grass root: Health cadres empowerment program in efforts to prevent and manage hypertension in the Tanjung sub-village community. J Pengabdi Kpd Masy (Indonesian J Community Engag. 2023;9(3):181–7. [View at Publisher] [Google Scholar]
Kvarnström K, Westerholm A, Airaksinen M, Liira H. Factors contributing to medication adherence in patients with a chronic condition: a scoping review of qualitative research. Pharmaceutics. 2021;13(7):1100. [View at Publisher] [Google Scholar]
Nakagomi A, Yasufuku Y, Ueno T, Kondo K. Social determinants of hypertension in high-income countries: A narrative literature review and future directions. Hypertens Res. 2022;45(10):1575–81. [View at Publisher] [Google Scholar]
Metlock FE, Hinneh T, Benjasirisan C, Alharthi A, Ogungbe O, Turkson-Ocran RAN, et al. Impact of social determinants of health on hypertension outcomes: a systematic review. Hypertension. 2024;81(8):1675–700. [View at Publisher] [Google Scholar]
Kemenkes. Laporan Riskesdas 2023 [Internet]. April 2024. 2023. Available from: https://www.badankebijakan.kemkes.go.id/laporan-hasil-survei/ [View at Publisher]
Alsaqabi YS, Rabbani U. Medication adherence and its association with quality of life among hypertensive patients attending primary health care centers in Saudi Arabia. Cureus. 2020;12(12). [View at Publisher] [Google Scholar]
de Terline DM, Kramoh KE, Diop IB, Nhavoto C, Balde DM, Ferreira B, et al. Poor adherence to medication and salt restriction as a barrier to reaching blood pressure control in patients with hypertension: cross-sectional study from 12 sub-Saharan countries. Arch Cardiovasc Dis. 2020;113(6–7):433–42. [View at Publisher] [Google Scholar]
Di Girolamo C, Nusselder WJ, Bopp M, Brønnum-Hansen H, Costa G, Kovács K, et al. Progress in reducing inequalities in cardiovascular disease mortality in Europe. Heart. 2020;106(1):40. [View at Publisher] [Google Scholar]
Elnaem MH, Mosaad M, Abdelaziz DH, Mansour NO, Usman A, Elrggal ME, et al. Disparities in prevalence and barriers to hypertension control: a systematic review. Int J Environ Res Public Health. 2022;19(21):14571. [View at Publisher] [Google Scholar]
Abegaz TM, Shehab A, Gebreyohannes EA, Bhagavathula AS, Elnour AA. Nonadherence to antihypertensive drugs: a systematic review and meta-analysis. Medicine (Baltimore). 2017;96(4):e5641. [View at Publisher] [Google Scholar]
Khoiry QA, Alfian SD, Van Boven JFM, Abdulah R. Self-reported medication adherence instruments and their applicability in low-middle income countries: a scoping review. Front Public Heal. 2023;11:1104510. [View at Publisher] [Google Scholar]
Losi S, Berra CCF, Fornengo R, Pitocco D, Biricolti G, Federici MO. The role of patient preferences in adherence to treatment in chronic disease: a narrative review. Drug Target Insights. 2021;15:13. [View at Publisher] [Google Scholar]
Chan AHY, Cooper V, Lycett H, Horne R. Practical barriers to medication adherence: what do current self-or observer-reported instruments assess? Front Pharmacol. 2020;11:572. [View at Publisher] [Google Scholar]
Kim J, Jang J, Kim B, Lee KH. Effect of the PRECEDE-PROCEED model on health programs: a systematic review and meta-analysis. Syst Rev. 2022;11(1):213. [View at Publisher] [Google Scholar]
Stewart SJF, Moon Z, Horne R. Medication nonadherence: health impact, prevalence, correlates and interventions. Psychol Heal. 2023;38(6):726–65. [View at Publisher] [Google Scholar]
Chan AHY, Horne R, Hankins M, Chisari C. The medication adherence report scale: a measurement tool for eliciting patients’ reports of nonadherence. Br J Clin Pharmacol. 2020;86(7):1281-1288.DOI: 10.1111/bcp.14193. [View at Publisher] [Google Scholar]
Anggraeni D, Hapsari I, Galistiani GF. Kepatuhan Pasien Hipertensi dan Polifarmasi. J Syntax Lit. 2025;10(5). [View at Publisher] [Google Scholar]
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