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All Journal JURNAL FARMASIMED (JFM) Fundamental and Applied Research in Medicine and Allied Sciences Indonesia
Diki Aprianto A
Universitas Alma Ata
Medicine & Pharmacology

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The Role of Medication Adherence Companions on the Pharmacotherapy Outcomes of Hypertensive Patients at Bambanglipuro Community Health Center Diki Aprianto A; Eva Nurinda; Ari Susiana Wulandari; Ade Puspitasari; Ifa Aris Suminingtyas
Jurnal FARMASIMED (JFM) Vol 8 No 2 (2026): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/7r11af50

Abstract

Hypertension is a prevalent chronic condition in primary health care, particularly among geriatric patients requiring long-term therapy. Despite the availability of antihypertensive medications, achieving target blood pressure remains challenging and is often associated with poor medication adherence. Medication Adherence Companions (PMO) may improve adherence and enhance therapeutic outcomes. This study aimed to analyze the role of PMO in the pharmacotherapy outcomes of hypertensive patients at the Bambanglipuro Community Health Center. This analytic observational study with a cross-sectional design involved 101 geriatric patients diagnosed with hypertension. Data were collected using structured questionnaires covering patient characteristics, presence of PMO, medication adherence, and blood pressure control status. Data were analyzed descriptively and using multivariate logistic regression with a significance level of p < 0.05. The results showed that 64.4% of patients had a PMO, and 54.5% demonstrated high adherence. Patients with high adherence were more likely to achieve controlled blood pressure. Multivariate analysis revealed that the presence of PMO significantly increased the likelihood of controlled blood pressure (AOR = 2.77; 95% CI: 1.29–5.95; p = 0.009). Combination therapy was also significantly associated with blood pressure control (AOR = 2.25; p = 0.047). These findings suggest that Medication Adherence Companions can support successful hypertension pharmacotherapy among geriatric patients in primary health care settings.
Analysis of the Relationship Between MedRiPh (Medication Risk in Pharmacotherapy) Scores and the Incidence of Drug-Related Problems (DRPs) in Geriatric Patients with Comorbidities at Community Health Center X, Surabaya Rissa Maharani Dewi; Lilik Septiana; Diki Aprianto A; Ratna mildawati; Eka Nur Fatmawati
Fundamental and Applied Research in Medicine and Allied Sciences Indonesia Vol. 1 No. 1 (2025): May, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/farmasi.v1i1.387

Abstract

Drug-Related Problems (DRPs) remain a significant issue in geriatric pharmacotherapy, particularly among older adults with multiple chronic conditions and complex medication regimens. The MedRiPh (Medication Risk in Pharmacotherapy) scoring model has been introduced to identify patients at higher risk of medication related harm, yet its usefulness in Indonesian primary care has not been well evaluated. This cross-sectional study was conducted from October to December 2024 involving 100 geriatric patients aged ≥60 years selected using purposive sampling. MedRiPh scores were calculated using validated criteria, and DRPs were identified based on the Pharmaceutical Care Network Europe (PCNE) version 9.1 system. Statistical analysis included the Shapiro Wilk test, Spearman correlation, and linear regression. A total of 412 DRPs were recorded, with drug interactions, dosing errors, and duplicate therapies being the most common. A strong correlation was found between MedRiPh scores and DRPs (r = 0.82, p < 0.001). These results indicate that MedRiPh may be useful for improving medication safety in geriatric primary care.
Co-Authors Ade Puspitasari Eka Nur Fatmawati Ifa Aris Suminingtyas Lilik Septiana Nurinda, Eva Ratna Mildawati Wati Rissa Maharani Dewi Wulandari, Ari Susiana