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FACTORS ASSOCIATED WITH MEDICATION ADHERENCE AND SYSTOLIC AND DIASTOLIC BLOOD PRESSURE OF HYPERTENSIVE PATIENTS Ziddan, Hamka; Ardiana, Meity; Dewanti, Linda; Ratri, Anudya Kartika
Folia Medica Indonesiana Vol. 61, No. 1
Publisher : Folia Medica Indonesiana

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Abstract

Uncontrolled hypertension can cause complications such as heart disease, brain disease, kidney disease, and other diseases. Medication adherence is a primary factor in controlling blood pressure (BP) in hypertensive patients. This study aims to provide an overview of the factors associated with medication adherence of hypertensive patients treated at Taman Public Health Center in Sidoarjo, Indonesia. This study used a cross-sectional approach involving hypertensive patients. This study employed consecutive sampling, with the number of samples comprised of patients undergoing outpatient care from January 2, 2023, to February 25, 2023, totaling 103 respondents. The study employed the Morisky Medication Adherence Scale 8-item (MMAS-8) questionnaire to evaluate medication adherence. Fifty-nine (57.3%) patients had poor adherence, and 83 (80.6%) patients had poor BP control. The significant factors associated with medication adherence were employment status (p = 0.021), drug regimen and prescription refill time (p = 0.001), and experiencing forgetfulness/negligence related to their medication (p = 0.011). Significant factors associated with systolic and diastolic BP are having health insurance (p = 0.030 and p = 0.006) and drug regimen-prescription refill time (p = 0.029 and p = 0.041). These factors can be used as considerations during policymaking to improve medication adherence and BP control of hypertensive patients.
Improvement of Cadres' Skills and Knowledge to Provide Comprehensive Health Services for the Elderly Djuari, Lilik; Dewanti, Linda; , Sulistiawati; Brilianti, Natasya Nurvita; Nurdiansyah, Farhan; Prajitno, Subur
Folia Medica Indonesiana Vol. 59, No. 2
Publisher : Folia Medica Indonesiana

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Abstract

Highlights: Due to the increasing elderly population in Indonesia, this study must address the knowledge and skill gaps among health cadres in a number of Integrated Health Posts for the Elderly (Pos Layanan Terpadu Lanjut Usia/ Posyandu Lansia). Through this study, the health cadres increased their knowledge and skills, enabling them to provide comprehensive health services for the elderly. Abstract Numerous issues have arisen as a result of the large size and rapid growth of the elderly population, attesting to the need for serious efforts from all sectors to enhance their welfare. However, the health cadres at the Integrated Health Post for the Elderly (Pos Layanan Terpadu Lanjut Usia/ Posyandu Lansia) lacked the training that would have equipped them with the necessary knowledge and skills to carry out their duties. This study aimed to evaluate the significance of training for enhancing the cadres' knowledge and skills in providing comprehensive health services for the elderly. This study was quasi-experimental research with a pre-test and post-test design. The data analysis was performed using the Shapiro-Wilk test (p>0.05) and the Wilcoxon test (p<0.05). A total of 30 health cadres at Songgon Community Health Center were measured for their levels of knowledge and skills before and after the training. The training included filling out health evaluation charts, providing leaflets containing health counseling materials for the elderly, practicing exercise for the elderly, and singing an elderly marching song. Before filling out the health evaluation chart, the cadres had to measure the elderly's degree of independence as well as their mental, emotional, and nutritional status. The cadres also had to measure the weight, height, and blood pressure of the elderly. Prior to training, the cadres' knowledge of hospitalization referrals, independence, and physical exercise for the elderly was limited. The cadres' skills in filling out health evaluation charts, assessing mental, emotional, and nutritional status, measuring blood pressure, and instructing physical exercise were also inadequate. There was a significant difference in the knowledge and skills of the health cadres before and after training (p<0.05). In conclusion, there was an improvement in the health cadres' knowledge and skills regarding comprehensive health services for the elderly at the Posyandu Lansia.
Co-Authors , Sulistiawati A'yunin, Ulinnuha Qurrota Abu Rizal Dwikatmono Johan Adi, Pandu Satriya Aditiawarman Aditiawarman, Aditiawarman Ahmad Cholifa Fahruddin Ahmad Cholifa Fahruddin Ahmad Suryawan Akbar Nyong husain Akbar, Tito Robbani Albab, Chabib Fachry Alda Dini Wijayanti Alfi Syifa Darmastuti Alpha Fardah Athiyyah Alphania Rahniayu Amalia, Rize Budi Anandia Nafisah Putri Anang Endaryanto Andriati Andriati Anggraeni, Sylvia Anisa Ayu Maharani Anny Setijo Rahaju, Anny Setijo Arinaa Manasika Farida Ariobimo, Bonfilio Neltio Arlean, Maria Agatha Armadison, Sonia Yustisia Arrianti, Emilia Eka Arya Ivan Mahendra Arya Ivan Mahendra Arya Wiradewa Asra Al Fauzi atika Atika Anggarsari Audi Salman Faza Azwin Mengindra Putera Bagus Setyo Boedi Bagus Setyoboedi Benny Iswanto Pantoro Branandito Putra Brilianti, Natasya Nurvita Budi Amalia, Rize Budi Prasetyo Budiono, Perthdyatama Syifaq Bupu, Maria Camelia T. Chabib Fachry Albab Christian Susianto, Steven Cindy Zerlina Artanti Damayanti Dessy Putri Pratiwi Dessy Putri Pratiwi Dewi Ratna Sulistina Dewi Setyowati Dewi, Gusti Agung Ayu Ira Kencana Dharmadjati, Budi Baktijasa Dharmawati, Ira Dian Neni Naelasari Diani, Masyithoh Wahyu Dominicus Husada Dwi Retno Wulandari Eddy Bagus Wasito Eko Budi Koendhori, Eko Budi En, Theophilus Tan Zhu Erlangga, Wildan Anugrah erma nurlita sari Ernawati Ernawati Fahruddin, Ahmad Cholifa Fardana, Nur Ainy Farhan Nurdiansyah Fatihuddin, Mohammad Fata Fatimah, Niswah Silmi Fatimah, Nurmawati Fauzi, Asra Al Febriyana, Nining Febronia Martina Dua Lehang Firinda, Seif Fitria Kusumastuti Gabriel Rio Widipriyatama Gabriel Zean Ghifari, Adiarsya Gunawan, Ayu Liana H. M. S. Wiyadi Heny Arwati Husniyah, Barizatul Hutauruk, Maria Marind Desrianti Ivon Diah Wittiarika Izzatul Fithriyah Jayanti, Ratna Dwi Johan, Abu Rizal Dwikatmono Kamal, Imran H Kasiati Kasiati Khoirunnisa, Auliai Kinanthi, Monica Tiara Arum Kuntaman Kuntaman Laksana, Muhammad Ardian Cahya Laksmi Wulandari Lamara, Ariikah Dyah Lilik Djuari Lukman Hakim Lupita Ghilang Laraz Lutfi, Delfitri Mahendra, Arya Ivan Maria Marind Desrianti Hutauruk Mas`udi, Achmad Fayyad Maytasya Dwinaqifah Meitavany, Estya Nadya Meity Ardiana Moediarso, Bisyamsi Nawaijaya Mogi, Anjelina Kristina Moses Tende Stephens Mujtaba, Farah Natasya Nurvita Brilianti Netti Herlina Ni Ketut Maya Purvitagiri Nida&#039;an Khafiya Ningrum, Astika Gita Nining Febriana Novi Dwi Ambarsari Nudy Purwanto, Putri Nur Anisah Rahmawati Nurdiansyah, Farhan Nuswantoro, Djohar Oktavian, Puguh Oscarhiny Firda Lorenzha Paladan, Triadi Putra Pantoro, Benny Iswanto Prajitno, Subur Prasticha, Anggraini Dian Pratama, Mulia Pratiwi, Dessy Putri Puguh Oktavian Purwati, Cincin Hari Putri, Anandia Nafisah Qonita Hanifah Qualisa, Prafidina Qurnianingsih, Ema Rahmawati, Nur Anisah Rahmi, Koyuki Atifa Ramadhan, Erlangga Lazuardi Rani Sidaryanti Rantam, Berli Arfani Rarasati, Birgitta Vania Ratri, Anudya Kartika Rayanti Sagala Rayhan Alma Shafannisa Heru Reka Elvia Dirda Prasasta Romdhoni, Achmad Chusnu Rosantia Sarassari Rukmana, Nabila Ilma Nisa Sahudi Salman Aziz, Muhamad Abi Sampurna, Mahendra Tri Arif Sarassari, Rosantia Septiana, Fitri Nurina Shuviatul Chasanah Silvia Salsabilah Simangunsong, Darmika Caroline Sitisalma Amirah Dzakiyyah Sri Utami Stella Agatha Widjaja Steven Christian Susianto Subagyo, Zaufy Verlieza Oktaviano Subur Prajitno Suharno, Novianto Edi Sulis Bayusentono Sulistiawati Sulistiawati Sulistiawati Sulistiawati Sulistiawati Surya, Prima Ardiansah T.Bupu, Maria Camelia Thirafi, Sacharissa Zerlina Tsarwah Triana Novitasari Triana Novitasari, Triana Visky Afrina Wahyul Anis Wahyunitisari, Manik Retno Wardhani, Indrayuni Lukitra Widati Fatmaningrum Wironegoro, Rio Wiwin Retnowati Woro Setia Ningtyas Yashinta, Yolanda Ayu Yusigania, Dinna Ziddan, Hamka