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KEPATUHAN MINUM OBAT PASIEN HIPERTENSI PESERTA JKN DI INSTALASI RAWAT JALAN RUMAH SAKIT SITI KHODIJAH KOTA PEKALONGAN Aqilatul Maziah; Fef Rukminingsih; Paulina Maya Octasari
Jurnal Ilmiah Manuntung: Sains Farmasi Dan Kesehatan Vol. 10 No. 1 (2024): Jurnal Ilmiah Manuntung: Sains Farmasi Dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51352/jim.v10i1.741

Abstract

Hypertension is the highest case of non-communicable diseases (NCDs) in Pekalongan City. Uncontrolled hypertension can increase the risk of morbidity and mortality. Taking antihypertensive medication regularly can control the blood pressure of hypertensive patients so compliance with taking medication is the main factor that influences the success of therapy. This study aims to determine the medication compliance of hypertensive patients who are national health insurance participants at the Outpatient Installation of Siti Khodijah Hospital, Pekalongan City. This research is a descriptive observational study with a cross-sectional design. The sampling technique used is accidental sampling. Compliance was measured using the MMAS-8 (Morisky Medication Adherence Scale) questionnaire. Respondents were hypertensive patients in the outpatient installation of Siti Khodijah Hospital, Pekalongan City, aged ≥26 years, who were National Health Insurance participants and underwent examinations in March-April 2023. The data was analyzed qualitatively and quantitatively. The results revealed that of the 260 respondents consisting of 150 female patients and 110 male patients, most of the patients were ≥46 years old (91.92%), had an educational background of elementary school graduates (32.7%), high school (32.3%) and higher education (35%). A total of 67 respondents were housewives (25.77%) and 47 respondents did not work (18.07%). Meanwhile, others work in various professions such as teachers/lecturers, state civil servants, private employees and entrepreneurs. The adherence to taking medication for hypertensive patients at the Outpatient Installation of Siti Khodijah Hospital, Pekalongan City, was 82.31% compliant and 17.69% non-compliant. Patients aged ≥46 years were more compliant. Adherence to taking medication decreases as the duration of taking medication increases and the number of medications taken increases.
Exploring the Role of Pharmacists in Improving Medication Adherence among Diabetic Patients in Primary Healthcare Facilities Fef Rukminingsih; Bayu Dwi Handono
Asian Journal of Healthcare Analytics Vol. 5 No. 1 (2026): May 2026
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ajha.v5i1.16038

Abstract

Non-adherence to medication among patients with diabetes mellitus remains a major challenge in primary healthcare due to its impact on disease control and complications. This study aimed to explore the role of pharmacists in improving medication adherence through pharmaceutical counseling in two primary healthcare facilities in Semarang, Central Java. Using an exploratory qualitative approach, data were collected from nine purposively selected informants through in-depth interviews, observation, and document analysis. The findings revealed that pharmacists improved medication adherence through structured education, individualized counseling, therapy clarification, and motivational support. However, limited counseling time and variations in patient health literacy remained significant barriers. In conclusion, pharmaceutical counseling plays an important role in improving medication adherence and should be strengthened through healthcare system and policy support.
Monitoring Tekanan Darah Pada Pasien Diabetes Melitus Tipe Dengan Hipertensi Di Puskesmas Tlogosari Kulon Kota Semarang Fef Rukminingsih; Putri Sri Wahyuni
Journal Clinical Pharmacy and Pharmaceutical Science Vol. 2 No. 2 (2023): Oktober : Journal of Clinical Pharmacy and Pharmaceutical Science
Publisher : Prodi D3 Farmasi Politeknik Katolik Mangunwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61740/jcp2s.v2i2.38

Abstract

Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia that occurs due to abnormalities in insulin secretion, insulin action, or both. DM is a risk factor for hypertension. Hypertension in DM increases the risk of complications so it is necessary to monitor whether blood pressure targets are achieved. This study aims to determine the achievement of blood pressure targets in type 2 DM patients with hypertension at the Tlogosari Kulon Health Center, Semarang City. This research is a descriptive observational study. Data collection uses purposive sampling technique. Data were obtained from medical records of type 2 DM patients with hypertension aged ≥ 45 years, who had blood pressure examination results on 2 consecutive visits in September 2022 – February 2023, use antihypertensives for at least 1 year. It was found 47 patients, consisting of 25 male patients and 22 female patients. A total of 26 patients were aged between 60-69 years. A total of 36 patients (76.59%) had taken antihypertensives for 1-5 years and 42 patients (89.40%) received single therapy, namely amlodipine. Only 1 patient received combination therapy of 2 drugs (amlodipine and candesartan). There were 14 patients who achieved the target blood pressure <140/90 mmHg (29.78%).