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Journal : health dynamics

Factors Associated with Treatment Compliance among Hypertension Patients Miniarti Miniarti; Aila Karyus; Bambang Setiaji; Dewi Rahayu; Dian Utama Pratiwi Putri
Health Dynamics Vol 2, No 8 (2025): August 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20805

Abstract

Background: Hypertension, often referred to as a “silent killer,” is a major health problem because it frequently presents without symptoms. Poor adherence to antihypertensive treatment can lead to uncontrolled blood pressure, resulting in complications and damage to vital organs. This study aimed to identify factors associated with treatment compliance among hypertension patients in Pesisir Barat Regency in 2025. Methods: This quantitative research employed a cross-sectional design with data collected through questionnaires. The study involved hypertension patients aged 45–70 years and was conducted from February 20 to March 22, 2025. Data included demographic characteristics and factors related to treatment compliance. Bivariate analysis was conducted using the chi-square test, while multivariate analysis was performed using multiple logistic regression. Results: The duration of hypertension was not significantly associated with treatment compliance (p = 0.080). In contrast, significant associations were found with knowledge about hypertension (p = 0.000), motivation to seek treatment (p = 0.000), family support (p = 0.002), role of health workers (p = 0.000), accessibility of health services (p = 0.001), family history of hypertension (p = 0.008), and treatment history (p = 0.005). Conclusion: Several factors were identified as significantly influencing treatment compliance, with the role of health workers emerging as the most dominant factor. Strengthening the role of health workers, alongside family-based interventions and improved access to health services, is recommended to enhance treatment compliance among hypertension patients.
The Relationship of Health Belief Model Components with Hepatitis B Vaccination Compliance among Nurses at RSUD H.M. Ryacudu Kotabumi Bambang Setiaji; Sugeng Eko Irianto; Arifaa Thalitha Zuleikha; Dian Utama Pratiwi Putri
Health Dynamics Vol 3, No 8 (2026): August 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30803

Abstract

Background: Hepatitis B remains a global health problem that can progress to cirrhosis and liver cancer. Nurses face elevated occupational exposure through contact with patients’ blood and body fluids, making vaccination compliance essential, yet completion rates among health workers remain suboptimal. This study aimed to determine the relationship between Health Belief Model (HBM) components and Hepatitis B vaccination compliance among nurses at RSUD H.M. Ryacudu Kotabumi, North Lampung, in 2026. Methods: This analytic quantitative study used a cross-sectional design. A sample of 105 nurses was selected through proportionate stratified random sampling from a population of 173 nurses. Data were collected using a structured questionnaire adapted from validated HBM instruments and analyzed univariately, bivariately using the Chi-square/Fisher Exact test, and multivariately using multiple logistic regression. Results: Among the 105 respondents, 71 (67.6%) were compliant with Hepatitis B vaccination. Bivariate analysis showed significant associations between compliance and perceived susceptibility (p=0.003), perceived severity (p<0.001), perceived benefits (p<0.001), perceived barriers (p<0.001), cues to action (p<0.001), and self-efficacy (p<0.001). Multivariate analysis identified perceived benefits as the most dominant factor (p=0.003; OR=13.63; 95% CI 2.39–77.71), followed by self-efficacy (p=0.007; OR=12.44) and perceived barriers (p=0.004; OR=0.09). Conclusion: HBM components are associated with Hepatitis B vaccination compliance among nurses, with perceived benefits as the most dominant determinant. Hospitals should prioritize strengthening nurses’ understanding of vaccination benefits through targeted health education, workplace policy support, and continuous promotion to improve occupational vaccination coverage.