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All Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Syntax Idea Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal PREPOTIF : Jurnal Kesehatan Masyarakat Journal of Innovation Research and Knowledge SEMINAR NASIONAL PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT Madani: Multidisciplinary Scientific Journal Advances In Social Humanities Research Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Silma Kaaffah
Universitas Harapan Bangsa
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Journal : Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan

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Determinants of Medication Adherence in Hypertension Patients in Level I Health Facilities in Kembaran District Kaaffah, Silma; Galih Samodra; Yulinda Eka Pratiwi
Viva Medika Vol 17 No 2 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1399

Abstract

Medication adherence is the key to controlling blood pressure in hypertensive patients to minimize the risk of complications. The research aims to assess level of medication adherence and identify influencing factors. The quasi-experimental research method used purposive sampling to create a control group and 2 intervention groups (pill box and medication chart) with each group 30 patients. Prospective data collection with pre-post design (week-1 and week-4) as well as observing clinical data on blood pressure, medication adherence. Questionnaire of medication non-adherence determinants was taken at week 4. The questionnaire instrument was validated with Cronbach Alpha reliability >0.06. The results of the statistical analysis were significant (p-value <0.05) with increasing the mean score of medication adherence in the pill box was 1.2 and the medication chart was 0.7. The reduction in systolic blood pressure in the intervention group was significant (p-value <0.05) by more than 2 mmHg. A total of 35.6% of patients were reluctant to ask health workers for medication information and 45.6% needed someone to remind them to take medication. In conclusion, increasing medication adherence and reducing blood pressure can be achieved with intervention and requires social support from family and health-care professional.
The Relationship Between Adherence to Taking Medication with the Level of Knowledge and Family Support in TB Patients at Kroya Health Centre, Cilacap Regency Riyadi, Hidayat Sugeng; Fauziah; Silma Kaaffah
Viva Medika Vol 17 No 3 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i3.1604

Abstract

TB (Tuberculosis) patients in Indonesia are the 2nd highest in the world after India. The large number of TB patients in Indonesia is due to the lack of success in TB treatment due to patient non-compliance with medication regularly. Factors that affect non-compliance are low knowledge of TB patients and lack of family support. This study aims to determine the level of family knowledge and support, medication adherence, and determine the relationship between the level of knowledge and family support to medication adherence in TB patients at the Kroya Health Center, Cilacap Regency in 2024. This study uses a non-experimental method with cross-sectional data collection conducted in April-May 2024. The study population is all TB patients totaling 130 respondents who underwent treatment at the Kroya Health Center, Cilacap Regency from November 2023 to May 2024, and the research sample was 56 respondents. The conclusion of this study is that the knowledge level of TB respondents is the highest at 37.5% and 55.4%, and the adherence to taking medication at the Kroya Health Center is 30.4% and 57.1%. In this study, the highest TB patients were at a moderate level of knowledge (55.4%); family support is not supportive (96.4%) and medication adherence is low (30.4%) to moderate (57.1%). Testing with the chi-square method there was a relationship between the level of knowledge and medication adherence in TB patients (p-value 0.000), but there was no relationship between family support and medication adherence (p-value 0.268) in patients at the Kroya Health Center, Cilacap Regency with a r value of 0.541. The limitation of this study is that there is no follow-up on the respondents such as monitoring TB drugs so that the existing data is only data taken when filling out the questionnaire.
Co-Authors Afifah, Zalfa Ifri Nur Agustina, Inayah Dwi Delmayana, Mikna Fauziah Fera Indriyana Galih Samodra Indah Kurniasih, Khamdiyah Khamdiyah Indah Kurniasih Khisan, Gita Fitriatul Lia erfika, Linda Linda Lia erfika Nurraya Lukitasari Nurul Izha Arisqa Prabandari, Rani Riyadi, Hidayat Sugeng Siti Setianingsih Sunarti Sunarti Sunarti Sunarti Yulinda Eka Pratiwi Yulinda Eka Pratiwi