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All Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Advances In Social Humanities Research
Yulinda Eka Pratiwi
Universitas Harapan Bangsa
Humanities Engineering Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Evaluasi Perbandingan Pill Box dan Medication Chart Terhadap Kepatuhan Pengobatan dan Kontrol Tekanan Darah Pasien Hipertensi di Puskesmas Kembaran I Yulinda Eka Pratiwi; Sunarti Sunarti; Silma Kaaffah
Advances In Social Humanities Research Vol. 1 No. 8 (2023): ADVANCES in Social Humanities Research
Publisher : Sahabat Publikasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/adv.v1i8.118

Abstract

Hipertensi sebagai gerbang utama beberapa penyakit kardiovaskuler sehingga mayoritas pasien menggunakan beberapa obat. Kepatuhan penting untuk kontrol tekanan darah, beberapa intervensi yang dapat dilakukan dengan penggunaan media pengobatan pill box dan medication chart. Tujuan penelitian ini untuk mengetahui perbandingan penggunaan pill box dan medication chart terhadap tingkat kepatuhan dan kontrol tekanan darah pasien hipertensi di Puskesmas Kembaran I. Metode yang digunakan quasi experimental pre and post design with control dengan pengambilan data secara prospektif. Pengambilan 90 sampel mengunakan purposive sampling dan dikelompokkan menjadi kelompok kontrol, kelompok pill box dan kelompok medication chart. Pengukuran tingkat kepatuhan menggunakan kuesioner MGL-MAQ. Analisis statistik deskriptif digunakan untuk menggambarkan karakteristik pasien dan uji bivariat untuk menilai perbandingan kepatuhan dan kontrol tekanan darah antar kelompok. Hasil penelitian menunjukkan terdapat signifikansi sebelum dan setelah pemberian intervensi pill box pada pasien hipertensi terhadap kontrol tekanan darah sistolik (p-value 0,001) dan diastolik (p-value 0,001) karena nilai p-value < 0,05 sedangkan pada kelompok medication chart terdapat signifikansi terhadap kontrol tekanan darah sistolik (p value 0,007) namun tidak signifikan terhadap diastolik (p-value 0,099) setelah intervensi pada minggu ke empat. Ada perbedaan kepatuhan pengobatan setelah intervensi dengan pill box dan medication chart masing-masing p-value 0,001 dan 0,003, namun tidak ada perbedaan pada kelompok kontrol dengan p-value 0,78.
Determinants of Medication Adherence in Hypertension Patients in Level I Health Facilities in Kembaran District Silma Kaaffah; Galih Samodra; Yulinda Eka Pratiwi
Viva Medika Vol 17 No 2 (2024)
Publisher : LPPM Universitas Harapan Bangsa

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.
Co-Authors Galih Samodra Silma Kaaffah Sunarti Sunarti