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Journal : Jurnal Keperawatan Padjadjaran

Perceived benefit is the strongest determinant factor of medication adherence in the elderly with hypertension I Gede Putu Darma Suyasa; Ni Made Ari Widayani; Ni Putu Kamaryati; Ni Made Sri Rahyanti
Jurnal Keperawatan Padjadjaran Vol. 12 No. 2 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i2.2384

Abstract

Background: The level of medication adherence among the elderly with hypertension is decreasing globally, including in Indonesia. Medication adherence is a major factor in treatment effectiveness for hypertensive patients. The Health Belief Model is one of the theories illustrating factors influencing patients’ medication adherence. Purpose: This study aimed to analyze determinant factors of medication adherence among the elderly with hypertension based on the application of the health belief model. Methods: This is a descriptive-analytic study with a cross-sectional approach. Sampling used a proportional stratified random sampling technique involving 193 patients with hypertension recruited from one of the Regional General Hospitals in Denpasar City Center. Data were obtained using three questionnaires, namely demographic characteristics, the health belief model (HBM), and the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using binary logistic regression. Results: The research results showed the majority of respondents (62.7%) were compliant in taking medication. Multivariate test results showed that perceived susceptibility (p <0.001; AOR: 5.163), perceived benefits (p <0.001; AOR: 12.061), self-efficacy (p <0.001; AOR: 3.213), perceived barriers (p <0.001; AOR: 0.133) and cues to action (p <0.001; AOR: 3.480) is related to medication adherence in the elderly with hypertension. Conclusions: Perceived benefit is the strongest determining factor of medication adherence among the elderly with hypertension. Respondents with high belief in perceived benefits tend to adhere to medication 12.061 times compared to respondents with low belief in perceived benefits. Health workers are advised to increase the elderly's belief in the perceived benefits and perceived susceptibility to increase their medication adherence.
Co-Authors A.A. Ayu Yuliati Darmini Adi Satriani Adiana, I Nengah Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Antari, Luh Putu Juni Aries Susanti, Ni Putu Arka, I Gede Widhi Astawa, I Gede Satria Ayu Puja Astuti Dewi Bela, I Kade Miki Indra Cintariasih, Putu Darmini, A.A. Ayu Yuliati Dewi, Ayu Puja Astuti Dewi, Puja Astuti Dina Susanti, NLP Diyu, Ida Ayu Ningrat Pangruating Gede, Khrisna Eka Yudha Gst Ayu Dwina Mastryagung Gustiawan, Sastro Putre I Gede Edy Sagitha I Gede Edy Sagitha I GEDE PUTU DARMA SUYASA I Gusti Ayu Rai Rahayuni I Kadek Nuryanto I Nyoman Purna Wijaya I Wayan Edi Sanjana Ida Ayu Putri Wulandari Indrayani, Ni Luh Dwi Juliani, Made Krisnandari D, Anak Agung Istri Wulan Kusuma, Made Dian Santi Luh Gde Nita Sri Wahyuningsih Made Rismawan Nadya Treesna Wulansari Ni Kadek Sutini Ni Kadek Sutini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Made Ari Widayani Ni Made Ayu Yulia Raswati Teja Ni Made Candra Citra Sari Ni Made Sri Rahyanti Ni Putu Ayu Ratna Dewi Ni Wayan Kesari Dharmapatni Ni Wayan Sri Wahyuni NLP Dina Susanti Nur Halimah Nusa Harta, I Putu Arika Pangruating Diyu, Ida Ayu Ningrat Prataba, I Made Dwi Krisma Puja Astuti Dewi Purniawati, Wayan Puspariani, Ni Komang Sri Putra, I Nyoman Arya Maha Putra, Komang Ardidhana Nugraha Putu Inge Ruth Suantika Rahayuni, IGA Rai Ratih Comala Dewi, Ni Made Sagitha, I Gede Edy Sanjana, I Wayan Edi Sastro Putre Gustiawan Satriani, Adi Sri Dewi Megayanti Sriasih, Ni Kadek Sutini, Kadek Trisna, Made Oktaviani Bulan Wahyuni, Ni Wayan Sri Wayan Purniawati Wicaksana, IGA Tresna Widiastuti, Ni Kadek Nefi Wijaya, I Nyoman Purna Wulandari, Sarah Kartika Yudari, Ni Made Adi Yudi Wahyu, I Made Yusniawati, Yustina Ni Putu