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Rahmatillah, Diana
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Narative Review: Factors Influencing Medication Compliance of Hypertension Patients Putri, Rizka; Rahmatillah, Diana; Khan, Kashif
Health & Medical Sciences Vol. 3 No. 2 (2026): February
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v3i2.595

Abstract

Hypertension is a chronic disease that requires long-term therapy to reduce the risk of cardiovascular complications, stroke, and kidney disorders. The success of antihypertensive therapy is largely determined by patient compliance in taking medication) (however, various reports indicate that compliance rates remain suboptimal. This narrative review aims to summarize recent evidence regarding factors influencing medication adherence among patients with hypertension. A systematic literature search was conducted in national and international journals published between 2020 and 2025, using predefined inclusion and exclusion criteria. The initial search identified 72 articles, of which 25 articles met the eligibility criteria and were included in the final thematic synthesis. The findings indicate that medication compliance is influenced by internal factors (knowledge, motivation, and self-efficacy) and external factors (family support, the role of health workers, perception of illness, and sociodemographic characteristics). Among these factors, treatment motivation and family support were consistently reported as the most dominant determinants of adherence. In conclusion, improving medication compliance in hypertensive patients requires a comprehensive approach that integrates continuous patient education, strengthening the role of health workers, and active family involvement in the treatment process.
Hand Hygiene Education To Improve Healthy Living Behavior At Al-Mahdhuri Islamic Junior High School, West Pesisir Regency, Lampung Putri, Rizka; Rahmatillah, Diana; Khan, Kashif
Health & Medical Sciences Vol. 3 No. 2 (2026): February
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v3i2.597

Abstract

Hand hygiene is an effective preventive measure for preventing the transmission of infectious diseases, but its practice among school students remains suboptimal. This study aimed to evaluate the effectiveness of hand hygiene education in improving knowledge and healthy living behaviors among students at SMP IT Al-Mahdhuri in Pesisir Barat Regency, Lampung. The study used a pre-experimental, one-group pretest–posttest design with 107 participants (35 seventh-grade students, 38 eighth-grade students, 34 ninth-grade students, and two teachers). The intervention included educational materials, demonstrations, and practice of the six steps of handwashing according to WHO guidelines. Measurements were conducted using questionnaires before and after the intervention. Data analysis was conducted using descriptive quantitative methods by comparing average pretest and posttest scores, supported by observations of changes in skills and behavior. The results showed an increase in knowledge across all grade levels: seventh-grade students from 56% to 88.8%, eighth-grade students from 61% to 91.6%, and ninth-grade students from 62.3% to 96.5%. Furthermore, there was an increase in students' practical skills and habituation of hygienic behavior. It was concluded that hand hygiene counseling was effective in increasing students' knowledge, skills, and clean and healthy living behavior, thus potentially supporting the prevention of infectious diseases in the school environment.
Co-Authors Khan, Kashif Putri, Rizka