scholarly journals Comparison of Adherence to the Use of Herbal Medicine with Conventional Medicine in Hypertensive Patients at Lempake Public Health Center, Samarinda City

2018 ◽  
Vol 9 (2) ◽  
pp. 82-86
Author(s):  
Swandari Paramita ◽  
Evi Fitriany ◽  
M. Surya Tiyantara ◽  
Aditiya Setyorini ◽  
Trikortea E. Cahyasit

Latar belakang: Hipertensi adalah masalah kesehatan utama di dunia, termasuk Indonesia. Penggunaan obat bahan alam untuk hipertensi telah meningkat dalam dekade terakhir. Biaya penggunaan obat bahan alam dianggap lebih murah dengan efek samping yang lebih sedikit. Penelitian ini bertujuan untuk melihat tingkat kepatuhan penggunaan obat pada pasien hipertensi yang berobat ke Pusat Kesehatan Masyarakat (Puskesmas) di Kota Samarinda, Kalimantan Timur. Metode: Penelitian dilaksanakan di Puskesmas Lempake Kota Samarinda pada bulan Juli hingga Agustus 2017.Responden penelitian adalah 63 pasien hipertensi yang datang berobat dan memenuhi kriteria penelitian. Pasien hipertensi selanjutnya diwawancarai menggunakan kuesioner MMAS (Morisky Medication Adherence Scale). Hasil: Sebanyak 56% pasien hipertensi juga menggunakan obat bahan alam selain obat konvensional untukhipertensi. Daun sirsak (Annona muricata), daun salam (Syzygium polyanthum), dan buah mentimun (Cucumissativus) adalah bahan alam yang paling banyak digunakan oleh pasien hipertensi. Rerata tekanan darah sistolik(p=0,004; 95% CI -19,8 – -3,8) dan diastolik (p=0,038; 95% CI -9,6 – -0,29) untuk pengguna bahan alam lebihrendah jika dibandingkan dengan pengguna obat konvensional. Rerata MMAS untuk pengguna bahan alam lebih tinggi jika dibandingkan dengan pengguna obat konvensional (p=0,004; 95% CI 0,31 – 1,6). Hal ini menunjukkan bahwa pasien lebih patuh menggunakan obat bahan alam dibandingkan obat konvensional untuk hipertensi. Kesimpulan: Hasil penelitian menunjukkan perlunya edukasi pengobatan hipertensi ke komunitas, baik itu obat bahan alam maupun konvensional. Hasil penelitian juga menunjukkan kepatuhan yang lebih baik pada penggunaan obat bahan alam dibandingkan obat konvensional untuk hipertensi. Hal ini menunjukkan potensi menjanjikan penggunaan obat bahan alam untuk hipertensi di masa depan. (Health Science Journal of Indonesia 2018;9(2):82-6) Kata kunci: Kepatuhan, obat bahan alam, hipertensi, Puskesmas Lempake Kota Samarinda Abstract Background: Hypertension is major health problem worldwide, including Indonesia. The use of herbal medicines for hypertension has increased in the past decade. The price of herbal medicines considered cheaper with fewer side effects. This study tried to see the level of adherence to the use of medicine by hypertensive patients in community health center at Samarinda City, East Kalimantan. Methods: This study conducted at Lempake Community Health Center in Samarinda City from July until August2017. The subjects of this study are 63 hypertensive patients and meet the sample criteria set by the researchers. The study interviewing hypertensive patients with MMAS (Morisky Medication Adherence Scale) questionnaire. Results: The results showed 56% of hypertensive patients also use herbal other than conventional medicine. Soursop (Annona muricata) leaves, salam (Syzygium polyanthum) leaves, and cucumber (Cucumis sativus) fruit were the most frequent herbal medicines used by hypertensive patients. The mean blood pressure of herbal medicine users was significantly lower when compared with conventional medicine users for systolic (p=0.004; 95% CI -19.8 – -3.8) and diastolic blood pressure (p=0.038; 95% CI -9.6 – -0.29). The mean score of MMAS in herbal medicine users was significantly higher when compared with conventional medicine users (p=0.004; 95% CI 0.31 – 1.6). This suggests that patients are more adherent in using herbal than the conventional medicine for hypertension. Conclusion: The result of the study shows the need for herbal and conventional medicine education forhypertension in the community. The result also shows better patient adherence to herbal medicine compared to conventional medicine, as the promising future of herbal medicine for hypertension. (Health Science Journal of Indonesia 2018;9(2):82-6) Keywords: Adherence, herbal medicine, hypertension, Lempake Public Health Center Samarinda City    

2005 ◽  
Vol 24 (5) ◽  
pp. 219-233 ◽  
Author(s):  
K N Woodward

The purpose of this paper is to explore the possibility that adverse reactions and drug interactions arising from the use of homeopathic and herbal medicines could lead to confusion when adverse reactions to conventional medicines are reported. An extensive literature review was conducted on the occurrence of adverse reactions and drug interactions following the use of homeopathic or herbal remedies, and the potential for these to confound adverse event reporting to conventional medicines considered. The survey demonstrates the potential for herbal remedies and homeopathic products, to produce adverse drug reactions or drug interactions, and shows the scope for potential for confusion with those arising from conventional medicines. There is a need for greater awareness that adverse reactions apparently due to a conventional medicine, might in reality be due to a herbal medicine or a drug interaction between a herbal medicine and a conventional drug, particularly when a health professional is unaware of the extent of a patient's selfmedication with alternative therapies.


2021 ◽  
Vol 18 (1) ◽  
pp. 64-73
Author(s):  
Dalen G. Dafam ◽  
Adama Denou ◽  
Agnes Idoko ◽  
Nanloh S. Jimam ◽  
Victoria A. Okwori ◽  
...  

Herbal medicines have been used for disease prevention and treatment for both humans and animals worldwide. The present study was designed to determine the herbs used during pregnancy in Jos and to evaluate attitudes of pregnant women. The survey was carried out in antenatal clinics. Information was obtained from pregnant women (17-60 years) through both informal, unstructured conversations and the use of structured questionnaire. Botanical data were focused on the name and part of the herbs or plant used during pregnancy including herbs, herbal preparations and finished products having medicinal properties. In total, 300 pregnant women were enrolled for this study. The respondents were farmers (33.3 %), housewives (26.7%) and students (23.3 %). The most commonly used herbs were, garlic (16.7 %), pawpaw (13.6 %), ginger (13.0 %) and Moringa (8.0 %). Among the parts, bulb was the most used (16.7 %) followed by fruits (14 %). The most common reasons for the use were: herbal medicine is more effective than conventional medicine for some medications (20 %) and more easily accessed than conventional medicine (20 %). Most of the women were advised by family (31.3 %) and believed herbs had fewer side effects. The findings revealed their knowledge on medicinal plants. The women used one or more herbal medicine during pregnancy. Keywords: Pregnant women; Herbal medicine; Medicinal plants; Jos; Nigeria


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Riyanto Agung Pamungkas ◽  
Siti Rohimah ◽  
Dini Nurbaeti Zen

Compliance with hypertension treatment is the main aspect in treating hypertension. One of the factors that can influence medication adherence is family support. The purpose of this study was to determine the relationship between family support and adherence to treatment in patients with hypertension in the work area of Ciamis Health Center.The design of this study uses correlational design. The population in this study were patients with hypertension in the work area of Ciamis Health Center, which were 13,273 people and the study sample used purposive sampling so that the samples obtained were 99 people. Data collection techniques used were questionnaires and observations. The results showed a relationship between family support and adherence to treatment in hypertensive patients in the Ciamis Community Health Center work area. Based on the results of the Kendal-Tau analysis with a 95% confidence level and a 5% error level, the correlation coefficient value of family support with treatment compliance is equal to r = 0.526 with a significance level of p value of 0.049 < α 0.05. That is, the higher the family support given to hypertension sufferers, the higher the compliance.Suggestions for further researchers are expected to conduct further research on the importance of family support to further improve adherence to treatment in patients with hypertension, because in this study most of the family support provided moderate support. Or examine other factors that can improve the compliance of hypertensive patients in treatment. Keywords: Family Support, Compliance with Hypertension TreatmentReferences: 31 (2002-2018)


2020 ◽  
Vol 6 (2) ◽  
pp. 135-142
Author(s):  
TUTIK TUTIK HIDAYATI

The problem of vaginal discharge is a problem that has long been a problem for women, especially in women of childbearing age who do not know much about vaginal discharge and do not care about the problem. Though leucorrhoea can be very fatal if it is slowly handled (Rozi, 2013). Generally women who suffer from leucorrhoea secrete too much and cause an unpleasant odor. Research in East Java shows that 75% of women experience vaginal discharge at least once in a lifetime, and 45% can experience vaginal discharge twice or more (Aini, 2014). Pathological vaginal discharge data in Probolinggo District was 1.91% in 2014. Based on a preliminary study conducted on January 29, 2017 by taking secondary data from 44 patient visits, which experienced pathological vaginal discharge as many as 32 people at Pajarakan Health Center in 2016 and data pathological leucorrhoea in Pajarakan Community Health Center in January and February 2017 as many as 4 people. Characteristics of causes of vaginal discharge (fluor albus) in women of childbearing age such as age, marital status, parity, educational status, employment status. The purpose of this study was to determine the effectiveness of soursop leaf extract (Annona muricata Linn) on pathological vaginal discharge in women of childbearing age. This study used a quantitative research method approach. this study uses a prospective cohort. Population: All women of childbearing age who have pathological leucorrhoea at Pajarakan Community Health Center, Pajarakan Subdistrict, Probolinggo District, from January to December 2016 were 32 respondents. Data collection techniques with questionnaires, observation sheets (checklist), SOP. The results of the study were obtained with the Mann Whitney statistical test to get a value ? value = 0,000, which means smaller than ? 0.05 so that there is effectiveness in the administration of soursop leaf extract (Annona muricata Linn) on the incidence of pathological vaginal discharge in women of childbearing age in Pajarakan Health Center, Pajarakan District Probolinggo.


PUINOVAKESMAS ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 54-61
Author(s):  
Meiskha Bahar ◽  
Hany Yusmaini ◽  
Sri Wahyuningsih

  Compliance with treatment is an important factor in the health of hypertensive patients. Compliance is a prerequisite for the effectiveness of hypertension therapy, whereas patient non-compliance with antihypertensive drugs is one of the main factors in the failure of therapy. There are several factors that influence medication adherence and some basic principles of therapy that need to be considered to reach the target of therapy and reduce complications of hypertension. Hypertension sufferers in the Cisalak Pasar Community Health Center are quite numerous, they are generally elementary school and not schooled (74.2%). Kidney complications and a combination of heart and kidney are also quite large, which is 40%. This study aims to determine the pattern of antihypertensive administration and the relationship of age, education level, degree of hypertension, complications and type of therapy with the level of adherence to taking medication for hypertensive patients at the Cisalak Pasar Community Health Center. The research design used in this study was a descriptive cross-sectional. The subjects of the study were essential hypertension patients at the Cisalak Pasar Health Center, Depok who met the inclusion and exclusion criteria. The results of this study are that the pattern of antihypertensive administration is in accordance with JNC 8, there is no relationship between age, education level, hypertension degree and the number of drugs taken with medication compliance, and there is a relationship between the presence or absence of complications with medication compliance


2020 ◽  
Author(s):  
Jurnal Kesehatan Bandung ◽  
Andria Pragholapati

The disease is often experienced by the elderly in Indonesian according to Department of Health Houshold Survey on Health is hypertension with the incidence by 15,7%. Based on data from Department Health Office in Sumedang district, The highest cases of non-communicable diseases is hypertension by 29,6%. This reseach as a purpose determine the effect of a healthy heart gymnastics on the value of blood pressure in elderly hypertensive patients in Community Health Center DTP Jatinangor 2015. This type of research that is quasi experiment with an approach one group pre and postest design. The reseach population by 24 respondents specified by purposive sampling techniques. The reseach results revealed an average value of systolic blood pressure for 3 weeks before a healthy heart gymnastics is 142,8 mmHg and diastolic 94,2 mmHg, while after being given for 3 weeks healthy heart gymnastics the average value of systolic blood pressure was 129.6 mmHg and 86.3 mmHg diastolic. Test results paired T-Test obtainable ρ value 0.000 &lt;0.05 for systolic and diastolic blood pressure, means there is healthy heart gymnastics influence on the value of blood pressure in elderly hypertensive patients in Community Health Center DTP Jatinangor 2015.


2015 ◽  
Vol 11 (2) ◽  
Author(s):  
E Ernawati ◽  
Radina Kolasari

Non-compliance in on the treatment programs is a major problem of patients with hypertension. Success in controlling high blood pressure is a joint effort between the patient and the doctor in charge. Compliance of a patient suffering from hypertension can not simply be based on compliance in taking antihypertensive drugs but also it requires the active role of patients and willingness to check their health to the doctor according to a specified schedule and recommended lifestyle changes. Some factors influencing the compliance of hypertensive patients that affect complience among hypertensive patients re-visit are age, education, economy, knowledge, and attitude.The aim of this study is to determine the factors influencing the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center Purworejo.This study used an analytical method with cross sectional correlation. Analysis of data used frequency distributions and bivariate analysis using chi square statistic test followed by logistic regression analysis.Age factor influenced the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.102. Education influenced the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.010. Knowledge influenced the influencing the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.000. Attitudes influenced the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center with p: 0.000. Attitudes about hypertension is the most dominant factor influencing the compliance of stadium II hypertensive patients to re-visit Ngombol Community Health Center p: 0.034. Keywords: age, education, economy, knowledge, attitude, complience to re-visit, hypertensive patients


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