scholarly journals Tingkat Kepatuhan Minum Obat Pasien Hipertensi JKN di Poli Penyakit Dalam RSUD Dr. Doris Sylvanus Palangka Raya

2016 ◽  
Vol 1 (2) ◽  
pp. 10-17
Author(s):  
Syahrida Dian Ardhany

Penelitian ini merupakan cross sectional study data diambil selama 1 bulan (November 2015) di poli Penyakit Dalam RSUD dr. Doris Sylvanus Palangka Raya. Pasien hipertensi yang dapat berpartisipasi adalah pasien dengan usia = 18 tahun � 65 tahun. Data diperoleh dengan cara melakukan wawancara menggunakan instrument kuisioner MMAS (Morisky Medication Adherence Scale). Pada penelitian ini subyek yang memenuhi kriteria inklusi sejumlah 86 pasien. Hasil penelitian menunjukkan tingkat kepatuhan minum obat pasien hipertensi di Poli Penyakit Dalam RSUD dr. Doris Sylvanus Palangka Raya adalah tingkat kepatuhan sedang dengan score MMAS= 6,05 � 1,94, selain itu baik usia maupun tingkat pendidikan tidak mempunyai pengaruh terhadap tingkat kepatuhan minum obat, yang dibuktikan dengan hasil uji SPSS menggunakan Kruskal Wallis Test P= 0,806 untuk usia dan P= 0,178 untuk tingkat pendidikan (P < 0,05). Pada penelitian ini dapat disimpulkan bahwa tingkat kepatuhan minum obat pasien hipertensi di poli penyakit dalam RSUD dr. Doris Sylvanus Palangka Raya periode November 2015 adalah tingkat kepatuhan sedang.

2019 ◽  
Vol 5 (3) ◽  
pp. 186-191
Author(s):  
Abrar Wahab ◽  
Md Mahabub Ul Islam ◽  
Mehbuba Mehnoor Laboni ◽  
Anisa Fatema ◽  
Abeda Saleha Renesa ◽  
...  

Rheumatic heart disease (RHD) is a significant public health problem and Non-adherence to treatment is an important and often unrecognized risk factor for cardiovascular mortality. The study aimed to assess self-reported medication adherence by 8-item Morisky Medication Adherence Scale (MMAS-8) among rheumatic heart disease patients and determine the associated factors. A cross-sectional study was carried out by applying a structured interview to Rheumatic heart disease patients aged 18 or higher in a tertiary hospital in Bangladesh. Among Rheumatic heart disease patients, 63.5% showed medium adherence, 36.5% showed low adherence to medication. Walking habit (P= 0.000), exercise habit (P=0.000), smoking habit (P=0.000), and duration of RHD (P=0.005) found significantly associated with medication adherence. Multiple logistic regression analysis also revealed, don't have walking habit more than 10 minutes at a time (AOR=2.416, 95% CI: 1.212-4.816), don't having exercise habit (AOR=2.420, 95% CI: 1.206 – 4.859), don't having habit of smoking (AOR=0.392, 95% CI: 0.183 – 0.841), duration of RHD for less than 15 (AOR=4.190, 95% CI: 0.851 – 20.631) are independent predictors of adherence. Our study demonstrated medium to low medication adherence in the Morisky Medication Adherence Scale among rheumatic heart disease patients. Asian J. Med. Biol. Res. June 2019, 5(3): 186-191


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
R. Bou Serhal ◽  
P. Salameh ◽  
N. Wakim ◽  
C. Issa ◽  
B. Kassem ◽  
...  

Background. A new Lebanese scale measuring medication adherence considered socioeconomic and cultural factors not taken into account by the eight-item Morisky Medication Adherence Scale (MMAS-8). Objectives were to validate the new adherence scale and its prediction of hypertension control, compared to MMAS-8, and to assess adherence rates and factors. Methodology. A cross-sectional study, including 405 patients, was performed in outpatient cardiology clinics of three hospitals in Beirut. Blood pressure was measured, a questionnaire filled, and sodium intake estimated by a urine test. Logistic regression defined predictors of hypertension control and adherence. Results. 54.9% had controlled hypertension. 82.4% were adherent by the new scale, which showed good internal consistency, adequate questions (KMO coefficient = 0.743), and four factors. It predicted hypertension control (OR = 1.217; p value = 0.003), unlike MMAS-8, but the scores were correlated (ICC average measure = 0.651; p value < 0.001). Stress and smoking predicted nonadherence. Conclusion. This study elaborated a validated, practical, and useful tool measuring adherence to medications in Lebanese hypertensive patients.


Author(s):  
Idris M Idris ◽  
◽  
Samuel J Wolday ◽  
Brkti Abraham ◽  
Daniel Abraham ◽  
...  

Objective: Hypertension is a major modifiable cause of cardiovascular and cerebrovascular disease affecting more than one billion individuals worldwide. Adherence to recommended antihypertensive medications is central to control hypertension. The purpose of this study was to assess medication adherence and its influencing factors among hypertensive patients in Halibet and Hazhaz Hospitals in Asmara, Eritrea. Methods: Hospital-based cross-sectional study was conducted among 360 hypertensive patients in Halibet and Hazhaz Hospitals of Asmara from February through May 2018. A convenience sampling was used to select study participants. Data related to medication adherence were collected using a structured 8-item Morisky Medication Adherence Scale. Data were analyzed using SPSS version 22. A bivariate and multivariate analysis was done to determine independent predictors of medication adherence among hypertensive patients. Adjusted odds ratio (at 95% CI) and p value < 0.05 was used to assert the effect of the independent variables. Results: Out of 360 patients enrolled in the study, two hundred forty nine (69.2%) had good medication adherence and the remaining 30.8% had poor adherence. The study found that Being female (AOR (95% CI): 1.8 (0.63, 4.85), p<0.05), having Monthly income ≥ 1000 nakfa (AOR (95% CI): 2.85 (0.76, 5.61), , p<0.05), having comorbid disease (AOR (95% CI): 2.7 (0.98, 4.23), p<0.05), family history of hypertension (AOR (95% CI): 2.12 (0.78, 5.76), p <0.05), longer duration of hypertension (AOR (95% CI): 1.32 (0.65, 4.89), p< 0.05), BP < 140/90 mmHg (AOR (95% CI): 2.4 (1.41, 8.73), P<0.05), and taking only one pill per day (AOR (95% CI): 2.7 (0.97, 6.84),P<0.05) were factors significantly influenced good medication adherence. Conclusion: Medication adherence among hypertensive patients was relatively high in this study. Increasing adherence counseling and patient education about the disease and its treatment are important measures to scale-up adherence status of patients.


Author(s):  
Marion J. Wessels‐Bakker ◽  
Eduard A. van de Graaf ◽  
Johanna M. Kwakkel‐van Erp ◽  
Harry G. Heijerman ◽  
Wiepke Cahn ◽  
...  

2020 ◽  
Vol 6 (1) ◽  
pp. 22
Author(s):  
Eka Santy Abdurahman ◽  
Trivani Eka Putri ◽  
Lepita M.Keb

Percepatan penyembuhan luka jahitan perineum derajat II pada masa nifas sangat diharapkan untuk menghindarkan ibu nifas dari bahaya infeksi yaitu dengan cara penambahkan asupan tinggi protein. Ibu bersalin yang mengalami rupture perineum di Indonesia pada golongan umur 25-30 tahun yaitu 24% sedangkan usia 32-39 tahun sebesar 62%. Tujuan dalam penelitian ini adalah untuk menjelaskan pengaruh konsumsi tambahan putih telur  terhadap percepatan penyembuhan luka perenium derajat II pada ibu nifas di PMB Utin Mulia Kota Pontianak. Metode penelitian yang digunakan adalah desain deskriptif analitik dengan pendekatan cross sectional study. Data diambil dari register persalinan di ruang bersalin PMB Utin Mulia, jumlah sampel 20 ibu melahirkan spontan dengan luka jahitan perineum derajat II (10 responden  kelompok intervensi dan 10 responden kelompok kontrol dengan teknik purposive sampling).  Hasil uji Chi Square didapatkan nilai signifikansi sebesar 0,010 (p= < 0,05) sehingga hipotesis penelitian diterima yang artinya ada hubungan bermakna antara pemberian putih telur dengan penyembuhan luka perineum derajat II pada ibu nifas di PMB Utin Mulia Kota Pontianak.


Author(s):  
Suganya Ganesan ◽  
Nitya Selvaraj ◽  
Vinoth Krishna Dass ◽  
Nalinidevi Jayabalan ◽  
Meher Ali Rajamohammad ◽  
...  

Background: In spite of many progresses in treatment of psychiatric disorders, medication nonadherence plays an important role in worsening of clinical condition and affects quality of life among psychiatric patients. There are numerous factors contributing for medication nonadherence among patients with mental illness. So, this study was conducted to assess psychiatric patients’ adherence of medication and to improve their quality of life with psychiatric disorder. The objectives of the study were to analyze impact of pharmacophilia and pharmacophobia on medication adherence among patients with psychiatric disorders at a tertiary care hospital and to assess quality of life among pharmacophilic and pharmacophobic patients.Methods: A cross-sectional study was conducted in outpatient psychiatric department for a period of two months. After obtaining informed voluntary consent, patient’s socio-demographic details, diagnosis, and treatment were recorded from prescription slip. Patients above 18yr age with psychiatric diagnosis as per International Classification of Diseases 10 (ICD-10) and receiving at least one psychotropic medication for >1 month were enrolled in study and assessed using: Drug attitude inventory classification (DAI-10); Medication Rating Scale (MARS); Quality of life enjoyment and satisfaction Questionnaire-Short Form (Q-LES-Q-SF).Results: Among 130 patients, 116 were pharmacophilic and 14 were pharmacophobic as per DAI-10 scale. 81.9% of pharmacophilic were adherent to prescribed medication assessed using MARS scale only 14.3% were pharmacophobic. The quality of life was better in pharmacophilic compared to pharmacophobic group (p=0.002) using Q-LES-Q-SF.Conclusions: This study concluded that pharmacophilic patients have higher adherence and good quality of life index compared to pharmacophobic. Proper counselling of pharmacophobic patients by psychiatrists could improve adherence and QOL.


Author(s):  
Renuka K. ◽  
Gopalakrishnan S. ◽  
Umadevi R.

Background: The use of mobile phones especially smart phones have become an integral part of everyone’s life leading to addiction. Most of the studies conducted earlier were focused on youngsters. Hence this study was conducted to find out the prevalence of smart phone addiction in the study area.Methods: Community based cross sectional study carried out in Anakaputhur, Tamil Nadu from November 2018 to January 2019. Sample size of 400 was calculated using the formula 4PQ/L2. The respondents were selected by systematic random sampling. Subjects 18 years and above who are using mobile phones were included in the study. Data was analyzed using SPSS 16 version and presented using descriptive and analytical statistics.Results: Out of 405 participants 191 participants were non smart phone users and 214 were smart phone users. Overall prevalence of smart phone addiction was 27.6%. Male respondents were more addicted than the female (OR-1.94, 95%CI: 1.12-3.77, p=0.01). There was a statistically significant association between subjects <45 years of age and smart phone addiction (OR-2.33, 95% CI: 1.31-4.13, p=0.003) compared to older age group. Likewise respondents who were class III (modified BG Prasad Scale) and above were more addicted compared to subjects below class III (OR-2.29, 95% CI: 1.32-3.98, p=0.002).Conclusions: The prevalence of smart phone addiction is high that has to be addressed seriously. This can be tackled by better life style modification, awareness creation and attitudinal changes.


2020 ◽  
Vol 33 (2) ◽  
pp. e100180
Author(s):  
Eram Ansari ◽  
Sudha Mishra ◽  
Adarsh Tripathi ◽  
Sujita Kumar Kar ◽  
Pronob Kumar Dalal

BackgroundPatients suffering from psychiatric disorders tend to stigmatise themselves which had been linked to poor adherence to treatment.AimsThe aim of the present study was to study internalised stigma and medication adherence and to assess the relationship between them in patients with obsessive compulsive disorder (OCD).MethodsA cross-sectional study was conducted on 112 patients diagnosed with OCD who were attending the Out-patient's department at Department of Psychiatry of a tertiary care hospital in North India. Internalised stigma and current medication adherence were assessed with Internalized Stigma of Mental Illness Scale (ISMI) and Medication Adherence Rating Scale, respectively. Yale-Brown Obsessive Compulsive Scale was used to assess the current severity of OCD symptoms. Sociodemographic and clinical details were also obtained from the patients by using a semistructured sociodemographic proforma.ResultsMost of the patients reported moderate level of internalised stigma with a mean ISMI score of 77.98 (10.82). Most of the patients were compliant while 41.96% reported poor medication adherence. Internalised stigma was negatively correlated with the current medication adherence. Current severity of OCD symptoms also showed a significant positive correlation with internalised stigma and a significant negative correlation with medication adherence.ConclusionHigh levels of internalised stigma were associated with lower adherence to treatment which suggests that internalised stigma may be a very important factor influencing medication adherence in patients with OCD.


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