PERAN KELUARGA DALAM MEMANTAU KEPATUHAN MINUM OBAT PENDERITA HIPERTENSI PADA MASYARAKAT

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Saiful Nurhidayat
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Rural Communities ◽  
Elementary Education ◽  
College Education ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Purposive Sampling ◽  
The Family

Abstract : Hypertension or high blood pressure is an abnormal increase in blood pressure in the arteries continuously over a period. The dangers of hypertension can lead to damage to various organs including kidneys, brain, heart, eye, causing vascular resistance and stroke. Hypertension takes care of the old and continuously. One effective way to lower blood pressure is to obediently take medicine so that it takes the role of families in monitoring patients taking the medication. With the participation of the family are expected to hypertension sufferers can be controlled. This study aims to determine the family's role in monitoring the adherence of hypertensive patients. The study was conducted in rural communities Slahung Ponorogo, a representative sample of 53 respondents taken by purposive sampling. Quantitative design with cross sectional design of the study the family's role in monitoring the adherence of hypertensive patients. Instruments in this study using questionnaires and observation sheets. The results of 53 respondents obtained the majority of the 29 respondents (55%) has the role of both families and 24 respondents (45%) families have a bad role in monitoring medication adherence. Age and education contribute to determining the role family. Intermediate (41-60 years old) and college education contribute to determining the role well. Conversely > 61 years of elementary education and contribute in a bad role.Keywords : the role of the family, medication adherence, hypertension. Abstrak : Hipertensi atau tekanan darah tinggi adalah suatu peningkatan abnormal tekanan darah dalam pembuluh darah arteri secara terus-menerus lebih dari suatu periode. Bahaya hipertensi dapat memicu rusaknya berbagai organ tubuh diantaranya: ginjal, otak, jantung, mata, menyebabkan resistensi pembuluh darah dan stroke. Penyakit hipertensi membutuhkan perawatan yang lama dan terus menerus. Salah satu cara yang efektif untuk menurunkan tekanan darah adalah dengan patuh minum obat sehingga dibutuhkan peran keluarga dalam memantau minum obat penderita. Dengan adanya peran serta keluarga diharapkan penyakit hipertensi penderita dapat terkontrol. Penelitian ini bertujuan untuk mengetahui peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Penelitian dilakukan pada masyarakat desa Slahung Ponorogo,sampel representatif sejumlah 53 responden diambil secara Purposive Sampling. Desain kuantitatif dengan rancangan Cross sectional yang mempelajari peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Instrumen pada penelitian ini menggunakan kuesioner dan lembar observasi. Hasil penelitian dari 53 responden didapatkan sebagian besar 29 responden (55 %) keluarga mempunyai peran baik dan 24 responden (45 %) keluarga mempunyai peran buruk dalam memantau kepatuhan minum obat. Faktor usia dan pendidikan berkontribusi dalam menentukan peran keluarga. Usia madya (41-60 tahun) dan jenjang pendidikan perguruan tinggi berkontribusi dalam menentukan peran baik. Sebaliknya > 61 tahun dan jenjang pendidikan SD berkontribusi dalam peran buruk.Kata Kunci : peran keluarga, kepatuhan minum obat, penyakit hipertensi.

scholarly journals Barriers to Medication Adherence among Hypertensive Patients in Deprived Rural Areas

2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Ebrahim Aliafsari Mamaghani ◽  
Edris Hasanpoor ◽  
Esmaiel Maghsoodi ◽  
Farzaneh Soleimani
Keyword(s):  
Medication Adherence ◽  
Rural Communities ◽  
Negative Correlation ◽  
Rural Areas ◽  
Medical Adherence ◽  
Medication Regimen ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Positive Correlation ◽  
Adherence To Medication

BACKGROUND: Poor adherence to medication regimen leads to poor health outcomes, increased medical costs and increased death rate due to hypertension. The aim of this study was to evaluate baseline barriers to medication adherence among hypertensive patients in deprived rural areas.METHODS: A cross-sectional study was conducted on 238 hypertensive patients living in deprived rural areas of Iran. Data were collected using a questionnaire consisting of demographic information, Morisky medication adherence scale and the barriers to medication adherence that were reliable and valid.RESULTS: The results of the study showed that medication adherence was significantly decreased and had a significant positive correlation with gender and economic status, while it had a negative correlation with age. Medication Adherence had a positive correlation with the duration of hypertension, while it had a negative correlation with the number of medications used and concurrently with other diseases.CONCLUSIONS: Based on the present study it can be concluded that enhanced knowledge about illness and treatment in rural communities is improves the medical adherence. Financial supports along with the reduced number of prescribed drugs are also found to be the determining factors in the medical adherence. 

HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUM OBAT PASIEN HIPERTENSI LANSIA DI WILAYAH KERJA PUSKESMAS SUNGAI CUKA KABUPATEN TANAH LAUT

2017 ◽  
Vol 1 (1) ◽  
pp. 62
Author(s):  
Yugo Susanto
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Family Support ◽  
Cross Sectional ◽  
High Category ◽  
The Family ◽  
Adherence Scale ◽  
Hypertension Therapy ◽  
Elderly Hypertensive ◽  
Cross Sectional Design

One of communicable diseases become very serious health problem was hypertension. The purpose of hypertension therapy was to control blood pressure in range of normal blood pressure, it is needed the adherence for hypertension therapy. The family supportcould improved healthy status. Patient with family support  feel that people care, so it could directed patient to improve their healthy lifestyle.The purpose of this study was to determine elderly family support, medication adherence in elderly hypertensive patients, and analyzedthe correlation between the family support with the adherence ension in elderly hypertension patients in Puskesmas Sungai Cuka Tanah Laut.This study was conducted with the cross sectional design in December 2014 until January 2015. Population was280the elderly patient in the region of  primary public health Sungai Cuka and 164 of them were used for sample. Data was collected by completion questionnaires family support and Morisky Modification Adherence Scale (MMAS)questionnaires. Data analysis was performed by gamma test with 95% confidence level.Based on the results, that Elderly who have family support by category 23.8% lower category, middle category were 64%, high category were 11.6%, and 0.6% were very high category. The adherence degree of elderly hypertension patientwere 45,7% low adherence degree, moderate adherence degreewere 36%, and high adherence degree were 18.3%. There were a correlation between the family support andthe medication adherence in elderly hypertension patients at Puskesmas Sungai Cuka Tanah Laut. (γ =0.295).

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN DAN GAYA HIDUP DENGAN UPAYA PENCEGAHAN STROKE PADA PENDERITA HIPERTENSI DI PUSKESMAS DESA BINJAI MEDAN

2021 ◽  
Vol 4 (2) ◽  
pp. 463-471
Author(s):  
Muflih Muflih ◽  
Halimizami Halimizami
Keyword(s):  
Blood Pressure ◽  
Health Center ◽  
Stroke Prevention ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Purposive Sampling ◽  
Level Of Knowledge ◽  
Village Health

Hypertension is a disorder of the circulatory system, when the systolic blood pressure is 140 mm Hg and the diastolic blood pressure is 90 mm Hg. The causes of hypertension are heredity, age, gender, obesity (overeating), lack of exercise, stress, excessive salt consumption, other influences: caffeine, smoking, alcohol consumption, taking drugs. The purpose of this study was to determine the relationship between the level of knowledge and lifestyle of hypertensive patients with stroke prevention efforts at the Binjai Village Health Center Medan in 2020. The type of research conducted was descriptive analytic with a cross sectional design. The population in this study were all hypertensive patients at the Binjai Village Health Center Medan with a sample of 87 people using purposive sampling technique. The results showed that the majority of respondents had less knowledge as many as 42 people (48.3%) and an unhealthy lifestyle as many as 67 people (77.0%). Based on the chi-square test, it was found that there was no relationship between the level of knowledge and the prevention of stroke in hypertension patients at the Binjai Village Health Center in 2020 with a p-value = 0.395 > = 0.05 and there was no relationship between lifestyle and stroke prevention in hypertension patients in Binjai Village Health Center in 2020 with a p-value = 0.516 > =0.05. The conclusion in this study is that there is no relationship between the level of knowledge and lifestyle of hypertensive patients with stroke prevention efforts. It is recommended for people with hypertension to further increase their knowledge about prevention of stroke due to uncontrolled blood pressure and pay more attention to their health, especially in early examinations and it is hoped that the puskesmas will be more active in inviting hypertension sufferers to do exercise every week and make early stroke introduction counseling.   Abstrak Hipertensi adalah suatu gangguan pada sistem peredaran darah, yaitu apabila tekanan darah sistol sebesar 140 mmHg dan diastol sebesar 90 mm Hg. Penyebab hipertensi adalah keturunan, umur, jenis kelamin, kegemukan (makan berlebih), kurang olahraga, stress, konsumsi garam berlebih, pengaruh lain : kafein, merokok, konsumsi alkohol, minum obat-obatan. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan dan gaya hidup penderita hipertensi dengan upaya pencegahan stroke di Puskesmas Desa Binjai Medan Tahun 2020. Jenis penelitian yang dilakukan adalah diskriftif analitik dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh pasien hipertensi di Puskesmas Desa Binjai Medan dengan jumlah sampel 87 orang dengan menggunakan teknik Purposive sampling. Hasil penelitian menunjukkan mayoritas responden memiliki pengetahuan kurang sebanyak 42 orang (48,3%) dan gaya hidup yang kurang sehat sebanyak 67 orang (77,0%). Berdasarkan uji chi-square didapatkan tidak ada hubungan hubungan tingkat pengetahuan dengan pencegahan stroke pada penderita hipertensi di Puskesmas Desa Binjai Tahun 2020 dengan nilai p-value = 0,395 > α=0,05 dan tidak ada hubungan gaya hidup dengan pencegahan stroke pada penderita hipertensi di Puskesmas Desa Binjai Tahun 2020 dengan nilai p-value = 0,516 > α=0,05. Kesimpulan dalam penelitian ini yaitu tidak ada hubungan tingkat pengetahuan dan gaya hidup penderita hipertensi dengan upaya pencegahan stroke. Disarankan bagi penderita hipertensi untuk lebih meningkatkan pengetahuannya tentang pencegahan stroke akibat tekanan darah yang tidak terkontrol dan lebih memperhatikan kesehatannya khususnya dalam pemeriksaan dini dan diharapkan bagi pihak puskesmas untuk lebih aktif mengajak para penderita hipertensi untuk melakukan senam setiap minggunya dan membuat penyuluhan pengenalan stroke secara dini.

scholarly journals Beyond Medication Adherence: The Role of Patients’ Beliefs and Life Context in Blood Pressure Control

2019 ◽  
Vol 29 (4) ◽  
pp. 567-576
Author(s):  
Nancy R. Kressin ◽  
A. Rani Elwy ◽  
Mark Glickman ◽  
Michelle B. Orner ◽  
Gemmae M. Fix ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Regression Models ◽  
Pressure Control ◽  
Cross Sectional ◽  
Uncontrolled Blood Pressure ◽  
Life Context ◽  
Primary Care Patients ◽  
Race Ethnicity

Objectives: Despite numerous interven­tions to address adherence to antihyperten­sive medications, continued high rates of uncontrolled blood pressure (BP) suggest a need to better understand patient factors beyond adherence associated with BP con­trol. We examined how patients’ BP-related beliefs, and aspects of life context affect BP control, beyond medication adherence.Methods: We conducted a cross-sectional telephone survey of primary care patients with hypertension between 2010 and 2011 (N=103; 93 had complete data on all variables and were included in the regression analyses). We assessed patient so­ciodemographics (including race/ethnicity), medication adherence, BP-related beliefs, aspects of life context, and used clinical BP assessments.Results: Regression models including sociodemographics, medication adherence, and either beliefs or context consistently predicted BP control. Adding context after beliefs added no predictive value while adding beliefs after context significantly predicted BP control.Conclusion: Including patients’ BP beliefs after context had the strongest effects on BP control.Practice Implications: Results suggest that when clinicians must choose a dimen­sion on which to intervene, focusing on beliefs would be the most fruitful approach to effecting change in BP control.Ethn Dis. 2019;29(4):567-576; doi:10.18865/ ed.29.4.567

Analisis Faktor Determinan yang berhubungan dengan Kepatuhan Rekomendasi Modifikasi Gaya Hidup Pasien Hipertensi

2020 ◽  
Vol 7 (2) ◽  
pp. 256-263
Author(s):  
Abdul Qodir
Keyword(s):  
Blood Pressure ◽  
Lifestyle Modification ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Lifestyle Modifications ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Consecutive Sampling ◽  
Knowledge Practice

Penatalaksanaan farmakologis dan non farmakologis dipercaya dapat mengontrol tekanan darah dan mencegah komplikasi, tetapi banyak pasien hipertensi tekanan darahnya tidak terkontrol. Hal tersebut dikarenakan kepatuhan yang buruk dalam melaksanakan rekomendasi gaya hidup. Penelitian ini bertujuan untuk menganalisis determinan faktor yang berhungan dengan kepatuhan melaksanakan rekomendasi modifikasi gaya hidup. Penelitian ini menggunakan metode cross-sectional di pukesmas dinoyo Kota Malang tahun 2019. Teknik pengambilan sampel menggunakan Consecutive Sampling. Kuesioner yang digunakan meliputi : karakteristik demografi, pengetahuan dan rekomendasi mofifikasi gaya hidup pasien hipertensi. Hubungan antara rekomendasi modifikasi gaya hidup dengan variabel independen dianalisis menggunakan uji chi square dan analisis regresi logistik. 140 pasien hipertensi berpartisipasi dalam penelitian ini (60 laki-laki, 80 wanita). Prevalensi kepatuhan adalah 28,6 %. Tingkat pengetahuan berhubungan signifikan  dengan kepatuhan melaksanakan rekomendasi gaya hidup (p=0,00). Jenis kelamin, usia, dan tingkat pendidikan tidak mempunyai hubungan signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup (p= 0,06; p=0,21; p=0,87). Pengetahuan mempunyai hubungan yang signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup. Management of pharmacological and non-pharmacological is believed to control blood pressure and prevent complications,  but many hypertensive patients have uncontrolled blood pressure. This is due to poor adherence to recommended lifestyle modifications. This study was aimed to determine the factors associated with adherence to recommended lifestyle modifications of hypertensive patients. A cross-sectional study was conducted in Pukesmas Dinoyo Malang in 2019. Consecutive Sampling was used to select study subjects. The questionnaire included information about demographic characteristics, knowledge, practice of lifestyle-modification measures. Associations between adherence to lifestyle modification and independent variables were analyzed using chi square and multivariate logistic regression analysis. 140 hypertensive patients participated in the study (60 men, 80 women). The prevalence of adherence was 28.6%. The level of knowledge was significant associated with adherence to recommended lifestyle modifications (p = 0.00). Genders , age, and educational level were no significant associated with to recommended lifestyle modifications (p= 0.06; p=0.21; p=0.87). Knowledge was significant associated with adherence to recommended lifestyle modifications of hypertensive patients.

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