Tingkat Kepatuhan Minum Obat Pasien Hipertensi Dinilai dengan Morisky Medication Adherence Scale - 8 (MMAS-8) di RSUP M Djamil Padang

2020 ◽  
Vol 1 (1) ◽  
pp. 137-141
Author(s):  
Harnavi Harun
Keyword(s):  
Medication Adherence ◽  
Antihypertensive Drugs ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Descriptive Research ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Study Population ◽  
Cross Sectional Design ◽  
Scale 8

Introduction : Hypertension is a disease that is commonly found and one of the causes of death allover the world. Riset Kesehatan Dasar in 2013 shows that the prevalence of hypertension in Indonesiais 26.5%. The lack of medication adherence of hypertensive patients is a major cause of hypertensiontherapy failure. Non-adherence to antihypertensive drugs is a potential factor that can cause variouscomplications such as heart failure, stroke, kidney failure and blindness. The purpose of this study wasto determine the level of medication adherence for hypertensive patients in M. Djamil HospitalPadang.Method: This is a descriptive research with cross sectional design. The study population was patientswith hypertension with sampling based on counsecutive sampling. Inclusion criteria were essentialhypertension patients and willing to join the study. Exclusion criteria were hypertension emergency,hypertension urgency, and hypertension with complications. Data obtained directly from respondentsthrough the Morisky Medication Adherence Scale-8 questionnaire and direct blood pressuremeasurement.Results: Based on the characteristics of hypertensive patients, found that male 62% and female 38%,ages 20-39 (19%) and ≤ 40 (81%), duration of hypertension < 5 years (62%) and ≥ 5 years (38 %),anti-hypertensive drugs > 1 (60%) and 1 (40%), uncontrolled blood pressure (65%) and controlled(35%). Low compliance rates (60%), moderate (31%) and high (9%).Conclusion: The level of medication adherence for hypertensive patients in M. Djamil HospitalPadang is low (60%), while moderate compliance (31%) and high compliance (9%).

scholarly journals Revisiting the internal consistency and factorial validity of the 8-item Morisky Medication Adherence Scale

2016 ◽  
Vol 4 ◽  
pp. 205031211667485 ◽  
Author(s):  
Arsène Zongo ◽  
Line Guénette ◽  
Jocelyne Moisan ◽  
Laurence Guillaumie ◽  
Sophie Lauzier ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Drug Treatment ◽  
Internal Consistency ◽  
Factorial Validity ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Scale 8

Objective: To assess the internal consistency and factorial validity of the adapted French 8-item Morisky Medication Adherence Scale in assessing adherence to noninsulin antidiabetic drug treatment. Study Design and Setting: In a cross-sectional web survey of individuals with type 2 diabetes of the Canadian province of Quebec, self-reported adherence to the antidiabetes drug treatment was measured using the Morisky Medication Adherence Scale-8. We assessed the internal consistency of the Morisky Medication Adherence Scale-8 with Cronbach’s alpha, and factorial validity was assessed by identifying the underlying factors using exploratory factor analyses. Results: A total of 901 individuals completed the survey. Cronbach’s alpha was 0.60. Two factors were identified. One factor comprised five items: stopping medication when diabetes is under control, stopping when feeling worse, feeling hassled about sticking to the prescription, reasons other than forgetting and a cross-loading item (i.e. taking drugs the day before). The second factor comprised three other items that were all related to forgetfulness in addition to the cross-loading item. Conclusion: Cronbach’s alpha of the adapted French Morisky Medication Adherence Scale-8 was below the acceptable value of 0.70. This observed low internal consistency of the scale is probably related to the causal nature of the items of the scale but not necessarily a lack of reliability. The results suggest that the adapted French Morisky Medication Adherence Scale-8 is a two-factor scale assessing intentional (first factor) and unintentional (second factor) non-adherence to the noninsulin antidiabetes drug treatment. The scale could be used to separately identify these outcomes using scores obtained on each of the sub-scales.

scholarly journals Hubungan Letak Geografis dengan Kepatuhan Pengobatan pada Pasien Hipertensi di Kabupaten Pekalongan

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Benny Arief Sulistyanto ◽  
Mukti Lestari Madyoratri
Keyword(s):  
Medication Adherence ◽  
Health Workers ◽  
Geographical Location ◽  
Health Care Facilities ◽  
P Value ◽  
Improve Medication Adherence ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale

Abstrak. Kepatuhan pengobatan hipertensi dapat dipengaruhi oleh faktor sosial-demogafik. Perbedaan fasilitas penunjuang kesehatan pada daerah dataran rendah dan dataran tinggi mengakibatkan tidak meratanya informasi dan pengobatan terkait hipertensi. Penelitian ini bertujuan untuk mengidentifikasi hubungan letak geografis dengan tingkat kepatuhan pengobatan hipertensi di Kabupaten Pekalongan. Penelitian ini merupakan studi deskirptif dengan pendekatan cross-sectional. Kuesioner The 8-item Morisky Medication Adherence Scale (MMAS-8) versi Bahasa Indonesia digunakan untuk mengukur kepatuhan pengobatan hipertensi pada 65 responden di daerah dataran tinggi dan dataran rendah. Hasil penelitian ini menemukan bahwa letak geografis mempunyai korelasi terhadap kepatuhan pengobatan hipertensi (p-value < 0,01). Petugas kesehatan hendaknya menggunakan berbagai metode untuk meningkatkan kepatuhan pengobatan khususnya yang berlokasi di dataran rendah. Namun demikian, peningkatkan kualitas dan kuantitas fasilitas kesehatan di dataran tinggi tidak boleh diabaikan Kata kunci: kepatuhan pengobatan, hipertensi, MMAS-8, letak geografis Relationship between Geographical Location and Medication Adherence in Hypertensive Patients in Pekalongan DistrictAbstract. Medication adherence among hypertensive patients can be influenced by socio-demographic factors. The differences in health care facilities in the lowlands and highlands create a gap of information and treatment related to hypertension treatments. The purpose of this study is to identify the relationship between geographical location and medication adherence in Pekalongan Regency. A descriptive study with a cross-sectional approach was used. The Indonesian version of the Morisky Medication Adherence Scale (MMAS-8) questionnaire was used to measure the adherence of medication treatment among 65 respondents in the highlands and lowlands. The results of this study revealed that geographical location was highly correlated with medication adherence (p-value <0.01). Health workers should use various methods to improve medication adherence, especially those located in the lowlands. Although, improving the quality and quantity of health facilities in the highlands should not be ignored Keywords: medication adherence, hypertension, MMAS-8, geographical location

scholarly journals Kepatuhan Konsumsi Obat Kelasi Besi dan Kadar Serum Feritin Pasien Talasemia Beta-Mayor di RSUD Al-Ihsan Bandung

2020 ◽  
Vol 2 (1) ◽  
pp. 26-30
Author(s):  
Hutari Gustiana ◽  
Tito Gunantara ◽  
Hilmi Sulaiman Rathomi
Keyword(s):  
Medication Adherence ◽  
Chi Square ◽  
Cross Sectional ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Scale 8

Kadar serum feritin yang tinggi pada pasien talasemia menimbulkan berbagai komplikasi yang menurunkan kualitas hidup pasien. Kadar tersebut dipengaruhi berbagai hal, salah satunya kepatuhan pasien dalam mengkonsumsi obat kelasi besi. Penelitian ini bertujuan untuk mengetahui tingkat kepatuhan konsumsi obat kelasi besi dan kadar serum feritin pada penderita talasemia beta-mayor di RSUD Al-Ihsan Bandung serta hubungan antara keduanya. Penelitian ini merupakan studi cross sectional dengan melibatkan 50 pasien talasemia di RSUD Al-Ihsan Bandung yang dipilih secara consecutive. Data tingkat kepatuhan diukur dengan kuesioner Morisky Medication Adherence Scale-8 (MMAS-8) yang diisi dengan dipandu oleh peneliti, sedangkan data kadar feritin didapatkan dari rekam medis pasien. Pengambilan data dilakukan pada bulan Juli-September 2019, data dianalisis menggunakan uji Chi square dengan bantuan piranti lunak STATA versi 13. Hasil penelitian menunjukan mayoritas penderita talasemia beta-mayor di RSUD Al-Ihsan Bandung (60%, IK 45.4% - 72.9%) memiliki tingkat kepatuhan rendah dalam konsumsi obat kelasi besi dan sebagian besar memiliki kadar serum feritin >2500 ng/ml (58%, IK 43.5% - 71.2%). Terdapat hubungan bermakna secara statistik antara tingkat kepatuhan konsumsi obat kelasi besi dengan kadar serum feritin pada penderita talasemia beta-mayor di RSUD Al-Ihsan Bandung p=0.00( p<0.05).

Morisky Medication Adherence Scale-8

2008 ◽  
Author(s):  
Donald Morisky ◽  
Alfonso Ang ◽  
Marie Krousel-Wood ◽  
Harry J. Ward
Keyword(s):  
Medication Adherence ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Scale 8

Assessment of Medication Adherence and Related Factors in Hypertensive Patients: The Role of Beliefs About Medicines

2020 ◽  
pp. 105477382098138
Author(s):  
Fatma Ilknur Cinar ◽  
Şule Mumcu ◽  
Betülay Kiliç ◽  
Ülkü Polat ◽  
Bilge Bal Özkaptan
Keyword(s):  
Medication Adherence ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Uncontrolled Blood Pressure ◽  
Beliefs About Medicines ◽  
Modifiable Factors ◽  
Adherence Scale

Low medication adherence is one of the leading causes that affect the achievement of target levels for hypertension. Identifying modifiable factors associated with low adherence is crucial. This study aims to assess medication adherence and the role of beliefs about medicines on medication adherence among hypertensive patients.This cross-sectional study was conducted with 200 hypertension patients.Data were collected using the Morisky-Green-Levine Medication Adherence Scale, and the Beliefs about Medicines Questionnaire [BMQ-Turkish Translation (BMQ-T)]. It was found that the BMQ-T subscales of Specific Concern (β = 0.358, p = .027) and General Overuse (β = 0.552, p = .011) had an independent predictor effect on medication adherence scores. In this study, the patients who thought that drugs were overused and had concerns about this were seen to be less adherent with the medication. With regard to patients who use antihypertensive drugs but have uncontrolled blood pressure, their beliefs about drugs should not be ignored when evaluating adherence with drug therapy.

scholarly journals HUBUNGAN STIGMA MASYARAKAT DENGAN KEPATUHAN MINUM OBAT PASIEN TB PARU DI PUSKESMAS PUHJARAK KECAMATAN PLEMAHAN KABUPATEN KEDIRI

2021 ◽  
Vol 17 (1) ◽  
pp. 66
Author(s):  
Riris Nur Rizqiya
Keyword(s):  
Mental Illness ◽  
Medication Adherence ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
P Value ◽  
Internalized Stigma ◽  
Cross Sectional ◽  
Morisky Medication Adherence Scale ◽  
Stigma Of Mental Illness ◽  
Adherence Scale

TB Paru adalah penyebab utama penyakit di antara 10 penyebab kematian teratas di seluruh dunia. Pengobatan TB minimal memerlukan waktu 6 bulan sehingga memerlukan dukungan sosial yang baik kepada penderita TB Paru. Penelitian ini bertujuan untuk menganalisis hubungan stigma masyarakat dengan kepatuhan minum obat. Penelitian ini menggunakan observasional dengan pendekatan cross-sectional. Populasi penelitian adalah 67 pasien TB Paru dengan teknik pengambilan datanya menggunakan teknik simple random sampling didapatkan 45 sampel. Instrumen stigma masyarakat menggunakan kuesioner Internalized Stigma of Mental Illness (ISMI) dengan r tabel 0,62 dan reliabilitas 0,964 didapatkan 28 item yang valid. Instrumen kepatuhan minum obat menggunakan kuesioner Morisky Medication Adherence Scale (MMAS-8) dengan r tabel 0.8 dan reliabilitas 0,7 didapatkan 8 item yang valid. Uji etika penelitian dilaksanakan di Fakultas Ilmu Keperawatan Universitas Jember dengan nomor: No.3561/UN25.1.14/SP/2020. Analisis data yang digunakan adalah uji spearman. Hasil penelitian menunjukkan tidak ada hubungan antara stigma masyarakat dengan kepatuhan minum obat pada pasien TB Paru (p-value = 0,404;CI=95%).Data demografi pasien didapatkan usia responden TB Paru dengan nilai median 48.00 (Q1, Q3;35.00,61.00) dengan min-max 15-70 dan jenis kelamin paling banyak adalah laki-laki yaitu 30 responden (66.7%). Hasil penelitian ini menunjukkan tidak ada hubungan antara sitgma masyarakat dengan kepatuhan minum obat. Puskesmas telah meningkatkan program edukasi tentang penyakit TB Paru dan pencegahannya dimungkinkan menjadi salah satu menurunnya stigma pada pasien TB Paru. Dukungan keluarga terhadap pengobatan pasien ditandai dengan adanya pendampingan ketika berobat ke Puskesmas. Puskesmas memiliki peran penting dalam meningkatkan kepatuhan pengobatan pasien TB Paru baik secara langsung maupun tidak langsung. Kata kunci: tuberkulosis paru, stigma masyarakat, kepatuhan minum obat.HUBUNGAN STIGMA MASYARAKAT DENGAN KEPATUHAN MINUM OBAT PASIEN TB PARU DI PUSKESMAS PUHJARAK KECAMATAN PLEMAHAN KABUPATEN KEDIRI

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 Accuracy of a screening tool for medication adherence: A systematic review and meta-analysis of the Morisky Medication Adherence Scale-8

PLoS ONE ◽  
2017 ◽  
Vol 12 (11) ◽  
pp. e0187139 ◽  
Author(s):  
Sun Jae Moon ◽  
Weon-Young Lee ◽  
Jin Seub Hwang ◽  
Yeon Pyo Hong ◽  
Donald E. Morisky
Keyword(s):  
Systematic Review ◽  
Medication Adherence ◽  
Screening Tool ◽  
Meta Analysis ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Scale 8

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
Keyword(s):  
Medication Adherence ◽  
Cross Sectional Study ◽  
Study Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale

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.

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