scholarly journals GAMBARAN TINGKAT KEPATUHAN MINUM OBAT ANTIHIPERTENSI DI PUSKESMAS JATINANGOR

2021 ◽  
Vol 7 (1) ◽  
pp. 40-46
Author(s):  
Tsara Syarifah Istiqomah ◽  
Julia Ramadhanti ◽  
Kurnia Wahyudi

Hipertensi merupakan penyakit kardiovaskular yang paling umum. Penyakit ini termasuk penyakit tidak menular dan tidak dapat disembuhkan namun dapat dikontrol dengan mengonsumsi obat anti hipertensi secara teratur. Rendahnya kepatuhan minum obat dapat menjadi salah satu faktor yang memperburuk kondisi pasien. Penelitian ini bertujuan untuk mendeskripsikan proporsi kepatuhan minum obat anti hipertensi di Puskesmas Jatinangor dengan menggunakan kuesioner Eight-Items Morisky Medication Adherence Scale. Penelitian ini dilaksanakan pada September 2017 hingga Agustus 2018 dengan menggunakan metode deskriptif analitik dan rancangan penelitian potong lintang. Dari 74 responden yang mengisi kuesioner MMAS-8, diperoleh data jenis kelamin, usia, tingkat pendidikan, status pernikahan, pekerjaan, pendapatan, media pembayaran, durasi hipertensi, jumlah obat yang dikonsumsi, jenis obat, dukungan motivasi, serta tingkat kepatuhan. Sebanyak 74 pasien hipertensi di Puskesmas Jatinangor memiliki kepatuhan tinggi dalam meminum obat anti hipertensi. Hasil penelitian ini diharapkan dapat digunakan dalam upaya meningkatkan kesadaran masyarakat mengenai kepatuhan obat, khususnya kepatuhan obat hipertensi di wilayah kerja Puskesmas Jatinangor.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Aguiar ◽  
C Piñeiro ◽  
R Serrão ◽  
R Duarte

Abstract Background Antiretroviral therapy (ART) has the most effective treatment for people with HIV, but its effectiveness depends on the individual medication adherence. Morisky Medication Adherence Scale (MMAS-8) is one of the most widely used scales to assess patient adherence. Thus, we aimed to validate a Portuguese version of MMAS-8 and determine its psychometric properties in HIV positive patients. Methods A cross-sectional survey was conducted in Centro Hospitalar Universitário São João (Porto, northern Portugal) at the infectious diseases department. After authorization to use the scale - granted by the author - and, a standard forward-backwards procedure to translate MMAS-8 to Portuguese, the questionnaire was applied to 233 patients with HIV doing ART. Reliability was assessed using Cronbach's alpha and test-retest reliability. Three levels of adherence were considered: 0 to < 6 (low), 6 to < 8 (medium), 8 (high). Results In the studied sample, the mean age was 45.03 years (SD = 11.63), 80.3% men, 19.3% women and 1 transgender, and 53.8% had ≤9 years of education. The mean number of prescribed ART per patient was 1.76. The mean score for the medication adherence scale was 7.29 (SD = 6.74). For the reliability analysis, 12 patients were excluded due to missing data (n = 221). Regarding the level of adherence, 22.5% were low adhering, 71.6% medium and 5.9% high. Corrected item-total correlations showed that 1 item does not correlate very well with the overall scale and was dropped. Scale reliability analysis for the remaining 7 items revealed an overall Cronbach's alpha of 0.661. Women had a protective effect on adherence (OR = 0.31;95%CI:0.15-0.66). Number of years doing ART, age of participants, and type of residence didn't show to be correlated with adherence. Conclusions MMAS-8 is a reliable and valid measure to detect patients at risk of non-adherence. A satisfactory Cronbach's alfa (0.661) was obtained. In general, adherence to medication was medium or high. Key messages This scale can be applied nationwide in other different hospitals, as it could serve as a tool for measuring adherence to ART that can allow for better health care to the ones that are low adhering. A Portuguese version of the MMAS-8 was created for measuring adherence to ART that maintained a similar structure to the original MMAS-8 and good psychometric properties.


2013 ◽  
Vol 16 (7) ◽  
pp. A568 ◽  
Author(s):  
M. Feudjo Tepie ◽  
C. Kempf ◽  
A. Letierce ◽  
I. Ferreira ◽  
L. Kalouche-Khalil ◽  
...  

PLoS ONE ◽  
2013 ◽  
Vol 8 (4) ◽  
pp. e62775 ◽  
Author(s):  
Gabrielle K. Y. Lee ◽  
Harry H. X. Wang ◽  
Kirin Q. L. Liu ◽  
Yu Cheung ◽  
Donald E. Morisky ◽  
...  

Author(s):  
Gloria K Sam ◽  
Jobin Thomas ◽  
Riya Alexander ◽  
Sheen Ann Varughese

Objectives: The prime objective of this study is to assess knowledge, attitude, and practice (KAP) toward medications in a community of Davangere city.Methods: This community-based study was conducted for 6 months using medication therapy management aspects. Ethical clearance was obtainedfrom the Institutional Ethical Committee. Patients above 18 years of age who were willing to participate were included in the study. The data werecollected using specific data collection forms, and KAP toward medications of each patient was assessed using KAP questionnaire. Medicationadherence was analyzed using Morisky Medication Adherence Scale 4. Patient counseling about disease, medication, and lifestyle modification wasgiven, and the orally taking household drugs were segregated according to class and specific clinical uses.Results: Out of 129 patients, 58.1% were male. Out of 19 diseases encountered during the study, diabetes mellitus (32.56%) and hypertension(25.58%) were most prevalent. Majority of patients (63.57%) were prescribed with cardiovascular agents. Paracetamol was found as a commonhousehold drug. Sixty-nine percent of patients were procuring medication directly from the pharmacy and the remaining 31% were procuring theirmedication after consulting the physician. Mean scores of KAP in basal and endpoint assessment were compared using Student’s t-test. p value wasfound to be <0.000.Conclusion: The study tried to entitle the name of pharmacist as a patient educator who gives proper guidance to the patient and family membersabout the disease, domestic drug management, lifestyle modification, etc. The result of efficient patient counseling will be reflected on the properadherence of patient toward the medication and improved quality of life.Keywords: Knowledge, attitude and practice (KAP), Medication therapy management (MTM), Morisky medication adherence Scale – 4 (MMAS-4),patient education.


2008 ◽  
Author(s):  
Donald Morisky ◽  
Alfonso Ang ◽  
Marie Krousel-Wood ◽  
Harry J. Ward

2011 ◽  
Vol 14 (7) ◽  
pp. A426
Author(s):  
F. Saleem ◽  
M.A. Hassali ◽  
A.A. Shafie ◽  
H.K. Al-Qazaz ◽  
M. Atif ◽  
...  

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