The Effect Of Counseling On The Adherence Of Therapeutic Hypertension Patients

Authors

  • Gita Sekar Prihanti University of Muhammadiyah Malang http://orcid.org/0000-0003-4281-1525
  • Novi Puspita Sari
  • Nur Indah Septiani
  • Laura Putri Risty L. Tobing
  • Annisa Rahayu Adrian
  • Nihayatuz Rahayu Ayu
  • Muhammad Zainul Abidin
  • Husni Puspita Farid

DOI:

https://doi.org/10.22219/jk.v11i2.11943

Keywords:

Counseling, Adherence medication, Hypertention

Abstract

Failure of therapy is a result of bad adherence  medication. Non-adherence to therapy is a major factor that is suspected to result in uncontrolled blood pressure in hypertensive patients resulting in more serious complications. Therefore it is important to increase the adherence rate of treatment in patients with hypertension in the treatment process. For this reason, the need for interventions to improve  adherence  with several aspects that can be changed. This study uses One Group Pretest-Posttest Design using 100 samples. Data derived from questionnaires containing 25 items of adherence to therapy, 5 items of knowledge, 4 items of trust, 3 items of motivation, 10 items of family support with nonparametric statistical tests used were Mc Nemar test. Mc Nemar test results indicate that there is a significant difference between adherence at the pre-test and at the post-test after counseling with a significance value (p = 0,000). The results also showed that there was a difference in knowledge with a significance value (p = 0.001), motivation with a value (p = 0.031) and family support with a value (p = 0,000). The education with counseling about knowledge, trust, motivation and family support is effective in increasing compliance. There are other changeable factors such as lifestyle education, patient doctor relationships, and the use of smartphone applications for self-reported therapy can improve adherence in patients thereby minimizing therapy failure. Other educational methods that can be used besides counseling are counseling and dissemination of social media information.

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Author Biography

Gita Sekar Prihanti, University of Muhammadiyah Malang

Medical Education Unit

Public Health  Department

References

Abbas, Hanine, Mazen Kurdi, Myriam Watfa, and Rita Karam. 2017. “Adherence to Treatment and Evaluation of Disease and Therapy Knowledge in Lebanese Hypertensive Patients.” Patient Preference and Adherence 11: 1949–56. Adisa, Rasaq, Olumide Ayodeji Ilesanmi, and Titilayo Oyelola Fakeye. 2018. “Treatment Adherence and Blood Pressure Outcome among Hypertensive Out-Patients in Two Tertiary Hospitals in Sokoto, Northwestern Nigeria.” BMC Cardiovascular Disorders 18(1): 1–10. Akoko, Bentley Mbekwa, Peter Nde Fon, Roland Cheofor Ngu, and Kathleen Blackett Ngu. 2017. “Knowledge of Hypertension and Compliance with Therapy Among Hypertensive Patients in the Bamenda Health District of Cameroon: A Cross-Sectional Study.” Cardiology and Therapy 6(1): 53–67. Alefan, Qais, Dima Huwari, Osama Y. Alshogran, and Mohamad I. Jarrah. 2019. “Factors Affecting Hypertensive Patients’ Compliance with Healthy Lifestyle.” Patient Preference and Adherence 13: 577–85. Alqarni, Abdulelah Mohammed, Alhawiti Saleh Hammad M., and Mohammed Ahmed Alhejaili. 2018. “Assessment of Adherence to Hypertension Medications and Awareness of Hypertension Medications among People with Hypertension in Tabuk.” The Egyptian Journal of Hospital Medicine 70(8): 1365–70. Asgedom, Solomon Weldegebreal, Tesfay Mehari Atey, and Tigestu Alemu Desse. 2018. “Antihypertensive Medication Adherence and Associated Factors among Adult Hypertensive Patients at Jimma University Specialized Hospital, Southwest Ethiopia.” BMC Research Notes 11(1): 1–8. https://doi.org/10.1186/s13104-018-3139-6. Ashoorkhani, Mahnaz et al. 2018. “Understanding Non-Adherence to Treatment in Hypertension: A Qualitative Study.” International Journal of Community Based Nursing and Midwifery 6(4): 314–23. Bandi, Priti et al. 2017. “Age-Related Differences in Antihypertensive Medication Adherence in Hispanics: A Cross-Sectional Community-Based Survey in New York City, 2011-2012.” Preventing Chronic Disease 14(7): 1–12. Beigi, Mohammad Ali Babaee et al. 2014. “The Effect of Educational Programs on Hypertension Management.” International Cardiovascular Research Journal 8(3): 94–98. Bhadoria, Ajeet Singh et al. 2017. “Health-Care Utilization and Expenditure Patterns in the Rural Areas of Punjab, India.” Journal of Family Medicine and Primary Care 6(2): 169–70. http://www.jfmpc.com/article.asp?issn=2249-4863;year=2017;volume=6;issue=1;spage=169;epage=170;aulast=Faizi. Boima, Vincent et al. 2015. “Factors Associated with Medication Nonadherence among Hypertensives in Ghana and Nigeria.” International Journal of Hypertension 2015. Bosmans, Judith E. et al. 2019. “The Cost-Effectiveness of an Intervention Program to Enhance Adherence to Antihypertensive Medication in Comparison with Usual Care in Community Pharmacies.” Frontiers in Pharmacology 10(MAR): 1–10. Burnier, Michel, and Brent M. Egan. 2019. “Adherence in Hypertension: A Review of Prevalence, Risk Factors, Impact, and Management.” Circulation Research 124(7): 1124–40. Choi, Hyo Yoon et al. 2018. “Factors Affecting Adherence to Antihypertensive Medication.” Korean Journal of Family Medicine 39(6): 325–32. Dewanti, Sri Wahyuni, Retnosari Andrajati, and Sudibyo Supardi. 2015. “Pengaruh Konseling Dan Leaflet Terhadap Efikasi Diri, Kepatuhan Minum Obat, Dan Tekanan Darah Pasien Hipertensi Di Dua Puskesmas Kota Depok.” Jurnal Kefarmasian Indonesia 5(1): 33–40. Ghembaza, M.A., Y. Senoussaoui, M. Tani, and K. Meguenni. 2014. “Impact of Patient Knowledge of Hypertension Complications on Adherence to Antihypertensive Therapy.” Current Hypertension Reviews 10(1): 41–48. Gupta, Pankaj et al. 2017. “Risk Factors for Nonadherence to Antihypertensive Treatment.” Hypertension 69(6): 1113–20. Herrera, Pablo A., Laura Moncada, and Denise Defey. 2017. “Understanding Non-Adherence from the inside: Hypertensive Patients’ Motivations for Adhering and Not Adhering.” Qualitative Health Research 27(7): 1023–34. Kemenkes. 2019. “Buku Pedoman Manajemen Penyakit Tidak Menular.” : 2. Kemenkes RI. 2018. “Hasil Utama Riskesdas 2018.” Kilic, Mahmut, Tuğba Uzunçakmak, and Huseyin Ede. 2016. “The Effect of Knowledge about Hypertension on the Control of High Blood Pressure.” International Journal of the Cardiovascular Academy 2(1): 27–32. Kim, Hyun, and Flavia C.D. Andrade. 2019. “Diagnostic Status and Age at Diagnosis of Hypertension on Adherence to Lifestyle Recommendations.” Preventive Medicine Reports 13(November 2018): 52–56. https://doi.org/10.1016/j.pmedr.2018.11.005. Kountur, Ronny. 2016. “Detecting Careless Responses to Self-Reported Questionnaires.” Eurasian Journal of Educational Research (64): 307–18. Kuria, Ng’endo et al. 2018. “Compliance with Follow-up and Adherence to Medication in Hypertensive Patients in an Urban Informal Settlement in Kenya: Comparison of Three Models of Care.” Tropical Medicine and International Health 23(7): 785–94. Legido-Quigley, Helena et al. 2019. “Patients’ Experiences on Accessing Health Care Services for Management of Hypertension in Rural Bangladesh, Pakistan and Sri Lanka: A Qualitative Study.” PLoS ONE 14(1): 1–23. Nashilongo, M. M. et al. 2017. “Assessing Adherence to Antihypertensive Therapy in Primary Health Care in Namibia: Findings and Implications.” Cardiovascular Drugs and Therapy 31(5–6): 565–78. Olowe, Olumuyiwa A., and Andrew J. Ross. 2017. “Knowledge, Adherence and Control among Patients with Hypertension Attending a Peri-Urban Primary Health Care Clinic, KwaZulu-Natal.” African Journal of Primary Health Care and Family Medicine 9(1): 1–5. Osamor, Pauline E., and Bernard E. Owumi. 2011. “Factors Associated with Treatment Compliance in Hypertension in Southwest Nigeria.” Journal of Health, Population and Nutrition 29(6): 619–28. Pan, Jingjing et al. 2019. “Determinants of Hypertension Treatment Adherence among a Chinese Population Using the Therapeutic Adherence Scale for Hypertensive Patients.” Medicine 98(27): e16116. Paralikar S. 2018. “Active Methodology.” : 1–6. Pirasath, S., T. Kumanan, and M. Guruparan. 2017. “A Study on Knowledge, Awareness, and Medication Adherence in Patients with Hypertension from a Tertiary Care Centre from Northern Sri Lanka.” International Journal of Hypertension 2017. Ramli, Azuana, Nur Sufiza Ahmad, and Thomas Paraidathathu. 2012. “Medication Adherence among Hypertensive Patients of Primary Health Clinics in Malaysia.” Patient Preference and Adherence 6: 613–22. Reach, Gérard. 2011. “Obedience and Motivation as Mechanisms for Adherence to Medication: A Study in Obese Type 2 Diabetic Patients.” Patient Preference and Adherence 5: 523–31. Shahin, Wejdan, Gerard A. Kennedy, and Ieva Stupans. 2019. “The Impact of Personal and Cultural Beliefs on Medication Adherence of Patients with Chronic Illnesses: A Systematic Review.” Patient Preference and Adherence 13: 1019–35. Shaik, Shaffi Ahamed et al. 2016. “Medications Adherence Level and Its Associated Factors among Hypertensive Patients at a Major Referral Hospital, in Riyadh, KSA.” Asian Journal of Medical Sciences 7(4): 24–30. Suhadi. 2011. “Analisis Faktor-Faktor Yang Mempengaruhi Di Wilayah Puskesmas Srondol Kota Semarang Universitas Indonesia Analisis Faktor-Faktor Yang Mempengaruhi.” de Terline, Diane Macquart et al. 2019. “Factors Associated with Poor Adherence to Medication among Hypertensive Patients in Twelve Low and Middle Income Sub-Saharan Countries.” PLoS ONE 14(7): 1–14. Teshome, Destaw Fetene, Kindie Bantie Bekele, Yohannes Ayanaw Habitu, and Abebaw Addis Gelagay. 2017. “Medication Adherence and Its Associated Factors among Hypertensive Patients Attending the Debre Tabor General Hospital, Northwest Ethiopia.” Integrated Blood Pressure Control 10: 1–7. Tilea, Ioan et al. 2018. “Treatment Adherence among Adult Hypertensive Patients: A Cross-Sectional Retrospective Study in Primary Care in Romania.” Patient Preference and Adherence 12: 625–35. Uchmanowicz, Bartosz et al. 2018. “Factors Influencing Adherence to Treatment in Older Adults with Hypertension.” Clinical Interventions in Aging 13: 2425–41. Vrijens, Bernard et al. 2017. “Current Situation of Medication Adherence in Hypertension.” Frontiers in Pharmacology 8(MAR): 1–8. Yousif Awad, Eman, Bassima Ezat Gwaied, Latifa Mahmoud Fouda, and Hanan Abo El-Gamelen Ebrahim Essa. 2015. “Compliance of Hypertensive Patients with Treatment Regimen and Its Effect on Their Quality Of Life.” IOSR Journal of Nursing and Health Science Ver. I 4(2): 2320–1940. www.iosrjournals.org. Zhang, Yuji et al. 2018. “Factors Affecting Medication Adherence in Community-Managed Patients with Hypertension Based on the Principal Component Analysis: Evidence from Xinjiang, China.” Patient Preference and Adherence 12: 803–12.

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Published

2020-07-17

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