EFEK EDUKASI MELALUI BROSUR TERHADAP KONTROL TEKANAN DARAH DAN KEPATUHAN PASIEN HIPERTENSI

Emy Oktaviani, Oktaviana Zunnita, Marlia Handayani

Abstract


Kepatuhan merupakan salah satu faktor pendukung utama ketercapaian efek terapi pengobatan hipertensi. Ketidakpatuhan pasien hipertensi dalam minum obat dapat meningkatkan morbiditas, mortalitas, dan biaya perawatan. Penelitian ini bertujuan untuk  mengetahui pengaruh edukasi melalui brosur terhadap kontrol tekanan darah, kepatuhan minum obat dan faktor-faktor lain yang berhubungan pada pasien hipertensi. Rancangan penelitian ini adalah quasi experimental one group pretest and posttest design secara prospektif. Penelitian ini dilakukan menggunakan responden pasien hipertensi di Puskesmas Babakan Madang yang memenuhi kriteria inklusi. Pengambilan data pretest dan posttest menggunakan kuesioner MMAS-8 dan catatan medis pasien. Responden yang bersedia untuk mengikuti penelitian ditandai dengan adanya informed consent. Penelitian dilakukan dengan melakukan pengisian kuesioner MMAS-8 dengan wawancara, pengukuran tekanan darah, dan dilanjutkan dengan intervensi berupa edukasi melalui brosur. Satu bulan kemudian dilakukan pengisian kuesioner MMAS-8 dengan wawancara kembali dan pengukuran tekanan darah. Hasil penelitian dari 50 responden menunjukkan bahwa edukasi melalui brosur memberikan efek terhadap kontrol tekanan darah dan kepatuhan responden dengan hasil uji statistik menggunakan Wilcoxon Signed Rank Test dengan tingkat kepercayaan 0.0001 (p<0,05)


Keywords


Brosur, hipertensi, kepatuhan, tekanan darah

References


Ayodapo, A., Elegbede O., Omosanya, O & Monsudi K. 2020. Patient education and medication adherence among hypertensives in a tertiary hospital, South Western Nigeria. Ethiop J Health Sci, 30: 243-250. https://doi.org/10.4314/ejhs.v30i2.12.

Bijani, M., Tehranineshat B., Ahrari F & Beygi N. 2020. A Comparison between Multimedia and traditional education in encouraging adherence to treatment regimen in patients with hypertension. The Open Hypertention Journal, 12: 1-6. https://doi.org/10.2174/1876526202012010001.

Burnier, M. 2017. Drug adherence in hypertension. Pharmacological Research, 125: 142-149. https://doi.org/10.1016/j.phrs.2017.08.015.

Dewanti, S.W., Andrajati R & Supardi S. 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: 33-40.

Egan, B.M., Bandyopadhyay D., Shaftman S.R., Wagner C.S., Zhao Y & Yu-Isenberg K.S. 2012. Initial monotherapy and combination therapy and hypertension control the first year. Hypertension, 59: 1124-1131. https://doi.org/10.1161/HYPERTENSIONAHA.112.194167.

Gaffari-fam, S., Babazadeh T., Oliaei S., Behboodi L & Daemi A. 2020. Adherence to a health literacy and healthy lifestyle with improved blood pressure control in Iran. Patient Prefer Adherence, 14: 499-506. https://doi.org/10.2147/PPA.S244820.

Gaziano, T.A., Bertram M., Tollman S.M & Hofman K.J. 2014. Hypertension education and adherence in South Africa: a cost-effectiveness analysis of community health workers. BMC Public Health 14, 240. https://doi.org/10.1186/1471-2458-14-240.

Gellad, W.F., Grenard J.L & Marcum Z.A. 2011. A Systematic Review of Barriers to Medication Adherence in the Elderly: Looking Beyond Cost and Regimen Complexity. The American Journal of Geriatric Pharmacotherapy 9, 1123. https://doi.org/10.1016/j.amjopharm.2011.02.004.

Hill, M.N., Miller N.H & DeGeest S. 2011a. Adherence and persistence with taking medication to control high blood pressure. Journal of the American Society of Hypertension 5, 5663. https://doi.org/10.1016/j.jash.2011.01.001.

Hill, M.N., Miller N.H. & DeGeest S. 2011b. Adherence and persistence with taking medication to control high blood pressure. Journal of the American Society of Hypertension, 5, 5663. https://doi.org/10.1016/j.jash.2011.01.001.

Hsiao, F.C., Tung Y.C., Chou S.H., Wu L.S., Lin C.P., Wang C.L., Lin Y.S., Chang C.J & Chu P.H. 2015. Fixed-dose combinations of reninangiotensin system inhibitors and calcium channel blockers in the treatment of hypertension. Medicine (Baltimore), 94: 51. https://doi.org/10.1097/MD.0000000000002355.

Hyseni, L., Elliot-Green A., Lloyd-Williams F., Kypridemos C., OFlaherty M., McGill R., Orton L., Bromley H., Cappuccio F.P & Capewell S. 2017. Systematic review of dietary salt reduction policies: Evidence for an effectiveness hierarchy? PLOS ONE 18(12):5, e0177535. https://doi.org/10.1371/journal.pone.0177535.

Kementerian Kesehatan RI. 2018. Hasil Utama Riset Kesehatan Dasar 2018. Jakarta.

Lenfant, F., Trémollières F., Gourdy P. & Arnal, J.F. 2011. Timing of the vascular actions of estrogens in experimental and human studies: Why protective early, and not when delayed?. Maturitas 68(2): 165-173. https://doi.org/10.1016/j.maturitas.2010.11.016.

Li, S. & Gupte A.A. 2017. The Role of Estrogen in cardiac metabolism and diastolic function. Methodist Debakey Cardiovasc J. 13(1): 4-8. https://doi.org/10.14797/mdcj-13-1-4.

Machado, M.A.A., de Moura C.S., Wang Y., Danieli C., Abrahamowicz M., Bernatsky S., Behlouli H & Pilote L. 2017. Comparative effectiveness of antihypertensive drugs in nondiabetic patients with hypertension: A population-based study. The Journal of Clinical Hypertension 19(10): 999-1009. https://doi.org/10.1111/jch.13055.

Mubin, M., Samiasih A & Hermawati T. 2010. Karakteristik dan pengetahuan pasien dengan motivasi melakukan kontrol tekanan darah di wilayah kerja Puskesmas Sragi 1 Pekalongan. Jurnal Universitas Muhammadiyah Semarang, 6(2).

Pour, E., Aliyari S., Farsi Z., Ghelich Y. 2020. Comparing the effects of interactive and noninteractive education using short message service on treatment adherence and blood pressure among patients with hypertension. Nurs Midwifery Stud, 9(2): 68. https://doi.org/10.4103/nms.nms_82_19.

Rajpura, J. & Nayak R. 2014. Medication Adherence in a Sample of Elderly Suffering from Hypertension: Evaluating the Influence of Illness Perceptions, Treatment Beliefs, and Illness Burden. Journal of Manage Care and Pharm, 20(1): 58-65. https://doi.org/10.18553/jmcp.2014.20.1.58.

Riani, D.A., Ikawati Z., Kristina S.A. 2017. Validasi 8-Item Morisky Medication Adherence Scale Versi Indonesia Pada Pasien Hipertensi Dewasa di Puskesmas Kabupaten Sleman dan Kota Yogyakarta. Tesis Magister Farmasi. Universitas Sanata Darma. Yogyakarta.

Rincon-Choles, H. 2019. ACE inhibitor and ARB therapy: Practical recommendations. Cleveland Clinic journal of Medicine, 86: 609.

Rosyida, L., 2015. Kepatuhan Pasien Pada Penggunaan Obat Antidiabetes Dengan Metode Pill Count dan MMAS-8 di Puskesmas Kedurus Surabaya Selatan. Tesis Doktor. . Universitas Airlangga. Surabaya.

Strauss, M.H. & Hall A.S. 2017. Angiotensin receptor blockers do not reduce risk of myocardial infarction, cardiovascular death, or total mortality: further evidence for the ARB-MI paradox. Circulation, 135(22): 20882090.

Supardi, S., Herman M.J & Susyanty A.L. 2011. Kebijakan Penempatan Apoteker Sebagai Pengelola Obat Di Puskesmas. Pusat Teknologi Intervensi Kesehatan Masyarakat, Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia. Jakarta.

Swandari, M.T.K., Puspitasari I., Kusharwanti A.W. 2014. Evaluasi pengaruh konseling farmasis terhadap kepatuhan dan hasil terapi pasien hipertensi di poliklinik penyakit dalam RSUD Cilacap periode Desember 2013-Januari 2014. Jurnal Manajemen dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice) 4: 219-229.

Tarhouni, K., Guihot A.L, Vessières E., Toutain B., Procaccio V., Grimaud L., Loufrani L., Lenfant F., Arnal J.F & Henrion D. 2014. Determinants of flow-mediated outward remodeling in female rodents. Arteriosclerosis, Thrombosis, and Vascular Biology, 34(6): 1281-1289. https://doi.org/10.1161/ATVBAHA.114.303404.

Uchmanowicz, B., Chudiak A., Uchmanowicz I., Rosińczuk J., Froelicher E.S. 2018. Factors influencing adherence to treatment in older adults with hypertension. Clin Interv Aging, 13: 24252441. https://doi.org/10.2147/CIA.S182881.

Ukpabi, O.J. & Ewelike, I.D. 2017. The eighth joint national committee on the prevention, detection, evaluation, and treatment of high blood pressure (joint national committee-8) report: Matters arising. Nigerian Journal of Cardiology, 14(1): 15-18.

Wang, W.T., You L.K., Chiang C.E., Sung S.H., Chuang S.Y., Cheng H.M., Chen & C.H. 2016. Comparative effectiveness of blood pressure-lowering drugs in patients who have already suffered from stroke. Medicine (Baltimore), 95(15): e3302. https://doi.org/10.1097/MD.0000000000003302.

WHO. 2003. Adherence to long-term therapies: evidence for action. World Health Organization. Geneva.

You, S.C., Jung S., Swerdel J.N., Ryan P.B., Schuemie M.J., Suchard M.A., Lee S., Cho J., Hripcsak G., Park R.W & Park S. 2020. Comparison of first-line dual combination treatments in hypertension: real-world evidence from multinational heterogeneous Cohorts. Korean Circulation Journal, 50(1): 52-68. https://doi.org/10.4070/kcj.2019.0173.


Full Text: PDF

DOI: 10.33751/jf.v10i1.2060 Abstract views : 2539 views : 1536

Refbacks

  • There are currently no refbacks.