Keywords
Kepatuhan Minum Obat
Motivasi
How to Cite
Abstract
Pendahuluan: Penderita Hipertensi (HTN) yang tidak patuh minum obat menyebabkan HTN tidak terkontrol yang berdampak pada komplikasi bahkan kematian. Motivasi dibutuhkan penderita sebagai pendorong untuk patuh pada regimen HTN yang kompleks.
Tujuan: Penelitian ini bertujuan mengoreksi ulang apakah terdapat hubungan antara motivasi dan kepatuhan.
Metode: Sebanyak 220 penderita HTN dilabatkan untuk menjawab tujuan tersebut. Data penelitian dikumpulkan dengan kuisioner motivasi kepatuhan dan MMAS-8 versi Bahasa Indonesia, kemudian dianalisis menggunakan uji chi-square.
Hasil: Mayoritas motivasi penderita memiliki motivi tinggi sebanyak 39%/87 penderita. Mayoritas tingkat kepatuhan penderita adalah tidak patuh sebanyak 40%/89 penderita. Ditemukan hubungan antar variabel yang diteliti yakni motivasi dan kepatuhan minum obat. Motivasi merupakan bagian integral dari mempertahankan kepatuhan minum obat pada penderita HTN.
Kesimpulan: Motivasi yang tinggi akan menampilkan kepatuhan minum obat yang tinggi pula. Melalui hasil ini harapannya paya khusus dari petugas kesehatan diperlukan untuk mempertahankan dan meningkatkan motivasi penderita.
References
Abegaz, T. M., Shehab, A., Gebreyohannes, E. A., Bhagavathula, A. S., & Elnour, A. A. (2017). Nonadherence to Antihypertensive Drugs a Systematic Review and Meta-analysis. Medicine, 96(4), e5641. https://doi.org/10.1097/MD.0000000000005641
Adidja, N. M., Agbor, V. N., Aminde, J. A., Ngwasiri, C. A., Ngu, K. B., & Aminde, L. N. (2018). Non-adherence to antihypertensive pharmacotherapy in Buea, Cameroon: a cross-sectional community-based study. BMC Cardiovascular Disorders, 18(1), 150. https://doi.org/10.1186/s12872-018-0888-z
Ainiyah, N., Zuhriyah, N., Zahroh, C., Damawiyah, S., Kusumawati, D. R., Afiyah, R. K., … Fitriasari, A. (2023). Influence of Self-Motivation and Health Locus of Control on Adherence to Medication Among Hypertension Patients. Jurnal Keperawatan Indonesia, 26(1), 11–19. https://doi.org/10.7454/jki.v26i1.2526
AlHadlaq, R. K., Swarelzahab, M. M., AlSaad, S. Z., AlHadlaq, A. K., Almasari, S. M., Alsuwayt, S. S., & Alomari, N. A. (2019). Factors affecting self-management of hypertensive patients attending family medicine clinics in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 8(12), 4003–4009. https://doi.org/10.4103/jfmpc.jfmpc_752_19
Burnier, M., & Egan, B. M. (2019). Adherence in Hypertension: A Review of Prevalence, Risk Factors, Impact, and Management. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/CIRCRESAHA.118.313220
Choudhry, N. K., Kronish, I. M., Vongpatanasin, W., Ferdinand, K. C., Pavlik, V. N., Egan, B. M., … Hyman, D. J. (2022). Medication adherence and blood pressure control: A scientific statement from the american heart association. Hypertension, 79(1), E1–E14. https://doi.org/10.1161/HYP.0000000000000203
Dhar, L., Dantas, J., & Ali, M. (2017). A Systematic Review of Factors Influencing Medication Adherence to Hypertension Treatment in Developing Countries. Open Journal of Epidemiology, 7(3), 211–250. https://doi.org/10.4236/ojepi.2017.73018
Durand, H., Hayes, P., Morrissey, E. C., Newell, J., Casey, M., Murphy, A. W., & Molloy, G. J. (2017). Medication adherence among patients with apparent treatment-resistant hypertension: Systematic review and meta-analysis. Journal of Hypertension, 35(12), 2346–2357. https://doi.org/10.1097/HJH.0000000000001502
Gebreyohannes, E. A., Bhagavathula, A. S., Abebe, T. B., Tefera, Y. G., & Abegaz, T. M. (2019). Adverse effects and non-adherence to antihypertensive medications in University of Gondar Comprehensive Specialized Hospital. Clinical Hypertension, 25, 1. https://doi.org/10.1186/s40885-018-0104-6
Ghofar Abdulloh, A. A., Yusuf, A., Qur’aniati, N., & Veriyallia, V. (2024). Pengetahuan tentang Hipertensi dan Hubungannya dengan Kepatuhan Minum Obat di Kalangan Masyarakat Hipertensi. Jurnal Kesehatan Komunitas (Journal of Community Health), 10(1), 157–164. https://doi.org/10.25311/keskom.vol10.iss1.1512
Gutierrez, M. M., & Sakulbumrungsil, R. (2021). Factors associated with medication adherence of hypertensive patients in the Philippines: a systematic review. Clinical Hypertension, 27(1), 19. https://doi.org/10.1186/s40885-021-00176-0
Hamrahian, S. M., Maarouf, O. H., & Fülöp, T. (2022). A Critical Review of Medication Adherence in Hypertension: Barriers and Facilitators Clinicians Should Consider. Patient Preference and Adherence, 16, 2749–2757. https://doi.org/10.2147/PPA.S368784
Kifle, Z. D., Adugna, M., Chanie, G. S., & Mohammed, A. (2022). Prevalence and associated factors of hypertension complications among hypertensive patients at University of Gondar Comprehensive Specialized Referral Hospital. Clinical Epidemiology and Global Health, 13, 100951. https://doi.org/10.1016/j.cegh.2021.100951
Kvarnström, K., Westerholm, A., Airaksinen, M., & Liira, H. (2021). Factors Contributing to Medication Adherence in Patients with a Chronic Condition: A Scoping Review of Qualitative Research. Pharmaceutics, 13(7), 1100. https://doi.org/10.3390/pharmaceutics13071100
Lane, D., Lawson, A., Burns, A., Azizi, M., Burnier, M., Jones, D. J. L., … Dasgupta, I. (2022). Nonadherence in hypertension: How to develop and implement chemical adherence testing. Hypertension, 79(1), 12–23. https://doi.org/10.1161/HYPERTENSIONAHA.121.17596
Mahardika, M., & Adyani, S. A. M. (2023). Motivasi Klien Dengan Kepatuhan Minum Obat Pada Penderita Hipertensi. Jurnal Keperawatan Widya Gantari Indonesia, 7(1), 79–86. https://doi.org/10.52020/jkwgi.v7i1.5568
Mamaghani, E. A., Hasanpoor, E., Maghsoodi, E., & Soleimani, F. (2020). Barriers to Medication Adherence among Hypertensive Patients in Deprived Rural Areas. Ethiopian Journal of Health Sciences, 30(1), 85–94. https://doi.org/10.4314/ejhs.v30i1.11
Musinguzi, G., Anthierens, S., Nuwaha, F., Van Geertruyden, J. P., Wanyenze, R. K., & Bastiaens, H. (2018). Factors Influencing Compliance and Health Seeking Behaviour for Hypertension in Mukono and Buikwe in Uganda: A Qualitative Study. International Journal of Hypertension, 2018. https://doi.org/10.1155/2018/8307591
Myers, S. L., Siegel, E. O., Hyson, D. A., & Bidwell, J. T. (2020). A qualitative study exploring the perceptions and motivations of patients with heart failure who transitioned from non-adherence to adherence. Heart & Lung, 49(6), 817–823. https://doi.org/10.1016/j.hrtlng.2020.09.010
Noreen, N., Bashir, F., Khan, A. W., Safi, M. M., Lashari, W. A., & Hering, D. (2023). Determinants of Adherence to Antihypertension Medications Among Patients at a Tertiary Care Hospital in Islamabad, Pakistan, 2019. Preventing Chronic Disease, 20(E42), 1–14. https://doi.org/10.5888/PCD20.220231
Pal, B., Dutta, A., Chaudhary, V., Kumari, S., Meenakshi, S., & Murti, K. (2024). Prevalence of antihypertensive medication adherence and associated factors in India: A systematic review and meta-analysis. Hipertensión y Riesgo Vascular. https://doi.org/10.1016/j.hipert.2024.11.005
Prasetya, S. A., Irawan, A., & Rahman, S. (2023). Hubungan Motivasi Terhadap Kepatuhan Pengobatan Pada Penderita Diabetes Melitus Tipe II. Journal of Nursing Invention, 4(1), 15–24. https://doi.org/10.33859/jni.v4i1.294
Purnamasari, E. F., & Meutia, R. (2023). Hubungan Sikap Dan Motivasi Terhadap Kepatuhan Minum Obat Pada Pasien Penderita Hipertensi Di Rumah Sakit Advent Medan. Jambura Journal of Health Sciences and Research, 5(2), 541–549. https://doi.org/10.35971/jjhsr.v5i2.18581
Riani, D. A., Ikawati, Z., & Kristina, S. A. (2017). Validasi 8-Item Morisky Medication Adhrence Scale pada Pasien Hipertensi Dewasa di Puskesmas Kabupaten Sleman dan Kota Yogyakarta. Universitas Gadjah Mada.
Ristiani, K., Zega, N., Sunusi, F., & Pakpahan, M. (2023). Factors affecting hypertension treatment compliance in Cirebon. Enfermería Clínica, 33(1), S7–S11. https://doi.org/10.1016/j.enfcli.2023.01.002
Rivai, A., Budiono, N. D. P., & Si’umiyati. (2020). Relationship of Compliance with Medication With hypertension. Journal of Public Health Science Research, 1(2), 01–08. https://doi.org/10.30587/jphsr.v1i2.2229
Rosendo-Silva, B., Ortigosa-Ferreira, A. C., Prazeres, F., Caramelo, F., Santiago, L. M., & Rosendo, I. (2023). Systematic review of motivational interventions to improve adherence to medication in patients with hypertension and meta-analysis. Hipertensión y Riesgo Vascular, 40(4), 174–196. https://doi.org/10.1016/j.hipert.2023.04.003
Ryan, R. M., & Deci, E. L. (2000). Intrinsic and Extrinsic Motivations: Classic Definitions and New Directions. Contemporary Educational Psychology, 25(1), 54–67. https://doi.org/10.1006/ceps.1999.1020
Silveira, L. C. J., Aliti, G. B., Da Silva, E. M., Pimentel, R. P., Gus, M., & Rabelo-Silva, E. R. (2019). Effect of motivational interviewing in hypertensive patients (MIdNIgHT): study protocol for a randomized controlled trial. Trials, 20, 414. https://doi.org/10.1186/s13063-019-3486-1
Suling, C. I. S., Gaghauna, E. E. M., & Santoso, B. R. (2023). Motivasi Pasien Hipertensi Berhubungan Dengan Kepatuhan Minum Obat. Jurnal Keperawatan, 15(3), 1289–1298.
WHO. (2003). ADHERENCE TO LONG-TERM THERAPIES: Evidence for action World. Geneva: World Health Organization. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/42682/9241545992.pdf?sequence=1&isAllowed=y
WHO. (2023). Global report on hypertension the race against a silent killer. In World Health Organization. Geneva.
Yoshida, T., Otaka, Y., Osu, R., Kumagai, M., Kitamura, S., & Yaeda, J. (2021). Motivation for Rehabilitation in Patients With Subacute Stroke: A Qualitative Study. Frontiers in Rehabilitation Sciences, 2, 664758. https://doi.org/10.3389/fresc.2021.664758
Zhang, Y., Li, X., Mao, L., Zhang, M., Li, K., Zheng, Y., … Jing, M. (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, 803–812. https://doi.org/10.2147/PPA.S158662
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