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Padjadjaran of Nursing Journal

Original

Vol. 12 No. 2 (2024): Jurnal Keperawatan Padjadjaran

Perceived benefit is the strongest determinant factor of medication adherence in the elderly with hypertension

DOI
https://doi.org/10.24198/jkp.v12i2.2384
Submitted
September 21, 2023
Published
2024-08-27

Abstract

Background: The level of medication adherence among the elderly with hypertension is decreasing globally, including in Indonesia. Medication adherence is a major factor in treatment effectiveness for hypertensive patients. The Health Belief Model is one of the theories illustrating factors influencing patients’ medication adherence. Purpose: This study aimed to analyze determinant factors of medication adherence among the elderly with hypertension based on the application of the health belief model. Methods: This is a descriptive-analytic study with a cross-sectional approach. Sampling used a proportional stratified random sampling technique involving 193 patients with hypertension recruited from one of the Regional General Hospitals in Denpasar City Center. Data were obtained using three questionnaires, namely demographic characteristics, the health belief model (HBM), and the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using binary logistic regression. Results: The research results showed the majority of respondents (62.7%) were compliant in taking medication. Multivariate test results showed that perceived susceptibility (p <0.001; AOR: 5.163), perceived benefits (p <0.001; AOR: 12.061), self-efficacy (p <0.001; AOR: 3.213), perceived barriers (p <0.001; AOR: 0.133) and cues to action (p <0.001; AOR: 3.480) is related to medication adherence in the elderly with hypertension. Conclusions: Perceived benefit is the strongest determining factor of medication adherence among the elderly with hypertension. Respondents with high belief in perceived benefits tend to adhere to medication 12.061 times compared to respondents with low belief in perceived benefits. Health workers are advised to increase the elderly's belief in the perceived benefits and perceived susceptibility to increase their medication adherence.

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References

  1. Amin, M. S. (2018). Perbedaan struktur otak dan perilaku belajar antara pria dan wanita; eksplanasi dalam sudut pandang neuro sains dan filsafat. Jurnal Filsafat Indonesia, 1(1), 38. https://doi.org/10.23887/jfi.v1i1.13973
  2. Amry, R. Y., Hikmawati, A. N., & Rahayu, B. A. (2021). Teori health belief model digunakan sebagai analisa kepatuhan minum obat pada penderita hipertensi. Jurnal Keperawatan, 13(1), 25–34. http://journal.stikeskendal.ac.id/index.php/Keperawatan
  3. Arindari, D. R., & Suswitha, D. (2020). Health belief model factors to medication adherence among hypertensive patients in punti layu public health center Palembang, Indonesia. Jurnal Keperawatan, 11(1), 26. https://doi.org/10.22219/jk.v11i1.10483
  4. Asseggaf, S. N. Y. R. S., & Ulfah, R. (2022). Analisa kepatuhan minum obat antihipertensi pada pasien peserta posyandu lansia kartini surya khatulistiwa pontianak. Jurnal Pharmascience, 9(1), 48. https://doi.org/10.20527/jps.v9i1.11870
  5. BPS. (2021). Persentase Penduduk yang Memiliki Jaminan Kesehatan Menurut Provinsi dan Jenis Jaminan, 2021. BPS (Badan Pusat Statisti). https://www.bps.go.id/indikator/indikator/view_data_pub/0000/api_pub/UUROM3lMeGsxZ0czT2xFeEJsK0VWZz09/da_04/1
  6. Burnier, M. (2017). Drug adherence in hypertension. Pharmacological Research, 125, 142–149. https://doi.org/10.1016/j.phrs.2017.08.015
  7. Bursac, Z., Gauss, C. H., Williams, D. K., & Hosmer, D. W. (2008). Purposeful selection of variables in logistic regression. Source Code for Biology and Medicine, 3, 1–8. https://doi.org/10.1186/1751-0473-3-17
  8. Chasanah, N., & Supratman, S. (2018). Hubungan kualitas tidur dengan kualitas hidup pada lansia di Surakarta. Jurnal Berita Ilmu Keperawatan, 11(1), 10–18. https://doi.org/10.23917/bik.v11i1.10586
  9. Fitriananci, D., Suryani, L., & Obat, K. M. (2022). Analsisis kepatuhan minum obat pada lansia hipertensi di puskesmas pengandonan kota pagar alam. 5(1). https://doi.org/10.32524/jksp.v5i1.396
  10. G/Tsadik, D., Berhane, Y., & Worku, A. (2020). Adherence to antihypertensive treatment and associated factors in Central Ethiopia. International Journal of Hypertension, 2020, 1–10. https://doi.org/10.1155/2020/9540810
  11. Geneva, & Switzerland. (2021). Number of people living with hypertension has doubled to 1.28 billion since 1990. World Health Organization. https://www.who.int/news/item/25-08-2021-more-than-700-million-people-with-untreated-hypertension
  12. Harmili, H., & Huriah, T. (2019). Faktor yang berhubungan dengan kepatuhan pengobatan hipertensi pada lansia: a literature review. Journals of Ners Community, 10(1), 115–131. https://doi.org/https://doi.org/10.55129/jnerscommunity.v10i1.849
  13. Hastuti, A. P., & Mufarokhah, H. (2019). Pengaruh ealth coaching berbasis Teori Health Belief Model terhadap tekanan darah pada lansia dengan hipertensi. Journal of Islamic Medicine, 3(2), 1–8. https://doi.org/10.18860/jim.v3i2.8238
  14. Joho, A. A. (2021). Using the health belief model to explain the patient’s compliance to anti-hypertensive treatment in three district hospitals - Dar Es Salaam, Tanzania: a cross section study. East African Health Research Journal, 5(1), 50–58. https://doi.org/10.24248/eahrj.v5i1.651
  15. Kamaryati, N. P., Satriani, N. L. A., & Lasiyani, N. L. (2019). Relationships between fatigue, general health perception, social support, and quality of life in patients with cancer undergoing chemotherapy. “Healthcare Innovation for Optimal Health” July 12-14, 2019, Bali, Indonesia, 1.
  16. Kemenkes RI. (2019). Hipertensi Si Pembunuh Senyap. Kementrian Kesehatan RI, 1–5. https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-hipertensi-si-pembunuh-senyap.pdf
  17. Krisnandari D, A. A. I. W., & Rahyanti, N. M. S. (2022). Hubungan pengetahuan dengan kemampuan perawat dalam memberikan perawatan paliatif. Jurnal Keperawatan Sriwijaya, 9(2), 46–53. https://doi.org/10.32539/jks.v9i2.157
  18. Liberty, I. A., Pariyana, P., Roflin, E., & Waris, L. (2018). Determinan kepatuhan berobat pasien hipertensi pada fasilitas kesehatan tingkat I. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 1(1), 58–65. https://doi.org/10.22435/jpppk.v1i1.428
  19. National Institutes of Health. (2012). Theory at a Glance A guide For Health Promotion Practice. In National Cancer Institute.
  20. Notoatmodjo, S. (2010a). Promosi Kesehatan dan Ilmu Perilaku. Rineka Cipta.
  21. Notoatmodjo, S. (2010b). Promosi Kesehatan Teori dan Aplikasinya. PT Rineka Cipta.
  22. Obirikorang, Y., Obirikorang, C., Acheampong, E., Odame Anto, E., Gyamfi, D., Philip Segbefia, S., Opoku Boateng, M., Pascal Dapilla, D., Brenya, P. K., Amankwaa, B., Adu, E. A., Nsenbah Batu, E., Gyimah Akwasi, A., & Amoah, B. (2018). Predictors of noncompliance to antihypertensive therapy among hypertensive patients ghana: application of health belief model. International Journal of Hypertension, 2018. https://doi.org/10.1155/2018/4701097
  23. Onoruoiza, S. I., Musa, A., Umar, B. D., & Kunle, Y. S. (2015). Using health belief model as an intervention to non compliance with hypertension information among hypertensive patient. international organization of scientific research. Journal of Humanities and Social Science, 20(9), 11–16. https://doi.org/10.9790/0837-20951116
  24. Poormuhamad, S., & Jalili, Z. (2017). Related factors to self-care behaviors in elderly with hypertension based on the health belief model in Uremia County. Journal of Gerontology, 2(1), 41–50. https://doi.org/10.29252/joge.2.1.41
  25. Raingruber, B. (2014). Contemporary Health Promotion in Nursing Practice (2nd ed.). Jones & Bartlett Learning.
  26. Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the Health Belief Model. Health Education & Behavior, 15(2), 175–183. https://doi.org/10.1177/109019818801500203
  27. Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1994). The Health Belief Model and HIV Risk Behavior Change (pp. 5–24). https://doi.org/10.1007/978-1-4899-1193-3_2
  28. Rusmadi, N., Pristianty, L., & Zairina, E. (2021). Validitas dan reliabilitas kuesioner kepatuhan p pengobatan pasien lansia dengan hipertensi berdasarkan teori health belief model. Jurnal Sains Farmasi & Klinis, 8(1), 60. https://doi.org/10.25077/jsfk.8.1.60-68.2021
  29. Said, R. (2022). Analisis yang memengaruhi kepatuhan minum obat hipertensi pada alnsia di Puskesmas Padongko Kabupaten Barru. Jurnal Kesehatan Bina Generasi, 2(13). https://ejurnal.biges.ac.id/index.php/kesehatan/
  30. Sekunda, M. S., Tokan, P. K., & Owa, K. (2021). Hubungan faktor predisposisi dengan kepatuhan pengobatan bagi penderita hipertensi. JKP (Jurnal Kesehatan Primer), 6(1), 43–51. https://jurnal.poltekeskupang.ac.id/index.php/jkp/article/view/532
  31. Shen, Z., Shi, S., Ding, S., & Zhong, Z. (2020). Mediating effect of self-efficacy on the relationship between medication literacy and medication adherence among patients with hypertension. Frontiers in Pharmacology, 11. https://doi.org/10.3389/fphar.2020.569092
  32. Sinuraya, R. K., Destiani, D. P., Puspitasari, I. M., & Diantini, A. (2018). Medication adherence among hypertensive patients in primary healthcare in Bandung City. Indonesian Journal of Clinical Pharmacy, 7(2), 124–133. https://doi.org/10.15416/ijcp.2018.7.2.124
  33. Soesanto, E. (2022). Persepsi lanjut usia dalam upaya perawatan penyakit hipertensi. The Indonesian Journal of Health Science, 14(1), 92–102. https://doi.org/10.32528/ijhs.v14i1.7939
  34. Suhat, Suwandono, A., Adi, M. S., Nugroho, H., & Widjanarko, B. (2022). Relationship between health belief model and the medical adherence and risk factors prevention of hypertension patients in Cimahi City Indonesia. Evidence Base Care. https://doi.org/10.22038/EBCJ.2022.64141.2664
  35. Sutrisno, S., Widayati, C. N., & Radate, R. (2018). Hubungan tingkat pendidikan dan sikap terhadap perilaku pengendalian hipertensi pada lansia di Desa Jono Kecamatan Tawangharjo Kabupaten Grobogan. The Shine Cahaya Dunia Ners, 3(2). https://doi.org/10.35720/tscners.v3i2.121
  36. Suyasa, I. G. P. D., & Sutini, N. K. (2021). Research priority of gerontic nursing in Indonesia: findings from a delphi study. Jurnal Keperawatan Padjadjaran, 9(1), 18–28. https://doi.org/10.24198/jkp.v9i1.1563
  37. Tambuwun, A. A., Kandou, G. D., Nelwan, J. E., Kesehatan, F., Universitas, M., & Ratulangi, S. (2021). Hubungan karakteristik individu dengan kepatuhan berobat pada penderita hipertensi di Puskesmas Wori Kabupaten Minahasa Utara. Kesmas, 10(4), 112–121.
  38. Valassi, J. M. R., Junior, N. C., Shirassu, M. M., de Paula, K. E., Atkinson, E. R., & Koike, M. K. (2019). Factors associated with medication adherence in elderly retired outpatients in São Paulo, Brazil. Patient Preference and Adherence, 13, 1619–1628. https://doi.org/10.2147/PPA.S208026
  39. Yanti, D. E., Perdana, A. A., & Rina, N. O. (2020). Health belief model: selfcare penderita hipertensi di wilayah kerja UPT Puskesmas Kalirejo Kabupaten Pesawaran. Jurnal Dunia Kesmas, 9(2), 192–205. https://doi.org/10.33024/jdk.v9i2.2956
  40. Yue, Z., Li, C., Weilin, Q., & Bin, W. (2015). Application of the health belief model to improve the understanding of antihypertensive medication adherence among Chinese patients. Patient Education and Counseling, 98(5), 669–673. https://doi.org/10.1016/j.pec.2015.02.007
  41. Zangiabadi, A., Shah Esmaili, A., Ahmady Tabatabaei, S. V., Movahed, E., & SHhankestani, H. (2022). Factors regarding adherence to medication in patients with hypertension based on health belief model in the South of Kerman, Iran, in 2019. Journal of Community Health Research. https://doi.org/10.18502/jchr.v11i2.9995