Knowledge about Hypertension and Its Relationship with Medication Adherence in the Hypertension Community
DOI:
https://doi.org/10.25311/keskom.Vol10.Iss1.1512Keywords:
adherence, hypertension, knowledgeAbstract
Non-adherence of hypertensive patients in the treatment of their disease has an impact on uncontrolled blood pressure which can worsen the patient's health status and even death. One important factor that must be considered in efforts to improve hypertension compliance is patient knowledge about the disease and the necessary management. This study aimed to determine the relationship between knowledge in supporting practice and compliance with hypertension sufferers in taking antihypertensive drugs. The research design used was cross-sectional descriptive analysis. The sample size for this study was 220 respondents who were recruited using purposive sampling techniques. Analysis of research data was carried out using the chi-square statistical test. A total of 51.8% of hypertensive patients had sufficient knowledge and 65.9% of hypertensive patients admitted that they were not compliant in taking the recommended medication. The value of the test results < α 0.05 (p= 0.000), which means that knowledge is significantly related to adherence to taking medication. Knowledge is the most important component that sufferers must have so that they can be actively involved in compliance practices. It is hoped that these findings can be used as material for consideration in formulating treatment interventions for people with hypertension about efforts to increase patient compliance in terms of taking anti-hypertensive medication.
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References
Zhou B, Carrillo-Larco RM, Danaei G, Riley LM, Paciorek CJ, Stevens GA, et al. Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. Lancet [Internet]. 2021 Sep;398(10304):957–80. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673621013301
Singh S, Shankar R, Singh GP. Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. Int J Hypertens [Internet]. 2017;2017:5491838. Available from: https://www.hindawi.com/journals/ijhy/2017/5491838/
Neiman AB, Ruppar T, Ho ; Michael, Garber L, Paul ;, Weidle J, et al. Morbidity and Mortality Weekly Report CDC Grand Rounds: Improving Medication Adherence for Chronic Disease Management-Innovations and Opportunities Innovative Strategies to Improve Medication Adherence for Chronic Disease Management. Morb Mortal Wkly Rep [Internet]. 2017;66(45):1248–51. Available from: https://www.cdc.gov/mmwr/volumes/66/wr/pdfs/mm6645a2-H.PDF
Lee EKP, Poon P, Yip BHK, Bo Y, Zhu M, Yu C, et al. Global Burden, Regional Differences, Trends, and Health Consequences of Medication Nonadherence for Hypertension During 2010 to 2020: A Meta‐Analysis Involving 27 Million Patients. J Am Heart Assoc [Internet]. 2022 Sep 6;11(17):e026582. Available from: https://www.ahajournals.org/doi/10.1161/JAHA.122.026582
Abegaz TM, Shehab A, Gebreyohannes EA, Bhagavathula AS, Elnour AA. Nonadherence to antihypertensive drugs. Medicine (Baltimore) [Internet]. 2017 Jan;96(4):e5641. Available from: https://journals.lww.com/00005792-201701270-00009
Ebrahim Aliafsari Mamaghani, Edris Hasanpoor, Esmaiel Maghsoodi, Farzaneh Soleimani. Barriers to Medication Adherence among Hypertensive Patients in Deprived Rural Areas. Ethiop J Health Sci [Internet]. 2020 Jan 1;30(1):85–94. Available from: https://www.ajol.info/index.php/ejhs/article/view/195772
Adidja NM, Agbor VN, Aminde JA, Ngwasiri CA, Ngu KB, Aminde LN. Non-adherence to antihypertensive pharmacotherapy in Buea, Cameroon: a cross-sectional community-based study. BMC Cardiovasc Disord [Internet]. 2018 Dec 24;18(1):150. Available from: https://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-018-0888-z
Dzau VJ, Balatbat CA. Future of Hypertension. Hypertension [Internet]. 2019 Sep;74(3):450–7. Available from: https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.119.13437
Sumantra IG. The level of medication compliance of hypertension in adults and elderly patient. J Hypertens [Internet]. 2015 Jun;33(2):e43. Available from: https://journals.lww.com/00004872-201506002-00163
Wendl J, Simon A, Kistler M, Hapfelmeier J, Schneider A, Hapfelmeier A. Medication Adherence and Healthcare Costs in Chronically Ill Patients Using German Claims Data. Appl Health Econ Health Policy [Internet]. 2023 Mar 18;(0123456789). Available from: https://doi.org/10.1007/s40258-023-00797-6
Vrijens B, De Geest S, Hughes DA, Przemyslaw K, Demonceau J, Ruppar T, et al. A new taxonomy for describing and defining adherence to medications. Br J Clin Pharmacol [Internet]. 2012 May;73(5):691–705. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2125.2012.04167.x
Kementerian Kesehatan Republik Indonesia. Hasil utama riskesdas 2018 [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia Badan Penelitian dan Pengembangan Kesehatan; 2018. Available from: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Tan FCJH, Oka P, Dambha-Miller H, Tan NC. The association between self-efficacy and self-care in essential hypertension: a systematic review. BMC Fam Pract [Internet]. 2021 Feb 22;22(1):44. Available from: https://bmcfampract.biomedcentral.com/articles/10.1186/s12875-021-01391-2
Alaryani ZD, Alhofaian A, Elhady M. The relationship between knowledge and self-efficacy of nurses regarding early initiation of cardiopulmonary resuscitation and automated defibrillation in Saudi Arabia. Belitung Nurs J [Internet]. 2021 Sep 16;7(5):387–94. Available from: https://belitungraya.org/BRP/index.php/bnj/article/view/1670
Jankowska-Polańska B, Uchmanowicz I, Dudek K, Mazur G. Relationship between patients’ knowledge and medication adherence among patients with hypertension. Patient Prefer Adherence [Internet]. 2016 Dec;10:2437–47. Available from: https://www.dovepress.com/relationship-between-patientsrsquo-knowledge-and-medication-adherence--peer-reviewed-article-PPA
Murlina N, Devina C. The relationship between level of knowledge and medication compliance in hypertensive patients at sukaramai medan health center. Med Biomed J [Internet]. 2022;1(1):53–62. Available from: https://jurnal.umsu.ac.id/index.php/medicina/article/view/9068
Hasan M, Rita Amini Warastuti, Sarini Pani. Relationship of Knowledge with Compliance of Patients with Hypertension to the Use of Antihypertensive Medicines in Outstanding Installations RSUD MM Dunda, Gorontalo Regency. J Heal Technol Sci [Internet]. 2022 Mar 21;3(1):35–46. Available from: https://journals.ubmg.ac.id/index.php/JHTS/article/view/328
Ernawati I, Fandinata SS, Permatasari SN. Translation and validation of the Indonesian version of the hypertension knowledge-level scale. Open Access Maced J Med Sci [Internet]. 2020 Oct 16;8(B):630–7. Available from: https://oamjms.eu/index.php/mjms/article/view/7119
Riani DA, Ikawati Z, Kristina SA. Validasi 8-Item Morisky Medication Adhrence Scale pada Pasien Hipertensi Dewasa di Puskesmas Kabupaten Sleman dan Kota Yogyakarta. Universitas Gadjah Mada; 2017.
Wolde M, Azale T, Debalkie Demissie G, Addis B. Knowledge about hypertension and associated factors among patients with hypertension in public health facilities of Gondar city, Northwest Ethiopia: Ordinal logistic regression analysis. Akash MSH, editor. PLoS One [Internet]. 2022 Jun 17;17(6):e0270030. Available from: http://dx.doi.org/10.1371/journal.pone.0270030
Awwad O, Akour A, Al-Muhaissen S, Morisky D. The influence of patients’ knowledge on adherence to their chronic medications: a cross-sectional study in Jordan. Int J Clin Pharm [Internet]. 2015 Jun 24;37(3):504–10. Available from: http://dx.doi.org/10.1007/s11096-015-0086-3
Violita F, Thaha ILM, Dwinata I, Susanna D. Factors Associated with Medication Adherence of Patients with Hypertension in Segeri’s HealthCenter. KnE Life Sci [Internet]. 2018 May 17;4(4):173–80. Available from: https://knepublishing.com/index.php/Kne-Life/article/view/2275
Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension [Internet]. 2020 Jun;75(6):1334–57. Available from: https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.120.15026
Kim C, Do Y, Kim B, Lee K, Nah M, Kim U, et al. Clinical impact of medication adherence on 10‐year cardio‐cerebrovascular mortality in newly diagnosed hypertensive patients. J Clin Hypertens [Internet]. 2021 Sep 12;23(9):1695–702. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jch.14320
Kim S, Shin DW, Yun JM, Hwang Y, Park SK, Ko Y-J, et al. Medication Adherence and the Risk of Cardiovascular Mortality and Hospitalization Among Patients With Newly Prescribed Antihypertensive Medications. Hypertension [Internet]. 2016 Mar;67(3):506–12. Available from: https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.115.06731
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