The Relationship between Medication Possession Ratio Method and Medication Adherence of Hypertension Patients at Sugio Health Center: Hubungan Metode MPR (Medication Possesion Ratio) Terhadap Kepatuhan Minum Obat Pasien Hipertensi di Puskesmas Sugio

Zahrotul Wardah; Irma Susanti; Riana Prastiwi  Handayani

doi:10.53342/pharmasci.v10i1.490

Authors

Zahrotul Wardah Universitas Muhammadiyah Lamongan
Irma Susanti Universitas Muhammadiyah Lamongan
Riana Prastiwi Handayani Universitas Muhammadiyah Lamongan

DOI:

https://doi.org/10.53342/pharmasci.v10i1.490

Keywords:

Adherence,, ARMS, , Hypertension, , MPR ,

Abstract

Adherence to antihypertension drug consumption drugs is one of the determining factors in controlling blood pressure. Good adherence to therapy can gradually influence blood pressure and prevent complications. This study aims to investigate the relationship between the MPR (Medication Possession Rasio) method and medication adherence in hypertension patients. The current research used descriptive method whit a cross sectional approach. The data were collected prospectively with purposive sampling. The results of the study obtained 154 samples of hypertension patients with or without comorbidities aged ?17 years. The results obtained 134 patients (87.0%) in the adherent category, and 20 patients (13.0%) who were not adherent to redeeming prescription. The results indicated that 147 patients (95.5%) had moderate adherence, 4 patients (2.6%) had high adherence, and 3 patients (1.9%) were in the low adherence category. The results of the test of the relationship between the MPR method and adherence to taking medication can be concluded that the p value = 0.017, so there is a significant relationship between the MPR method and adherence to taking medication with the ARMS (Adherence of Reffil Medication Scale) questionnaire. Even though there is a relationship, the level of relationship is very low because at the level of medication compliance, the majority of hypertension patients are in the moderate compliance category due to the age of the patient who experiences difficulties when filling out the questionnaire and the high risk of manipulation by the patient by choosing good answers.

References

James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., et al (2014a). 2014 Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). In JAMA (Vol. 311, Issue 5, pp. 507–520). American Medical Association. https://doi.org/10.1001/jama.2013.284427

Maulidah, K., Neni, N., Maywati, S., Kesehatan, J., Fakultas, M., Kesehatan, I., et al. (2022). Hubungan Pengetahuan, Sikap Dan Dukungan Keluarga Dengan Upaya Pengendalian Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Cikampek Kabupaten Karawang. In Jurnal Kesehatan komunitas Indonesia (Vol. 18).

Mohammed Nawi, A., Mohammad, Z., Jetly, K., Abd Razak, M. A., Ramli, N. S., Wan Ibadullah, W. A. H., et al. (2021). The Prevalence and Risk Factors of Hypertension among the Urban Population in Southeast Asian Countries: A Systematic Review and Meta-Analysis. In International Journal of Hypertension (Vol. 2021). Hindawi Limited. https://doi.org/10.1155/2021/6657003

Riskesdas. (2018). Hasil Utama Riset Kesehata Dasar (RISKESDAS). https://doi.org/10.1088/1751-8113/44/8/085201

Dinas Kesehatan Kabupaten Lamongan. Profil Kesehatan Lamongan. Tahun (2021)

Yannas, A. F., Bangkalan, H., Fitriyani, Y., & Chandraini, I. S. (2022.). Indonesian Journal Pharmaceutical and Herbal Medicine (IJPHM) Tingkat Kepatuhan Minum Obat Anti Hipertensi Di Apotek Sejahtera Medika.

Kepatuhan Minum Obat Hipertensi Pada Lansia. Sam Ratulangi Journal of Public Health, 2(2).

Ningsih, R., & Melinda, S. (2019). Identifikasi Hipertensi Dengan Resiko Kejadian Stroke. Jurnal Kesehatan, 169. https://doi.org/10.35730/jk.v0i0.443

Ningtyas, A. I. F., Iswatun, & Umam, K. (2019). Gambaran Kepatuhan Minum Obat pada Pasien Hipertensi di Puskesmas Lamongan. Universitas Airlangga.

Hazwan, A. (2017). Gambaran Karakteristik Penderita Hipertensi dan Tingkat Kepatuhan Minum Obat di Wilayah Kerja Puskesmas Kintamani I. (2017). https://doi.org/10.1556/ism.v8i2.127

Laili, N., Aini, E. N., & Rahmayanti, P. (2023). Hubungan Model Kepercayaan Kesehatan (Health Belief Model) dengan Kepatuhan Minum Obat pada Pasien Hipertensi. Jurnal Kesehatan Holistic, 7(2), 1–13. https://doi.org/10.33377/jkh.v7i2.157

Anghel, L. A., Farcas, A. M., & Oprean, R. N. (2019a). An overview of the common methods used to measure treatment adherence. Medicine and Pharmacy Reports, 92(2), 117–122. https://doi.org/10.15386/mpr-1201

Walidah, Ziyana (2017). Pengaruh Pemberian Edukasi Terhadap Pengetahuan dan Sikap Pasien Hipertensi di Puskesmas Sutojayan Kabupaten Blitar.

Amanda, D., & Martini, S. (2018). Karakteristik, H., Obesitas, D., Dengan, S., Hipertensi, K., The Relationship between The Demographical Characteristic and Central Obesity with Hypertension. 6, 43–50. https://doi.org/10.20473/jbe.v6i1.2018

Listiana, D., Effendi, S., & Saputra, Y. E. (2020). Faktor-faktor Yang Berhubungan Dengan Kepatuhan Penderita Hipertensi Dalam Menjalani Pengobatan di Puskesmas Karang Dapo Kabupaten Muratara Factors WHO Associated With Obedience Of Hypertension Patient On Doing Treatment In Karang Dapo Primary Helat Care Muratara District. In JNPH (Vol. 8, Issue 1).

Kusumawaty, J., Hidayat, N., & Ginanjar, E. (2016). Hubungan Jenis Kelamin dengan Intensitas Hipertensi.

Musfirah, Masriadi (2019). Analisis Faktor Resiko Kejadian Hipertensi di Wilayah Kerja Puskesmas Takalala Kecamatan Marioriwawo Kabupaten Soppeng.

Lestari, Y. I., & Nugroho, S. (2019). Hubungan Tingkat Ekonomi dan Jenis Pekerjaan dengan Kejadian Hipertensi di Wilayah Kerja Puskesmas Palaran Tahun 2019.

N. Syamsiyah. (2017). Berdamai dengan Diabetes. Bumi Medika

Wells, B. G., DiPiro, J. T., Schwinghammer, T. L., & DiPiro, C. V. (2020). Pharmacotherapy Handbook: Ninth Edition.

Ainurrafiq, A., Risnah, R., & Ulfa Azhar, M. (2019). Terapi Non Farmakologi dalam Pengendalian Tekanan Darah Pada Pasien Hipertensi: Systematic Review. MPPKI (Media Publikasi Promosi Kesehatan Indonesia): The Indonesian Journal of Health https://doi.org/10.31934/mppki.v2i3.806

PERKENI i Penerbit PB. PERKENI. (2021). Endokrinologi Indonesia Pedoman Pengelolaan Dan Pencegahan Diabetes Melitus Tipe 2.

Bidang, J., Kesehatan, I., Devianti, A., Hilmi, I. L., Marsah, D., & Utami, R. (2022). Analisis Interaksi Obat Pada Peresepan Obat Hipertensi dan Diabetes Melitus di Puskesmas Kabupaten Karawang Periode Januari-Juni 2021 (Vol. 12, Issue 4). http://ejournal.urindo.ac.id/index.php/kesehatan

Mokolomban, C., Wiyono, W. I., & Mpila, D. A. (2018). Kepatuhan Minum Obat Pada Pasien Diabetes Melitus Tipe 2 Disertai Hipertensi Dengan Menggunakan Metode MMAS-8. In Pharmacon Jurnal Ilmiah Farmasi-UNSRAT (Vol. 7, Issue 4). https://doi.org/10.1155/2021/6657003

Pan, J., Wu, L., Wang, H., Lei, T., Hu, B., Xue, X., et al. (2019). Determinants of hypertension treatment adherence among a Chinese population using the therapeutic adherence scale for hypertensive patients. Medicine (United States), 98(27). https://doi.org/10.1097/MD.0000000000016116

Tania, T., Yunivita, V., & Afiatin. (2019). Adherence to Antihypertensive Medication in Patients with Hypertension in Indonesia. International Journal of Integrated Health Sciences, 7(2), 74–80. https://doi.org/10.15850/ijihs.v7n2.1588

Ariyani, H., Hartanto, D., & Lestari, A. (2018). Kepatuhan Pasien Hipertensi Setelah Pemberian Pill Card di RS X Banjarmasin (Adherence Of Hypertensive Patients After Giving Pill Card In Hospital X Banjarmasin) (Vol. 1, Issue 2). Maret.

Burnier, M., & Egan, B. M. (2019a). 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

William H Polonsky. (2016). Undertanding and Assesing Diabetes Spesific of Life. University of California, San Diego.

Anwar, K., & Masnina, R. (2019). Hubungan Kepatuhan Minum Obat Antihipertensi denganTekanan Darah Pada Lansia Penderita Hipertensi di Wilayah Kerja Puskesmas Air Putih Samarinda.

Ningrum, I. R. (2018) ‘Hubungan dukungan keluarga dan tingkat pengetahuan dengan kualitas hidup pasien DM tipe 2 di puskesmas Nogosari Boyolali’

Srikartika, V. M., Dwi Cahya, A., Suci, R., Hardiati, W., Mangkurat, L., Selatan, K., Manajemen, J., Farmasi, P. Banjarbaru Blud-Rs. (2016). Analisis Faktor yang Memengaruhi Kepatuhan Penggunaan Obat Paisen Diabetes Melitus Tipe 2 The Analisis of The Factors Affecting Medication Adherence in Patient with Type 2 Diabetes Melitus.

Asseggaf, S. N. Y. R. S., Ulfah, R., Kunci, K., Hipertensi : Antihipertensi, O., & Pasien, K. T. (2022). Analisa Kepatuhan Minum Obat Antihipertensi pada Pasien Peserta Posyandu Lansia Kartini Surya Khatulistiwa Pontianak. Jurnal Pharmascience, 9(1), 48–59. https://ppjp.ulm.ac.id/journal/index.php/pharmascience

Fares, H., Dinicolantonio, J. J., O’keefe, J. H., & Lavie, C. J. (2016). Amlodipine in hypertension: a first-line agent with efficacy for improving blood pressure and patient outcomes. https://doi.org/10.1136/openhrt-2016

Bergler-Klein, J. (2019). What’s new in the ESC 2018 guidelines for arterial hypertension: The ten most important messages. In Wiener Klinische Wochenschrift (Vol. 131, Issues 7–8, pp. 180–185). Springer-Verlag Wien. https://doi.org/10.1007/s00508-018-1435-8.

Apt. Dedi Hartanto, M.Sc , Apt. Herda Ariyani, M.Farm , Yusuf Al Arief, M.Hum , Apt. Riza Alfian, M.Sc (2022). Unspecified Adaptasi dan Validasi Instrumen Adherence to Refills and Medication Scale (ARMS) Versi Indonesia Pada Penderita Hipertensi http://eprints.umbjm.ac.id/id/eprint/2102