Hubungan Tingkat Pengetahuan dan Kepatuhan Setelah Pemberian Brief Counseling Terhadap Luaran Klinik Pasien Hipertensi

https://doi.org/10.22146/jmpf.75628

Monia Agni Wiyatami(1), Nanang Munif Yasin(2*), Ika Puspita Sari(3)

(1) Magister Farmasi Klinik, Fakultas Farmasi, Universitas Gadjah Mada, Yogyakarta
(2) Fakultas Farmasi, Universitas Gadjah Mada, Yogyakarta
(3) Fakultas Farmasi, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Uncontrolled hypertension is a major health problem in society, so that a good knowledge and adherence are needed to achieve controlling of blood pressure targets. This study aimed to determine correlation between knowledge level and adherence after provided brief counseling by pharmacist to clinical outcomes of prolanis hypertension patients. The study design was a quasi-experimental pretest and posttest with a control group. The form of intervention is brief counseling using poster and follow-up via whatsapp or telephone for hypertension patients who are prolanis participants that entered inclusion criteria with blood pressure > 140/90 mmHg. The study was carried out during September–December 2021 in 6 public health centers in Pangkalpinang city, such as 3 for intervention (kacang pedang, gerunggang, pasir putih) and 3 for control group (melintang, air itam, taman sari). The sample total was 90 peoples, consist of 46 intervention groups and 44 control groups. The data were collected by interviews using questionnaire of Hypertension Knowledge Level Scale (HK-LS) and Morisky Green Levine Scale (MGLS), the clinical outcomes using blood pressure data taken from medical records. Correlation between knowledge level and adherence to clinical outcomes have been analyzed using the Rank Spearman correlation test. The results showed that there was a correlation between changes the level of knowledge on systolic (p=<0,001; R value -0.374) and diastolic (p=0.001; R value -0.349) declines, and also there was a correlation between changes in adherence to systolic decline (p=0.046; R value of -0.211). However, there was no significant correlation between changes in adherence to diastolic decline (p=0.063). From this study it was concluded that there was a significant correlation between the level of knowledge and adherence after provided brief counseling by pharmacist to clinical outcomes of prolanis hypertension patients.


Keywords


brief counseling; hipertensi; kepatuhan; luaran klinik; tingkat pengetahuan

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References

  1. Padwal RS, Bienek A, McAlister FA, Campbell NRC. Epidemiology of Hypertension in Canada: An Update. Canadian Journal of Cardiology. 2016;32(5):687-694. doi:10.1016/j.cjca.2015.07.734
  2. World Health Organization. A global brief on hypertension : silent killer, global public health crisis: World Health Day 2013. World Health Organization. Published online 2013. Accessed June 30, 2021. https://apps.who.int/iris/handle/10665/79059
  3. BPJS Kesehatan. Panduan Praktis Prolanis (Program Pengelolaan Penyakit Kronis). BPJS Kesehatan; 2014.
  4. Prihandiwati E, Rahem A. Pengaruh Brief Counseling Terhadap Kepatuhan Minum Obat dan Kadar Gula Darah Pasien Diabetes Mellitus Tipe II di RSUD Ulin Banjarmasin. Jurnal Ilmiah Mahasiswa Universitas Surabaya. 2018;7:18.
  5. Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. US Department of Health and Human Services. Published online 2008:276.
  6. Carroll JK, Fiscella K, Cassells A, et al. Theoretical and Pragmatic Adaptation of the 5As Model to Patient-Centered Hypertension Counselling. Journal of Health Care for the Poor and Underserved. 2018;29(3):975-983. doi:10.1353/hpu.2018.0073
  7. Vallis M, Piccinini–Vallis H, Sharma AM, Freedhoff Y. Modified 5 As. Can Fam Physician. 2013;59(1):27-31.
  8. Saputri ZG, Akrom A, Muhlis M, Muthoharoh A. Efek Konseling Menggunakan Brief Counseling 5A Modifikasi Disertai Pesan Motivasional Farmasis dalam Peningkatan Perilaku dan Outcome Klinik Pasien Diabetes Melitus dengan Hipertensi Rawat Jalan di RSUD Panembahan Senopati, Bantul. ijcp. 2019;8(1). doi:10.15416/ijcp.2019.8.1.31
  9. Aryzki S, Alfian R. Pengaruh Brief Counseling Terhadap Aktifitas Fisik pada Pasien Hipertensi Di RSUD Dr. H. Moch Ansari Saleh Banjarmasin. JSainsFarKlin. 2016;3(1):84. doi:10.29208/jsfk.2016.3.1.104
  10. Shahina PT a, Revikumar KG a, Krishnan R b, Jaleel VA b, Shini VK a. The impact of pharmacist interventions on quality of life in patients with hypertension. International Journal of Pharmaceutical Sciences Review and Research. 2010;5:172-176.
  11. Saputri ZG, Akrom A, Darmawan E. Counseling and motivational short text messages increase adherence and behavioral changes in patient with hypertension. JKKI. 2016;7(3):87-94. doi:10.20885/JKKI.Vol7.Iss3.art3
  12. Ernawati I, Fandinata SS, Nisa S. Translation and Validation of the Indonesian Version of the Hypertension Knowledge-level Scale. Open Access Maced J Med Sci. 2020;8(E):630-637. doi:10.3889/oamjms.2020.5152
  13. Morisky DE, Green LW, Levine DM. Concurrent and Predictive Validity of a Self-reported Measure of Medication Adherence: Medical Care. 1986;24(1):67-74. doi:10.1097/00005650-198601000-00007
  14. Ernawati I, Islamiyah WR. Uji Validitas dan Reliabilitas Kuesioner Kepatuhan MGLS (Morisky Green Levine Adherence Scale) Versi Bahasa Indonesia Terhadap Pasien Epilepsi. JIIS. 2019;4(2):305-313. doi:10.36387/jiis.v4i2.330
  15. Majnarić L, Martinović I, Šabanović Š, Rudan S, Babič F, Wittlinger T. The Effect of Hypertension Duration and the Age of Onset on CV Risk Factors Expression in Perimenopausal Women. International Journal of Hypertension. 2019;2019:1-9. doi:10.1155/2019/9848125
  16. Yanes LL, Reckelhoff JF. Postmenopausal Hypertension. Am J Hypertens. 2011;24(7):10.1038/ajh.2011.71. doi:10.1038/ajh.2011.71
  17. Iriawan J, Shabrina GN, Taufan A, Zulqarnain MA. Quality of Life Level Description of Elderly Patients with Hypertension Using Instruments WHOQOL-BREF. In: Atlantis Press; 2021:187-192. doi:10.2991/ahsr.k.210723.045
  18. Kemenkes RI. Laporan Nasional RISKESDAS 2018. Badan Penelitian dan Pengembangan Kesehatan
  19. Vasan RS, Beiser A, Seshadri S, et al. Residual Lifetime Risk for Developing Hypertension in Middle-aged Women and MenThe Framingham Heart Study. JAMA. 2002;287(8):1003-1010. doi:10.1001/jama.287.8.1003
  20. Rahman F, Muthaiah N, Prasanth B K, Kumaramanickavel G. Correlation Study of Demographic Variables and its Association with Blood Pressure Control. Biomed Pharmacol J. 2020;13(1):233-236. doi:10.13005/bpj/1880
  21. Maulidina F. Faktor-Faktor yang Berhubungan dengan Kejadian Hipertensi di Wilayah Kerja Puskesmas Jati Luhur Bekasi Tahun 2018. arkesmas. 2019;4(1):149-155. doi:10.22236/arkesmas.v4i1.3141
  22. Dun Q, Xu W, Fu M, et al. Physical Activity, Obesity, and Hypertension among Adults in a Rapidly Urbanised City. International Journal of Hypertension. 2021;2021:e9982562. doi:10.1155/2021/9982562
  23. Pinckard K, Baskin KK, Stanford KI. Effects of Exercise to Improve Cardiovascular Health. Front Cardiovasc Med. 2019;6:69. doi:10.3389/fcvm.2019.00069
  24. Aryzki S, Akrom A. Pengaruh Brief Counseling Terhadap Konsumsi Lemak Pada Pasien Hipertensi di RSUD dr. H. Moch Ansari Saleh Banjarmasin. J Sains Farm Klin. 2018;5(1):33. doi:10.25077/jsfk.5.1.33-40.2018
  25. James PA, Oparil S, Carter BL, et al. 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). JAMA. 2014;311(5):507. doi:10.1001/jama.2013.284427
  26. Mara DS, Sari YO, Suhatri S. Hubungan Pengetahuan dengan Clinical Outcome Pasien Hipertensi di Poli Penyakit Dalam RSUP DR. M. Djamil Padang. J Sains Farm Klin. 2019;6(2):134. doi:10.25077/jsfk.6.2.134-140.2019
  27. Wulansari J, Ichsan B, Usdiana D. Hubungan Pengetahuan Tentang Hipertensi Dengan Pengendalian Tekanan Darah Pada Pasien Hipertensi di Poliklinik Penyakit Dalam RSUD Dr.Moewardi Surakarta. Biomedika. 2013;5(1). doi:10.23917/biomedika.v5i1.271
  28. Paczkowska A, Hoffmann K, Kus K, et al. Impact of patient knowledge on hypertension treatment adherence and efficacy: A single-centre study in Poland. Int J Med Sci. 2021;18(3):852-860. doi:10.7150/ijms.48139
  29. Mulyasih AB, Djoko W, Pramantara IDP. Pengaruh Konseling Apoteker Terhadap Hasil Terapi Pasien Hipertensi di Poliklinik Penyakit Dalam RSUD Kraton Kabupaten Pekalongan. Farmasains. 2011;1(4). doi:10.22219/far.v2i1.1153
  30. Wiyatami, M.A, 2022, Pengaruh Edukasi Oleh Apoteker Menggunakan Metode Brief Counseling Terhadap Tingkat Pengetahuan, Kepatuhan, Dan Luaran Klinik Pada Pasien Hipertensi Di Puskesmas Di Kota Pangkalpinang , Tesis, Fakultas Farmasi UGM



DOI: https://doi.org/10.22146/jmpf.75628

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