The Effect of Pharmacist Education Using the Brief Counseling Method on Improving Medication Adherence in Hypertensive Patients
DOI:
https://doi.org/10.35451/va7q5c96Keywords:
Brief Counseling, Pharmacist Education, Adherence, Hypertensive PatientsAbstract
Background: The main problem in controlling hypertension is patients' low knowledge about the disease, complications, and the importance of adherence to long-term therapy. Objective: This study analyzes the effect of pharmacist education using brief counseling in improving the adherence of hypertensive patients. Methods: Quasi-experimental pretest and posttest with control group. The intervention took the form of brief counseling with leaflets using the 5A technique on hypertensive patients who met the inclusion criteria during July–October 2025. Compliance data were analyzed using the Wilcoxon test to determine the differences in the results of each group and the Mann-Whitney test to determine the differences between groups before and after the intervention. A total of 190 patients were followed up for one month, consisting of 96 control groups and 94 intervention groups. The intervention group was followed up in months 1 and 2 after the intervention. Results: The characteristics of respondents were dominated by women (86.8%), aged ≥65 years (36.8%), unemployed (62.1%), and high school education (45.2%). The results showed that in the intervention group there was an increase in compliance from 14.77 ± 3.817 to 24.67 ± 0.847 (p < 0.001). Meanwhile, in the control group, compliance increased from 15.31 ± 4.107 to 15.65 ± 4.063 (p = 0.083). Although compliance decreased in the first (24.64 ± 0.828) and second (24.61 ± 0.779) months of follow-up, there was no statistically significant difference from the posttest results. Conclusion: Education using brief counseling method can increase adhererence hypertension patients and effective in maintaining adherence for to two months.
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References
[1] World Health Organization (WHO), Global report on hypertension, vol. 01. 2023.
[2] N. F. Ikhlasia, I. Syafarina, and A. L. Latifah, “Prevalence of Hypertension in Indonesia: 2018 Basic Health Research,” J. Kesehat. Masy., vol. 20, no. 3, pp. 425–431, Mar. 2025, doi: 10.15294/kemas.v20i3.21685.
[3] A. Ainurrafiq, R. Risnah, and M. Ulfa Azhar, “Terapi Non Farmakologi dalam Pengendalian Tekanan Darah Pada Pasien Hipertensi: Systematic Review,” Media Publ. Promosi Kesehat. Indones., vol. 2, no. 3, pp. 192–199, Sep. 2019, doi: 10.56338/mppki.v2i3.806.
[4] M. Kartika, S. Subakir, and E. Mirsiyanto, “Faktor-Faktor Risiko Yang Berhubungan Dengan Hipertensi Di Wilayah Kerja Puskesmas Rawang Kota Sungai Penuh Tahun 2020,” J. Kesmas Jambi, vol. 5, no. 1, pp. 1–9, Mar. 2021, doi: 10.22437/jkmj.v5i1.12396.
[5] G. A. Ayu and M. Syaripuddin, “Peranan Apoteker dalam Pelayanan Kefarmasian pada Penderita Hipertensi,” J. Kedokt. dan Kesehat., vol. 15, no. 1, p. 10, Mar. 2019, doi: 10.24853/jkk.15.1.10-21.
[6] G. Z. Saputri, A. Akrom, and E. Darmawan, “Improving Outpatient’s Quality of Life through Patient Adherence of Antihypertensive Therapy Using ‘Mobile Phone (SMS) and Brief Counseling‑5A’ in Polyclinic of Internal Medicine at PKU Muhammadiyah Bantul Hospital, Yogyakarta,” Indones. J. Clin. Pharm., vol. 6, no. 2, pp. 67–77, Jun. 2017, doi: 10.15416/ijcp.2017.6.2.67.
[7] M. R. Fahlevi and A. Rahim, “Penggunaan Metode Brief Counseling untuk Meningkatkan Kepatuhan Minum Obat dan Keberhasilan Terapi Pasien Hipertensi Di Apotek Khanza Farma Gambut,” J. Ilm. Ibnu Sina Ilmu Farm. dan Kesehat., vol. 5, no. 2, pp. 397–406, Oct. 2020, doi: 10.36387/jiis.v5i2.538.
[8] N. M. Yasin, U. Filliana, and S. A. Kristina, “Pengaruh Brief Counseling Apoteker terhadap Kepatuhan Pengobatan dan Perbaikan Tekanan Darah Pasien Hemodialisa,” Maj. Farm., vol. 20, no. 3, p. 324, Sep. 2024, doi: 10.22146/farmaseutik.v20i3.92562.
[9] A. Z. Al-Riyami, M. Al-Khabori, B. Baskaran, H. Al-Lawati, M. Mukaddirov, and H. A. Al-Sabti, “Impact of Blood Transfusion on Troponin I Levels and Outcomes after Cardiac Surgery: A Cohort Study,” Oman Med. J., vol. 34, no. 1, pp. 14–19, Jan. 2019, doi: 10.5001/omj.2019.03.
[10] F. le Noble and C. Kupatt, “Interdependence of Angiogenesis and Arteriogenesis in Development and Disease,” Int. J. Mol. Sci., vol. 23, no. 7, p. 3879, Mar. 2022, doi: 10.3390/ijms23073879.
[11] Y. Liu et al., “Impact of gestational hypertension and preeclampsia on low birthweight and small‐for‐gestational‐age infants in China: A large prospective cohort study,” J. Clin. Hypertens., vol. 23, no. 4, pp. 835–842, Apr. 2021, doi: 10.1111/jch.14176.
[12] J. Raman, D. Spirou, L. Jahren, and T. T. Eik-Nes, “The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology,” Front. Endocrinol. (Lausanne)., vol. 11, Aug. 2020, doi: 10.3389/fendo.2020.00563.
[13] J. Barochiner, L. S. Aparicio, R. Martínez, J. Alfie, and M. J. Marín, “Prognostic value of masked uncontrolled apparent resistant hypertension detected through home blood pressure monitoring,” J. Hypertens., vol. 39, no. 11, pp. 2141–2146, Nov. 2021, doi: 10.1097/HJH.0000000000002913.
[14] S. Aryzki and R. Alfian, “Pengaruh Brief Counseling Terhadap Aktifitas Fisik pada Pasien Hipertensi Di RSUD Dr. H. Moch Ansari Saleh Banjarmasin,” J. Sains Farm. Klin., vol. 3, no. 1, p. 84, Dec. 2016, doi: 10.29208/jsfk.2016.3.1.104.
[15] H. L. Tam, E. M. L. Wong, and K. Cheung, “Effectiveness of Educational Interventions on Adherence to Lifestyle Modifications Among Hypertensive Patients: An Integrative Review,” Int. J. Environ. Res. Public Health, vol. 17, no. 7, p. 2513, Apr. 2020, doi: 10.3390/ijerph17072513.
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