Analysis Of Factors Affecting Medication Adherence Among Hypertension Patients At The Primary Clinic Polkes 01.10.02 Lubuk Pakam In 2025
DOI:
https://doi.org/10.35451/jkg.v7i2.2671Keywords:
Hypertension, medication adherence, duration of medication useAbstract
This research explores the determinants of adherence to antihypertensive medication among patients at the Primary Care Clinic Polkes 01.10.02 Lubuk Pakam. Hypertension refers to a consistent elevation in blood pressure, typically above 140/90 mmHg. Clinical records indicated a growing number of hypertension cases: 1,001 in 2021, 1,115 in 2022, and 1,074 in 2023. The highest recovery rate was recorded in 2022, with 1,056 patients showing improvement after undergoing treatment. A quantitative approach was adopted, utilizing an analytical survey with a cross-sectional design. A total of 95 hypertension patients were selected purposively from the Pegasing Health Center. Data analysis included univariate, bivariate, and multivariate techniques. The study identified significant associations between medication adherence and several factors: level of education (p = 0.000), patient knowledge (p = 0.000), distance to healthcare facilities (p = 0.000), family involvement (p = 0.000), length of time on medication (p = 0.000), and health education received (p = 0.005). Among these, the duration of medication use emerged as the most influential factor (p = 0.017; 95% CI = 2.088–1614.65). The findings suggest that these six factors play a critical role in patients' consistency with hypertension therapy. Strengthening healthcare personnel's involvement and implementing strategic interventions is advised to enhance adherence and lower hypertension rates
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References
L. Ia, P. Pariyana, E. Roflin, and L. Waris, “Determinan kepatuhan berobat pasien hipertensi pada fasilitas kesehatan tingkat I,” J. Penelit. dan Pengembangan Pelayanan Kesehat., vol. 1, no. 1, pp. 58–65, 2018.
B. Nuraini, “Factors of hypertension,” J. Major., vol. 5, pp. 10–19, 2015.
Dinas Kesehatan Kabupaten Deli Serdang, “Profil Kesehatan Kabupaten Deli Serdang Tahun 2022.” [Online]. Available: https://dinkes.deliserdangkab.go.id/halaman/unduh.html
R. R. Said, “Gambaran pelaksanaan pengawasan menelan obat pada pasien tuberkulosis (TB) di Puskesmas Kaluku Bodoa Kecamatan Tallo Kota Makassar,” J. Chem. Inf. Model., vol. 53, no. 9, pp. 1689–1699, 2017.
Sunardi, “Hubungan tingkat pendidikan terhadap kepatuhan minum obat antihipertensi di Puskesmas Sewon II,” 2021. [Online]. Available: https://jofar.afi.ac.id/index.php/jofar/article/view/103
A. Sj, “Diagnosis dan tatalaksana terbaru pada dewasa,” CDK, vol. 46, no. 3, pp. 172–178, 2019.
E. Sudarsono, J. Sasmita, A. B. Handyasto, N. Kuswantiningsih, and S. S. Arissaputra, “Peningkatan pengetahuan terkait hipertensi guna perbaikan tekanan darah pada pemuda di Dusun Japanan, Margodadi, Seyegan, Sleman, Yogyakarta,” J. Pengabdi Kpd Masy (Indonesian J. Community Engag.), vol. 3, no. 1, pp. 26–38, 2017.
K. Anwar and R. Masnina, “Hubungan kepatuhan minum obat antihipertensi dengan tekanan darah pada lansia penderita hipertensi di wilayah kerja Puskesmas Air Putih Samarinda,” J. Dunia Kesmas, vol. 1568, pp. 494–501, 2019.
R. I. Alam and F. Jama, “Analisis faktor yang mempengaruhi ketidakpatuhan berobat lansia penderita hipertensi di wilayah kerja Puskesmas Pampang,” JIKP J. Ilm. Kesehat., vol. 9, no. 2, pp. 115–125, 2020. [Online]. Available: https://stikesmu-sidrap.e-journal.id/jikp/article/view/173
P. S. Nugroho and Y. Sari, “Hubungan tingkat pendidikan dan usia dengan kejadian hipertensi di wilayah kerja Puskesmas Palaran,” J. Dunia Kesmas, vol. 8, no. 4, pp. 219–225, 2019.
M. Bisnu and B. J. Kepel, “Hubungan dukungan keluarga dengan derajat hipertensi pada pasien hipertensi di Puskesmas Ranomuut Kota Manado,” J. Kesehatan, vol. 5, 2017.
I. Agustinus, E. Santoso, and B. Rahayudi, “Klasifikasi risiko hipertensi menggunakan metode Learning Vector Quantization (LVQ),” J. Pengemb. Teknol. Inf. dan Ilmu Komput. Univ. Brawijaya, vol. 2, no. 8, pp. 2947–2955, 2018. [Online]. Available: http://j-ptiik.ub.ac.id/index.php/j-ptiik/article/view/1725/654
D. C. Rahayuningrum, “Pengaruh pemberian air perasan bawang putih (Allium sativum) terhadap tekanan darah pada penderita hipertensi,” J. Kesehat. Saintika Meditory, vol. 1, Aug. 2018, pp. 79–88. [Online]. Available: http://jurnal.syedzasaintika.ac.id/index.php/meditory/article/view/244
I. Iskandar, M. Mamlukah, D. N. Iswarawanti, and R. Suparman, “Analisis faktor yang berhubungan dengan kepatuhan melakukan pengobatan secara teratur pada pasien hipertensi usia produktif di Puskesmas Sedong Kabupaten Cirebon,” J. Public Health Innovation, vol. 4, no. 1, 2023. [Online]. Available: https://doi.org/10.34305/jphi.v4i01.930
R. Panjaitan, S. Mastiur, W. M. Ginting, D. Novita, J. Manurung, dan M. Manalu, Knowledge, Nutrition Behavior Conduct Toward Incidence of Hypertension in Sugiharjo Village Batang Kuis Sub-District, Institut Kesehatan Medistra Lubuk Pakam, eJournal JKG Medistra. [Online]. Tersedia: https://ejournal.medistra.ac.id/index.php/JKG/article/view/1677
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