The Effect of Self-reminder Card to the Level of Adherence of Hypertension Patients in Community Health Center in Surabaya
DOI:
https://doi.org/10.3889/oamjms.2020.5389Keywords:
Self reminder card, Adherence, HypertensionAbstract
BACKGROUND: Hypertension was an increase of blood pressure which caused damages on the target organs. Treatment therapy of hypertension patients was very complex and required a long period of time. Target of hypertension therapy was to keep the patient’s blood pressure controlled. Achieved therapeutic target was increasing adherence of patient medication. The success of treatment was not only influenced by the quality of health care but also influenced by the patient’s adherence to the treatment. Self-reminder card was a tool helping patients to avoid forget taking medicine.
AIM: The aim of this research was to determine the effect of self-reminder card on the level of adherence to treatment in hypertension patients in 10 community health centers (Puskesmas) in Surabaya.
METHODS: This research used QUASI experimental two groups pre-post prospective. Adherence measurement used Morisky, Green, Levine Adherence Scale questionnaire. The results of the questionnaire were analyzed statistically. Research was conducted in May 2020 at the community health center in Surabaya. Research criteria are patients with hypertension diagnosis without comorbid disease who get antihypertensive therapy.
RESULTS: The results of the study obtained 115 patients (55 control group patients and 60 intervention group patients). Statistical analysis using Mann–Whitney, there was a difference between the level of adherence to treatment in the control and intervention group with the value of p < 0.001. A test analysis using Wilcoxon signed-rank, there was a difference between the level of adherence to treatment before and after the intervention group with the value p < 0.001.
CONCLUSIONS: Self-reminder card was effective in increasing the level of adherence to the treatment of hypertension patients.
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References
Armstrong C; Joint National Committee. JNC8 guidelines for the management of hypertension in adults. Am Fam Physician. 2014 Oct 1;90(7):503-4. PMid:25369633
Kementerian Kesehatan Republik Indonesia. Penyakit Tidak Menular (PTM) Penyebab Kematian Terbanyak di Indonesia. Kementerian Kesehatan Republik Indonesia; 2011. p. 1. Available from: http://www.depkes.go.id/index.php?vw=2%25id=1637. [Last accessed on 2020 Mar 12]. https://doi.org/10.7454/epidkes.v1i2.1805
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults. JAMA. 2014;311(5):507-20. https://doi.org/10.1001/jama.2013.284427 PMid:24352797
Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 Practice Guidelines for the management of arterial hypertension of the European society of cardiology and the European society of hypertension. J Hypertens. 2018;36(12):2284-309. https://doi.org/10.1097/hjh.0000000000001961 PMid:30379783
Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr. 1974;2(4):328-35.
World Health Organisation. Ten Threats to Global Health in 2019. Geneva: World Health Organisation; 2019.
Fandinata SS, Darmawan R, Surabaya AF. Baru terdiagnosa dan sudah lama terdiagnosa penyakit diabetes melitus tipe 2. J Ilm Manuntung. 2020;6(1):70-6.
Widyastuti S, Yasin NM, Kristina SA. Pengaruh home pharmacy care terhadap pengetahuan, kepatuhan, outcome klinik dan kualitas hidup pasien hipertensi. Maj Farm. 2019;15(2):105. https://doi.org/10.22146/farmaseutik.v15i2.47623
Conn VS, Ruppar TM, Enriquez M, Cooper PS. Patient-centered outcomes of medication adherence interventions: Systematic review and meta-analysis. Value in Health. 2016;19:277-85. https://doi.org/10.1016/j.jval.2015.12.001 PMid:27021763
Baker R, Farooqi A, Tait C, Walsh S. Randomised controlled trial of reminders to enhance the impact of audit in general practice on management of patients who use benzodiazepines. Qual Saf Heal Care. 1997;6(1):14-8. https://doi.org/10.1136/qshc.6.1.14 PMid:10166596
Paschal AM, Hawley SR, Romain TS, Ablah E. Measures of adherence to epilepsy treatment: Review of present practices and recommendations for future directions. Epilepsia. 2008;49(7):1115-22. https://doi.org/10.1111/j.1528-1167.2008.01645.x PMid:18479395
Ernawati I, Islamiyah WR, Sumarno. How to improve clinical outcome of epileptic seizure control based on medication adherence? A literature review. Open Access Maced J Med Sci. 2018;6(6):1174-9. https://doi.org/10.3889/oamjms.2018.235 PMid:29983823
Bosworth HB. Defining medication nonadherence. In: Enhancing Medication Adherence. Tarporley: Springer Healthcare Ltd.; 2012. p. 3-7. https://doi.org/10.1007/978-1-908517-66-1_1
Bruce. Summary for policymakers. In: Intergovernmental Panel on Climate Change, editor. Climate Change 2013 the Physical Science Basis. Cambridge: Cambridge University Press; 2013. p. 1-30. https://doi.org/10.1017/cbo9781107415324.004
Yeswanthi S, Jayakumari S. A prospective study on combinational drug efficacy in hypertensive patients. Res J Pharm Technol. 2018;11(2):509. https://doi.org/10.5958/0974-360x.2018.00093.8
Alqarni AM, Alrahbeni T, Al Qarni A, Al Qarni HM. Adherence to Diabetes Medication among Diabetic Patients in the Bisha Governorate of Saudi Arabia and Ndash: A Cross-sectional Survey. Vol. 13. Patient Prefer Adherence; 2018. p. 63-71. https://doi.org/10.2147/ppa.s176355
Fandinata SS, Darmawan R. Pengaruh Kepatuhan Minum Obat Oral Anti Diabetik Terhadap Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe II. J Bid ilmu Kesehat. 2020;10(1):23-31. https://doi.org/10.20473/amnt.v2i4.2018.340-348
De Simoni A, Hardeman W, Mant J, Farmer AJ, Kinmonth AL. Trials to improve blood pressure through adherence to antihypertensives in stroke/TIA: Systematic review and metaanalysis. J Am Heart Assoc. 2013;2(4):e000251. https://doi.org/10.1161/jaha.113.000251 PMid:23963756
Beyhaghi H, Reeve BB, Rodgers JE, Stearns SC. Psychometric properties of the four-item morisky green levine medication adherence scale among atherosclerosis risk in communities (ARIC) study participants. Value Health. 2016;19(8):996-1001. https://doi.org/10.1016/j.jval.2016.07.001 PMid:27987650
Tsiantou V. Factors affecting adherence to antihypertensive medication in Greece: Results from a qualitative study. Patient Prefer Adherence. 2010;4:335-43. https://doi.org/10.2147/ppa.s12326 PMid:20859460
Burnier M, Egan BM. Adherence in hypertension. Circ Res. 2019;124(7):1124-40. PMid:30920917
Boima V, Ademola AD, Odusola AO, Agyekum F, Nwafor CE, Cole H, et al. Factors associated with medication nonadherence among hypertensives in Ghana and Nigeria. Int J Hypertens. 2015;2015:205716. https://doi.org/10.1155/2015/205716 PMid:26509081
Cho SJ, Kim J. Factors associated with nonadherence to antihypertensive medication. Nurs Health Sci. 2014;16(4):461-7. https://doi.org/10.1111/nhs.12145 PMid:24823924
Lötsch F, Auer-Hackenberg L, Groger M, Rehman K, Morrison V, Holmes E, et al. Adherence of patients to long-term medication: A cross-sectional study of antihypertensive regimens in Austria. Wien Klin Wochenschr. 2015;127(9-10):379-84. https://doi.org/10.1007/s00508-015-0782-y PMid:25906161
Gwadry-Sridhar FH, Manias E, Lal L, Salas M, Hughes DA, Ratzki-Leewing A, et al. Impact of interventions on medication adherence and blood pressure control in patients with essential hypertension: A systematic review by the ISPOR medication adherence and persistence special interest group. Value in Health. 2013;16(5):863-71. https://doi.org/10.1016/j.jval.2013.03.1631 PMid:23947982
Kaleva V. Adherence to medication. N Engl J Med. 2005;353(18):1972-4. PMid:16270426
Mohan PL, Shaji S, Ashraf T, Anas VU, Basheer B. Effectiveness of a reminder card system versus a mobile application to improve medication adherence among asthma patients in a tertiary care hospital. J Taibah Univ Med Sci. 2018;13(6):541-6. https://doi.org/10.1016/j.jtumed.2018.10.001 PMid:31435375
Choudhry NK, Krumme AA, Ercole PM, Girdish C, Tong AY, Khan NF, et al. Effect of reminder devices on medication adherence: The REMIND randomized clinical trial. JAMA Intern Med. 2017;177(5):624-31. https://doi.org/10.1001/jamainternmed.2016.9627 PMid:28241271
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Copyright (c) 2020 Selly Septi Fandinata, Iin Ernawati (Author)
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