Self-efficacy and self-care behaviours among adults with antihypertensive medication adherence
DOI: https://doi.org/10.33024/minh.v8i8.1100
Antihypertension Medication Adherence Self-efficacy Self-care Management
Abstract
Background: Hypertension is a chronic medical condition characterized by persistently elevated systolic and diastolic blood pressure beyond normal thresholds, often termed a “silent killer.” Increased self-efficacy and effective self-care management have been shown to positively influence adherence to antihypertensive treatment. However, limited research has examined the relationship between intrinsic factors and medication adherence among patients within the Saigon Community Health Center.
Purpose: To determine the relationship between self-efficacy, self-care management, and medication adherence among individuals with hypertension.
Method: This research employed an analytical observational design with a cross-sectional approach. A total of 100 hypertensive patients participated, assessed using the Morisky Medication Adherence Scale (MMAS-8), the Modified General Perceived Self-Efficacy Scale, and the Hypertension Self-Management Behavior Questionnaire (HSMBQ). Univariate analysis was used to describe respondents’ demographic characteristics, while bivariate analysis was performed using Spearman’s correlation test.
Results: The findings showed that 87% of respondents demonstrated good self-care management, 85% had high self-efficacy, and 51% adhered to their prescribed medications. Spearman’s correlation analysis revealed a significant relationship between self-care management and medication adherence (p = 0.002, r = 0.311), as well as between self-efficacy and adherence (p = 0.009, r = 0.262).
Conclusion: Both self-efficacy and self-care management were found to have a significant but weak positive correlation with medication adherence. Strengthening patients’ motivation and promoting consistent engagement in hypertension management are essential to reducing related complications.
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References
Abdullah, S. M. (2019). Social cognitive theory: A Bandura thought review published in 1982-2012. Psikodimensia: Kajian Ilmiah Psikologi, 18(1), 85-100.
Apriliyani, W., & Ramatillah, D. L. (2019). Evaluasi Tingkat Kepatuhan Penggunaan Antihipertensi Pada Pasien Hipertensi Menggunakan Kuesioner MMAS-8 di Penang Malaysia. Social Clinical Pharmacy Indonesia Journal, 4(3), 23-33.
Ariesti, E. (2018). Self efficacy, Kepatuhan, Hubungan Self Efficacy dengan Tingkat Kepatuhan Pengobatan Hipertensi di Puskesmas Bareng Kota Malang: Relationship Of Efficacy Self With Level Of Compliance With Hypertension In Puskesmas Bareng, Malang City. Jurnal keperawatan malang, 3(1), 39-44.
Asseggaf, S. N. Y. R. S., & Ulfah, R. (2022). Analisa kepatuhan minum obat antihipertensi pada pasien peserta Posyandu Lansia Kartini Surya Khatulistiwa Pontianak. Jurnal Pharmascience, 9(1), 48-59.
Azizah, N., Halimah, E., Puspitasari, I. M., & Hasanah, A. N. (2021). Simultaneous use of herbal medicines and antihypertensive drugs among hypertensive patients in the community: a review. Journal of Multidisciplinary Healthcare, 259-270.
Barabas, M. B. (2023). Hubungan Status Gizi Terhadap Hipertensi Pada Lansia di Puskesmas Kampung Dalam Pontianak. ProNers, 8(1).
Cutler, R. L., Fernandez-Llimos, F., Frommer, M., Benrimoj, C., & Garcia-Cardenas, V. (2018). Economic impact of medication non-adherence by disease groups: a systematic review. BMJ open, 8(1), e016982.
Fauzan, S., & Fahdi, F. K. (2021). Hubungan Penderita Hipertensi dengan Tingkat Stres di Wilayah Kerja UPK Puskesmas Kampung Dalam Pontianak Timur. ProNers, 6(2).
Handayani, S., Surani, V., Ajul, K., & Pranata, L. (2024). Hubungan self-care dengan kepatuhan minum obat pada penderita hipertensi. Jurnal Keperawatan Florence Nightingale, 7(1), 174-179.
Health Office of Pontianak City. (2023). Profil Kesehatan Kota Pontianak 2023. Retrieved from: https://dinkes.pontianak.go.id/profil/profil-kesehatan
Htet, A. S., Bjertness, M. B., Oo, W. M., Kjøllesdal, M. K., Sherpa, L. Y., Zaw, K. K., & Bjertness, E. (2017). Changes in prevalence, awareness, treatment and control of hypertension from 2004 to 2014 among 25-74-year-old citizens in the Yangon Region, Myanmar. BMC public health, 17(1), 847.
Iqbal, A. M., & Jamal, S. F. (2023). Essential hypertension. In StatPearls [Internet]. StatPearls Publishing.
Iswari, D. N., Windyastuti, E., & Priambodo, G. (2017). Hubungan selfefficacy dengan kepatuhan diit hipertensi di RSUD Pandan Arang Boyolali. Digital Library, 1-12.
Jonathan, A. J., Mohammadnezhad, M., & Raikanikoda, F. (2023). “I think taking herbal medicine first can help prevent. If it doesn’t work, then can take start taking the medication given by the doctors.” Patients’ perceptions towards hypertension in Fiji. Plos one, 18(8), e0285998.
Kawulusan, K. B., Katuuk, M. E., & Bataha, Y. B. (2019). Hubungan Self-Efficacy Dengan Kepatuhan Minum Obat Hipertensi Di Puskesmas Ranotana Weru Kota Manado. Jurnal Keperawatan, 7(1), 1-9.
Lam, W. Y., & Fresco, P. (2015). Medication adherence measures: an overview. BioMed research international, 2015(1), 217047.
Lisnawaty, L., Sularsih, N. K., & Fithria, F. (2022). Faktor yang Berhubungan dengan Kejadian Hipertensi pada Ibu Rumah Tangga di Desa Andoolo Utama Kabupaten Konawe Selatan Tahun 2021. Universitas Halu Oleo Press, 125–136. Retrieved from: https://www.researchgate.net/publication/371851655_Faktor_yang_Berhubungan_dengan_Kejadian_Hipertensi_pada_Ibu_Rumah_Tangga_di_Desa_Andoolo_Utama_Kabupaten_Konawe_Selatan_Tahun_2021
Lukito, A. A., Rahajoe, A. U., Rilantono, L. I., Harimurti, G. M., & Soesanto, A. M. (2015). Pedoman Tatalaksana Pencegahan Penyakit Kardiovaskular pada Perempuan (1st ed.). Perhimpunan Dokter Spesialis Kardiovaskular Indonesia. Retrieved from: http://kardiologi.fk.unand.ac.id/attachments/article/166/pencegahan%20CVD%20pada%20perempuan.pdf
Mahmood, S., Jalal, Z., Hadi, M. A., Khan, T. M., Haque, M. S., & Shah, K. U. (2021). Prevalence of non-adherence to antihypertensive medication in Asia: a systematic review and meta-analysis. International journal of clinical pharmacy, 43(3), 486-501.
Marhabatsar, N. S., & Sijid, S. T. A. (2021). Review: Penyakit Hipertensi pada sistem kardiovaskular . Prosiding Seminar Nasional Biologi , 7(1). Retrieved from: https://journal.uin-alauddin.ac.id/index.php/psb/article/view/23080
Mikolajczak, M., & Roskam, I. (2020). Parental burnout: Moving the focus from children to parents. New directions for child and adolescent development, 2020(174), 7-13.
Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223-237.
Ministry of Health of the Republic of Indonesia. (2019). Laporan Provinsi Kalimantan Barat Riskesdas 2018. Lembaga Penerbit Badan Litbang Kesehatan. Retrieved from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3895/
Ministry of Health of the Republic of Indonesia. (2023). Survei Kesehatan Indonesia (SKI) 2023 Dalam Angka. Badan Kebijakan Pembangunan Kesehatan. Retrieved from: https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/
Mohiuddin, A. K. (2019). Patient compliance: fact or fiction?. INNOVATIONS in pharmacy, 10(1), 10-24926.
Nawi, A. M., Mohammad, Z., Jetly, K., Abd Razak, M. A., Ramli, N. S., Wan Ibadullah, W. A. H., & Ahmad, N. (2021). The prevalence and risk factors of hypertension among the urban population in Southeast Asian countries: a systematic review and meta‐analysis. International journal of hypertension, 2021(1), 6657003.
Ostchega, Y., Fryar, C. D., Nwankwo, T., & Nguyen, D. T. (2020). Hypertension prevalence among adults aged 18 and over: United States, 2017–2018.
Pae, K., Maryuti, I. A., & Astarini, M. I. A. (2023). Gambaran Self-Care Management pada Lansia dengan Hipertensi di Desa Curah Cottok, Situbondo, Jawa Timur. Jurnal Imliah Ilmu Keperawatan.
Qodir, A. (2021). Hubungan Self-Efficacy dengan Tingkat Kepatuhan Minum Obat pada Penderita Hipertensi. Media Husada Journal of Nursing Science, 2(1), 13-21.
Rahmadhani, M. (2021). Faktor-faktor yang mempengaruhi terjadinya hipertensi pada masyarakat di Kampung Bedagai Kota Pinang. Jurnal Kedokteran STM (Sains Dan Teknologi Medik), 4(1), 52-62.
Rantepadang, A., & Hadibrata, B. E. S. (2023). Self-Efficacy dan self-care management pada penderita hipertensi. Klabat Journal of Nursing, 5(1), 67-73.
Salipian, W., & Usviany, V. (2023). Gambaran Efek Samping Obat Antihipertensi pada Pasien Rawat Jalan di Salah Satu Rumah Sakit di Kabupaten Bandung Barat. Health Information: Jurnal Penelitian, e1163-e1163.
Shen, Z., Shi, S., Ding, S., & Zhong, Z. (2020). Mediating effect of self-efficacy on the relationship between medication literacy and medication adherence among patients with hypertension. Frontiers in pharmacology, 11, 569092.
Simon, M. (2022). Hubungan Antara Lama Menderita Hipertensi dan Motivasi Berobat Dengan Kepatuhan Minum Obat Pada Penderita Hipertensi. Nursing Inside Community, 5(1), 1-5.
Sridadi, U., Swandari, M. T. K., & Utami, T. F. Y. (2023). Hubungan Self-Management dengan Tingkat Kepatuhan Pasien Terhadap Keberhasilan Terapi Hipertensi di Puskesmas Bonorowo Kebumen. Pharmaqueous: Jurnal Ilmiah Kefarmasian, 5(1), 72-80.
Sukmaningsih, S. A. K., Putra, G. N. W., Sujadi, H., & Windi, P. (2020). Hubungan Self Efficacy dengan Kepatuhan Minum Obat pada Penderita Hipertensi di Wilayah Kerja Puskesmas Tejakula. Jurnal Kesehatan MIDWINERSLION, 5(2).
Suratri, M. A. L., Jovina, T. A., Andayasari, L., Edwin, V. A., & Ayu, G. A. K. (2020). Pengaruh hipertensi terhadap kejadian penyakit jaringan periodontal (periodontitis) pada masyarakat Indonesia (data riskesdas 2018). Buletin Penelitian Kesehatan, 48(4), 227-234.
The Indonesian Society of Hypertension. (2019). Konsensus Penatalaksanaan Hipertensi 2019. Indonesian Society of Hypertension. 1-90
Tiwi, A. H., Dewi, P., & Cahyaningrum, E. D. (2022). Hubungan Dukungan Sosial dengan Tekanan Darah pada Penderita Hipertensi di Puskesmas Kembaran I Kabupaten Banyumas. Jurnal Keperawatan Raflesia, 4(2), 71-80.
Walsh, C. A., Cahir, C., Tecklenborg, S., Byrne, C., Culbertson, M. A., & Bennett, K. E. (2019). The association between medication non‐adherence and adverse health outcomes in ageing populations: a systematic review and meta‐analysis. British journal of clinical pharmacology, 85(11), 2464-2478.
Williams, B., Mancia, G., Spiering, W., Rosei, E. A., Azizi, M., Burnier, M., & Desormais, I. (2019). 2018 ESC/ESH Guidelines for the Management of Arterial Hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. In Manual of Hypertension of the European Society of Hypertension, Third Edition (pp. 543-627). CRC Press.
World Health Organization. (2024). World Hypertension Day 2024: Measure Your Blood Pressure Accurately, Control It, Live Longer. Retrieved from: https://www.who.int/srilanka/news/detail/17-05-2024-world-hypertension-day-2024--measure-your-blood-pressure-accurately--control-it--live-longer
Zeng, J., Gao, Y., Hou, C., & Liu, T. (2024). The impact of doctor–patient communication on medication adherence and blood pressure control in patients with hypertension: a systematic review. PeerJ, 12, e18527.
Zhou, B., Carrillo-Larco, R. M., Danaei, G., Riley, L. M., Paciorek, C. J., Stevens, G. A., & Breckenkamp, J. (2021). Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. The lancet, 398(10304), 957-980.
Zurli, M. P., Jumiyati, J., & Rizal, A. (2023). Konsumsi Zat Gizi Mikro dan Pengetahuan Penderita Hipertensi di Kota Bengkulu. JGK: Jurnal Gizi dan Kesehatan, 3(1), 73-81.
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