Hubungan kepatuhan minum obat terhadap kontrol tekanan darah pada pasien lansia
DOI: https://doi.org/10.56922/pti.v6i3.3644
Blood Pressure Control Elderly Hypertension Medication Adherence MMAS-8
Abstract
Background: Hypertension is one of the most common chronic diseases among the elderly, requiring long-term treatment adherence to achieve optimal blood pressure control. Poor adherence to antihypertensive therapy can lead to uncontrolled blood pressure and increase the risk of cardiovascular complications.
Purpose: To determine the relationship between medication adherence and blood pressure control in elderly patients with hypertension.
Method: A quantitative design with a cross-sectional approach was employed. A total of 47 respondents were selected using the total sampling technique. Data were collected using the Morisky Medication Adherence Scale-8 (MMAS-8) questionnaire and patient medical records. Data analysis was performed using descriptive statistics and the Chi-Square test.
Results: The majority of respondents demonstrated moderate to high levels of medication adherence and controlled blood pressure. Statistical analysis revealed a significant association between medication adherence and blood pressure control p-value=0.007 (p<0.05). Higher levels of patient adherence to antihypertensive medication were associated with better blood pressure control.
Conclusion: Medication adherence plays a crucial role in achieving optimal blood pressure control in elderly patients with hypertension. Increased medication adherence is associated with better blood pressure control.
Keywords: Blood Pressure Control; Elderly; Hypertension; Medication Adherence; MMAS-8.
Downloads
References
Ayele, A. A., Tegegn, H. G., & Ayele, T. A. (2022). Medication adherence and its determinants among hypertensive patients: The role of patient-provider communication. Integrated Pharmacy Research and Practice, 11, 33-41.
Burnier, M., & Egan, B. M. (2019). Adherence in hypertension: a review of prevalence, risk factors, impact, and management. Circulation Research, 124(7), 1124-1140.
Carey, R. M., Muntner, P., Bosworth, H. B., & Whelton, P. K. (2018). Reprint of: prevention and control of hypertension: JACC Health Promotion Series. Journal of the American College of Cardiology, 72(23 Part B), 2996-3011.
Charles, M. J., Okeke, A., & Bello, R. (2025). Patient knowledge and medication adherence among adults with hypertension: A cross-sectional study. BMC Public Health, 25, Article 412.
Dhrik, M., Prasetya, A. A. N. P. R., & Ratnasari, P. M. D. (2023). Analisis hubungan pengetahuan terkait hipertensi dengan kepatuhan minum obat dan kontrol tekanan darah pada pasien Hipertensi. Jurnal Ilmiah Medicamento, 9(1), 70-77.
European Society of Cardiology (ESC) Scientific Document Group. (2024). 2024 ESC Guidelines for the management of elevated blood pressure and hypertension. European Heart Journal, 45(42), 3889-4017. Diakses dari: https://doi.org/10.1093/eurheartj/ehae178
Fathimah, U., Azmi, R. N., & Abdissalam, E. (2025). Hubungan tingkat kepatuhan meminum obat dengan nilai tekanan darah pada pasien hipertensi geriatri di Puskesmas Segiri kota Samarinda. Jurnal Farmasi Syifa, 3(2), 73-79.
McDonagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Böhm, M., Burri, H., Butler, J., Čelutkienė, J., Chioncel, O., Cleland, J. G. F., Coats, A. J. S., Crespo-Leiro, M. G., Farmakis, D., Gilard, M., Heymans, S., Hoes, A. W., Jaarsma, T., Jankowska, E. A., & ESC Scientific Document Group. (2021). 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal, 42(36), 3599-3726.
Nugraha, I. M. A. (2025). Perubahan fisiologis lansia dan kaitannya dengan hipertensi sistolik terisolasi. Jurnal Keperawatan Gerontik Indonesia, 7(2), 88-96.
Oliveira, M. R., Santos, L. F., Pereira, A. C., & Costa, R. S. (2025). Survival bias and hypertension prevalence among the oldest-old population: A longitudinal cohort study. Journal of Hypertension and Aging, 39(2), 145-153.
Pramestutie, H. R., & Silviana, N. (2016). tingkat pengetahuan pasien hipertensi tentang penggunaan obat di puskesmas Kota Malang. Jurnal farmasi klinik Indonesia, 5(1), 26-34.
Rahmanisa, S., Putri, D. A., & Wibowo, A. (2024). The association between aging and increased blood pressure among older adults: Evidence from community-based study. International Journal of Public Health Research, 14(1), 66-74.
Rahmiati, C., & Zurijah, T. I. (2020). Pengaruh senam lansia terhadap tekanan darah pada lansia dengan hipertensi. Jurnal Penjaskesrek, 7(1), 15-27.
Rashid, M. M., Hasan, M. R., Karim, M. N., & Islam, S. (2024). Antihypertensive medication adherence and blood pressure control among adult hypertensive patients: A cross-sectional study. Scientific Reports, 14, Article 18765.
Royke, M. A., Siregar, D. P., & Hutagalung, R. (2025). Hypertension in adults and older people as a major cardiovascular morbidity factor: A hospitalbased study. Journal of Cardiovascular Nursing and Public Health, 11(1), 12-20.
Sakti, H., & Puspita, N. K. C. (2022). Tingkat kepatuhan pasien hipertensi terhadap pengobatan di fasilitas layanan kesehatan primer: Studi multicenter di Lombok. Jurnal Penelitian Kesehatan Suara Forikes, 13(2), 123-130.
Setya, C. P. C. A., & Wahyudi, C. T. (2025). Gerakan tenang jantung senang, senam tera untuk lansia hipertensI. Penerbit Tahta Media.
Sholihah, N., Prasetyo, Y., & Wulandari, D. (2025). Pharmacist-led interventions in improving medication adherence among hypertensive patients: The role of counseling and reminder systems. Pharmacy Practice, 23(1), 102-110.
Sutriyawan, A., Ariyanto, A., & Akbar, H. (2021). Low adherence and uncontrolled hypertension: A meta-analysis in Indonesia. BMC Public Health, 21(1), Article 1789.
Thirumoorthy, T., Kwan, Y. H., & Cheng, L. J. (2021). Medication adherence among chronic disease patients in relation to dosing frequency. Journal of Clinical Pharmacy and Therapeutics, 46(5), 1225-1233.
Whelton, P. K., Carey, R. M., & Aronow, W. S. (2022). Pathophysiology of hypertension revisited: Mechanistic insights and clinical implications. Hypertension, 79(3), 482-494.
Zhang, Y., Wang, W., & Zhao, J. (2021). Reliability and validity of the eight-item morisky medication adherence scale in patients with chronic diseases. Patient Preference and Adherence, 15, 2761-2770.
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.
Żurański, P., Kowalski, M., & Nowak, A. (2025). Arterial stiffness and hypertension in older adults: Age-related vascular changes and clinical implications. European Journal of Preventive Cardiology, 32(3), 301-309.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 JOURNAL OF Pharmacy and Tropical Issues
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
