COMPLIANCE OF HYPERTENSION PATIENTS IN DOING SELF-CARE: A GROUNDED THEORY STUDY

Authors

  • Pius A. L. Berek Universitas Timor
  • Yati Afiyanti Universitas Indonesia

DOI:

https://doi.org/10.32938/jsk.v2i01.448

Keywords:

Compliance, Self Care, Hypertension

Abstract

Hypertensi as a one of non-communicable diseases is need of serious attention and dealt with " nation-wide " given the high prevalence and usually people do not realize that he was suffering from hypertension. Generally only known when they come for treatment to the health service because of illness or other complaints, so hypertension is often known as " the silent killer ". Patient compliance in undergoing hypertension treatment is also a determinant that affects the control of patient's blood pressure . The most important main determinant The effect on adherence to take antihypertensive medication is long suffered from hypertension. This study aims to develop theoretical concepts about strategies to improve patient compliance in self-care for hypertensive patients both pharmacologically and non-pharmacologically. The study design using qualitatively with five participants and purposive sampling. From the results of the study, six themes were obtained : experience of adherence to control, experience of handling symptoms and complications,  experience of taking medication adherence, experience of adherence to managing diets, lack of adherence to exercise, and obstacles to adherence . It is recommended that hypertensive patients can improve compliance for routine antihypertensive drug consumption by making simple schedules and enhancing their self-concept.

References

Baso, F., Berek, P. A. L., & Riwoerohi, E. D. F. (2019). Description Of Lifestyle Hypertension Patients At Health Centre Of South Atambua. Jurnal Sahabat Keperawatan, 2, 51–60. Retrieved from https://jurnal.unimor.ac.id/JSK/article/view/252/110

Berek, P. A. L. (2018). Pengaruh Slow Deep Breathing dan Pengaturan Natrium Terhadap Penurunan Tekanan Darah Pasien Hipertensi Primer. Prosiding Sintesa LP2M UNDHIRA BALI, 2 November, 499–508.

Berek, P. A. L., Nurachmah, E., & Gayatri, D. (2015). Effectiveness Of Slow Deep Breathing On Decreasing Blood Pressure In Primary Hypertension : A Randomized Contrrolled Trial Of Patients In Atambua , East Nusa Tenggara. International Journal of Science and Technology, 1(2), 1–14. Retrieved from http://grdspublishing.org/MATTER/matter.html

Bosworth, H. (2010). Improving Patient Treatment Adherence A Clinician’s Guide. https://doi.org/10.1007/978-1-4419-5866-2

Bosworth, H. B., Oddone, E. Z., & Weinberger, M. (2008). Patient Treatment Adherence Concepts, Interventions, and Measurement. Retrieved from www.erlbaum.com

Burnier, M., & Egan, B. M. (2019). Adherence in Hypertension: A Review of Prevalence, Risk Factors, Impact, and Management. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/CIRCRESAHA.118.313220

Hameed, M. A., & Dasgupta, I. (2019). Medication adherence and treatment-resistant hypertension: A review. Drugs in Context, 8, 1–11. https://doi.org/10.7573/dic.212560

Liberty, I. A., Pariyana, P., Roflin, E., & Waris, L. (2018). Determinan Kepatuhan Berobat Pasien Hipertensi Pada Fasilitas Kesehatan Tingkat I. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 1(1), 58–65. https://doi.org/10.22435/jpppk.v1i1.428

Lin, J., Sklar, G. E., Oh, V. M. Sen, & Li, S. C. (2008). Factors affecting therapeutic compliance: A review from the patient’s perspective. Therapeutics and Clinical Risk Management, 4(1), 269–286. https://doi.org/10.2147/tcrm.s1458

Lloyd-jones, D. M., Benjamin, E. J., Jarett, D., Borden, W. B., Bravata, D. M., Dai, S., … Sotoodehnia, N. (2015). Heart Disease and Stroke Statistics. HHS Public Access, 125(1). https://doi.org/10.1161/CIR.0b013e31823ac046.Heart

Mangendai, Y., Rompas, S., & Hamel, S. R. (2017). Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Faktor-Faktor Yang Berhubungan Dengan Kepatuhan. E-Journal Keperawatan, 5, 1. Retrieved from https://ejournal.unsrat.ac.id/index.php/jkp/article/view/15829

Minotti, G. (2010). Cardiotoxicity of Non-Cardiovascular Drugs (1st ed.; G. Minotti & A. Sordi, eds.). Retrieved from http://www.ghbook.ir/index.php?name=فرهنگ و رسانه های نوین&option=com_dbook&task=readonline&book_id=13650&page=73&chkhashk=ED9C9491B4&Itemid=218&lang=fa&tmpl=component

Muhadi. (2016). JNC 8 : Evidence-based Guideline Penanganan Pasien Hipertensi Dewasa. Cermin Dunia Kedokteran, 43(1), 54–59.

Prihandani, S. (2012). Studi Fenomenologi: Pengalaman Kepatuhan Perawatan Mandiri Pada Pasien Hipertensi di Poliklinik RSI Siti Harja Kota Tegal. FIK Universitas Indonesia, 1–100.

Riskesdas. (2018). Hasil Utama Riset Kesehatan Dasar 2018. 20–21. Retrieved from http://www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Hasil Riskesdas 2018.pdf

Setiati, S. dkk. (2014). Buku Ajar Ilmu Penyakit Dalam (6th ed.). https://doi.org/10.1111/j.1467-8683.2009.00753.x

Shin, D. S., Kim, C. J., & Choi, Y. J. (2016). Effects of an empowerment program for self-management among rural older adults with hypertension in South Korea. The Australian Journal of Rural Health, 24(3), 213–219. https://doi.org/10.1111/ajr.12253

Sinuraya, R. K., Destiani, D. P., Puspitasari, I. M., & Diantini, A. (2018). Medication Adherence among Hypertensive Patients in Primary Healthcare in Bandung City. Indonesian Journal of Clinical Pharmacy, 7(2), 124–133. https://doi.org/10.15416/ijcp.2018.7.2.124

Zhang, Y., Tang, W., Zhang, Y., Liu, L., & Zhang, L. (2017). Effects of integrated chronic care models on hypertension outcomes and spending: A multi-town clustered randomized trial in China. BMC Public Health, 17(1), 1–12. https://doi.org/10.1186/s12889-017-4141-y

Additional Files

Published

2020-02-02