Scoping Review: Kepatuhan Konsumsi Obat dalam Kontrol Tekanan Darah pada Pasien Hipertensi

Erika Yulia Rahmah, Arief Budi Yulianti, Engkun Sopian Indrayana

Abstract


Abstract. Based on the World Heart Organization (WHO) in 2015, around 1.13 billion people in the world have hypertension. Hypertension is a disease that must comply with the consumption of drugs to control blood pressure. The reason people with hypertension do not comply with medication consumption is because they do not regularly go to health care facilities, feel healthy, take traditional medicine, other therapies, side effects of drugs, cannot afford medicine and often forget. In addition, there are significant factors on medication adherence, namely motivation, family support and knowledge. Purpose of the study: to analyze the adherence of drug consumption in controlling blood pressure in hypertensive patients which includes lifestyle modification and drugs. Research methods: scoping review by identifying, analyzing and evaluating a scientific paper. In accordance with the inclusion and exclusion criteria and screening was carried out using eligibility criteria. Research results: contains descriptions of reviewed research articles (6 articles) with a total of 3,394 respondents including Elegible criteria. There is adherence in the consumption of hypertension drugs in hypertensive patients with various research methods. Conclusion: It is known that adherence to drug consumption is very significant in hypertensive patients by providing culturally appropriate counseling to hypertensive patients, providing culture-adjusted adherence books, periodic medication monitoring, providing video-based applications on lifestyle modification and monitoring blood pressure

Key words: Blood Pressure Contrl, Hypertension, Medication Adherence

Abstrak. Berdasar atas World Heart Organization (WHO) tahun 2015 sekitar 1,13 miliar orang di dunia mengalami hipertensi. Hipertensi merupakan penyakit yang harus patuh dalam konsumsi obat untuk kontrol tekanan darah. Alasan masyarakat yang mengalami hipertensi tidak patuh konsumsi obat karena tidak rutin berobat ke fasilitas layanan kesesehatan, merasa sudah sehat, minum obat tradisional, terapi lain, efek samping obat, tidak mampu membeli obat, dan sering lupa. Selain itu, ada faktor yang signifikan terhadap kepatuhan pengobatan, yaitu motivasi, dukungan keluarga, dan pengetahuan. Tujuan penelitian: menganalisis kepatuhan konsumsi obat dalam kontrol tekanan darah pada pasien hipertensi yang meliputi modifikasi gaya hidup dan obat-obatan. Metode penelitian: scoping review dengan  mengidentifikasi, menganalisis dan mengevaluasi suatu karya tulis ilmiah. Sesuai dengan kriteria inklusi dan eksklusi serta dilakukan skrining menggunakan kriteria kelayakan). Hasil penelitian: berisi uraian atikel penelitian yang telah di-review (6 artikel) dengan jumlah keseluruhan sebanyak 3.394 responden yang termasuk kriteria Elegible. Terdapat kapatuhan dalam konsumsi obat hiprtensi pada pasien hipertensi dengan berbagai metode penelitian. Kesimpulan: diketahui kepatuhan konsumsi obat sangat signifikan pada pasien hipertensi dengan diberikan konseling sesuai dengan budaya pada pasien hipertensi, pemberian buku kepatuhan yang disesuaikan dengan budaya, pemantauan pengobatan secara berkala; pemberian aplikasi yang berbasis video mengenai modifikasi gaya hidup dan dimonitoring tekanan darah.

Kata kunci:  Kontrol Tekanan Darah, Hipertensi, Kepatuhan Konsumsi Obat


Keywords


Kontrol Tekanan Darah, Hipertensi, Kepatuhan Konsumsi Obat

References


Kementrian Kesehatan Republik Indonesia [internet]. Indonesia: hari hipertensi dunia 2019 [diunduh 17 mei 2019]. Tersedia dari: http://p2ptm.kemkes.go.id/kegiatan-p2ptm/dki-jakarta/hari-hipertensi-dunia-2019-know-your-number-kendalikan-tekanan-darahmu-dengan-cerdik

Kementrian Kesehatan Republik Indonesia [internet]. Indonesia: Pusat data dan informasi Hipertensi 2019 [diunduh 17 mei 2019]. Tersedia dari: https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-hipertensi-si-pembunuh-senyap.pdf

Usia SL. Sustamycin and tetrabid: slow-release tetracyclines. Drug Ther Bull. 1972;10(16):63–4.

Untari EK, Agilina AR, Susanti R, Untari EK, Agilina AR, Susanti R. evaluasi rasionalitas penggunaan obat antihipertensi di Puskesmas Siantan Hilir Kota Pontianak Tahun 2015. Pharm Sci Res. 2018;5(1):32–9.

Bertram G. Katzung, Susan B. Masters AJT. Farmakologi dasar dan klinik. vol. 53, J Chemical Information Modeling. 2013. 1689–1699.

Pusmarani J, Mustofa, Darmawan E. the effect of medicinal education on adherence taking warfarin in acute coronary syndrome (acs) and atrial fibrilation (af) patients at PKU Muhammadiyah Yogyakarta Hospital. Indones J Clin Pharm. 2015;4(4):257–63.

Schoenthaler A, De La Calle F, Barrios-Barrios M, Garcia A, Pitaro M, Lum A, dkk. A practice-based randomized controlled trial to improve medication adherence among Latinos with hypertension: study protocol for a randomized controlled trial. Trials. 2015;16(1):1–11.

Ogedegbe GO, Boutin-Foster C, Wells MT, Allegrante JP, Isen AM, Jobe JB, dkk. A randomized controlled trial of positive-affect intervention and medication adherence in hypertensive African Americans. Arch Intern Med. 2012;172(4):322–6.

Matsumura K, Arima H, Tominaga M, Ohtsubo T, Sasaguri T, Fujii K, dkk. Does a combination pill of antihypertensive drugs improve medication adherence in Japanese?-a randomized controlled trial. Circ J. 2012;76(6):1415–22.

Chandler J, Sox L, Kellam K, Feder L, Nemeth L, Treiber F. Impact of a culturally tailored mhealth medication regimen self-management program upon blood pressure among hypertensive hispanic adults. Int J Environ Res Public Health. 2019;16(7):1–13.

Solomon A, Schoenthaler A, Seixas A, Ogedegbe G, Jean-Louis G, Lai D. medication routines and adherence among hypertensive african americans. J Clin Hypertens. 2015;17(9):668–72.

Chen S, Conwell Y, Xue J, Li LW, Tang W, Bogner HR, dkk. Protocol of an ongoing randomized controlled trial of care management for comorbid depression and hypertension: The Chinese Older Adult Collaborations in Health (COACH) study. BMC Geriatr. 2018;18(1):1–9.




DOI: http://dx.doi.org/10.29313/kedokteran.v7i1.26452

Flag Counter