MEDICATION ADHERENCE IN ELDERLY PATIENTS WITH HYPERTENSION

Authors

  • Umi Athiyah Department of Community Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Jl. Dharmawangsa Dalam, Surabaya, Indonesia
  • Rika Subarniati Department of Health Promotion and Behavioral Sciences, Faculty of Public Health, Universitas Airlangga, Surabaya, Jl. Mulyosari, Surabaya, Indonesia
  • Ana Yuda Department of Community Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Jl. Dharmawangsa Dalam, Surabaya, Indonesia

DOI:

https://doi.org/10.22159/ajpcr.2017.v10i8.19060

Keywords:

Adherence, Health belief model, Elderly people, Hypertension

Abstract

 

 Objective: This study aimed to identify the relationship between knowledge and beliefs about drugs with adherence of drug use based on the health belief model (HBM) theory.

Methods: Respondents were elderly hypertensive patients who received their medicine by prescription in one pharmacy in Surabaya. Knowledge and belief variables were measured by a validated questionnaire, while medication adherence was measured by pill count.

Results: There were 57 respondents aged 60-88 years, 54.4% of which are female. A total of 57.9% of respondents used at least two kinds of anti-hypertension drugs and 54.4% had health problems other than hypertension. The results of Pearson analysis show that respondents' knowledge about the drug had a significant relationship with perceived threat, perceived benefit (p=0.043), and perceived self-efficacy (p=0.015), but no significant relationship with adherence, while the result of Spearman analysis shows that only perceived barrier had a significant relationship to adherence (p=0.029).

Conclusion: To conclude, efforts to improve adherence was to lower perceived barrier which was primarily associated with decreased physical ability and concerns about the dangers of long-term drug use.

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References

Statistik BP. Proyeksi Penduduk Indonesia. Jakarta: Badan Pusat Statistik; 2013.

Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI. Riset Kesehatan Dasar 2013. Jakarta: Kementrian Kesehatan Republik Indonesia; 2013.

Yuda A, Achmad GN, Nita Y. Drugs Used and Potential Drug Interaction in the Elderly. The 3rd International Conference on Pharmacy and Advanced Pharmaceutycal Sciences. Yogyakarta: Faculty of Pharmacy Universitas Gadjah Mada; 2013. p. 170.

Chan DC, Chen JH, Kuo HK, We CJ, Lu IS, Chiu LS, et al. Drug related problems (DRPs) Identified from geriatric medication safety review clinic. Arch Gerontol Geriatr 2012;54(1):168-74.

Cipolle RJ, Strand L, Morley P. Pharmaceutical Care Practice: The Patient Centered Approach to Medication Management. 3rd ed. New York: McGraw-Hill Companies, Inc.; 2012.

Midlov P, Eriksson T, Kragh A. Drug Related Problems in the Elderly. London, Dordrecht Heidenberg: Spinger; 2009.

Roebuck MC, Liberman JN, Gemmill-Toyama M, Brennan TA. Medication adherence leads to lower health care use and costs despite increased drug spending. Health Aff (Millwood) 2011;30(1):91-9.

Chowdhury R, Khan H, Heydon E, Shroufi A, Fahimi S, Moore C, et al. Adherence to cardiovascular therapy: A meta-analysus of prevalence and clinical consequences. Eur Heart J 2013;34:2940-8.

Champion VL, Skinner CS. The health belief model. In: Glanz K, Rimer BK, Vismanath K, editors. Health Behavior and Health Education. 4th ed. San Francisco: Jossey-Bass; 2008. p. 45-65.

Rosenstock IM. Patients’ adherence with health regimens. J Am Med Assoc 1975;234(4):402-3.

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 adult: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). J Am Med Assoc 2014;311(5):507-20.

Kementrian Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia No. 35 Tahun 2014 tentang Standar Pelayanan Kefarmasian di Apotek. Jakarta: Kementrian Kesehatan RI; 2014.

Kothari CR. Research Methodology: Methods and Techniques. 2nd Revised Edition. New Delhi: New Age International Publisher; 2004.

Breaux-Shropshire TL, Brown KC, Pryor ER, Maples EH. Relationship of blood pressure self-monitoring, medication adherence, self-efficacy, stage of change, and blood pressure control among municipal workers with hypertension. Workplace Health Safety 2012;60(7):303-11.

Benowitz NL. Antihypertensive agents. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 12th ed. Singapore: McGraw-Hill Companies, Inc.; 2012. p. 169-91.

Giri DR, Prasanna G, Chandrakanth P. Prescribing pattern of antihypertennsive drugs based on compelling indications with hypertension. Int J Pharm Pharm Sci 2016;8(2):72-5.

Eraker SA, Kirscht JP, Becker MH. Understanding and improving patient adherence. Ann Int Med 1984;100:258-68.

Nasution A, Kharunnisa, Tanjung HR. Impacts of counseling on adherence to prescribed medcations and blood pressure of hypertensive patients in four indonesian primary health centers. Int J Pharm Pharm Sci 2015;7(3):114-7.

Buckley L, Labonville S, Barr JA. Systematic review of beliefs about hypertension and its tratment among African Americans. Curr Hypertens Rep 2016;18(7):52.

Atkinson MJ, Sinha A, Hass SL, Colman SS, Kumar RN, Brod M, et al. Validation of a general measure of treatment satisfactin, the treatment satisfaction questionnaire for medication (TSQM) using a national panel study of chronic disease. Health Qual Life Outcomes 2004;2(12):1-13.

Krousel-Wood MA, Muntner P, Islam T, Morisky DE, Webber LS. Barrier to and determinants of medication adherence in hypertension management: Perspective of the cohort study of medication adherence among older adult. Med Clin N Am 2009;93:753-69.

Horne R. Adherence, adherence and Concordance. In: Taylor KM, editor. Pharmacy Practice. London: Taylor & Francis; 2001. p. 148-66.

Park YH, Kim H, Jang SN, Koh CK. Predictors of adherence to

medication in older Korean patients with hypertension. Eur J Cardiovas Nurs 2012;12(1):17-24.

Gadkari A, Mchorney CA. Unintentional nonadherence to chronic prescription medicatios: How unintentional is it really? BMC Health Serv Res 2012;12(98):1-12.

Tsai KT, Chen JH, Wen CJ, Kuo HK, Lu IS, Chiu LS, et al. Medication adherence among geriatric outpatients prescribed multiple medications. Am J Geriatr Pharmacother 2012;10(1):61-8.

Yap AF, Thirumoorthy T, Kwan YH. Medication adherence in the elderly. J Clin Gerontol Geriatr 2016;7:64-7.

Athiyah U. Model Asuhan Kefarmasian Pelayanan Obat Yang Diresepkan Dan Pengaruhnya Terhadap Perilaku Apoteker Dalam Asuhan Kefarmasian (Disertasi). Surabaya: Universitas Airlangga; 2007.

Ma C. A cross-sectional survey of medication adherence and associated factors for rural patients with hypertension. Appl Nurs Res 2016;31:94-9.

Gray SL, Mahoney JE, Blough DK. Medication adherence in elderly patients receiving home health services following hospital discharge. Geriatr Gerontol 2001;35:539-45.

Published

01-08-2017

How to Cite

Athiyah, U., R. Subarniati, and A. Yuda. “MEDICATION ADHERENCE IN ELDERLY PATIENTS WITH HYPERTENSION”. Asian Journal of Pharmaceutical and Clinical Research, vol. 10, no. 8, Aug. 2017, pp. 165-70, doi:10.22159/ajpcr.2017.v10i8.19060.

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Original Article(s)