Hubungan Health Belief dan Health Literacy dengan Kepatuhan Pengobatan pada Penderita Hipertensi

Mareta Rosaline, Nurul Aliyyah Rahmah

Sari


ABSTRACT

 

The results of the 2018 Basic Health Research stated that the prevalence of hypertension in Indonesia had increased from the previous 25.8% in 2013 to 34.11% in 2018 this means that hypertension sufferers still have poor control levels which are manifested by as much as 32.3% Patients with hypertension do not routinely take medication and another 13.3% do not take medication. To effectively improve adherence, several factors such as perceptions of health beliefs and health literacy can be modified to improve medication adherence behavior in people with hypertension. This study aims to determine the relationship between health belief and health literacy with medication adherence in patients with hypertension in the Work Area of the Public Health Center, Ciracas District, East Jakarta. The research method used is descriptive analytic with cross sectional design. The data collection technique used was purposive sampling with a total sample of 108 respondents. The results showed that there was a relationship between health literacy and medication adherence (p value = 0.028) and there was a relationship between health belief and medication adherence (p value = 0.035). Health service providers are expected to improve health education interventions with hypertension sufferers, especially in hypertension patients with poor health belief and inadequate health literacy in order to increase better perceptions of medication adherence behavior.

 

Keywords: Hypertension, Health Belief, Health Literacy, Medication Adherence

 

ABSTRAK

 

Hasil Riset Kesehatan Dasar tahun 2018 menyatakan prevalensi hipertensi di Indonesia mengalami peningkatan dari yang sebelumnya 25,8% pada tahun 2013 menjadi sebesar 34,11% di tahun 2018 hal ini bermakna penderita hipertensi masih memiliki tingkat kontrol buruk yang dimanifestasikan dengan sebanyak 32,3% penderita hipertensi tidak rutin minum obat dan 13,3% lainnya tidak minum obat. Untuk meningkatkan kepatuhan secara efektif beberapa faktor seperti persepsi keyakinan kesehatan (health belief) dan literasi kesehatan (health literacy) dapat dimodifikasi guna meningkatkan perilaku kepatuhan pengobatan pada penyandang hipertensi. Penelitian ini bertujuan untuk mengetahui hubungan health belief dan health literacy dengan kepatuhan pengobatan pada penderita hipertensi di Wilayah Kerja Puskesmaas Kecamatan Ciracas Jakarta Timur.  Metode penelitian yang digunakan adalah deskriptif analitik dengan desain cross sectional. Teknik pengambilan data yang digunakan adalah purposive sampling dengan total sampel 108 responden. Hasil penelitian menyatakan bahwa terdapat hubungan anatar health literacy dengan kepatuhan pengobatan (p value = 0,028) dan terdapat hubungan antara health belief dengan kepatuhan pengobata (p value = 0,035). Penyedia layanan kesehatan diharapkan dapat meningkatkan intervensi pendidikan kesehatan dengan penderita hipertensi, khususnya pada penderita hipertensi dengan health belief  kurang baik dan health literacy kurang memadai guna meningkatkan persepsi yang lebih baik pada perilaku kepatuhan pengobatan.

 

Kata kunci: Hipertensi, Health Belief, Health Literacy, Kepatuhan Pengobatan


Teks Lengkap:

Download Artikel

Referensi


Al-noumani, Huda et al. (2019). “Patient Education and Counseling Health Beliefs and Medication Adherence in Patients with Hypertension : A Systematic Review of Quantitative Studies.” 102: 1045–56.

Amry, Riza Yulina, Anna Nur Hikmawati, and Bety Agustina Rahayu. (2021). “Teori Health Belief Model Digunakan Sebagai Analisa Kepatuhan Minum Obat Pada Penderita Hipertensi.” Jurnal Keperawatan 13(1): 25–34.

Ann, Terri et al. (2019). “A Concept Analysis of Health Literacy.” Nurs Forum 54(3): 315–27.

Aradista, Alda Maharanti, RR. Amanda Pasca Rini, and Nindia Pratitis. 2020. “Hubungan Antara Health Belief Model Dengan Perilaku Kepatuhan Kebijakan Pembatasan Sosial Berskala Besar (PSBB) Selama Pandemi COVID-19 Pada Emerging Adult.” Sukma: Jurnal Penelitian Psikologi 1(2): 117–30.

Baran, Ayse Karalar et al. (2017). “European Journal of Integrative Medicine What Do People with Hypertension Use to Reduce Blood Pressure in Addition to Conventional Medication – Is This Related to Adherence ?” 13(May): 49–53.

Brier, Moriah J et al. (2017). “Perceived Barriers to Treatment Predict Adherence to Aromatase Inhibitors Among Breast Cancer Survivors.” American Cancer Society Journals: 169–76.

Conor, Rachel O et al. (2019). “Effects of Health Literacy and Cognitive Abilities on COPD Self-Management Behaviors : A Prospective Cohort Study.” Respiratory Medicine 160: 1–7. https://doi.org/10.1016/j.rmed.2019.02.006.

Edyawati, Eka, Nurfika Asmaningrum, and Kholid Rosyidi Muhammad Nur. (2021). “HUBUNGAN TINGKAT LITERASI KESEHATAN DENGAN KEPATUHAN MINUM OBAT PASIEN TUBERKULOSIS DI PUSKESMAS KABUPATEN PONOROGO.” Jurnal Keperawatan Sriwijaya 8(2): 50–59.

Hamrahian, S Mehrdad. (2020). “Medication Non-Adherence : A Major Cause of Resistant Hypertension.” : 1–7.

Kawulusan, Kevin B, Mario E Katuuk, and Yolanda B Bataha. (2019). “Hubungan Self-Efficacy Dengan Kepatuhan Minum Obat Kota Manado.” e-journal Keperawatan (e-Kep) 7(1): 1–9.

Lor, Maichou et al. (2020). “Association Between Health Literacy and Medication Adherence among Hispanics With Hypertension.” J Racial Ethn Health Disparities 6(3): 517–24.

Mardiana, Masyitha Irwan, and Yuliana Syam. (2020). “Hubungan Health Literacy Dengan Perilaku Mencari Bantuan Kesehatan Pada Lansia Dengan Prehipertensi.” Jurnal Endurance : Kajian Ilmiah Problema Kesehatan 5(2): 313–20.

Narsih, Umi, and Nova Hikmawati. (2020). “Pengaruh Persepsi Kerentanan Dan Persepsi Manfaat Terhadap Perilaku Remaja Putri Dalam Pencegahan Anemia.” Indonesian Journal for Health Sciences 4(1): 25–30.

Nurhandiya, Vina, Desy Indra Yani, and Iwan Shalahuddin. (2020). “Precautionary Complications on Hypertension with Health Belief Model ( HBM ) Approach : A Descriptive Study of Health Center Community in The Garut Region of Indonesia.” Jurnal Aisyah : Jurnal Ilmu Kesehatan 5(1): 75–80.

Oscalice, Monica Isabelle Lopes, Meiry Fernanda Pinto Okuno, Ruth Ester Assayag Batista, and Cassia Regina Vancini Campanharo. (2019). “Health Literacy and Adherence to Treatment of Patients with Heart Failure.” Rev Esc Enferm USP 53: 1–7.

Pongoh, Lucyana L, Karel Pandelaki, and Windy Wariki. (2020). “Hubungan Antara Literasi Kesehatan Dengan Kualitas Hidup Pada Penyandang Diabetes Melitus Tipe 2 Di Rumah Sakit Umum GMIM Pancaran Kasih Manado.” e-Clinic 8(2): 259–66.

Rachmawati, Windi Chusniah. (2019). Promosi Kesehatan Dan Ilmu Perilaku. Wina Medika.

Rahmawati, Riana, and Beata Bajorek. (2017). “Factors Affecting Self-Reported Medication Adherence and Hypertension Knowledge : A Cross-Sectional Study in Rural Villages , Yogyakarta Province , Indonesia.” 7.

Rayanti, Rosiana Eva, Kristiawan Prasetyo, Agung Nugroho, and Shendylusynthia Marwa. (2021). “Health Belief Model Dan Management Hipertensi Pada Penderita Hipertensi Primer Di Papua.” Jurnal Keperawatan Muhammadiyah 6(1): 19–30.

Risnah, and Muhammad Irwan. (2021). Falsafah Dan Teori Keperawatan Dalam Integrasi Keilmuan. ed. Musdalifah. Alaudin University Press.

Saffari, Mohsen et al. (2020). “Educational Intervention Based on the Health Belief Model to Modify Risk Factors of Cardiovascular Disease in Police Officers in Iran : A Quasi-Experimental Study.” Journal of Preventive Medicine & Public Health 53: 275–84.

Saqlain, Muhammad et al. (2019). “Medication Adherence and Its Association with Health Literacy and Performance in Activities of Daily Livings among Elderly Hypertensive Patients In.” : 1–16.

Triharini, Mira et al. (2018). “International Journal of Nursing Sciences Adherence to Iron Supplementation amongst Pregnant Mothers in Surabaya , Indonesia : Perceived Bene Fi Ts , Barriers and Family Support.” International Journal of Nursing Sciences 5(3): 243–48. https://doi.org/10.1016/j.ijnss.2018.07.002.

Whelton, Paul K et al. (2018). Clinical Practice Guideline 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Guideline for the Prevention , Detection , Evaluation , and Management of High Blood Pressure in Adults A Report of the American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines.

Yeung, Denise L et al. (2017). “Low-Health Literacy Flashcards & Mobile Video Reinforcement to Improve Medication Adherence in Patients on Oral Diabetes , Heart Failure , and Hypertension Medications.” Journal of the American Pharmacists Association 57(1): 30–37. http://dx.doi.org/10.1016/j.japh.2016.08.012.




DOI: https://doi.org/10.33024/mahesa.v3i3.9876

Refbacks

  • Saat ini tidak ada refbacks.


Publisher: Universitas Malahayati Lampung

Creative Commons License
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License


kostenlose besucherzähler