Analysis of Factors Affecting Compliance Taking Medicine for Elderly Hypertension Based Health Belief Models

Aulia Hilda Pristianti; Trisna Vitaliati; Nurul Maurida

doi:10.58545/jrcnp.v1i2.202

Authors

Aulia Hilda Pristianti Nursing Science Study Program, Faculty of Health Science, dr Soebandi University, Jember, Indonesia
Trisna Vitaliati Faculty of Health Science, dr Soebandi University, Jember, Indonesia https://orcid.org/0000-0003-3870-7661
Nurul Maurida Faculty of Health Science, dr Soebandi University, Jember, Indonesia https://orcid.org/0000-0002-6310-9850

DOI:

https://doi.org/10.58545/jrcnp.v1i2.202

Abstract

Entering old age, more and more diseases attack the elderly, including high blood pressure. Most people with hypertension don't know they have hypertension because it has no symptoms, so it's often called the silent killer. Elderly people must adhere to treatment in cases of hypertension, especially by taking antihypertensive drugs. The problem faced by elderly people with hypertension is that most of them do not adhere to their medication. The behavior of following a doctor's advice comes from beliefs or perceptions. The health belief model is one of the theories based on faith. This study aimed to analyze the factors affecting medication adherence in the elderly with hypertension as a function of health belief regimen. This study uses a type of quantitative research. The study design used descriptive analysis with a cross-sectional design. The study population consisted of 107 elderly people with a sample of 100 elderly people with hypertension in the work area of Jenggawah Primary Health Center. The study will be conducted from April to May 2023. The instrument used in the study is a questionnaire. Based on the test results by SPSS using a logistic regression test with α of 0.05, perceived susceptibility p-value of 0.003, p-value of perceived severity of 0.036, p-value of perceived benefit is 0.682 observed, perceived barriers are found to be p-value 0.216, self-efficacy p value 0.081, cues to action p value 0.746. Based on the study results, it can be concluded that there is an influence of the perception of susceptibility and the perception of severity on the adherence to drug treatment in the elderly with hypertension.

Keywords:

Adherence to taking medication, hypertensi, Elderly, health belief model

Downloads

Download data is not yet available.

References

Amry, RY, Hikmawati, AN, & Rahayu, BA (2021). Theory of the Health Belief Model is used as an analysis of medication adherence in hypertensive patients. Journal of Nursing, 13 (1), 25–34. http://journal.stikeskendal.ac.id/index.php/Keperawatan

Andraini et al. (2022). The Relationship Between The Health Belief Model Approach to Compliance with The Use of Medicines for Heart Failure Patients Health Belief Model. 4 (1), 28–43. DOI: https://doi.org/10.35316/tinctura.v4i1.2314

Ariesti, E., P, YP, Nursing, PD, Nursing, A., & Waluya, P. (2018). The Relationship Between Self Efficacy With The Level Of Compliance In Malang City. 39–44. DOI: https://doi.org/10.36916/jkm.v3i1.51

Berhimpong, MJA, Rattu, AJM, & Pertiwi, JM (2020). Analysis of the Implementation of Physical Activity Based on the Health Belief Model by Health Workers at the Health Center. Journal of Public Health and Community Medicine, 1 (4), 54–62.

Fitriani, Y., Pristianty, L., & Hermansyah, A. (2019). Health Belief Model (HBM) Approach to Analyze the Compliance of Type 2 Diabetes Mellitus Patients When Using Insulin Adopting Health Belief Model Theory to Analyze the Compliance of Type 2 Diabetes Mellitus Patients When Using Insulin Injection. 16 (02), 167–177. DOI: https://doi.org/10.30595/pharmacy.v16i2.5427

Indonesian Ministry of Health. (2018). Basic Health Research Results 2018. Indonesian Ministry of Health, 53 (9), 1689–1699.

Made, L., Roslandari, W., Illahi, RK, & Lawuningtyas, A. (2020). The Relationship Between Family Support and the Level of Adherence to Treatment of Outpatient Hypertension in the Chronic Disease Management Program. Pharmaceutical Journal of Indonesia, 5 (2), pp. 131-139. DOI: https://doi.org/10.21776/ub.pji.2020.005.02.10

Massa, M. (2021). Adherence to Taking Hypertension Medication in the Elderly. 2 (September), 46–52.

Paramitha, S., Isnuwardana, R., Nuryanto, M., Djalung, R., Rachmawatyningtyas, D., & Jayastri, P. (2017). Patterns of Using Natural Medicines as Complementary Therapy for Hypertension in Community Health Centers. Journal of Science And Health, 1 (7), 367–376. DOI: https://doi.org/10.25026/jsk.v1i7.56

Prabawati, RA, Widjanarko, B., & Prabamurti, PN (2022). Factors Associated with Compliance of Hypertension Sufferers in Carrying Out Therapy at the Bandarharjo Community Health Center. Indonesian Public Health Media , 21 (6), 405–410. https://doi.org/10.14710/mkmi.21.6.405-410 DOI: https://doi.org/10.14710/mkmi.21.6.405-410

Pramesti, A., Ichsan, B., Romadhon, YES, & Dasuki, MS (2020). Factors Causing Non-adherence to Medication for Hypertension Sufferers in the Work Area of Kartasura Health Center: Qualitative Study. Proceeding Book Call for Paper Thalamus: Medical Research For Better Health In Pandemic, 117–129. https://publishilmiah.ums.ac.id/handle/11617/12436

Rahmad, DD, & Purnama, A. (2022). Description of Compliance of Hypertensive Patients in Using Antihypertensive Drugs at RSUD dr. TC Hillers, Sikka Regency, East Nusa Tenggara. Hutama Medika Journal, 03 (04), 402–406.

Silvanasari et al. (2022). Increasing knowledge of non-communicable diseases: hypertension in the increasing elderly. Journal of community service, 8 (5), 221.

Soesanto, E., & Marzeli, R. (2020). Elderly Perceptions of Hypertension and Health Behavior. Journal of Nursing and Public Health Scholar Utama, 9 (3), 244. https://doi.org/10.31596/jcu.v9i3.627 DOI: https://doi.org/10.31596/jcu.v9i3.627

Sri et al. (2021). Analysis Of Factors Of Elderly Behavior With Chronic Diseases Based On The Health Belief Model At Puskesmas. 11 (1), 71–79. DOI: https://doi.org/10.37413/jmakia.v11i1.129

Tsadik, D., Berhane, Y., & Worku, A. (2020). Adherence to Antihypertensive Treatment and Associated Factors in Central Ethiopia. International Journal of Hypertension [revista en Internet] 2020 [acceso noviembre de 2021]; 2020(1): 1-10. International Journal of Hypertension, 2020 (Cvd), 10–13. https://downloads.hindawi.com/journals/ijhy/2020/9540810.pdf

WHO. (2022). World health statistics 2022 (Monitoring health of the SDGs). In Monitoring the health of the SDGs. http://apps.who.int/bookorders.

Widyastuti, D., & Ayu. (2019). Level of Elderly Dependency Based on Age and Gender at the Trsena Werda Nirwana Puri Samarinda Social Home. Borneo Nursing Journal (BNJ), 1 (1), 1–15.

Wijaya, DS, Saftarina, F., Larasati, T. A., Medicine, F., & Lampung, U. (2018). Factor Analysis of Health Belief Model on Adherence to Taking Antihypertensive Medication Factor Analysis of Health Belief Model on Antihypertensive Medication Adherence. xx.