The Drug Information Service or Pelayanan Informasi Obat (PIO) is indispensable for improving patient compliance with their treatment. With the PIO can change the knowledge and compliance of patients, especially hypertensive patients. This study was conducted to determine whether PIO can influence adherence to medication hypertension patients in RSUD Penajam Paser Utara. Sampling was done by purposive sampling and analyzed using Spearman Rank Correlation Test where the compliance aspect was assessed using validity and reliability tested questionnaire method, given before PIO and after PIO, and Pill Count method (calculating the remaining pills for 4 weeks) . Samples were obtained by 50 people, the results showed no improvement in adherence before and after PIO administration, and there was a relationship of compliance measurement results with questionnaire method after counseling and Pill Count method. The percentage of patient adherence after PIO administration was based on a high-compliance 70% (35 person) questionnaire method and based on the Pill Count method with a high adherence rate of 60% (30 persons), the compliance data obtained from both methods indicated that the provision of PIO can not improve compliance to take medication of hypertension patient of RSUD Penajam Paser Utara
One of the public health concerns is drug non-adherence. The main cause of poor hypertension control is noncompliance with antihypertensive medications. The elements that drive compliance behavior are numerous and complicated, with social support being one of them. Family support is critical in health care since it is through family support that a healthy family can be achieved. Family members can help by providing information about their sickness or reminding them to take their medications. The goal of this research was to identify the relationship between family support and medication adherence in hypertensive patients at Muara Wis Health Center, Kutai Kartanegara Regency, Province East Borneo. This study is descriptive correlational and uses a cross-sectional method, which involves measuring or observing at the same time and the same location. The participants in this study were 100 hypertensive patients of Muara Wis Health Center. The data in this study were analyzed using Spearman rank correlation. Based on the MMAS (Morisky Medication Adherence Scale) questionnaire, medication adherence in hypertensive patients at the Muara Wis Health Center had 52 percent low adherence, 29 percent moderate adherence, and 19 percent high adherence. According to pill count, low adherence patients was 51 percent, moderate adherence was 29 percent, and high adherence was 20 percent. Patients with hypertension who had poor family support were 54 percent, those who received moderate family support were 26 percent, and those who received strong family support were 20 percent. Hence, there is a significant relationship between family support and medication adherence in hypertensive patients of Muara Wis Health Center.
More than two-thirds of patients with type 2 diabetes also experience hypertension whose development coincides with hyperglycemia, where each disease has a tendency to influence the increased risk of other diseases. Sundry new guidelines, such as the National Joint Committee 8, the American Diabetes Association recommend blood pressure targets in the diabetic population of <140/90 mmHg to reduce cardiovascular risk and prevent the progression of nephropathy. This study aims to determine whether there is a difference in achieving blood pressure target < 140/90 mmHg according to Join National Committee 8 between ACEi and ARB in patients with type 2 diabetes with hypertension. This research was conducted using a retrospective at internist clinic of Abdul Wahab Syahranie hospital, by taking secondary data from the medical record from blood pressure o 49 outpatients received a single antihypertensive either drug ACEi 29 people or ARB 34 people. This study showed that the achievement of target blood pressure by <140/90 mmHg (JNC 8 guideline) between ACEi 7 (28%) and ARB 5 (20,8%) group and it can be concluded that between ACEi and ARB drugs(P=0.5) there was no differsignificantly in achievement blood pressure target on type 2 diabetes with hypertension.
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