The Effect Of Counseling On The Adherence Of Therapeutic Hypertension Patients

Abstract

Failure of therapy is a result of bad adherence medication. Non-adherence to therapy is a major factor that is suspected to result in uncontrolled blood pressure in hypertensive patients resulting in more serious complications. Therefore it is important to increase the adherence rate of treatment in patients with hypertension in the treatment process. For this reason, the need for interventions to improve adherence with several aspects that can be changed. This study uses One Group Pretest-Posttest Design using 100 samples. Data derived from questionnaires containing 25 items of adherence to therapy, 5 items of knowledge, 4 items of trust, 3 items of motivation, 10 items of family support with nonparametric statistical tests used were Mc Nemar test. Mc Nemar test results indicate that there is a significant difference between adherence at the pre-test and at the post-test after counseling with a significance value (p = 0,000). The results also showed that there was a difference in knowledge with a significance value (p = 0.001), motivation with a value (p = 0.031) and family support with a value (p = 0,000). The education with counseling about knowledge, trust, motivation and family support is effective in increasing compliance. There are other changeable factors such as lifestyle education, patient doctor relationships, and the use of smartphone applications for self-reported therapy can improve adherence in patients thereby minimizing therapy failure. Other educational methods that can be used besides counseling are counseling and dissemination of social media information.

Hypertensive patients compliance for clinician counseling in dessie city, Ethiopia

“…Patients may have a poor understanding of the perceived risk, severity, susceptibility, and lack of motivation of complications related to poor compliance towards clinicians’ counseling [ 29 , 33 ]. Physician or clinician lifestyle and patient-clinician relations also influenced the type of counseling towards their patients, this leads to improper utilization of counseling [ 34 , 35 ]. Therefore, the clinician should consider tailored, patient-centered, and comprehensive counseling for hypertensive patients for modifiable behavioral risk factors.…”

Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat pada Lansia Hipertensi di Kabupaten Pati

“…dukungan orang terdekat menjadi poin penting untuk dapat menjaga kesehatan lansia, dimana dukungan keluarga atau family support sangat diperlukan dalam menjaga kesehatan anggota keluarga termasuk menjalani terapi pengobatan (Friska et al, 2020). Keterlibatan keluarga dalam pengobatan tentu membawa dampak positif dalam keberhasilan terapi pengobatan, dimana terlihat pasien yang mendapatkan dukungan keluarga https://ejournal.polsub.ac.id/index.php/jiitr lebih patuh dalam menjalani pengobatan dibandingakan mereka yang tidak mendapatkan ddukungan kelaurga (Prihanti et al, 2020).…”

Health Literacy Dan Perilaku Cerdik Penderita Hipertensi Dimasa Pandemi Covid-19

“…Dalam memutuskan apa yang baik dan bermanfaat bagi kesehatan, seseorang membutuhkan sumber informasi yang bisa di peroleh dengan mudah dan dapat dipahami dengan baik berdasarkan latar belakang sosial dan budaya yang ada di masyarakat. Dampak yang sangat besar dari perubahan perilaku seseorang adalah kemampuannya dalam memahami manajemen kesehatan dan menerapkan secara langsung sumber informasi kesehatan yang telah dimiliki (Prihanti et al, 2020).…”