[ABSTRAK
PendahuluanHipertensi merupakan masalah kesehatan dunia karena jumlah penderita yangbanyak serta komplikasi yang diakibatkannya. Pengendalian tekanan darah padapada pasien hipertensi masih belum adekuat. Penyebab utama kegagalanpengendalian tekanan darah pada pasien hipertensi adalah ketidak-patuhan berobat,adanya therapeutic inertia dan penyakit yang resisten.TujuanMengetahui proporsi therapeutic inertia pada pasien dengan tekanan darah tidakterkontrol, tingkat medication adherence dan proporsi pengendalian tekanan darahpada pasien hipertensi yang telah berobat lebih dari enam bulan dengan melakukanpengisian kuesioner mengenai kepatuhan berobat dan evaluasi dari rekam medismengenai tatalaksana hipertensi.MetodeTelah dilakukan penelitian potong lintang pada bulan April 2015 sampai Mei 2015terhadap 126 pasien dengan hipertensi dan telah berobat lebih dari enam bulan dipoliklinik Ginjal-Hipertensi RSCM Jakarta-Indonesia. Subjek dilakukanwawancara terstruktur dan pengukuran tekanan darah dan diminta untuk mengisikuesioner 8-item Morisky Medication Adherence Score (MMAS-8) untuk menilaikepatuhan berobat serta evaluasi rekam medis pasien untuk menilai tatalaksanahipertensi yang diterima, serta tekanan darah selama berobat.HasilDidapatkan 113 subjek yang sesuai dengan kriteria penelitian. Dari hasil penelitiandidapatkan pengendalian tekanan darah adalah sebesar 69,3% dari seluruhkunjungan pada pasien dengan tekanan darah tinggi, dari 30,7% pasien dengantekanan darah tidak terkontrol, tingkat therapeutic inertia mencapai 84,1%.Kepatuhan berobat yang baik didapatkan pada 85,8% pasien dengan hipertensiSimpulanTingkat pengendalian tekanan darah pada pasien hipertensi sudah cukup baik.Kepatuhan berobat pasien dengan hipertensi sudah baik. Tingkat therapeuticinertia pada pasien hipertensi dengan tekanan darah tidak terkontrol masih tinggi.
ABSTRACT
BackgroundHypertension is a worldwide medical problem because of huge amount ofhypertensive patient and complication tha follows. The blood pressure control ofhypertensive patients is inadequate. The main reason failure in controlling bloodpressure of hypertensive patient are medication inadherent, therapeutic inertia andresistant disease.ObjectivesTo determine the proportion of therapeutic inertia in hypertensive patient withuncontrolled blood pressure, medication adherence level and blood pressurecontrol rate in hypertensive patient who has been on medication for over than sixmonth by filling questionnaire on medication adherence and evaluation of medicalrecord on hypertension therapy.MethodA cross-sectional study was conducted in April 2015 through May 2015 on 126hypertensive patient and has been on hypertension medication for over than sixmonth at Nephrology-Hypertension clinic Cipto Mangunkusumo Hospital, Jakarta-Indonesia. We conducted structured interview and blood pressure measurement tothe subject, and requested to fill 8-item Morisky Medication Adherence Score(MMAS-8) to evaluate medication adherence and reveiw of medical record toevaluate hypertension therapy and blood pressure during ambulatory visit.ResultsThere were 113 subject that meet the study criteria. The blood pressure control ratewere 69.3% from all visit of hypertensive patient. From 30.7% visit withuncontrolled blood pressure, therapeutic inertia were 84,1%. Good medicationadherence were found in 85.8% hypertensive patient.ConclusionBlood pressure control rate in hypertensive patient is good. Medication adherencein hypertensive patient were also found good. We found that the theraputic inertialevel among hypertensive patient with uncontrolled blood pressure is high., BackgroundHypertension is a worldwide medical problem because of huge amount ofhypertensive patient and complication tha follows. The blood pressure control ofhypertensive patients is inadequate. The main reason failure in controlling bloodpressure of hypertensive patient are medication inadherent, therapeutic inertia andresistant disease.ObjectivesTo determine the proportion of therapeutic inertia in hypertensive patient withuncontrolled blood pressure, medication adherence level and blood pressurecontrol rate in hypertensive patient who has been on medication for over than sixmonth by filling questionnaire on medication adherence and evaluation of medicalrecord on hypertension therapy.MethodA cross-sectional study was conducted in April 2015 through May 2015 on 126hypertensive patient and has been on hypertension medication for over than sixmonth at Nephrology-Hypertension clinic Cipto Mangunkusumo Hospital, Jakarta-Indonesia. We conducted structured interview and blood pressure measurement tothe subject, and requested to fill 8-item Morisky Medication Adherence Score(MMAS-8) to evaluate medication adherence and reveiw of medical record toevaluate hypertension therapy and blood pressure during ambulatory visit.ResultsThere were 113 subject that meet the study criteria. The blood pressure control ratewere 69.3% from all visit of hypertensive patient. From 30.7% visit withuncontrolled blood pressure, therapeutic inertia were 84,1%. Good medicationadherence were found in 85.8% hypertensive patient.ConclusionBlood pressure control rate in hypertensive patient is good. Medication adherencein hypertensive patient were also found good. We found that the theraputic inertialevel among hypertensive patient with uncontrolled blood pressure is high.] |
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