HUBUNGAN KEPATUHAN TERAPI TERHADAP KUALITAS HIDUP PASIEN DENGAN HIPERTENSI DERAJAT II

Nurma Afiani, Djanggan Sargowo, Ika Setyo Rini

Abstract


ABSTRAK

Latar Belakang: Kepatuhan terapi merupakan salah satu unsur penting dalam pengelolaan pasien hipertensi. Hipertensi tidak terkontrol berisiko menimbulkan kecacatan sehingga dapat mempengaruhi kualitas hiduppenderita. Di Indonesia belum ada literatur yang menyebutkan hubungan antara kepatuhan terapi dan faktor-faktor yang mempengaruhinya terhadap kualitas hidup penderita hipertensi.

Tujuan: Mengetahui hubungan antara kepatuhan terapi dan faktor-faktor yang mempengaruhinya terhadapkualitas hidup pasien dengan hipertensi derajat II.

Metode: Studi analitik observasional ini dilakukan pada pasien hipertensi rawatjalan diPoliklinik Jantung RSU Dr. Wahidin Sudiro Husodo Mojokerto selama bulan Mei sampai Juni 2013. Subjek dipilih sesuai dengen kriteria hipertensi derajat II dan telah mengisi informed consent. Data tentang kepatuhan terapi dan kualitashidup diperoleh dari hasil wawancara masing-masing dengan menggunakan kuisioner MMAS (MoriskyMedication Adherence Scale) dan SF-36 (Short Form-36). Hubungan antara kepatuhan terapi dan faktor-faktoryang mempengaruhinya terhadap kualitas hidup penderita hipertensi derajat II dianalisis dengan analisis jalur (Path Analysis).

Hasil: Dari 853 pengunjung poliklinik, subjek yang memenuhi kriteria inklusi berjumlah 70 orang, terdiri dari 35 orang (50%) laki-laki dan 35 orang (50%) perempuan; 38 orang (54,3%) berusia 55-65 tahun dan 32 orang (45, 7%) berusia tahun. Berdasarkan hasil analisis jalur ditemukan bahwa faktor-faktor yang berpengaruh langsung terhadap kualitas hidup berturut-turut adalah kepatuhan terapi tingkat ekonomi dan jenis antihipertensi. Kepatuhan terapi sendiri juga dipengaruhi olehbeberapa faktor yaitu tingkat ekonomi dan tingkat pendidikan.

Kesimpulan: Faktor ekonomi dan pendidikan merupakan faktor yang paling dominan dalam menentukankepatuhan terapi yang kemudian berdampak kepada kualitas hidup.

 

Kata Kunci: Kepatuhan Terapi, Kualitas Hidup, Hipertensi Derajat II

ABSTRACT

Background: Compliance is an important factor in treatment of hypertension patient. Low compliance in treatment increases morbidity and will impact to quality of life. In Indonesia there is no dada predicting factors influence compliance releated to quality of life in hypertension patients.

Objective: This study was conducted in order to preclictfactors influence compliance that releated to quality of life in hypertension stage II.

Methods: An analytic-observational study was conducted upon hypertension patients visited to out patienf departement in Dr. Wahidin Sudiro Husodo Hospital Mojolcertofrom Mei to June, 2013. Subjects representativesof the hypertension stage II patients who had given informed consent. Compliance was assessed using MMAS(Morisky Medication Adherence Scale) questionnaire and Quality of Life using SF-36 (Short Form-36)questionnaire. Data were analyzed using Path Analysis adjusted to predict factors influence compliance that releated to quality of life in hypertension stage II.

Results: Of total of 853 patients visiting at Out Patients Departement (OPD), there were 70 subjects eligible inthis study. They were 35 male (50%) and 35 female (50%); 38 subjects (54,307%) were 55-65 years old and 32subjects (45, 7%) were 265 years old. Factorsdirectly influenced quality of life were: complianceeconomic level and antihypertensive Factorsinfluenced compliance to treatment were: economic level and educational level(r-0.237;p=0,000).

Conclusion: It can concluded that economic and educational level were related to compliance thus impact tohigh quality of life in patients with hypertension stage II.

Keywords: Compliance, Quality of Life, Hypertension Stage II.

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References


DAFTAR PUSTAKA

Aguwa, C.N., Ukwe, C.V., Ekwunife, O.I.(2008). Effect of Pharmaceutical CarePrograamme on Blood Pressure And Quality of Life in a Nigerian Pharmacy. Pharm WorldSci (30): 107-110.

Bailey, J.E., wan, J.Y., Tang, J., Ghani M.A., Cushman, W.C. (2010). Antihypertensive Medication Adherence, Ambulatory Visits and Risk For Sfroke and Death. J Gen Intern Med (25)6:495-503.

Chobanian, A. V. (2003). The Sevent Report of The Joint National Committee onPrevention, Detection, Evaluation andTreatment of High Blood Presurre. JointNational Committee on Prevention, Detection, Evaluation and Treatment of High Blood Presurre. Arch Intern Med.

Departemen Kesehatan Republik Indonesia. (2006). Pharmaceutical Care Untuk Penyakit Hipertensi. Direktorat Bina Farmasi Komunitas Dan Klinik: DitjenBina Kefarmasian Dan Alat Kesehatan.

Franklin, S.S. and Neutel, J.M. (2009). Initial Combination Therapy for Rapid and Effective Control of Moderate and SevereHypertension. Journal of Human Hypertension (23) 4-11.

Hacihasaroglu, R. and Gozum, S. (2011).The Effect of Patients Education and Home Monitoring on Medication Compliance,Hypertension Management, HealthyLifestyle Behaviours and BMI in a Primary Health Care Setting. Journal of ClinicalNursing (20)5-6: 692-705.

Handler. J. (2005). Quality of Life and Antihypertensive Drug Theraphy. The Journal of Clinical Hypertension (7)5: 274-285.

Hareri, H.A., Abebe, M., Asewaf, T. (2013), Assessment of Adherence ToHypertension Managements and It'sInfluencing Factors Among HypertensivePatients Attending Black Lion HospitalChronic Follow Up Units, Addis Abbaba,Ethiopia, A Cross Sectional Study. IJPSR (4)3: 1086-1095.

Hassan, N.B., Hasanah, C.I., Foong, K., Naing, L. Awang, R., Ismail, S.B., Ishak,A., Yaacob, L.H., Harmy, M.Y., Daud, A.H., Shaharom, M.H., Conroy, R., Rahman,A.R.A. (2006). Identification ofPsychosocial Factors of Noncompliance inHypertensive Patients. Journal of HumanHypertension(20):23-29.

Heard, E., Whitfield, K.E., Edwards, c.L., Bruce, M.A., Beech, B.M. (2011). Mediating Effects of Social Support on The Relationship Among Perceived Stress, Depression, and Hypertension in AfricaAmericans. Journal of The NationalMedical Association (103)2: 116-122.

Horne, R., Clatworthy J., Polmear, A., Weinman, J. (2001). Do HypertensivePatients Beliefs About Their Illness and Treatment Influence Adherence Medication and Quality of Life. Journal of HumanHypertension (15)1:65-68.

Iqbal, M. (2011). Clinical Perspective on the Management of Hypertension, IndianJournal of Clinical Medicine (2): I-17.

Karo, W.S. (2010). Pengaruh TingkatPendapatan Terhadap Kualitas Hidup(Studi kasus RW 05 Kelurahan Serdang Kecamatan Kemayoran Jakarta Pusat).Perpustakaan Universitas Indonesia.

Lalonde, L., O'Connor, A., Joseph, L., Grover, S.A. &The Canadian Collaborative Cardiac Assessment Group. (2004). Health-releated Quality of Life inCardiac Patients with Dyslipidemia andHypertension. Quality of Life Research (13):793-804

Nunes, M.I. (2001). The Relationship Between Quality of Life and Adherence to Treatment. Current Hypertension Report'(3): 462465.

Saleem, F., Hassali, M.A., Shafie, A.A., Awad, G.A., Atif, M., Haq, M., Aljadhey, H., Farooqui, M. (2012). Does Treatment Adherence Correlates with Healt Realeted Quality of Life? Findings from a CrossSectional Study. BioMed Central (12):318.

Testa, M.A. Applications(2000). of Methods and Aplications of Quality-of-Life Measurement During Antihypertensive Therapy. Current Hypertension Reports.

Ucan, O. and 'Nimet O. (2010). Relationship between Diabetes Mellitus, Hypertension and Obesity, and Health-releated Quality of Life in Gaziailtep, a Central South-Eastern City in Turkey. Journal of Clinical Nursing (19): 2511-2519.

Whelton, P.K., J He, Muntner P. (2004). Prevalence, awareness, treatment and control of hypertension in North America, North Africa and Asia, Journal of Human

Hypertension (18): 545-551.

WHO. (2012). World Health Statistic New Releases: Hypertension Prevalence.

http://www.who.int/mediacenfre/news/releases/2012. Diakses pada 2 Maret 2013.




DOI: http://dx.doi.org/10.20527/dk.v2i1.3363

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