The correlation between knowledge, attitude and family support on compliance of outpatients with hypertension in a healthcare centre in Indonesia

Authors

  • Liza Pristianty Universitas Airlangga, Surabaya, Indonesia
  • Yuni Priyandani Universitas Airlangga, Surabaya, Indonesia
  • Abdul Rahem Universitas Airlangga, Surabaya, Indonesia

DOI:

https://doi.org/10.46542/pe.2023.232.2530

Keywords:

Compliance, Family support, Hypertension, Knowledge, Primary healthcare center

Abstract

Background: Hypertension is a silent killer disease in the community. The success of hypertension therapy is influenced by adherence to medication. Three factors that shape compliance behaviour are knowledge and attitudes (these are predisposing factors) and family support (as a reinforcing factor). The majority of people in Indonesia choose healthcare centers when seeking hypertension treatment. Non-adherence to treatment has an impact on the incidence of complications.

Objective: This current study was conducted on outpatients in the Tanggulangin Primary Healthcare Centre, Sidoarjo, Indonesia.

Method: This study used a correlational design and a cross-sectional approach, involving 72 people in the sample. The variables measured were: knowledge, attitudes of patients, family support as well as patient compliance with hypertension treatment. Data was collected through a questionnaire instrument. Data analysis was done descriptively and correlatively.

Results: The most widely accepted hypertension drug was amlodipine 78.6%, and a single therapy was given to 86.1% of patients. Most patients had suffered from hypertension for less than one year (38.9%); and half of the patients had family members who suffered from hypertension (52.1%). Patient knowledge of hypertension was moderate (69.4%). Most of the patients had a positive attitude (83.3%), good family support (76.5%), however, 94.5% did not comply with medication. The Spearman Rho test showed compliance with treatment was influenced by knowledge (5.9%) and attitude (14.8%). Meanwhile, the family support variable had no effect on compliance.

Conclusion: This study concludes patient compliance to hypertension medication in the Tanggulangin Primary Healthcare Centre is only influenced by patient knowledge and attitudes.

Author Biographies

Liza Pristianty, Universitas Airlangga, Surabaya, Indonesia

Department of Pharmacy Practice, Faculty of Pharmacy 

Yuni Priyandani, Universitas Airlangga, Surabaya, Indonesia

Department of Pharmacy Practice, Faculty of Pharmacy

Abdul Rahem, Universitas Airlangga, Surabaya, Indonesia

Department of Pharmacy Practice, Faculty of Pharmacy

References

Benowitz, N.L. (2012) “AntihypertensiveAgents” in Katzung GB, Masters SB, and Treor AJ. Basic and Clinical Pharmacology 12th Edition. United State of America: McGraw Hill Companies

Bungin, B. (2010). Metodologi Penelitian Kualitatif. PT. Raja Grafindo Persada. Jakarta

Dipiro J.T., Wells B.G., Schwinghammer T.L., & Dipiro C. V. (2017). Chapter Cardiovascular Disorder in Pharmacotherapy Handbook 10th ed. England: McGraw Hill Education Companies

Djarwanto (1997). Statistika Nonparametrik. BPFE - Yogyakarta. Yogyakarta

Hanum, S., Rahmaida, N., Marlinda, & Yasir. (2019). The Relationship between Knowledge, Motivation, and Family Support with Compliance with Taking Medicines for Hypertension Patients at Peukan Bada Health Center, Aceh Besar District. JKT, 10(1), 30-35

Harahap, D., Aprilla, N., & Muliati, O. (2019). The Relationship of Knowledge of Hypertension Patients about Hypertension with Compliance with Taking Antihypertensive Drugs in the Kampa Health Center Work Area in 2019. Journal of Ners, 3(2), 97 – 102

James, P.A., Oparil, S., Carter, B.L., Cushman, W.C., Dennison-Himmelfarb, C., Handler, J., Lackland, D.T., LeFevre, M.L., MacKenzie, T.D., Ogedegbe, O., Smith, S.C., Jr, Svetkey, L.P., Taler, S.J., Townsend, R.R., Wright, J.T., Jr, Narva, A.S., & Ortiz, E. (2014). 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC8). JAMA, 311(5), 507–520. https://doi.org/10.1001/jama.2013.284427

Kearney, P.M., Whelton, M., Reynolds, K., Whelton, P.K., & He, J. (2005). Global burden of hypertension: analysis of worldwide data, The Lancet, 365, 217-223

Kripalani, S., Risser, J., Gatti, M., & Jacobson, T. (2009). Development and evaluation of the Adherence to Refills and Medications Scale (ARMS) among low-literacy patients with chronic disease. Value in health: the journal of the International Society for Pharmacoeconomics and Outcomes Research, 12(1), 118–123. https://doi.org/10.1111/j.1524-4733.2008.00400.x

Ministry of Health of the Republic of Indonesia. (2016). Indonesian Health Data Profile 2015. Jakarta: Ministry of Health RI

Ministry of Health of the Republic of Indonesia. (2018). Information on Hypertension Data and Information. Jakarta: Ministry of Health of the Republic of Indonesia

Ministry of Health RI. (2017). Indonesian Health Data Profile 2017. Jakarta: Ministry of Health of the Republic of Indonesia

Notoatmodjo, S. (2014). Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta

Pramestutie, H.R., & Silviana, N. (2016). The Knowledge Level of Hypertension Patients for Drug Therapy in the Primary Health Care of Malang. Indonesian Journal of Clinical Pharmacy, 5, 26–34

Priyoto, (2014) Teori Sikap Dan Perilaku Dalam Kesehatan, Nuha Medika, Yogyakarta, 2014, Yogyakarta

Rasajati, Qorry Putri, Raharjo, Bambang Budi, & Ningrum, D.N.A. (2015) Factors Associated with Medication Compliance Hypertension Patient in the Work Area of the Kedungmundu Health Center, Semarang City. Unnes Journal of Public Health, 4(3), 16-23

Sweetman, S.C. (2009). Martindale the Complete Drug Reference 36th ed. London: Pharmaceutical Press, III

Vitahealth. 2006. Hypertension. Jakarta: Gramedia Pustaka Utama

WHO (World Health Organisation). (2013). A global brief on Hypertension: Silent killer, global public health crisis World Health Day 2013 (online). Available from: https://www.who.int/publications/i/item/a-global-brief-on-hypertension-silent-killer-global-public-health-crisis-world-health-day-2013

WHO (2021) Hypertension fact sheet (online). Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension

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Published

15-05-2023

How to Cite

Pristianty, L., Priyandani, Y., & Rahem, A. (2023). The correlation between knowledge, attitude and family support on compliance of outpatients with hypertension in a healthcare centre in Indonesia. Pharmacy Education, 23(2), p. 25–30. https://doi.org/10.46542/pe.2023.232.2530

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Section

Special Edition