Factors Affecting Medical Adherence in Patients with Coronary Heart Disease

Authors

  • Gina Nurdina STIKep PPNI Jawa Barat
  • Tita Daulati
  • Herdiman Herdiman

DOI:

https://doi.org/10.33755/jkk.v9i2.499

Abstract

Aims: The problems with Coronary Heart Disease (CHD) is non-adherence to taking medication which results in further complications. Only 80% of patients with chronic diseases living in developed countries follow treatment recommendations in taking medication. The factors that influence the previous research are knowledge, attitudes, and family support. However, in this study, there were different factors examined, namely age, gender, last education level, length of illness, and self-efficacy.

Objective: This study aimed to determine the factors that influence medication adherence in patients with coronary heart disease (CHD).

Method: this type of research is quantitative with a cross-sectional study approach. The population in this study were all patients with coronary heart disease who came for routine checkups at the Cardiac Polyclinic of RSAU Dr. M. Salamun Bandung with a sample of 67 people, with a convenience sampling technique. Data collection techniques used the Demographic Characteristics questionnaire, MMAS-8, PSS-Fa, and CSE.

Results: In this study, there were significant results between age (0.000), suffering from an illness (0.004), self-efficacy (0.001), and family support (0.029) with medication adherence in patients with coronary heart disease.

Conclusion: It can be concluded that the factors that have the most influence are the burden of suffering from the disease and those that do not affect adherence to taking medication in CHD patients, namely gender, and the last level of education.

References

Ottawa Heart. Coronary Artery Disease (Atherosclerosis). University of Ottwa Heart Institute. 2020.

WHO. Tackling global health risks prevents premature deaths. World Health Organization. 2020.

Aparicio HJ, Benjamin EJ, Callaway CW, Carson AP, Cheng S, Elkind MS V, et al. Heart Disease and Stroke Statistics-2021 Update A Report from the American Heart Association. Circulation. 2021. 254–743 p.

P2PTM Kemenkes RI. Hari Jantung Sedunia (World Heart Day): Your Heart is Our Heart Too. Kementrian Kesehatan RI. 2019.

Artidarma NO, Erwhani I, Puspita DW, Tinggi S, Keperawatan I, Pontianak M. Kepatuhan Obat Pada Pasien Jantung Koroner Di Poli Jantung Rawat Jalan Rsud Dr. Soedarso Pontianak. J Keperawatan dan Kesehat. 2018;9(1):35–41.

American Heart Association. FACTS A Tough Pill to Swallow : Medication Adherence and Cardiovascular Disease. 2016;(202):11–2.

Rakhmawati E, Henniwati. Kepatuhan Minum Obat Dengan Interval Waktu Kejadian Rawat Inap Ulang Pasien Gagal Jantung Di Rumah Sakit XKediri. J Chem Inf Model. 2019;53(9):1689–99.

Kristiana LIA. KEPATUHAN MINUM OBAT. RSUP dr. SOERADJI TIRTONEGORO. 2019.

Alalaqi A. Assessment of non-adherence to cardiovascular medications in Iraq by 8-items Morisky Medication Adherence Scale and analysis of dried blood spots. 2019;(July):16–28.

Aldeer M, Javanmard M, Martin RP. A review of medication adherence monitoring technologies. Appl Syst Innov. 2018;1(2):1–27.

Puskesmas DI, Kota K. Faktor – Faktor Internal Ketidakpatuhan Pengobatan Hipertensi Di Puskesmas Kedungmundu Kota Semarang. J Kesehat Masy. 2016;3(3):99–108.

Wulandari D. Analisis Faktor-Faktor yang Berhubungan dengan Kepatuhan Pasien Tuberkulosis Paru Tahap Lanjutan Untuk Minum Obat di RS Rumah Sehat Terpadu Tahun 2015. J Adm Rumah Sakit. 2015;2(1):17–28.

Wantiyah, Rivani FRP, Hakam M. The correlation between religiosity and self-efficacy in patients with coronary artery disease. Belitung Nurs J. 2020;6(5):172–6.

Kawulusan KB, Katuuk ME, Bataha YB. Hubungan Self-Efficacy Dengan Kepatuhan Minum Obat Hipertensi Di Puskesmas Ranotana Weru Kota Manado. J Keperawatan. 2019;7(1):1–9.

Sullivan MD, Lacroix AZ, Russo J, Katon WJ. Self-efficacy and self-reported functional status in coronary heart disease: A six-month prospective study. Psychosom Med. 1998;60(4):473–8.

Wantiyah. Analisis faktor..., Wantiyah, FIK UI, 2010. 2010;

Priastana, I. K. A., Haryanto, J. & S. Peran Dukungan Sosial Keluarga Terhadap Berduka Kronis pada Lansia yang Mengalami Kehilangan Pasangan dalam Budaya Pakurenan (Role of Family Social Support in Chronic Sorrow in Elderly who Lost the Partner in Pakurenan Culture). Indonesian Journal of Heal. 2018. 146 p.

Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens. 2008;10(5):348–54.

Wahidah, Harahap RA. PJK (penyakit jantung koroner) dan SKA (sindrome koroner akut) dari prespektif epidemiologi. J Kesehat Masy. 2021;6(1):54–65.

Wantiyah W, Saputra MR, Deviantony F. Self-Efficacy dan Status Kesehatan pada Pasien Penyakit Arteri Koroner. 2020;(April).

Dewi MY, Dewi WN, Herlina. Self Efficacy Pasien Jantung Koroner Setelah Percutaneous Coronary Intervention. JOM Fkep. 2019;6(1):10–8.

Rokhayati A, Rumahorbo H. Description of Self-Effication in the Management of Risk Factors and. 2020;12(2):285–96.

Galih Aditya Putranto, Sih Ageng Lumadi RM. HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUM OBAT PADA PASIEN PJK DI POLI JANTUNG RSUD dr. SAIFUL ANWAR MALANG Family Support Relationship with Compliance Drinking Medicine in CHD Patients in Cardiology Outpatient Department RSUD dr. Saiful Anwar Mal. 2022;

Sari EA, Sari SP, Pratiwi SH. Community Self-Efficacy of Coronary Heart Disease Based on Characteristic Risk Factors. NurseLine J. 2018;3(2):65.

Rabikun R, Nurachmah E. Peningkatan Kepatuhan Pengobatan Pasien Dengan Penyakit Jantung Yang Mendapatkan Dukungan Keluarga. J Keperawatan. 2020;12(3):429–38.

Tumundo DG, Wiyono WI, Jayanti M. Tingkat Kepatuhan Penggunaan Obat Antihipertensi Pada Pasien Hipertensi Di Puskesmas Kema Kabupaten Minahasa Utara. Pharmacon. 2021;10(4):1121–8.

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Published

2023-04-30

How to Cite

Nurdina, G., Daulati, T. ., & Herdiman, H. (2023). Factors Affecting Medical Adherence in Patients with Coronary Heart Disease. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 9(2). https://doi.org/10.33755/jkk.v9i2.499