DOI: https://doi.org/10.14710/nmjn.v12i3.46219

Individual Characteristics, Adherence, and Barriers to Medication Adherence of Hypertensive Patients at the Indonesia - Timor Leste Border

*Pius Almindu Leki Berek orcid scopus  -  Doctoral Program of Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia
Bambang Budi Siswanto  -  Department of Cardiology and Cardiovascular, Faculty of Medicine, Universitas Indonesia, Indonesia
Dewi Irawati  -  Departmen of Medical-Surgical Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia
Wisnu Jatmiko  -  Faculty of Computer Science, Universitas Indonesia, Indonesia
Open Access Copyright (c) 2022 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Until the last decade, the incidence of hypertension has increased sharply. It has been reported that individuals with hypertension show a low level of adherence to their therapy management. Moreover, there has been no previous research evaluating individual characteristics, adherence, and barriers to medication adherence among people with hypertension at the border of Indonesia and Timor Leste.

Purpose: This study aimed to identify individual characteristics, adherence, and barriers to medication adherence among hypertensive patients.

Methods: A total of 112 hypertensive patients recruited using a quota sampling method at the border of Indonesia and Timor Leste participated in this cross-sectional study. Data were collected using the Hill-Bone Questionnaire to identify adherence and the Adherence Barrier Questionnaire (ABQ) to identify barriers to medication adherence. Individual characteristics were also collected. To confirm the hypertension condition at the time of data collection, measurements of blood pressure were retaken. Descriptive statistics and Chi-square analysis were used for data analysis.  

Results: The average of systolic blood pressure was 163.85(18.24) mmHg, and the diastolic blood pressure was 99.30(11.57) mmHg. The Chi-square test showed that education and occupation had a significant relationship with adherence (p<0.05) and barriers to medication adherence (p=0.000). Meanwhile, other characteristics, including age, gender, and marital status, were not significantly related to adherence (p>0.05) and barriers to medication adherence (p>0.05).

Conclusion: There is a relationship between education and occupation with adherence and barriers to medication adherence, but there is no relationship when viewed from such individual characteristics as age, gender, and marital status. Further research is needed to identify effective educational methods to increase the knowledge, motivation, and self-efficacy of hypertensive patients to improve blood pressure control.
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Keywords: Adherence; barriers to adherence; hypertensive patient; individual characteristics

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  1. Alfian, S. D., Boven, J. F. M., Abdulah, R., Sukandar, H., Denig, P., & Hak, E. (2020). Effectiveness of a targeted and tailored pharmacist led intervention to improve adherence to antihypertensive drugs among patient with type 2 diabetes in Indonesia: A cluster randomised controlled trial. British Journal of Clinical Pharmacology, 87 (4), 2032-2042. https://doi.org/10.1111/bcp.14610
  2. Aliyah, N., & Damayanti, R. (2022). Faktor-faktor yang berhubungan dengan kepatuhan minum obat pasien hipertensi di Primary Health Care negara berkembang: Systematic review [Factors associated with medication compliance among hypertensive patients of primary health care in developing countries: A systematic review]. Jurnal Ilmiah Indonesia, 7(5), 2003–2005
  3. Baso, F., Berek, P. A. L., & Riwoerohi, E. D. F. (2019). Description of lifestyle hypertension patients at health centre of south Atambua. Jurnal Sahabat Keperawatan, 2(2), 51–60
  4. Berek, P. A. L., & Afiyanti, Y. (2020). Compliance of hypertension patients in doing self-care : CA grounded theory study. Jurnal Sahabat Keperawatan, 2(1). 21-35. https://doi.org/2656 - 1115
  5. Berek, P. A. L., Irawati, D., & Hamid, A. Y. S. (2021). Hypertension: A global health crisis. Annals of Clinical Hypertension, 5(1), 008–011. https://doi.org/10.29328/journal.ach.1001027
  6. Berek, P. A. L., & Orte, C. J. S. (2022). Efektifitas model Directly Observed Treatment Intake (DOTI) terhadap kepatuhan perawatan diri pasien hipertensi: Analisis statement development [Effectiveness of the Directly Observed Treatment Intake (DOTI) model on self-care compliance among hypertensive patients: A statement development analysis]. Jurnal Sahabat Keperawatan, 4(01), 61 - 71. https://doi.org/https://doi.org/10.32938/jsk.v3i02
  7. Chen, L., Liu, Y., & Xi, X. (2022). Study of knowledge, attitude and practice regarding patient education in hypertension among community pharmacists in China. BMC Health Services Research, 22(1), 1–11. https://doi.org/10.1186/s12913-022-08686-9
  8. Dobrynina, L. A., Shamtieva, K. V, Kremneva, E. I., Zabitova, M. R., & Akhmetzyanov, B. M. (2022). Daily blood pressure profile and blood – brain barrier permeability in patients with cerebral small vessel disease. Scientific Reports, 0123456789, 1–10. https://doi.org/10.1038/s41598-022-11172-1
  9. Ernawati, I., Fandinata, S. S., & Permatasari, S. N. (2020). Buku referensi kepatuhan konsumsi obat pasien hipertensi: Pengukuran dan cara meningkatkan kepatuhan [A Reference book for medication compliance among hypertensive patients: Compliance measures and how to improve compliance]. Graniti
  10. Fauziah, F. (2019). Validitas reliabilitas kuesioner hill-bone versi bahasa indonesia pada pasien hipertensi [Reliability and validity of the Indonesian version of the hill-bone questionnaire for hypertensive patients]. [Undergraduate Theses, Universitas Jember]. Digital Repository Universitas Jember. https://repository.unej.ac.id/handle/123456789/90539
  11. Geevar, Z., Krishnan, M. N., Venugopal, K., Sanjay, G., Harikrishnan, S., Mohanan, P. P., Mini, G. K., & Thankappan, K. R. (2022). Prevalence, awareness, treatment, and control of hypertension in young adults (20–39 years) in Kerala, South India. Frontiers in Cardiovascular Medicine, 9(4), 1–11. https://doi.org/10.3389/fcvm.2022.765442
  12. Gheisari, F., Emami, M., Raeisi Shahraki, H., Samipour, S., & Nematollahi, P. (2020). The role of gender in the importance of risk factors for coronary artery disease. Cardiology Research and Practice, 2020(6), 1-6. https://doi.org/10.1155/2020/6527820
  13. González-Rivas, J. P., Santiago, R. J. G., Ugel, E., Brajkovich, I., Risquez, A., & Martínez, R. N. (2016). High prevalence and poor control of hypertension in five venezuelan Populations: The VEMSOLS Study. Investigacion Clinica (Venezuela), 57(4), 364–376
  14. Hardy, S. T., & Urbina, E. M. (2021). Blood pressure in childhood and adolescence. American Journal of Hypertension, 34(3), 242–249. https://doi.org/10.1093/ajh/hpab004
  15. Herrera, P. A., Campos-romero, S., Szabo, W., Mart, P., Guajardo, V., & Rojas, G. (2021). Understanding the relationship between depression and chronic diseases such as diabetes and hypertension : A grounded theory study. International Journal of Environmental Research and Public Health, 18(12130), 1-15. https://doi.org/10.3390/ijerph182212130
  16. Ilahi, K. R. (2021). Perilaku Germas pada usia dewasa yang mengalami obesitas di wilayah kerja puskesmas Pasar Ikan kota Bengkulu [Germas (Healthy life movement) Behavior among adults with obesity in the working area of Pasar Ikan primary health care in the city of Bengkulu]. [Undergraduate Theses, Poltekes Kemenkes Bengkulu]. Digital Repository Poltekes Kemenkes Bengkulu. http://repository.poltekkesbengkulu.ac.id/814/
  17. Iqbal, A., Ahsan, K. Z., Jamil, K., Haider, M. M., Khan, S. H., Chakraborty, N., & Streatfield, P. K. (2021). Demographic, socioeconomic, and biological correlates of hypertension in an adult population: evidence from the Bangladesh demographic and health survey 2017-18. BMC Public Health, 21(1), 1229. https://doi.org/10.1186/s12889-021-11234-5
  18. Jahan, Y., Moriyama, M., Rahman, M. M., Kazawa, K., Mizukawa, M., Rahman, A., Sayeem Bin Shahid, A. S. M., Das, S. K., Golam Faruque, A. S., & Chisti, M. J. (2020). Disease perception and experiences among rural Bangladeshi hypertensive women: A qualitative approach. Health Promotion Perspectives, 10(1), 66–73. https://doi.org/10.15171/hpp.2020.11
  19. Kalehoff, J. P., & Oparil, S. (2020). The story of the silent killer. Current Hypertension Reports, 22(9), 1-14. https://doi.org/10.1007/s11906-020-01077-7
  20. Khanam, M. A., Lindeboom, W., Koehlmoos, T. L. P., Alam, D. S., Niessen, L., & Milton, A. H. (2014). Hypertension: Adherence to treatment in rural Bangladesh - findings from a population-based study. Global Health Action, 7(1), 1–10. https://doi.org/10.3402/gha.v7.25028
  21. Lamelas, P., Diaz, R., Orlandini, A., Avezum, A., Oliveira, G., Mattos, A., Lanas, F., Seron, P., Oliveros, M. J., Lopez-Jaramillo, P., Otero, J., Camacho, P., Miranda, J., Bernabe-Ortiz, A., Malaga, G., Irazola, V., Gutierrez, L., Rubinstein, A., Castellana, N., … Yusuf, S. (2019). Prevalence, Awareness, Treatment and Control of Hypertension in Rural and Urban Communities in Latin American Countries. Journal of Hypertension, 37(9), 1813–1821. https://doi.org/10.1097/HJH.0000000000002108
  22. Liberty, I. A., Pariyana, P., Roflin, E., & Waris, L. (2018). Determinan kepatuhan berobat pasien hipertensi pada fasilitas kesehatan tingkat I [Determinants of treatment compliance among hypertensive patients at primary healthcare facilities]. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 1(1), 58–65. https://doi.org/10.22435/jpppk.v1i1.428
  23. Mahmood, S., Jalal, Z., Hadi, M. A., Orooj, H., & Shah, K. U. (2020). Non-adherence to prescribed antihypertensives in primary, secondary and tertiary healthcare settings in islamabad, pakistan: A cross-sectional study. Patient Preference and Adherence, 14, 73–85. https://doi.org/10.2147/PPA.S235517
  24. Mbakurawang, I. N., & Agustine, U. (2016). Kepatuhan minum obat pada penderita hipertensi yang berobat ke balai pengobatan Yayasan Pelayanan Kasih A dan A Rahmat Waingapu [Medication compliance among hypertensive patients visiting the medical center of Yayasan Pelayanan Kasih A and A Rahmat Waingapu]. Jurnal Kesehatan Primer, 1(2), 114–122
  25. Mensah, G. A. (2019). Commentary: Hypertension phenotypes: The many faces of a silent killer. Ethnicity and Disease, 29(4), 545–548. https://doi.org/10.18865/ed.29.4.545
  26. Misra, P., Salve, H. R., Srivastava, R., Kant, S., & Krishnan, A. (2017). Adherence to treatment among hypertensive individuals in a rural population of North India. Indian Journal of Community Health, 29(2), 176–181. https://doi.org/10.47203/ijch.2017.v29i02.009
  27. Mon, E. S., Sriyuktasuth, A., & Phligbua, W. (2022). Blood pressure control and its determinants among patients with non-dialysis chronic kidney disease in Myanmar. Nurse Media Journal of Nursing, 12(1), 1–12. https://doi.org/10.14710/NMJN.V12I1.42659
  28. Müller, S., Kohlmann, T., & Wilke, T. (2015). Validation of the adherence barriers questionnaire - an instrument for identifying potential risk factors associated with medication-related non-adherence quality, performance, safety and outcomes. BMC Health Services Research, 15(1), 1-18. https://doi.org/10.1186/s12913-015-0809-0
  29. Naryati, N., & Priyono, N. N. P. (2022). Faktor-faktor yang mempengaruhi pengontrolan tekanan darah pada penderita hipertensi di RW 03 Kelurahan Jagakarsa Jakarta Selatan [Factors Influencing the Blood Pressure Control among Hypertensive Patients in RW 03 Jagakarsa Village of South Jakarta]. Malahayati Nursing Journal, 1(1), 156–172. https://doi.org/10.33024/mnj.v1i1.5725
  30. Nascimento, M. O. do., Belo, R. M. de O., Araujo, T. L. L. de S., Silva, K. G. N. M. da, Barros, M. D. F. F. N., Figueiredo, T. R., & Bezerra, S. M. M. da S. (2021). Factors associated to the non-pharmachological treatment of hypertension in primary health care. Revista Brasileira de Enfermagem. 74(Suppl 6), 1-9. https://doi.org/10.1590/0034-7167-2020-0173
  31. Nisa, H., Pratiwi, S. H., & Nasution, E. (2022). Associations of individual characteristics and nutritional status with hypertension in adults. Jurnal Promosi Kesehatan Indonesia, 18(1), 1-18. https://doi.org/10.14710/jpki.18.1.8-15
  32. O’Donnell, M., Hankey, G. J., Rangarajan, S., Chin, S. L., Rao-Melacini, P., Ferguson, J., Xavier, D., Lisheng, L., Zhang, H., Pais, P., Lopez-Jaramillo, P., Damasceno, A., Langhorne, P., Rosengren, A., Dans, A. L., Elsayed, A., Avezum, A., Mondo, C., Smyth, A., … Yusuf, S. (2021). Variations in knowledge, awareness and treatment of hypertension and stroke risk by country income level. Heart, 107(4), 282–289. https://doi.org/10.1136/heartjnl-2019-316515
  33. Obrycki, Ł., Feber, J., Derezinski, T., Lewandowska, W., Kulaga, Z., & Litwin, M. (2020). Hemodynamic patterns and target organ damage in adolescents with ambulatory prehypertension. Hypertension, 75(3), 826–834. https://doi.org/10.1161/HYPERTENSIONAHA.119.14149
  34. Paul, G. K., Rahman, M. M., Hamiduzzaman, M., Farhana, Z., Mondal, S. K., Akter, S., Naznin, S., & Islam, M. N. (2021). Hypertension and its physio-psychosocial risks factors in elderly people: A cross-sectional study in north-eastern region of Bangladesh. Journal of Geriatric Cardiology, 18(1), 75–82. https://doi.org/10.11909/j.issn.1671-5411.2021.01.011
  35. Purnawan, I. N. (2019). Kepatuhan berobat penderita hipertensi di wilayah kerja puskesmas Payangan kabupaten Gianyar [Treatment compliance among hypertensive patients in a working area of Payangan public health center, Gianyar regency]. Jurnal Kesehatan Terpadu. 3(1), 15–21. https://doi.org/10.36002/jkt.v3i1.709
  36. Putri, D. K. (2021). Validitas dan reliabilitas Adherence Barrier Questionnaire (ABQ) versi bahasa Indonesia pada pasien hipertensi [Validity and reliability of the Indonesian version of the Adherence Barrier Questionnaire (ABQ) for hypertensive patients]. Digital Repository Universitas Jember (Issue September 2019). Universitas Jember. https://repository.unej.ac.id/handle/123456789/92021
  37. Riskesdas. (2018). Hasil utama riset kesehatan dasar 2018. Kementerian kesehatan republik Indonesia [key findings of Indonesia basic health research 2018. Ministry of health of the republic of Indonesia], 20–21. http://www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Hasil Riskesdas 2018.pdf
  38. Song, J., Ma, Z., Wang, J., Chen, L., & Zhong, J. (2020). Gender differences in hypertension american college of cardiology. Journal of Cardiovascular Translational Research, 13, 47–54. https://doi.org/10.1007/s12265-019-09888-z
  39. The Directorate General of Controlling and Preventing Diseases. (2018). Manajemen program pencegahan dan pengendalian hipertensi dan perhitungan pencapaian SPM hipertensi [Management of hypertension prevention and control program and calculation of the achievement of minimum service standards for hypertension]. Workshop pencegahan dan pengendalian hipertensi, April, 11, 17, 20. http://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2018/05/Manajemen_Program_Hipertensi_2018_Subdit_PJPD_Ditjen_P2PTM.pdf
  40. Sukma, A. N., Widjanarko, B., & Riyanti, E. (2018). Faktor-Faktor yang Berhubungan dengan Kepatuhan Pasien Hipertensi dalam Melakukan Terapi di Puskesmas Pandanaran Kota Semarang [Factors Associated with Compliance to Therapy among Hypertensive Patients at Pandanaran Primary Health Care of Semarang City]. Jurnal Kesehatan Masyarakat, 6(5), 687–695
  41. Tam, H. L., Wong, E. M. L., & Cheung, K. (2020). Effectiveness of educational interventions on adherence to lifestyle modifications among hypertensive patients: An integrative review. International Journal of Environmental Research and Public Health, 17(7), 1-14. https://doi.org/10.3390/ijerph17072513
  42. Tambuwun, A. A., Kandou, G. D., & Nelwan, J. E. (2021). Hubungan karakteristik individu dengan kepatuhan berobat pada penderita hipertensi di puskesmas Wori Kabupaten Minahasa Utara [Correlation between individual characteristics and treatment compliance among patients with hypertension at Wori primary health care of Minahasa Utara regency] Jurnal Kesmas, 10(4), 112–121
  43. Tsadik, D., Berhane, Y., & Worku, A. (2020). Adherence to antihypertensive treatment and associated factors in Central Ethiopia. International Journal of Hypertension, 2020, 9540810. https://doi.org/10.1155/2020/9540810
  44. Xie, Z., Liu, K., Or, C., Chen, J., Yan, M., & Wang, H. (2020). An examination of the socio-demographic correlates of patient adherence of self-management behaviors and the mediating role of health attitudes and self-efficacy among patients with coexisting type 2 diabetes and hypertension. BMC Public Health, 20(1227), 1-13. https://doi.org/10.1186/s12889-020-09274-4
  45. Xu, T., Yu, X., Ou, S., Liu, X., Yuan, J., Tan, X., & Chen, Y. (2017). Adherence to antihypertensive medications and stroke risk: A dose-response meta-analysis. Journal of the American Heart Association, 6(7), 1-21. https://doi.org/10.1161/JAHA.117.006371
  46. Zeng, Z., Chen, J., Xiao, C., & Chen, W. (2020). A global view on prevalence of hypertension and human develop index. Annals of Global Health, 86(1), 1–6. https://doi.org/10.5334/aogh.2591

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