Why the study?
Hypertension has a continuously rising prevalence, and therapeutic success depends heavily on patient adherence to antihypertensive medication. This study evaluated the relationship between medication adherence and therapeutic success in hypertensive patients at a community health center.
Does higher medication adherence improve blood pressure control (therapeutic success) in hypertensive outpatients?
Cross-Sectional (n=121)
No
Does higher medication adherence improve blood pressure control (therapeutic success) in hypertensive outpatients?
Answers are grounded in this paper and cite their sources.
In primary care hypertensive patients in Indonesia, high medication adherence as measured by MMAS-8 is strongly associated with achieving controlled blood pressure (<140/90 mmHg).
Background: Hypertension is a non-communicable disease with a continuously rising prevalence. The success of hypertension therapy is highly dependent on patient adherence to taking antihypertensive medication. Purpose: To determine the relationship between medication adherence and therapeutic success in hypertensive patients at community health center x. Method: This study employed a descriptive-analytic design with a cross-sectional approach. The study population consisted of hypertensive outpatients. Participants were selected using consecutive sampling based on inclusion criteria, and the MMAS-8 scale was used as the research instrument. Data were analyzed using the Spearman’s Rho test. Results: Regarding adherence levels, the majority of respondents (n=87; 71.9%) demonstrated high adherence, while 96 respondents (79.3%) had controlled blood pressure. The Spearman’s Rho test yielded a p-value of 0.000 (p < 0.05), confirming a statistically significant relationship between adherence and therapeutic success in hypertensive patients. Furthermore, a correlation coefficient of 0.677 indicates a strong, positive correlation between the variables. Conclusion: There is a significant and strong relationship between medication adherence and therapeutic success in hypertensive patients. Keywords: Adherence; Hypertension; Therapeutic Success. Pendahuluan: Hipertensi merupakan penyakit tidak menular yang prevalensinya terus meningkat. Keberhasilan terapi hipertensi sangat bergantung pada kepatuhan pasien dalam mengonsumsi obat antihipertensi Tujuan: Untuk mengetahui hubungan antara kepatuhan minum obat dengan keberhasilan terapi pada pasien hipertensi di puskesmas x. Metode: Penelitian ini menggunakan desain deskriptif analitik dengan pendekatan cross-sectional. Populasi yang dilibatkan adalah pasien rawat jalan hipertensi. Sampel diambil dengan teknik consecutive sampling yang memenuhi kriteria inklusi, instrument penelitian menggunakan MMAS-8. Analisis data menggunakan uji Sprearman Rho. Hasil: Tingkat kepatuhan hasil pengukuran, sebagian besar memiliki kepatuhan tinggi sebanyak 87 responden (71.9%) dan tekanan darah terkontrol sebanyak 96 responden (79.3%). Hasil uji Spearman’s Rho menunjukkan p-value sebesar 0.000 (p < 0.05), yang membuktikan adanya hubungan yang signifikan secara statistik antara kepatuhan dengan keberhasilan terapi pasien hipertensi. Sementara itu, nilai koefisien korelasi sebesar 0.677 mengindikasikan bahwa kekuatan korelasi antar-variabel tergolong kuat dengan arah hubungan yang positif. Simpulan: Terdapat hubungan yang signifikan dan kuat antara kepatuhan pengobatan dengan keberhasilan terapi pada pasien hipertensi. Kata Kunci: Hipertensi; Kepatuhan; Keberhasilan Terapi.
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Devi et al. (2026) conducted a cross-sectional in Hypertension (n=121). Antihypertensive medication adherence (measured by MMAS-8) vs. Lower medication adherence was evaluated on Therapeutic success (controlled blood pressure defined as systolic <140 mmHg and diastolic <90 mmHg) (r = 0.677, p=0.000).
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