Pengaruh Pemberian Pill Card terhadap Kepatuhan Minum Obat Antihipertensi pada Pasien Hipertensi Rawat Jalan Puskesmas Rawat Inap Satelit Bandar Lampung

Authors

  • Audry Lintang Hasanuddin Universitas Lampung
  • Rasmi Zakiah Oktarlina Universitas Lampung
  • Dwi Aulia Ramdini Universitas Lampung
  • Oktafany Oktafany Universitas Lampung

DOI:

https://doi.org/10.61132/obat.v4i1.2004

Keywords:

Hypertension, Medication Adherence, MMAS-8, Pill Card, Self-Efficacy

Abstract

Hypertension is one of the most common non-communicable diseases in Indonesia. Hypertensive patients must have high self-efficacy to comply with antihypertensive medication so that blood pressure can be controlled and complications prevented. Therefore, intervention is needed to improve therapy compliance. One intervention that can be given is the provision of pill cards. This study was a quasi-experimental design with a pre-intervention post-intervention control group design. Sampling was conducted using non-probability purposive sampling from July to September 2025. A total of 106 respondents were divided into two groups, with 53 respondents in the control group and 53 respondents in the intervention group. The control group was only given the MMAS-8 questionnaire, while the intervention group was given pill cards and the MMAS-8 questionnaire. In the intervention group, prior to intervention, 25 patients (47.2%) had low compliance, 21 patients (39.6%) had moderate compliance, and 7 patients (13.2%) had high compliance. After the intervention, there was a significant increase, with 21 patients (39.6%) showing high compliance, 26 patients (49.1%) showing moderate compliance, and 6 patients (11.3%) showing low compliance. Providing pill cards to outpatients with hypertension can improve patient medication adherence. Based on the results of the Wilcoxon Signed Ranks Test, a value of (p<0.001) was obtained, indicating that H0 was rejected and there was a significant effect.

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References

Amsterdam, E. A., Venugopal, S., Bui, J., & Thevakumar, B. (2016). Management of hypertension: JNC 8 and beyond. Cardiovascular Innovations and Applications, 1(4), 409–416. https://doi.org/10.15212/CVIA.2016.0030

Ariyani, H., Hartanto, D., & Lestari, A. (2018). Kepatuhan pasien hipertensi setelah pemberian pill card di Rumah Sakit X Banjarmasin. JCPS (Journal of Current Pharmaceutical Sciences), 1(2), 81–88.

Burnier, M., & Egan, B. M. (2019). Adherence in hypertension: A review of prevalence, risk factors, impact, and management. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/CIRCRESAHA.118.312439

Dipiro, J. T., Wells, B. G., Schwinghammer, T. L., & DiPiro, C. V. (2018). Pharmacotherapy: A pathophysiologic approach (11th ed.). United States: McGraw-Hill Education.

Fandinata, S. S., & Ernawati, I. (2020). The effect of self-reminder card on the level of adherence of hypertension patients in community health center in Surabaya. Journal of Medical Sciences, 8(2), 647–652. https://doi.org/10.1080/1234567890

Hastjarjo, T. D. (2019). Rancangan eksperimen kuasi. Buletin Psikologi, 27(2), 187–203. https://doi.org/10.22146/buletinpsikologi.38619

Hustrini, N. M., Lukito, A. A., & Harmeiwaty, E. (2019). Penatalaksanaan hipertensi 2019. Jakarta: ISH.

James, P. A., Oparil, S., & Carter, B. L. (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 (JNC 8). JAMA, 311(5), 507–520. https://doi.org/10.1001/jama.2013.284427

Kaharuddin, A. (2024). Panduan praktis statistika nonparametrik: Teori dan aplikasi. Purbalingga: Eureka Media Aksara.

Magfira, M., Henni, K. H., & Herlina. (2021). Analisis kejadian penyakit hipertensi di kabupaten Pinrang. Jurnal Ilmiah Manusia Dan Kesehatan, 4(3), 324–331. https://doi.org/10.31850/makes.v4i3.614

Martos, M. M. J. (2015). Self-efficacy and adherence to treatment: The mediating effects of social support. Journal of Behavior, Health & Social Issues, 7(2), 19–29. https://doi.org/10.5460/jbhsi.v7.2.52889

Masturoh, I., & Anggita, N. (2018). Metodologi penelitian kesehatan. Jakarta: Kementerian Kesehatan RI.

Mbakurawang, I. N., & Agustine, U. (2018). Kepatuhan minum obat pada penderita hipertensi yang berobat ke balai pengobatan Yayasan Pelayanan Kasih Rahmat Waingapu. Jurnal Kesehatan Primer, 1(2), 114–122.

Morisky, D. E., Ang, A., Wood, M. K., & Ward, H. J. (2008). Predictive validity of a medication adherence measure in an outpatient setting. Journal of Clinical Hypertension, 10(5), 348–354. https://doi.org/10.1111/j.1751-7176.2008.00078.x

Nurdin, N., Marsia, M., & Baedlawi, A. (2024). Hubungan kepatuhan minum obat anti hipertensi terhadap penurunan tekanan darah pada pasien hipertensi di Puskesmas Parit Timur Kubu Raya. Scientific Journal of Nursing Research, 5(2), 21. https://doi.org/10.30602/sjnr.v5i2.1349

Romdlon, F., & Khairu, N. (2018). Apoteker hebat, terapi taat, pasien sehat: Panduan simpel mengelola kepatuhan terapi. Magelang: Stiletto Indie Book.

Sanjaya, S., Sriati, A., Maulana, I., & Kurniawan. (2022). Dukungan keluarga pada ODHA yang sudah open status di Kabupaten Garut. Jurnal Cakrawala Ilmiah, 2(3), 1003–1009. https://doi.org/10.53625/jcijurnalcakrawalailmiah.v2i3.4037

Setiani, L. A. (2021). Pengaruh pemberian pill card terhadap kepatuhan minum obat antihipertensi dan tekanan darah pasien hipertensi di RS PMI Kota Bogor. 11(1), 1–23. https://doi.org/10.33751/jf.v11i1.2436

Sinuraya, R. K., Destiani, D. P., Puspitasari, I. M., & Diantini, A. (2018). Medication adherence among hypertensive patients in primary healthcare in Bandung City. Indonesian Journal of Clinical Pharmacy, 7(2), 124–133. https://doi.org/10.15416/ijcp.2018.7.2.124

Soenarta, A. A., Erwinanto, M., Mumpuni, A. S. S., & Barack, R. (2015). Pedoman tatalaksana hipertensi pada penyakit kardiovaskular. Jakarta: Perhimpunan Dokter Spesialis Kardiovaskular.

Umemura, S., Arima, H., Arima, S., & Asayama, K. (2019). The Japanese Society of Hypertension guidelines for the management of hypertension (JSH 2019). Hypertension Research, 42(9), 1235–1481. https://doi.org/10.1038/s41440-019-0221-6

Unger, T., Borghi, C., Charchar, F., & Khan, N. A. (2020). Hypertension. International Society of Hypertension Global Hypertension Practice Guidelines, 75(6), 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026

World Health Organization. (2023). Hypertension. [Online] Retrieved September 2023.

Wulandari, I. S., Faozi, A., & Aisyah, I. (2024). Analisis faktor pembangun self-efficacy pada penderita hipertensi dalam melaksanakan kepatuhan minum obat. Holistik Jurnal Kesehatan, 18(3), 350–360. https://doi.org/10.33024/hjk.v18i3.332

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Published

2026-01-09

How to Cite

Audry Lintang Hasanuddin, Rasmi Zakiah Oktarlina, Dwi Aulia Ramdini, & Oktafany Oktafany. (2026). Pengaruh Pemberian Pill Card terhadap Kepatuhan Minum Obat Antihipertensi pada Pasien Hipertensi Rawat Jalan Puskesmas Rawat Inap Satelit Bandar Lampung. OBAT: Jurnal Riset Ilmu Farmasi Dan Kesehatan, 4(1), 17–27. https://doi.org/10.61132/obat.v4i1.2004

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