MANDIRACENDIKIAMANDIRACENDIKIA

Jurnal Ilmiah Kesehatan Mandira CendikiaJurnal Ilmiah Kesehatan Mandira Cendikia

Hypertension is the main cause of cardiovascular death both in Indonesia and throughout the world. One of the risk factors that can cause an increase in the incidence of morbidity and mortality in hypertension sufferers is patient non-compliance in taking antihypertensive medication recommended by health workers. The success of hypertension treatment depends on a persons compliance with taking medication. To increase adherence to taking medication, self-efficacy, and motivation are needed. This research aims to analyze the correlation between self-efficacy and motivation with adherence to medication in hypertensive patients at the Randuagung Health Center. The research design used a correlational research design with a cross-sectional approach. The research on hypertensive patients was conducted in July-August 2024. The population in this study were all hypertensive patients at the Puskesmas Randuagung Health Center in January-May 2024, namely 152 patients. The sampling technique in this research used non-probability sampling with a purposive sampling method. The sample in this study was 110 respondents. This research used the MASES-R, motivation, and MMAS questionnaires. This research was analyzed using Spearmans rho test. This research has been submitted and passed ethics at KEPK Unhasa. The results showed that the majority of respondents had low self-efficacy, 66 respondents (60%), the majority of respondents had low motivation, 68 respondents (61.8%), and the majority of respondents had low medication adherence, 70 respondents (63.6%). The data analysis used is Spearman Rho. The results of this study show that there is a correlation between self-efficacy and adherence to taking medication for hypertensive patients, p= 0.000 (p<α=0.05), a correlation strength (r) of 0.535, which signifies a strong positive correlation. Additionally, there is a correlation between motivation and adherence to taking medication for hypertension patients, p= 0.000 (p<α=0.05) and a correlation strength (r) of 0.518, indicating a strong positive correlation as well. Compliance with treatment in hypertensive patients is very important because hypertension is a disease that cannot be cured but must continue to be controlled to prevent complications that can be fatal. Efficacy and motivation have an important role in patient medication adherence. High efficacy and motivation will make patients more compliant in taking medication.

Hasil penelitian menunjukkan sebagian besar responden memiliki efikasi diri dan motivasi rendah, serta kepatuhan minum obat yang rendah.Terdapat hubungan yang signifikan antara efikasi diri dan motivasi dengan kepatuhan minum obat pada pasien hipertensi di UPT Puskesmas Randuagung.Efikasi diri dan motivasi berperan penting dalam meningkatkan kepatuhan pasien dalam mengelola hipertensi mereka.

Penelitian selanjutnya dapat dilakukan dengan menggali lebih dalam faktor-faktor lain yang mungkin mempengaruhi kepatuhan minum obat pada pasien hipertensi, seperti dukungan sosial dari keluarga dan teman, aksesibilitas terhadap pelayanan kesehatan, serta tingkat pemahaman pasien mengenai penyakit hipertensi dan pengobatannya. Selain itu, perlu dilakukan pengembangan intervensi yang lebih efektif untuk meningkatkan efikasi diri dan motivasi pasien hipertensi, misalnya melalui program edukasi kesehatan yang interaktif, pelatihan keterampilan manajemen diri, atau pembentukan kelompok dukungan sebaya. Terakhir, penelitian dapat difokuskan pada perbedaan kepatuhan minum obat berdasarkan karakteristik demografis pasien, seperti usia, jenis kelamin, tingkat pendidikan, dan pekerjaan, untuk mengidentifikasi kelompok-kelompok pasien yang membutuhkan perhatian khusus dan intervensi yang lebih terarah.

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