Self-Efficacy of Medication Adherence in Hypertensive Patients in Bandung Regency, Indonesia
DOI:
https://doi.org/10.31674/mjn.2023.v15isupp1.004Abstract
Background: Medication adherence is essential to controlling hypertensive patients' blood pressure. However, the high rate of noncompliance among hypertension sufferers with taking medication is due to a lack of self-efficacy regarding the importance of hypertension medication. Therefore, this study aimed to determine the correlation between self-efficacy and adherence to drug regimens in hypertensive patients. Methods: This study used a cross-sectional design. A total of 96 hypertensive patients were involved in the study using purposive sampling. Patients who participated in this study had high blood pressure and routinely checked their health at Bandung Regency Hospital, Indonesia. Self-efficacy in managing hypertension was evaluated using the MASES scale, and medication compliance was evaluated using the MMAS-8. The Spearman-rank test was used in correlation analysis. Results: Almost half of the patients (39.59%) with low medication self-efficacy have low adherence to hypertension regimens. There was a substantial correlation between self-efficacy and medication compliance (rho =0.493, p<0.01). Conclusions: Therefore, this study suggested that strengthening self-efficacy in their hypertension regimens might help to improve medication adherence and drive it. Furthermore, healthcare professionals must understand the importance of self-efficacy in medication adherence for hypertensive patients.
Keywords:
Hypertension, Medication Adherence, Patient Compliance, Self-EfficacyDownloads
References
Abdullah, S. M. (2019). Social Cognitive Theory : A Bandura thought Review Published in 1982-2012. PSIKODIMENSIA. https://doi.org/10.24167/psidim.v18i1.1708
Abegaz, T. M., Shehab, A., Gebreyohannes, E. A., Bhagavathula, A. S., & Elnour, A. A. (2017). Nonadherence to antihypertensive drugs. Medicine, 96(4), e5641. https://doi.org/10.1097/MD.0000000000005641
Ali, A., & Sasidharan, P. K. (2022). Impact of Diet and Lifestyle Modification and Weight Reduction on Essential Hypertension. Clinical Case Reports and Clinical Study, 6(1). https://doi.org/12.2022/1.114
Ashoorkhani, M., Majdzadeh, R., Gholami, J., Eftekhar, H., & Bozorgi, A. (2018). Understanding Non-Adherence to Treatment in Hypertension: A Qualitative Study. International Journal of Community Based Nursing and Midwifery, 6(4), 314–323. https://doi.org/10.30476/IJCBNM.2018.40838
Bandura, A. (2011a). A Social Cognitive perspective on Positive Psychology. Revista de Psicología Social, 26(1), 7–20. https://doi.org/10.1174/021347411794078444
Bandura, A. (2011b). Development of Youth Exercise Self-Efficacy Scale. Sports & Exercise Research, 13(3), 158–166. https://doi.org/10.5297/ser.1303.007
Bekele, F., Fekadu, G., Dugassa, D., & Bekele, K. (2019). Non-compliance and its Associated Factors among Hypertensive Patients Taking Anti-Hypertensive Treatment Visiting Gimbi General Hospital Western Ethiopia: Cross-Sectional Study. Journal of Pharmacy and Pharmacology, 6(2), 65–71. https://doi.org/10.21203/rs.2.10283/v2
Castillo-Mayén, R., Cano-Espejo, C., Luque, B., Cuadrado, E., Gutiérrez-Domingo, T., Arenas, A., Rubio, S. J., Delgado-Lista, J., Pérez-Martínez, P., & Tabernero, C. (2020). Influence of Self-efficacy and Motivation to Follow a Healthy Diet on Life Satisfaction of Patients with Cardiovascular Disease: A Longitudinal Study. Nutrients, 12(7), 1903. https://doi.org/10.3390/nu12071903
Chacko, S., & Jeemon, P. (2020). Role of Family Support and Self-Care Practices in Blood Pressure Control in Individuals with Hypertension: Results from a Cross-Sectional Study in Kollam District, Kerala. Wellcome Open Research, 5. https://doi.org/10.12688/wellcomeopenres.16146.1
Daniali, S. S., Darani, F. M., Eslami, A. A., & Mazaheri, M. (2017). Relationship between Self-Efficacy and Physical Activity, Medication Adherence in Chronic Disease Patients. Advanced Biomedical Research, 6. https://doi.org/10.4103%2F2277-9175.190997
Dragomir, A., Côté, R., Roy, L., Blais, L., Lalonde, L., Bérard, A., & Perreault, S. (2010). Impact of Adherence to Antihypertensive Agents on Clinical Outcomes and Hospitalization Costs. Medical Care, 418–425. https://doi.org/10.1097/mlr.0b013e3181d567bd
Foroumandi, E., Kheirouri, S., & Alizadeh, M. (2020). The Potency of Education Programs for Management of Blood Pressure Through Increasing Self-Efficacy of Hypertensive Patients: A Systematic Review and Meta-Analysis. Patient Education and Counseling, 103(3), 451–461. https://doi.org/10.1016/j.pec.2019.09.018
Glombiewski, J. A., Nestoriuc, Y., Rief, W., Glaesmer, H., & Braehler, E. (2012). Medication Adherence in the General Population. PLoS One, 7(12), e50537. https://doi.org/10.1371/journal.pone.0050537
Halliday, S. J., Shi, H., Brittain, E. L., & Hemnes, A. R. (2018). Reduced Free-Living Activity Levels in Pulmonary Arterial Hypertension Patients. Pulmonary Circulation, 9(1), 2045894018814182. https://doi.org/10.1177/2045894018814182
Hamdidouche, I., Jullien, V., Boutouyrie, P., Billaud, E., Azizi, M., & Laurent, S. (2017). Drug Adherence in Hypertension. Journal of Hypertension, 35(6), 1133–1144. https://doi.org/10.1097/HJH.0000000000001299
Hazwan, A., & Pinatih, G. N. I. (2017). Gambaran Karakteristik Penderita Hipertensi dan Tingkat Kepatuhan Minum Obat di Wilayah Kerja Puskesmas Kintamani I. Intisari Sains Medis, 8(2), 131. https://doi.org/10.15562/ism.v8i2.127
Huang, Y.-M., Shiyanbola, O. O., & Smith, P. D. (2018). Association of Health Literacy and Medication Self-Efficacy with Medication Adherence and Diabetes Control. Patient Preference and Adherence, 12, 793. https://doi.org/10.2147/ppa.s153312
Ivana, F. N. (2020). Validitas dan Reliabilitas Kuesioner Medication Adherence Self-Efficacy Scale Revised (MASES-R) Versi Bahasa Indonesia pada Pasien Hipertensi [Fakultas Farmasi Universitas Jember]. https://repository.unej.ac.id/handle/123456789/99469 . Accessed on 13th August, 2022.
Jankowska-Polańska, B., Chudiak, A., Uchmanowicz, I., Dudek, K., & Mazur, G. (2017). Selected factors affecting adherence in the pharmacological treatment of arterial hypertension. Patient Preference and Adherence, 11, 363–371. https://doi.org/10.2147/PPA.S127407
Karbownik, M. S., Jankowska-Polańska, B., Horne, R., Górski, K. M., Kowalczyk, E., & Szemraj, J. (2020). Adaptation and Validation of the Polish Version of the Beliefs about Medicines Questionnaire among Cardiovascular Patients and Medical Students. PLoS ONE, 15(4), e0230131. https://doi.org/10.1371/journal.pone.0230131
Kawulusan, K. B., Katuuk, M. E., & Bataha, Y. B. (2019). Hubungan Self-Efficacy Dengan Kepatuhan Minum Obat Hipertensi di Puskesmas Ranotana Weru Kota Manado. Jurnal Keperawatan. https://doi.org/10.35790/jkp.v7i1.24340
Leman, M. A., Claramita, M., & Rahayu, G. R. (2021). Predicting Factors on Modeling Health Behavior: A Systematic Review. American Journal of Health Behavior, 45(2), 268–278. https://doi.org/https://doi.org/10.5993/AJHB.45.2.7
Lu, M. M., Xia, H. O., Mae, J. Y., Lin, Y., Zhang, X., Shen, Y. Z., & Hravnak, M. (2020). Relationship between Adherence to Secondary Prevention and Health Literacy, Self-Efficacy and Disease Knowledge among Patients with Coronary Artery Disease in China. European Journal of Cardiovascular Nursing, 19(3), 230–237. https://doi.org/10.1177/1474515119880059
Lukmawati, E., Wilandika, A., & Widianti, A. T. (2020). Pengaruh Supportive Educative terhadap Self Care Pasien Hipertensi pada Salah Satu Puskesmas di Bandung. Jurnal Keperawatan ’Aisyiyah, 6(2), 1–7. https://doi.org/10.33867/jka.v6i2.124
Mamaghani, E. A., Hasanpoor, E., Maghsoodi, E., & Soleimani, F. (2020). Barriers to Medication Adherence among Hypertensive Patients in Deprived Rural Areas. Ethiopian Journal of Health Sciences, 30(1). https://doi.org/10.4314/ejhs.v30i1.11
Marlina, P. W. N., Sinaturi, R. S., & Dilianty, M. O. (2019). Peningkatan Kepatuhan Berobat Melalui Edukasi Bagi Penderita Hipertensi Di Kabupaten Flores Timur. Jurnal Ilmiah Kesehatan Keperawatan. https://doi.org/10.26753/jikk.v15i2.305
Miller, T. A. (2016). Health Literacy and Adherence to Medical Treatment in Chronic and Acute Illness: A Meta-Analysis. Patient Education and Counseling, 99(7), 1079–1086. https://doi.org/10.1016/j.pec.2016.01.020
Morrison, V. L., Holmes, E. A. F., Parveen, S., Plumpton, C. O., Clyne, W., De Geest, S., Dobbels, F., Vrijens, B., Kardas, P., & Hughes, D. A. (2015). Predictors of Self-Reported Adherence to Antihypertensive Medicines: A Multinational, Cross-Sectional Survey. Value in Health, 18(2), 206–216. https://doi.org/10.1016/j.jval.2014.12.013
Nugraha, D. A., & Widyastuti, C. S. (2021). The Effects of Wet Cutaneous Cupping Stimulation Toward Mean Arterial Pressure Among Hypertensive Patients. The Malaysian Journal of Nursing (MJN), 13(1), 17-22. https://doi.org/10.31674/mjn.2021.v13i01.003
Nuraeni, A., Mirwanti, R., & Anna, A. (2018). Upaya Pencegahan dan Perawatan Hipertensi di Rumah Melalui Media Pembelajaran Bagi Masyarakat di Kabupaten Pangandaran. Jurnal Bagimu Negeri. https://doi.org/10.26638/jbn.554.8651
Nuvri, N. A. (2019). Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Berobat Penderita Hipertensi Di Posbindu PTM Desa Sidorejo Kecamatan Geneng Kabupaten Ngawi [Sekolah Tinggi Ilmu Kesehatan Bhakti Husada Mulia Madiun]. http://repository.stikes-bhm.ac.id/615/ . Accessed on 10th August, 2022.
Pan, J., Hu, B., Wu, L., & Li, Y. (2021). The Effect of Social Support on Treatment Adherence in Hypertension in China. Patient Preference and Adherence, 15, 1953. https://doi.org/10.2147/ppa.s325793
Rantepadang, A., & Hadibrata, B. E. S. (2023). Self-Efficacy dan Self-Care Management pada Penderita Hipertensi. Klabat Journal of Nursing, 5(1), 67–73. https://doi.org/10.37771/kjn.v5i1.913
Safitri, W., Ismail, S., & Isnuwardana, R. (2023). Hubungan Konsumsi Herbal dengan Kepatuhan Minum Obat Standar pada Pasien Hipertensi di Wilayah Kerja Puskesmas Lempake Samarinda. Jurnal Kesehatan Andalas, 12(1), 20. https://doi.org/10.25077/jka.v12i1.2167
Salami, S., & Wilandika, A. (2018). Hubungan Efikasi Diri dan Dukungan Sosial dengan Self Care Management Penderita Hipertensi di Wilayah Kerja Puskesmas Cijagra Lama Bandung. Jurnal Keperawatan’Aisyiyah, 5(2), 99–106. https://www.journal.unisa-bandung.ac.id/index.php/jka/article/view/75 . Accessed on 15th August 2022.
Schoenthaler, A. M., Butler, M., Chaplin, W., Tobin, J., & Ogedegbe, G. (2016). Predictors of Changes in Medication Adherence in Blacks with Hypertension: Moving Beyond Cross-Sectional Data. Annals of Behavioral Medicine, 50(5), 642–652. https://doi.org/10.1007/s12160-016-9791-y
Shen, Z., Shi, S., Ding, S., & Zhong, Z. (2020). Mediating Effect of Self-Efficacy on the Relationship Between Medication Literacy and Medication Adherence Among Patients with Hypertension. In Frontiers in Pharmacology (Vol. 11). https://doi.org/10.3389/fphar.2020.569092
Social Support and Self-Efficacy as Mediating Factors Affecting the Association Between Depression and Medication Adherence in Older Patients with Coronary Heart Disease: A Multiple Mediator Model with a Cross-Sectional Study. Patient Preference and Adherence, 16, 285. https://doi.org/10.2147/ppa.s337634
Son, Y., & Won, M. H. (2017). Depression and medication adherence among older Korean patients with hypertension: Mediating role of self‐efficacy. International Journal of Nursing Practice, 23(3), e12525. https://doi.org/10.1111/ijn.12525
Son, Y., Kim, S., & Park, J. (2014). Role of Depressive Symptoms and Self‐efficacy of Medication Adherence in Korean Patients After Successful Percutaneous Coronary Intervention. International Journal of Nursing Practice, 20(6), 564–572. https://doi.org/10.1111/ijn.12203
Świątoniowska-Lonc, N., Polański, J., Mazur, G., & Jankowska-Polańska, B. (2021). Impact of beliefs about medicines on the level of intentional non-adherence to the recommendations of elderly patients with hypertension. International Journal of Environmental Research and Public Health, 18(6), 2825. https://doi.org/10.3390/ijerph18062825
Unni, E., & Bae, S. (2022). Exploring a New Theoretical Model to Explain the Behavior of Medication Adherence. Pharmacy, 10(2), 43. https://doi.org/10.3390/pharmacy10020043
Vaduganathan, M., Claggett, B. L., Juraschek, S. P., & Solomon, S. D. (2020). Assessment of Long-term Benefit of Intensive Blood Pressure Control on Residual Life Span. JAMA Cardiology, 5(5), 576. https://doi.org/10.1001/jamacardio.2019.6192
Vrijens, B., Antoniou, S., Burnier, M., De la Sierra, A., & Volpe, M. (2017). Current situation of medication adherence in hypertension. Frontiers in Pharmacology, 8, 100. https://doi.org/10.3389/fphar.2017.00100
Wardhani, A., Maria, I., & Murdiany, A. N. (2019). Hubungan Self-Efficacy Dengan Penatalaksanaan Pencegahan Kekambuhan Hipertensi Di Wilayah Kerja Puskesmas Martapura Ii, Kalimantan Selatan. Jurnal Keperawatan Suaka Insan (JKSI), 4(2), 70–77. https://doi.org/10.51143/jksi.v4i2.181
Warren-Findlow, J., & Seymour, R. (2011). Prevalence Rates of Hypertension Self-Care Activities among African Americans. Journal of the National Medical Association, 103(6), 503–512. https://doi.org/10.1016/S0027-9684(15)30365-5
Wilandika, A. (2019). Kajian Self-Care Mangement Hipertensi dengan Pendekatan Efikasi Diri dan Dukungan Sosial. Jurnal Ilmu Kesehatan Immanuel, 12(2), 37–42. https://doi.org/10.36051/jiki.v12i2.67
Wilandika, A., Dinyati, A. I., & Supriyatna, I. D. (2019). Pengaruh self help group terhadap self care pada pasien diabetes melitus di Persadia Cabang Rumah Sakit Muhammadiyah Bandung. Jurnal Keperawatan’Aisyiyah, 6(1), 37–45. https://journal.unisa-bandung.ac.id/index.php/jka/article/view/99 . Accessed on 11th August, 2022.
World Health Organization (2003). Adherence to Long-Term Therapies: Evidence for Action. World Health Organization. https://apps.who.int/iris/handle/10665/42682 . Accessed on 11th December, 2022.
World Health Organization. (2013). A Global Brief on Hypertension: Silent Killer, Global Public Health Crisis: World Health Day 2013. World Health Organization. https://www.who.int/publications/i/item/a-global-brief-on-hypertension-silent-killer-global-public-health-crisis-world-health-day-2013. Accessed on 11th August, 2022.
Yang, S., He, C., Zhang, X., Sun, K., Wu, S., Sun, X., & Li, Y. (2016). Determinants of Antihypertensive Adherence among Patients in Beijing: Application of the Health Belief Model. Patient Education and Counseling, 99(11), 1894–1900. https://doi.org/10.1016/j.pec.2016.06.014
Yue, Z., Bin, W., Weilin, Q., & Aifang, Y. (2015). Effect of Medication Adherence on Blood Pressure Control and Risk Factors for Antihypertensive Medication Adherence. Journal of Evaluation in Clinical Practice, 21(1), 166–172. https://doi.org/10.1111/jep.12268
Zhou, Y., Huo, Q., Du, S., Shi, X., Shi, Q., Cui, S., Feng, C., Du, X., & Wang, Y. (2022). Sarkar, M. (2020). Assessment of Healthcare Practices and Effect of Awareness Programme on Knowledge Regarding Complications of Hypertension Among Hypertensive Patients in a Selected Rural Area in Malda (West Bengal) India. Malaysian Journal of Medical Research (MJMR), 4(4), 48-54. https://doi.org/10.31674/MJMR.2020.V04I04.011
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
