PENGARUH PENDIDIKAN KESEHATAN TERHADAP KEPATUHAN MINUM OBAT PADA PASIEN HIPERTENSI DI PUSKESMAS ANDONG
Keywords:
Health Education, Hypertension, Medication Adherence
Abstract
Background: Hypertension is a chronic disease that requires lifelong treatment to prevent complications such as stroke, heart disease, and kidney failure. However, medication adherence among patients with hypertension remains low due to inadequate knowledge and awareness regarding the importance of continuous treatment. Health education is one of the nursing interventions that can improve patients' knowledge, awareness, and adherence to antihypertensive medication. Purpose: This study aimed to determine the effect of health education on medication adherence among patients with hypertension at Andong Primary Health Center. Methods: This study employed a pre-experimental design using a one-group pretest-posttest approach. A total of 33 respondents were selected through purposive sampling. Data were collected using the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using the Wilcoxon Signed Rank Test because the data were not normally distributed. Results: Before receiving health education, most respondents had low medication adherence (54.5%), followed by moderate adherence (39.4%) and high adherence (6.1%). After the intervention, high adherence increased to 57.6%, moderate adherence remained at 39.4%, and low adherence decreased to 3.0%. The Wilcoxon Signed Rank Test showed a significant difference between pretest and posttest medication adherence (p-value = 0.001; p < 0.05), indicating that health education significantly improved medication adherence among patients with hypertension. Conclusion: Health education has a significant positive effect on improving medication adherence among patients with hypertension. Integrating structured health education into routine nursing practice in primary healthcare settings is recommended to enhance treatment adherence and reduce hypertension-related complications.References
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Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
Prasetyo, A., & Rahayu, Y. S. E. (2023). Antisipasi komplikasi hipertensi pada lanjut usia dengan pengelolaan obat antihipertensi dan diet yang tepat: Anticipation of hypertension complications in the elderly with antihypertensive drug management and the right diet. Jurnal Pengabdian Kepada Masyarakat: Kesehatan, 3(2), 68–76.
Sugianto, S., Sari, N. D. R., Isnaini, N., & Muzaenah, T. (2026). Hubungan kepatuhan minum obat antihipertensi dengan tekanan darah pada penderita hipertensi. Nutrix Journal, 10(1), 10–22.
Taopik, A. I., & Pamela, N. (2025). Efektivitas edukasi kesehatan berbasis komunitas dalam menurunkan risiko dan mengendalikan hipertensi. Jurnal Ilmiah Penelitian Mahasiswa, 3(6), 957–967. https://doi.org/10.61722/jipm.v3i6.1755
Wintariani, N. P., Apsari, D. P., Suryaningsih, N. P. A., Suwantara, I. P. T., & Megawati, F. (2022). Hubungan peran tenaga kefarmasian dan dukungan keluarga dengan tingkat kepatuhan minum obat antihipertensi di Apotek "X" Kota Denpasar. Jurnal Ilmiah Medicamento, 8(2), 110–116. https://doi.org/10.36733/medicamento.v8i2.4076
World Health Organization. (2023). Global report on hypertension: The race against a silent killer. World Health Organization. https://www.who.int/publications/i/item/9789240081062
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.118.313220
Creswell, J. W., & Creswell, J. D. (2023). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). Sage Publications.
Dalal, J. J., Kerkar, P., Guha, S., Dasbiswas, A., Sawhney, J. P. S., Natarajan, S., Maddury, S. R., Kumar, A. S., Chandra, N., Suryaprakash, G., Thomas, J. M., Juvale, N. I., Sathe, S., Khan, A., Bansal, S., Kumar, V., & Reddi, R. (2021). Therapeutic adherence in hypertension: Current evidence and expert opinion from India. Indian Heart Journal, 73(6), 667–673. https://doi.org/10.1016/j.ihj.2021.09.003
Dalong, L., Manurung, I. F., Berek, N. C., Weraman, P., & Roga, A. U. (2025). Efektivitas pendidikan kesehatan terhadap kepatuhan minum obat pada pasien hipertensi: Studi pra-eksperimental di fasilitas kesehatan primer. Jurnal Promotif Preventif, 8(4), 768–776.
Damayanti, R., Astuti, S., & Wardani, E. K. (2022). Edukasi kesehatan pada pasien hipertensi untuk meningkatkan kepatuhan. Jurnal Keperawatan Indonesia, 25(3), 101-109.
Guo, A., Jin, H., Mao, J., Zhu, W., Zhou, Y., Ge, X., & Yu, D. (2023). Impact of health literacy and social support on medication adherence in patients with hypertension: A cross-sectional community-based study. BMC Cardiovascular Disorders, 23, Article 93. https://doi.org/10.1186/s12872-023-03117-x
Karami, M., Ashtarian, H., Rajati, M., Hamzeh, B., & Rajati, F. (2023). The effect of health literacy intervention on adherence to medication of uncontrolled hypertensive patients using m-health: A randomized controlled trial. BMC Medical Informatics and Decision Making, 23, Article 289. https://doi.org/10.1186/s12911-023-02393-z
Kartika, M., Subakir, & Mirsiyanto, E. (2021). Faktor-faktor risiko yang berhubungan dengan hipertensi di wilayah kerja Puskesmas Rawang Kota Sungai Penuh tahun 2020. Jurnal Kesmas Jambi, 5(1), 1–9. https://doi.org/10.22437/jkmj.v5i1.12396
Mayer, R. E. (2021). Multimedia Learning (3rd ed.). Cambridge University Press.
Maisyarah, S., Salman, S., Sianturi, E., Widodo, D., Djuwadi, D., Rohani, R., Gultom, L., Laksmini, P., & Argaheni, N. B. (2021). Dasar media komunikasi informasi edukasi (KIE) kesehatan. Yayasan Kita Menulis.
McEvoy, J. W., McCarthy, C. P., Bruno, R. M., Brouwers, S., Canavan, M. D., Ceconi, C., Christodorescu, R. M., Daskalopoulou, S. S., Ferro, C. J., Gerdts, E., Hanssen, H., Harris, J., Lauder, L., McManus, R. J., Molloy, G. J., Rahimi, K., Regitz-Zagrosek, V., Rossi, G. P., Sandset, E. C., ... Visseren, F. L. J. (2024). 2024 ESC guidelines for the management of elevated blood pressure and hypertension: Developed by the task force on the management of elevated blood pressure and hypertension of the European Society of Cardiology (ESC) and endorsed by the European Society of Endocrinology (ESE) and the European Stroke Organisation (ESO). European Heart Journal, 45(38), 3912–4018. https://doi.org/10.1093/eurheartj/ehae178
Milah, A. S. (2022). Pendidikan kesehatan dan promosi kesehatan dalam keperawatan. Edu Publisher. ISBN 978-623-6187-68-5.
Morisky, D. E., Ang, A., Krousel-Wood, M., & Ward, H. J. (2008). Predictive validity of a medication adherence measure in an outpatient setting. The Journal of Clinical Hypertension, 10(5), 348–354. https://doi.org/10.1111/j.1751-7176.2008.07572.x
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
Prasetyo, A., & Rahayu, Y. S. E. (2023). Antisipasi komplikasi hipertensi pada lanjut usia dengan pengelolaan obat antihipertensi dan diet yang tepat: Anticipation of hypertension complications in the elderly with antihypertensive drug management and the right diet. Jurnal Pengabdian Kepada Masyarakat: Kesehatan, 3(2), 68–76.
Sugianto, S., Sari, N. D. R., Isnaini, N., & Muzaenah, T. (2026). Hubungan kepatuhan minum obat antihipertensi dengan tekanan darah pada penderita hipertensi. Nutrix Journal, 10(1), 10–22.
Taopik, A. I., & Pamela, N. (2025). Efektivitas edukasi kesehatan berbasis komunitas dalam menurunkan risiko dan mengendalikan hipertensi. Jurnal Ilmiah Penelitian Mahasiswa, 3(6), 957–967. https://doi.org/10.61722/jipm.v3i6.1755
Wintariani, N. P., Apsari, D. P., Suryaningsih, N. P. A., Suwantara, I. P. T., & Megawati, F. (2022). Hubungan peran tenaga kefarmasian dan dukungan keluarga dengan tingkat kepatuhan minum obat antihipertensi di Apotek "X" Kota Denpasar. Jurnal Ilmiah Medicamento, 8(2), 110–116. https://doi.org/10.36733/medicamento.v8i2.4076
World Health Organization. (2023). Global report on hypertension: The race against a silent killer. World Health Organization. https://www.who.int/publications/i/item/9789240081062
Published
2026-08-29
How to Cite
Amartha, F. E., Hasbi, H. A., Bahri, A. S., Kurniawati, E., & Ulfah, H. R. (2026). PENGARUH PENDIDIKAN KESEHATAN TERHADAP KEPATUHAN MINUM OBAT PADA PASIEN HIPERTENSI DI PUSKESMAS ANDONG. Jurnal Cakrawala Keperawatan, 3(02), 99-108. https://doi.org/10.35872/jck.v3i02.1025
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Articles
