The Effect of Compliance in Education Pill Box on the Success of Hypertension Treatment in Alalak Tengah Puskesmas
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Sari Wahyunita, Muhammad Ihsan Rosyadi, Erwin Fakhrani (2025). The Effect of Compliance in Education Pill Box on the Success of Hypertension Treatment in Alalak Tengah Puskesmas. Journal of Pharmaceutical and Sciences, JPS Volume 8 Nomor 3 (2025). https://doi.org/10.36490/journal-jps.com.v8i3.962
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Abstract
Background: Medication adherence is a crucial factor in the management of hypertension. Non-adherence is a common problem that can hinder therapeutic success. The use of a pill box as a reminder tool is considered to improve adherence; however, its impact on therapeutic outcomes requires further investigation, particularly at Alalak Tengah Primary Health Center, which has a high burden of hypertension cases. Objective: This study aimed to analyze the effect of pill box education on medication adherence and therapeutic success, as well as to examine the relationship between adherence and therapeutic outcomes among hypertensive patients at Alalak Tengah Primary Health Center. Methods: This experimental study with a cross-sectional design employed purposive sampling of 100 uncontrolled hypertensive patients. Data were collected from medical records and pill count observations to measure adherence. Therapeutic success was determined based on achieving target blood pressure. Data analysis was conducted using the Wilcoxon test to compare outcomes before and after the intervention, and the Spearman test to assess the correlation between adherence and therapeutic success. Results: The majority of respondents were female (76%), aged 51–60 years (36.5%), and housewives (71%). The pill box intervention significantly improved therapeutic success, with the proportion of patients achieving target blood pressure increasing from 0% to 79% (p-value = 0.001). Post-intervention medication adherence was very high (97%). However, statistically, there was no significant correlation between adherence and therapeutic success (p-value = 0.636 > 0.05). Conclusion: Education on pill box use was proven effective in significantly improving blood pressure control. However, high medication adherence was not directly correlated with therapeutic success. This indicates that hypertension treatment outcomes are influenced by other multifactorial factors beyond adherence, such as diet, physical activity, and individual responses to medication.
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References
Kartini Massa LAM. Kepatuhan Minum Obat Hipertensi Pada Lansia. J Public Health (Bangkok). 2021;Volume 2 N.
Saleh N, Wowor R, Adam H. Hubungan Antara Memberi Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Pasien Hipertensi Di Wilayah Kerja Puskesmas Kombos Kecamatan Singkil Kota Manado. J KESMAS. 2021;10(1):165–75.
Kautsari FW, Daryanti EP. Pillbox Use Education to Increase Medication Adherence in Hypertension Patients. J Abdimas Madani. 2023;5(1):62–6.
Suci Fitriani Sammulia, Fita Rahmawati TMA.Perbandingan Pill Box dan Medication Chart Dalam Meninggkatkan Kepatuhan dan Outcome Klinik Geriatri Kota Batam Farm (Journal Manag Pharm Pract. 2016;6(4):288.
Nugraha DP, Amalia A, Oktafiona EW, Alifa AR, Ernawati E, Maurizka IO.Pemberdayaan Masyarakt Dengan Menggunakan Pill Box Dalam Rangka Menigkatkan Kepatuhan Minum Obat Pasien Hipertensi Di Desa Bendil Jati Wetan Kecamatan SumberGempol Kabupaten Tulung Agung J community Serv. 2022;1(2):1–6.
Fauziah Y, Musdalipah M, Rahmawati R. Analisis Tingkat Kepatuhan Pasien Hipertensi Dalam Minum Obat Di RSUD Kota Kendari. War Farm. 2019;8(2):63–70.
Pramana Galih Adi, Dianingati, Ragil Setia NES. Faktor-Faktor yang Mempengaruhi Kepatuhan Minum Obat Pasien Hipertensi Peserta Prolanis di Puskesmas Pringapus Kabupaten Semarang. Indones J Pharm Nat Prod. 2019;02.
Fredy Akbar K, Agusnia Hasan Sulur, Idawati Ambohamsah, Darmiati, Farmin Arfan , Hamdan Nur UIH. Characteristic Of Hypertension IN The Elderly. Nat Volatiles Essent Oils. 2021;8($).
Suirvi L, Herlina Dewi AP. Efektivitas Pendidikan Kesehatan Berbasis The Health Belief Model Pada Penderita Hipertensi. J Ners Indones. 2022;12(2).
Sri Siska Mardiana, Faridah U, Subiwati BDW. Hubungan Tingkat Pendidikan Dengan Kepatuhan Minum Obat Pada Pasien Hipertensi Di Puskesmas Karang Rayung II. 13th Univ Res Colloqium. 2021;628–35.
Taufikurrahman, Abdurahman Wahid IR. Perbedaan Gambaran Ekg Pada Pasien Hipertensi Dengan Lama Riwayat Menderita < 5 Tahun Dan ≥ 5 Tahun Di Poli Penyakit Dalam Rumah Sakit H . Damanhuri Barabai. Din Kesehat J Kebidanan dan Keperawatan. 2019;10(1):427–39.
Abdi TR. Karakteristik Pasien Hipertensi di Puskesmas Tabaringan Makassar. Indones Journa Heal. 2021;1(2):112–9.
Rosadi E, Gusty RP, Keperawatan F, Andalas U, Manis L. Karakteristik tekanan darah dan kenyamanan pada pasien hipertensi. J Keperawatan Jiwa(JKJ)-. 2023;11(3):731–8.
Lolo WA, Citraningtyas G, Jayanto I. Pola Penggunaan Obat Antihipertensi pada Pasien Rawat Jalan di Rumah Sakit X Manado. Med Scope J. 2024;6(1):142–8.
Khuzaima LL, Sunardi. Hubungan tingkat pendidikan terhadap kepatuhan minum obat antihipertensi di Puskesmas Sewon II periode Januari 2021. J Farmasi Akademi Farmasi Indonesia Yogyakarta. 2021;1(1):15-21.
Prihatin K, Fatmawati BR, Suprayitna M, Keperawatan PS, Pengobatan K. Faktor-faktor yang mempengaruhi kepatuhan berobat penderita hipertensi. J Ilm Stikes Yars Mataram. 2020;10(2):7–16.
Musliana, Meutia N. Hubungan Faktor-Faktor Gaya Hidup Dengan Tekanan Darah Pada Pasien Penderita Hipertensi. Ibnu SIna J Kedokt dan Kesehat - Fakuktas Kedokt Univ Islam Sumartra Utara. 2022;21 no 1.
Hesti Sumiasih, Trilestari WU. Hubungan Kepatuhan Minum Obat terhadap Keberhasilan Terapi pada Pasien Hipertensi di Puskesmas Prambanan Sleman Bulan Januari - Februari 2020. Cerata J Ilmu Farm. 2020;11:21–7.
Amelia, Fajrianti G, Murniani. Hubungan Gaya Hidup Terhadap Hipertensi. J Penelit Perawat Prof. 2024;6 no 4.
Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., Tomaszewski, M., Wainford, R. D., Williams, B., & Schutte AE. International Society of Hypertension Global Hypertension Practice Guidelines. 2020;75(6):1334–1357.