The Complience of Hypertensive Patients in Health Center Pengasih I Kulon Progo

Abstract

Hypertension is a condition where blood vessels have persistent high blood pressure. Compliance is a behavior to adhere to doctor's advice about using medicine. The purpose of this study is to determine the compliance, the use of antihypertensive and the relationship between characteristics of patients with their adherence in hypertensive patients in health center Pengasih I Kulon Progo period September-October 2018. This study used an observational analytic method with prospective cross-sectional approach. The inclusion criteria were male and female who hypertensive outpatients, aged 17-85 years old. Otherwise, the exclusion criteria were patient who had unconscious or mental disorders, complications of diabetes or coronary heart disease, gestational disease and using treatment for less than 3 months. Respondents will be given a MARS questionnaire. Data were analyzed statistically by SPSS using the Chi-square test with a confidence level of 95%. The results showed that 35 patient who compliance (36%) and 62 patient who non-compliance (64%). Hypertension drug treatment that used were Captopril 65 patients (67%) and combination of Captopril and Amlodipine 32 patients (33%). The respondent’s characteristics were obtained by female sex (73%), age range <55 years (42%), not working (32%), education level ≤ high school 94 patients (97%), and long suffering from hypertension <5 years (22%). Result from Chi Square test obtained that the value of p value> 0.05 which means there was no significant relationship between characteristics and compliance in the use of treatment for hypertension. Based on the results of the study, it can be concluded that 36% of patients adhere to taking drugs, and antihypertensive drug treatment which used are captopril and combination of captopril-amlodipine. There is no relationship between the characteristics of respondents and the adherence to their treatment. Keywords— hypertension, compliance, health center, MARS