EFFECT OF ANTIHYPERTENSION COUNSELING TO KNOWLEDGE, ADHERENCE, QUALITY OF LIFE AND LIFE STYLE IN UPT PUSKESMAS IBRAHIM ADJIE KOTA BANDUNG

• Main Author: Fadhilla, Genialita
• Format: Theses
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/47176
• Institution: Institut Teknologi Bandung

Counseling is a form of clinical pharmacy services to support the use of rational medicine with optimal therapeutic results. Ideally, all patients are given counseling, but if not possible, counseling is only prioritized for patient with special condition. One of them is chronic disease that is hypertension. Currently, the government has established a Chronic Disease Management Program (Prolanis) for hypertension’s patients of National Health Insurance (JKN). One of the activities in Prolanis is counseling. However, there are still JKN participants who do not want to be members of Prolanis so they can not follow Prolanis activities, so can not given counseling. Research is conducted to identify and compare knowledge of disease and drug, drug adherence, quality of life, lifestyle and diet on Prolanis and non Prolanis patients, and to know the relationship between knowledge and adherence, adherence to quality of life and blood pressure. Patients are divided into counseling groups (Prolanis) and no counseling groups (non Prolanis). Patients as a respondents in each groups were interviewed about disease and drug knowledge, drug adherence, quality of life, lifestyle and diet. Generally, Prolanis and non Prolanis patients have good knowledge of the disease (97.30%; 81.08%), knowledge of drug (72,97%; 54,05%), and lifestyle (70,27%; 67,57%); quality of life in physical health (56,76%, 59,46%), psychological (62,16%, 62,16%), social relations (75,68%, 78,38%), environment (75,68 %; 67,57%) are sufficient. Prolanis patients had good drug adherence (83,78%), but non Prolanis patients had low drug adherence (48,65%). There is a difference in the effect of counseling on disease knowledge, drug knowledge, and drug adherence (p> 0.05). The relationship of knowledge of diseases and drugs with drug adherence (r = -0,083, 0,159), drug adherence with quality of life (r = -0,019; 0,144; -0,79; 0,023) and patient blood pressure (r = 0,032; 0,014) are very low and do not show a significant relationship between the two variable (p> 0,05).