EFFECT OF PILL CARDS AS REMINDER TOOL TO IMPROVE COMPLIANCE ON THERAPEUTIC EFFECTIVENESS OF PROLANIS PATIENTS WITH DIABETES MELLITUS AT TWO PRIMARY HEALTH CARE IN BANDUNG CITY

• Main Author: Putri Irfani, Aulia
• Format: Final Project
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/74224
• Institution: Institut Teknologi Bandung

Diabetes is a chronic disease that occurs due to pancreatic beta cells does not produce enough insulin or the body cannot use the insulin that’s produced effectively. Poor medication adherence is a significant cause of uncontrolled diabetes mellitus, which can lead to development of macrovascular and microvascular complications. Pill card are the tools that can be used to improve adherence, especially for patients with complex treatment regimens such as diabetes mellitus. This study aimed to evaluate the effectiveness of providing pill card on adherence levels using the Morisky Medication Adherence Scale-8 item (MMAS-8) and fasting blood glucose levels of patients with type 2 diabetes mellitus at Pasundan Primary HealthCare and Ibrahim Adjie Primary HealthCare. The study was conducted using a cross-sectional method with a pre-experimental research design and concurrently from January to May 2023. The respondents consisted of 32 with type 2 DM from Pasundan Primary HealthCare and 24 patients from Ibrahim Adjie Primary HealthCare. The results showed that pill cards could improve patient adherence in diabetes patients without comorbidities (p=0.025) and diabetes patients with comorbidities (p=0.007) at Pasundan Primary HealthCare, as well as patients without comorbidities (p=0.002) and patients with comorbidities (p=0.022) at Ibrahim Adjie Primary HealthCare. There was a weak correlation between fasting blood glucose levels and patient adherence in diabetes patients without comorbidities (r=0.087) and with comorbidities (0.025) at Pasundan Primary HealthCare, as well as in diabetes patients without comorbidities (r=0.076) and with comorbidities (r= - 0.166) at Ibrahim Adjie Primary HealthCare.