Adelia Pratiwi, Muhammad Yunus, Roy Indrianto Bangar

Hubungan Tingkat Pengetahuan Pasien Hipertansi Terhadap Kepatuhan Minum Obat Pada Pasien Rawat Jalan Di Rumah Sakit Royal Prima

Introduction

Hubungan tingkat pengetahuan pasien hipertansi terhadap kepatuhan minum obat pada pasien rawat jalan di rumah sakit royal prima. Temukan hubungan kuat antara tingkat pengetahuan pasien hipertensi dan kepatuhan minum obat di RS Royal Prima. Pengetahuan penting untuk keberhasilan terapi.

Abstract

Hypertension s a chronic condition with a high prevalence that can lead to cardiovascular complications if patients do not adhere to medication regimens and the medication adherence is on of the primary key to therapeutic success. However, low adherence rates remain a significant challenge, often linked to insufficient patient understanding. This study aimed to analyze the relationship between the level of knowledge of hypertensive patients and their medication adherence at Royal Prima Hospital. This research method employed a quantitative correlational design with a cross-sectional approach involving 78 outpatient respondents selected through purposive sampling. Demographic data were analyzed using the Chi-Square Test, while the relationship between the main variables was tested with Spearman Correlation. The results showed that the majority of respondents had a sufficient level of knowledge (52.6%) and moderate adherence (48.7%). The Spearman Correlation test yielded a coefficient value (rₛ) of 0.803 with p < 0.001, indicating a very strong and significant positive relationship between the level of knowledge and medication adherence. Conversely, the Chi-Square Test results showed no significant association between demographic characteristics and adherence. It is concluded that knowledge is a crucial determinant influencing treatment adherence among hypertensive patients.

Review

The study "Hubungan Tingkat Pengetahuan Pasien Hipertansi Terhadap Kepatuhan Minum Obat Pada Pasien Rawat Jalan Di Rumah Sakit Royal Prima" addresses a critically important public health issue: medication adherence among hypertensive patients. The abstract effectively highlights the high prevalence of hypertension and the significant challenge of low adherence rates, which often stem from insufficient patient understanding. The research, employing a quantitative correlational cross-sectional design with 78 outpatients from Royal Prima Hospital, aimed to elucidate the relationship between patients' knowledge levels and their medication adherence. A significant strength of this study lies in its clear objective and the robust statistical finding, demonstrating a very strong and positive correlation (rₛ = 0.803, p < 0.001) between knowledge and adherence, while also noting the lack of association between adherence and demographic characteristics. While the study provides valuable insights, certain methodological aspects warrant further consideration. The cross-sectional design, by its nature, restricts the ability to establish causality; it indicates an association rather than proving that increased knowledge *causes* improved adherence. Future research could benefit from longitudinal designs to explore temporal relationships and potential causal pathways. Furthermore, the abstract lacks specific details regarding the instruments used to measure "knowledge" and "adherence." The validity and reliability of these measures are crucial for the credibility of the findings. Elaboration on the specific demographic characteristics analyzed in the Chi-Square test would also enhance the understanding of factors not associated with adherence. Lastly, the use of purposive sampling and the focus on a single hospital may limit the generalizability of the findings to broader populations or other healthcare settings. Despite these considerations, the study's conclusion — that knowledge is a crucial determinant of treatment adherence among hypertensive patients — is well-supported by its strong statistical results and holds significant practical implications. The findings strongly advocate for the prioritization and enhancement of patient education programs within healthcare settings, specifically tailored for hypertensive patients, to improve their understanding of their condition and treatment regimens. Future research could extend this work by conducting intervention studies to evaluate the effectiveness of targeted educational strategies in improving adherence, exploring other potential mediators or moderators of this relationship, and replicating the study across multiple centers or diverse populations to enhance generalizability.

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