Controlling blood pressure carried out by hypertensive patients is still less than 50%. It is related to the consumption of antihypertensive drugs. Adherence to medication is a critical factor in achieving blood pressure for resistant hypertension, but lifestyle modifications may be necessary to treat milder forms of hypertension. There are several factors that affect the anti-hypertensive medication adherence needs to be known. This study aims to analyze the findings regarding the factors that influence medication adherence in Hypertension sufferers. A literature review is done by looking for literature related to the theme taken. The databases used in the preparation of literature reviews are obtained from databases such as ProQuest, PubMed, EBSCO, and Google scholar. Search focuses on titles, keywords and articles that are appropriate in journals that have been determined from 2011-2021. Keywords used in the search for factor articles, adherence to taking medication and hypertension. The search results found 6 articles that had been selected based on predetermined inclusion and exclusion criteria. According to the review results, drug compliance plays an essential role in the long-term treatment of hypertension and can reduce the risk of complications. The finding of 11 factors influences medication adherence to Hypertension sufferers, including the level of knowledge, the role of health workers, motivation, family-friends support, attendance at the clinic, age, employment status, education level, belief, gender, and duration of suffering from Hypertension. Adherence to taking medication was measured by taking antihypertensive drugs in individuals, dietary behaviour, exercise, participation in posbindu/prolanis, and visits to health services for routine control. Compliance with drug use plays a vital role in the long-term treatment of hypertension to reduce the risk of complications The findings of 11 factors that influence medication adherence in patients with hypertension can be used as benchmarks for nurses to improve health services further to achieve optimal recovery.
Background: Coronavirus (COVID-19) is an infectious disease caused by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV2) virus. This disease is transmitted from human to human, where most of (COVID-19) infected people experience mild to moderate respiratory disease and recover without requiring special care. Health education is a top priority and is one of the effective nursing interventions to improve knowledge level and public awareness about the importance of correct understanding regarding COVID-19. The researcher was aimed to analyze knowledge level differences of Posbindu (Integrated guided care) participants in Puskesmas (Community Health Center) Gesi regarding COVID-19 disease before and after the implementation of health education.Methods: It was a queasy experimental quantitative research with a one-group pretest-post-test control design. There were 40 participants with ages ranging from 15 to 50 years old.Result: The Posbindu participants' knowledge level about Covid-19 before receiving health education was categorized as poor. Meanwhile, Posbindu participants' knowledge level about Covid-19 before receiving health education was average. The Independent Sample T-Test showed that the sig. (2-tailed) value was 0.009 <0.05, then Ho was rejected, and Ha was accepted. Therefore, it could be concluded that there are differences in Posbindu participants' knowledge level before and after being given the health education about Covid-19 in Puskesmas Gesi.Conclusion: The health education given in Puskesmas Gesi affects Posbindu participants' knowledge level about Covid-19. It is hoped that the public health center regularly puts more consent to increase the community's knowledge about COVID-19.
Hipertensi merupakan penyakit tidak menular yang menyebabkan kematian di dunia. World Health Organization (WHO) mengestimasikan prevalensi hipertensi secara global sebesar 22 % dari total penduduk dunia. Dari sejumlah penderita, kurang dari seperlima yang mengendalikan tekanan darah. Hipertensi merupakan meningkatnya tekanan darah ≥140/90 mmHg. Pengobatan non farmakologis adalah menciptakan keadaan rileks. Mendengarkan Al Qur’an diyakini mendatangkan ketenangan jiwa dan mempengaruhi respon fisiologis termasuk tekanan darah. Studi ini menjelaskan perubahan terapi murotal Al Qur’an terhadap penurunan tekanan darah pasien hipertensi. Studi ini menggunakan metode deskriptif dengan pendekatan asuhan keperawatan, subjek berjumlah 2 pasien yang mengalami peningkatan tekanan darah. Instrument yang digunakan untuk mengukur tekanan darah yaitu sphygmomanometer digital yang sudah dikalibrasi, mendengarkan murotal melalui Mp3 surat Al-Kahfi ayat 1-28 yang dilantunkan Muzammil Hasballah dengan headphone menutup seluruh telinga dengan diameter 7 cm, kemudian responden tidur berbaring rileks mata terpejam mendengarkan lantunan ayat suci selama 15 menit selama 3 hari setelah sebelumnya minum obat amlodipin 10 mg jeda waktu 2 jam dan tekanan darah diukur sebelum dan sesudahnya dan mendapatkan hasil penurunan tekanan darah sistolik 56 mmHg dan diastolik 36 mmHg. Simpulan studi ini adalah terapi murotal dapat menurunkan tekanan darah pada pasien hipertensi.
The psychological response toward pandemics experienced by medical workers is increased due to the anxiety about their health condition and the risk to infect the family member. This research was aimed to describe the nurses’ anxiety amid the COVID 19 pandemic at Piru Hospital. This research was descriptive quantitative research with the cross-sectional approach. The research was conducted from December 29, 2020, to March 4, 2021. The population was 125 medical workers at RSUD Piru, with 95 respondents taken as a sample by using the random cluster sampling technique. The instrument used was Hamilton Rating Scale for Anxiety (HRS-A). The data was then analyzed by using frequency distribution data classified in a table. The result of univariate data analysis showed that 91 respondents (95.8%) didn’t experience anxiety, and 2 respondents (2.1%) experienced anxiety. In case of anxiety, 95.8% of nurses at Piru Hospital in West Seram Regency, Maluku didn’t experience anxiety. The research finding shows the importance of prevention and early detection of anxiety disorder to minimize further impact. Individual identification on the early stage of psychological disorder could be an effective intervention strategy.
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