Challenges in Nursing Education and Research

Proceeding of the Second Aceh International Nursing Conference 2019 (2nd AINC 2019), August 21-22, 2019, Banda Aceh, Indonesia

Teuku Tahlil, Hajjul Kamil, Asniar, Marthoenis, Teuku Tahlil, Hajjul Kamil, Asniar, Marthoenis

• Publisher: CRC Press
• Year: 2020
• ISBN:
  9781000096293
• Edition: 1
• Topic: Medizin
• Subtopic: Pflegefähigkeiten

This conference main theme is "Overcoming Global Health Challenges through Nursing Education, Research and Technology". Topics of interests cover all theoretical and practical aspects of nursing and health sciences in broad spectrum. This will provide an excellent knowledge and information across academicians, professionals, and government to optimize healthcare quality and safety around the globe.

DETERMINANTS OF MEDICATION ADHERENCE IN ADULTS WITH HYPERTENSION

Zulkarnaini¹, Asniar² and Kartini Hasballah³

¹Master Program of Nursing Science, Faculty of Nursing, Universitas Syiah Kuala, Banda Aceh, Indonesia, 23111

²Department of Community Health Nursing, Faculty of Nursing, Universitas Syiah Kuala, Banda Aceh, Indonesia, 23111

³Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia, 23111

Corresponding Author:

Asniar. Department of Community Health Nursing, Faculty of Nursing, Universitas Syiah Kuala, Banda Aceh, Indonesia, 23111

Email: [email protected]

Abstract: Hypertension remains as one of the most significant causes of morbidity in the world. The risk of severe hypertension might be reduced by adhering to antihypertensive drugs. Various factors were identified contributing to medication adherence in adults with hypertension. These factors are important to be considered in designing health programs to improve medication adherence in adults with hypertension. Purpose: This study investigated the medication adherence in adults with hypertension and examined determinants of medication adherence. Methods: A cross-sectional design was adopted to facilitate the survey of adults with hypertension. Roy’s Adaptation Model was used as the theoretical framework. The study was carried out in Lhokseumawe City, Aceh Province (Indonesia). The sample consisted of 140 participants. Focal, contextual and residual stimulus factors, and medication adherence were investigated. Multivariate logistic regression was used to test the determinants of adherence. Results: The focal stimuli associated with medication adherence are gender (p=0.006), education level (p=0.000), occupation (p=0.006), monthly income (0.003), duration of hypertension (p=0.000), daily frequency of taking medication (p=0.002), repeat medical visits (0.000), and regular blood pressure check (0.000). The contextual stimuli associated with medication adherence are number of daily hypertension medications (p=0.045) and diet (p=0.003), the residual stimuli (social support) associated with medication adherence (p=0.012). The most significant determinant of medication adherence is focal stimuli, which is the education level [(OR=39.4) and (95% CI=2.5–615.2). Conclusion: The most significant determinant of medication adherence is focal stimuli, which is the education level.

Keywords: Medication adherence, Adult, Hypertension

I. INTRODUCTION

Hypertension remains one of the most significant causes of death worldwide. Increased blood pressure (BP) is a major risk factor for coronary artery disease and its complications, heart failure, stroke, renal insufficiency, and blindness in diabetic patients. The Gl...

Table of contents

• Cover
• Title Page
• Copyright Page
• Table of Contents
• List of Figures
• List of Tables
• Conference Organization
• Foreword
• Acknowledgements
• 01. Development of Anticipated Physiological Falls Prevention Ingenuities Bundles: A Preliminary Report
• 02. Enhancement of Caring Behavior and Caring Competency Among Nursing Students
• 03. Evaluation of Integrated Nursing Progress Note Inpatient Ward in Aceh Hospitals, Indonesia
• 04. Effects of Using High Fidelity Mannequins on Skill and Knowledge of Nursing Students When Practicing Nebulizer Use
• 05. “TOEFL Score, is it as scary as you think?” A Qualitative Study of Nursing Students’ Obstacles to Gain Sufficient TOEFL Score
• 06. Development of Diabetes Self Care Assessment Tool (D-SCAT): Conceptualization and Assessment of Self-Care in a Real Life Setting
• 07. The Effectiveness of Theory-Based Low-Sodium Diet Education on Low-Sodium Diet Adherence Among Elderly with Hypertension
• 08. The Development of Intervention Memory-Executive Function Exercise for Breast Cancer Survivors with Chemobrain
• 09. Family Empowerment of Patients with Hypertension in Preventing Stroke
• 10. Factors Affecting Low Birth Weight Babies in a Hospital
• 11. Being Tactful: Communication Skill Training in Managing Challenging situations for novice pediatric nurses
• 12. Effectiveness of Audio Murottal Interventions for Children with Autism Spectrum Disorder
• 13. Four-Handed Method Improves Neonates’ Comfort During Suctioning
• 14. Cognitive Function, Sosial Support and a Depression in Institutionalized Older Adults
• 15. Cognitive Function and Falls Among Elderly
• 16. Quality of Life in Elderly with Rheumatoid Arthritis in Aceh Regency
• 17. Development of Care Dependency Measurement Tool for Indonesian Home Dwelling Older Adults: Analysis of Content Validity
• 18. Depression and Nutritional Status of Teenagers Following 2016 Aceh Earthquake
• 19. Anxiety and Sleep Quality of Adolescents in Earthquake Affected and Non-Affected Areas
• 20. Post-Traumatic Stress Disorder, Depression and Anxiety Among Earthquake Affected Adolescents
• 21. Utilizing Educational Media of Disaster Mitigation on Earthquake and Tsunami Preparedness for Inpatient Families in Hospital
• 22. Determinants of Medication Adherence in Adults with Hypertension
• 23. Organizational Factors of Patient Safety and Handover in a General Hospital
• 24. Exploring Efforts to Prevent Smoking Behavior for Adolescents: A Qualitative Study in Indonesia
• 25. Psychological Well-Being of Disabled People: Preliminary Mixed-Method Study in Aceh, Indonesia
• 26. Associated Factors of Quality of Life Among Menopausal Women in Pekanbaru, Indonesia
• 27. The Effectiveness of Positive Self-Talk Interventions on Increasing Coping Mechanisms in Preventing Bullying
• 28. Types of Family Supports in the Prevention of Dengue Fever: A Qualitative Study
• 29. Teachers’ Perceptions about the Implementation of Substance Use Prevention Programs for Junior High School Students in Aceh, Indonesia
• 30. Best Practices Approach Towards 100% Voluntary Blood Donation Campaign in Indonesia
• 31. School-Based Drug Use Prevention Programs in the Ex-Drug Users’ Perspective
• 32. Traditional Beliefs and Practices Regarding Pregnancy of Acehnese Woman: A Qualitative Approach
• 33. The Factors Affecting the Achievement of Exclusive Breastfeeding Implementation
• 34. Internet Gaming Disorder Among Indonesian Adolescents: A Cross-Sectional Study
• 35. Exploring Islamic Values to Develop School Based Anti-Stigma Interventions: Study Protocol
• 36. Patients with Mental Disorder Under Home Restraint: Progress and Challenge of Release
• 37. The Effectiveness of Psychoeducation on Knowledge, Anxiety Level and Coping Mechanism of Mothers Towards Immunization of Their Children