Pengaruh Medication Therapy Management (MTM) dalam Meningkatkan Pengetahuan yang Berimplikasi terhadap Kepatuhan Terapi Pasien Hipertensi di UPTD Puskesmas Sukamulya Kabupaten Majalengka
DOI:
https://doi.org/10.37481/jmeb.v5i2.1380Keywords:
Medication Therapy Management (MTM), Hypertension, Therapeutic Adherence, Patient Education, Medication Therapy Review (MTR)Abstract
This study aims to analyze the influence of Medication Therapy Management (MTM) and knowledge levels on the therapeutic adherence of hypertensive patients at the UPTD Sukamulya Public Health Center. The research subjects consisted of 261 hypertensive patients who were selected as the sample. Data were analyzed using path analysis, correlation coefficient analysis, and coefficient of determination analysis. The results showed that, descriptively, Medication Therapy Management (MTM) was categorized as excellent, patients’ knowledge about hypertension was considered good, and their adherence to therapy was fairly good. However, some aspects remained low, especially regarding understanding of diastolic or systolic blood pressure and difficulties with medication use. The analysis results indicated that Medication Therapy Review (MTR) and Personal Medication Record (PMR) had a significant impact on the patients' knowledge about hypertension. On the other hand, Medication-related Action Plan (MAP), Intervention and/or Referral (I/R), and Documentation and Follow-up (Doc/F Up) did not significantly affect the patients' knowledge. Additionally, patients' knowledge about hypertension was found to significantly affect their therapeutic adherence. Overall, Medication Therapy Management (MTM) contributed significantly to improving therapeutic adherence among hypertensive patients by enhancing their knowledge about hypertension. The results emphasize that Medication Therapy Management (MTM) improves therapeutic adherence in hypertensive patients by enhancing their knowledge. Key components like Medication Therapy Review (MTR) and Personal Medication Record (PMR) should be prioritized, while other MTM aspects need refinement. Overall, improving patient education can boost adherence and reduce hypertension complications.
References
Anwar, M., Sriwahyuni, & Sumi, S. S. (2021). Gambaran pengetahuan pasien hipertensi berdasarkan umur di Puskesmas Tamalanrea Kota Makassar. Jurnal Kesehatan Masyarakat, 14(2), 115-122.
Asadina, A. (2021). Pengaruh Medication Therapy Management terhadap kepatuhan pasien hipertensi. Jurnal Farmasi dan Kesehatan, 15(2), 125-132.
Choudhry, N. K., Fischer, M. A., & Brookhart, M. A. (2021). Medication adherence and its effects on health outcomes. Journal of Clinical Hypertension, 23(4), 643-651.
Darmarani, M., Darwis, A., & Rusni Mato, R. (2020). Peran pengetahuan dalam membentuk perilaku individu: Sebuah tinjauan kognitif. Jurnal Psikologi dan Pendidikan, 15(3), 125-134.
Dilianty, A., Putra, I. G., & Sari, A. (2019). Kepatuhan pengobatan hipertensi dan faktor-faktor yang mempengaruhinya. Jurnal Kesehatan dan Medikasi, 18(2), 145-152.
Green, L. W. (2020). Health behavior and health education: Theory, research, and practice. John Wiley & Sons.
Koltuniuk, A., & Chojdak, A. (2022). The impact of medication adherence on cardiovascular outcomes. Journal of Hypertension and Cardiovascular Care, 15(3), 145-157.
Maulana, A., & Pahria, S. (2021). Peran pengetahuan dalam pencegahan dan pengelolaan hipertensi untuk kualitas hidup yang lebih baik. Jurnal Kesehatan Masyarakat, 16(1), 98-106.
Pratiwi, A., & Denia, R. (2017). Peran pengetahuan tentang hipertensi dalam pengelolaan tekanan darah pada pasien. Jurnal Kesehatan Masyarakat, 11(4), 242-249.
Rakhmat, F., & Setyowati, E. (2018). Pencegahan dan pengelolaan hipertensi dalam masyarakat. Jurnal Kesehatan Masyarakat, 16(2), 112-120.
Sari, N. P., Santoso, T. W., & Purnama, D. F. (2022). Penerapan Medication Therapy Management untuk meningkatkan kepatuhan dan kualitas hidup pasien hipertensi. Jurnal Farmasi dan Kesehatan Masyarakat, 14(3), 225-233.
Tiara, A. (2020). Dampak Medication Therapy Management terhadap kualitas hidup pasien hipertensi. Jurnal Kesehatan Masyarakat, 8(1), 45-52.
Unger, T., Borghi, C., Charchar, F., & others. (2020). 2020 International Society of Hypertension global hypertension practice guidelines. Hypertension, 75(6), 1334-1357.
Wittayanukorn, S., Kongchareon, S., & Charoen, A. (2022). The role of Medication Therapy Management in enhancing patient outcomes in hypertension management. International Journal of Pharmacy Practice, 30(4), 323-330. https://doi.org/10.1111/ijpp.12890
World Health Organization (WHO). (2018). Hypertension: Key Facts. Diakses dari https://www.who.int/news-room/fact-sheets/detail/hypertension
Zhao, X., Yang, X., & Wang, Z. (2021). The role of the 8-item Morisky Medication Adherence Scale in assessing antihypertensive drug adherence. Journal of Hypertension Research, 9(3), 135-142.
