THE RELATIONSHIP BETWEEN THE NURSE'S ROLE AS EDUCATOR AND MEDICATION ADHERENCE IN HYPERTENSIVE PATIENTS

Nikita Willy; Rian Maylina Sari; Susi Widiawati

doi:10.22437/jqs8g638

Authors

Nikita Willy
Rian Maylina Sari
Susi Widiawati Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

DOI:

https://doi.org/10.22437/jqs8g638

Keywords:

Hypertension, Medication Adherence, Nurse's Role as Educator

Abstract

Background: Hypertension has become a public health problem in the community. According to data from the Jambi City Health Office, there were 7,063 cases of hypertension at the Pakuan Baru Community Health Center (Puskesmas), one cause of which is medication non-adherence. The role of nurses as educators is needed for the success of treatment and lifestyle changes. Purpose: This study aimed to determine the relationship between the nurse's role as educator and medication adherence among hypertensive patients in the working area of Pakuan Baru Public Health Center, Jambi City.

Methods: his was a quantitative study using a cross-sectional design. The study population consisted of all hypertensive patients in the working area of Pakuan Baru Community Health Center, Jambi City, totaling 7,063 people, with a sample of 95 respondent’s selected using purposive sampling technique. Data were collected using a nurse's role as educator questionnaire and the Morisky Medication Adherence Scale-8 (MMAS-8) questionnaire. Data analysis was conducted using univariate and bivariate analysis with the Chi-square test. Results: The results showed that 53 respondents (55.8%) rated the nurse's role as educator in the good category, 46 respondents (48.4%) had moderate medication adherence, and there was a significant relationship between the nurse's role as educator and medication adherence among hypertensive patients, with a p-value = 0.001. Conclusion: There is a relationship between the nurse's role as educator and medication adherence among hypertensive patients. It is recommended that the Puskesmas ensure nurses have a consistent schedule for providing continuous, structured, and easily understandable health education to improve medication adherence among hypertensive patients.

References

1. Akbar, 2019. Buku Ajar Konsep-Konsep Dasar dalam Keperawatan Komunitas. Yogyakarta: Deepublish Publisher.

2. Annisa, 2024. Analisis kepatuhan minum obat pada penderita hipertensi. Jurnal Media Keperawatan: Politeknik Kesehatan Makassar, 15(2).

3. Arikunto, S., 2016. Prosedur Penelitian: Suatu Pendekatan Praktik. Jakarta: Rineka Cipta.

4. Asriwati, 2019. Buku Ajar Antropologi Kesehatan dalam Keperawatan. Yogyakarta: Deepublish Publisher.

5. Berardinelli, D., Conti, A., Hasnaoui, A., Casabona, E., Martin, B., Campagna, S. and Dimonte, V., 2024. Nurse-led interventions for improving medication adherence in chronic diseases: a systematic review. Healthcare, 12(23), p.2337.

6. Cabral, M., Moura-Ramos, M., Castel-Branco, M., Fernandez-Llimos, F. and Figueiredo, I.V., 2018. Cross-cultural adaptation and validation of a European Portuguese version of the 8-item Morisky Medication Adherence Scale. Revista Portuguesa de Cardiologia, 37(4), pp.297–303.

7. Daling, 2024. Hubungan peran perawat sebagai edukator dengan kepatuhan minum obat pada pasien hipertensi di Puskesmas Bitung Barat. Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES), 3(1).

8. International Society of Hypertension (ISH), 2020. Global Hypertension Practice Guidelines. Geneva: ISH.

9. Juniarti, 2023. Tingkat pengetahuan dengan kepatuhan minum obat pada penderita hipertensi. Cendekia Medika: Jurnal STIKES Al-Ma'arif Baturaja, 8(1).

10. Kartini, 2023. Epidemiologi Penyakit Tidak Menular. Purbalingga: Eureka Media Aksara.

11. Ministry of Health of the Republic of Indonesia (Kemenkes RI), 2021. Pedoman Nasional Pelayanan Kedokteran Tata Laksana Hipertensi Dewasa. Jakarta: Kemenkes RI.

12. Ministry of Health of the Republic of Indonesia (Kemenkes RI), 2023. Survei Kesehatan Indonesia. Jakarta: Kemenkes RI.

13. Luthfia, 2025. Peran Tenaga Kesehatan dalam Pengelolaan Hipertensi. Jakarta: PT Optimal Untuk Negeri.

14. Manoppo, E.O., Masi, G.M. and Silolonga, W., 2018. Hubungan peran perawat sebagai edukator dengan kepatuhan penatalaksanaan hipertensi di Puskesmas Tahuna Timur. e-Journal Keperawatan (e-Kp), 6(1).

15. Manurung, N., 2018. Keperawatan Medikal Bedah. Jakarta: Trans Info Media.

16. Muhadzir, 2025. Hubungan peran perawat sebagai edukator dengan kepatuhan minum obat pada pasien hipertensi. Jurnal Kesehatan Jompa, 4(2).

17. Notoatmodjo, S., 2018. Metode Penelitian Kesehatan. Jakarta: Rineka Cipta.

18. Nuridayanti, 2024. Edukasi Diet dan Terapi Obat pada Penderita Hipertensi. Jakarta: NEM.

19. Persatuan Perawat Nasional Indonesia (PPNI), 2021. Kode Etik Perawat Indonesia. Jakarta: DPP PPNI.

20. Potter, P.A., Perry, A.G., Stockert, P.A. and Hall, A.M., 2021. Fundamentals of Nursing. 10th ed. St. Louis: Elsevier.

21. Rakhmawanto, 2025. Hubungan peran perawat sebagai edukator dengan kepatuhan minum obat pada pasien hipertensi di Puskesmas Larangan Utara Kota Tangerang Tahun 2024. Jurnal Ilmu Kesehatan dan Keperawatan, 3(1).

22. Sugiyono, 2018. Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Bandung: Alfabeta.

23. Ulfa, 2020. Medication Picture dan Pill Count pada Kepatuhan Minum Obat Penderita Diabetes Mellitus dan Hipertensi. Gresik: Graniti.

24. Ulfa, 2024. Hubungan peran perawat sebagai edukator dengan kepatuhan minum obat pada penderita hipertensi di Wilayah Kerja Puskesmas Langsa Timur. Public Health Journal, 1(3).

25. Wijayanti, 2024. Buku Ajar Pendidikan dan Promosi Kesehatan. Jakarta: PT Nuansa Fajar Cemerlang.

26. World Health Organization (WHO), 2013. Adherence to Long-Term Therapies: Evidence for Action. Geneva: WHO.

27. World Health Organization (WHO), 2023. Hypertension. [online] Available at: https://www.who.int/news-room/fact-sheets/detail/hypertension [Accessed 21 August 2026].