| Abstrak/Abstract |
The aim of the study was to evaluate the effectiveness of counseling in home pharmacy care (CHP) on patient adherence to antihypertensive medications
and blood pressure control. A quasi-experiment was conducted in four primary health centres in Yogyakarta province, Indonesia. The study participants
were 150 patients recruited from November 2015 to February 2016, who were ? 45 years of age, on antihypertensive medication, with systolic blood
pressure (SBP) of ? 160 mmHg and or a diastolic blood pressure (DBP) of ? 90 mmHg. Patients who received usual care with those who received CHP
during a follow up period of 4 weeks were compared. Antihypertensive medication adherence was measured by Morisky Green Levine Scale (MGLS),
blood pressure control, and patients’ satisfaction among CHP group. Of 150 patients, the average age was 59 years, 66.7% were women, 93.3% were
up to senior high school and 70% were not employed. Medication adherence level improved from 3.5 at pre-test to 1.6 at post-test for CHP group
(p<0>0.05). Mean SBP decreased 8 mmHg in CHP group compared to increased 5.3 mmHg in controls (p<0.001).
The majority of CHP group were satisfied with the program. The CHP program was found to be effective to improve medication adherence and blood
pressure outcome among hypertensive patients. This program can be implemented routinely to control patients with hypertension or with other related
chronic diseases, is likely to improve clinical outcomes and potentially decrease healthcare costs of hypertensive management. |
