Abstract

Hypertension is a condition where systolic blood pressure is 140 mmHg or higher, and diastolic blood pressure is 90 mmHg or higher. Generally, hypertension patients use captopril and Amlodipin as treatment of hypertension. It is necessary to take various efforts to improve the obedience of hypertensive patients during drug therapy. One theory studies that obedience behavior is the Health Belief Model. The HBM theory covers perceived susceptibility, severity, benefits, and barrier, along with self-efficacy. To investigate factors affecting the obedience of hypertensive patients during the antihypertensive captopril and amlodipine medications treatment in the Puskesmas Pandanwangi, Malang, this study using the approach of HBM theory and instrument. Sampling was done through a purposive and accidental sampling method. The data analysis was done through multivariate analysis, which used multiple regression to determine the effecting factors based on the HBM theory on the obedience of hypertensive patients during the antihypertensive captopril and amlodipine medications therapy. Factors of HBM theory that affect the obedience of hypertensive patients are self-efficacy, perceived severity, and perceived barrier. Whereas, the unaffected factor are perceived suspectibility and perceived benefits. Overall, factors of HBM theory affect obedience.

Highlights

  • IntroductionHypertension, according to the World HealthOrganization (2013), is a condition in which blood vessels have high blood pressure (systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90mmHg) that persists

  • Hypertension, according to the World HealthOrganization (2013), is a condition in which blood vessels have high blood pressure that persists

  • Based on the results of research on factors that influence the compliance of hypertension patients in the use of antihypertensive drugs captopril with the Health Belief Model (HBM) theoretical approach in Puskemas Pandanwangi conducted in October 2017, the number of samples that met the inclusion criteria was 37 for captopril and 80 for amlodipine

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Summary

Introduction

Hypertension, according to the World HealthOrganization (2013), is a condition in which blood vessels have high blood pressure (systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90mmHg) that persists. Hypertension, according to the World Health. Organization (2013), is a condition in which blood vessels have high blood pressure The therapy of Pharmacology is using antihypertensive drugs in the treatment. The classes of antihypertensive drugs used are diuretics, alphablockers, beta-blockers, central effect analgesics, calcium antagonists, RAAS inhibitors (ACE-Inhibitors and AT-II Receptor-blockers), and vasodilators (Tjay & Rahardja, 2015). Hypertensive patients use captopril (ACE-Inhibitor) and amlodipin (calcium antagonist)

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