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Association Between Compliance and Therapeutic Target Achievement in Hypertension Outpatient Patient in Blitar Population

Author : M. Q. A’yun, B. H. Kuncahyo
Upload Date : 19-04-2018

Background: Hypertension still become global challenge for physician and cardiologist to control. Therefore, compliance with treatment are key factors in the control of hypertension. The aims of this study was to examine the strength association between compliance and therapeutic target achievement in hypertension patient in Blitar population.

Method: A cross sectional study was conducted between July to September 2017 from medical records of outpatient clinic of Cardiology in Ngudi Waluyo General Hospital, Blitar. With total sampling method, there are 321 subjects who fulfilled inclusion criteria: (1) Adults above 18 years old; (2) Seeking therapy in Ngudi Waluyo General Hospital within period of July to September 2017 minimal 3 times observation as write in medical record. Data were analyzed by SPSS version 17.0. Analysis was performed using Chi-Square test with 95% confidence interval. P value <0.05 was considered statistically significant.

Result: From 321 patients, 44.9% (n=144) were men and 55.1% (n=177) were woman. The mean age was 60.98 years old, with majority age was between 60-90 years old, in raging from 27-92 years. There were 20% patients are on therapy, 36% with HT stage 1, 36% with HT stage 2, and 8% with hypertension crisis based on JNC 8 criteria. There were 29% (n=94) patient with good compliance and 71% (n=227) have bad compliance. 35% (n=112) hypertensive respondents reach the target of therapy and 65% (n=209) can’t reach  target of therapy. There was significant relationship between compliance (p=0.001) to the achievement of the trerapeutic target. The odds ratio was 3.2.

Conclusion: This study shows that there is relationship between compliance of the sample and the achievement of therapeutic target, as noncompliance hypertensive subjects are more at risk by 3.2 times compared  to subjects with good compliance.

KEYWORDS : compliance, therapeutic target, hypertension, outpatient


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