Effect of pharmacist counseling on adherence and blood pressure of hypertensive Prolanis patients in sixteenprimary healthcare centers
Hypertension is the most common cause of death in the category of non-communicable diseases that occur in Pandeglang District, some of which are caused by patient non-compliance factors and uncontrolled blood pressure. This research was conducted to determine the effect of counseling by pharmacists for hypertension adherence and Systole Blood Pressure (SBP) in hypertensive patients a member of the chronic disease management program (PROLANIS) in 16 (Sixteen) Primary Healthcare Centers in Pandeglang District, Banten Province. This research was conducted at 96 patients who were divided into 2 groups: 48 patients in the control group in 8 Primary Healthcare Centers and 48 patients in the group treatment that received Pharmacist counseling in 8 other Primary Healthcare Centers. In the treatment group, counseling was given 4 times for 4-8 weeks. Systolic blood pressure and adherence assessment were taken, using the MARS (Medication Adherence Report Scale) questionnaire in the two groups namely at the 1st, 2nd, 3rd, and 4th meetings. Then the systolic blood pressure data and MARS values from each group were analyzed with KruskalWalis because the data were not normally distributed and continued with the Mann-Whitney test, Wilcoxon, and Binomial test to find out the relationship of each group specifically. The results showed that counseling by pharmacists cause patient adherence to taking antihypertensive drugs increased at each meeting (mean= 21.40, 23.81, 24.38, and 24.42; p= 0.008) and systolic blood pressure in hypertensive patients decreased at each meeting (mean= 164 mmHg, 154 mmHg, 150 mmHg, and 145 mmHg; p= 0,001) in the treatment group compared to the control group.
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