Pengaruh Medication Therapy Management (MTM) Terhadap Pengetahuan dan Kepatuhan Pasien Hipertensi di Puskesmas Kota Yogyakarta

Abstract

Abstract Background: Hypertension is a chronic disease that causes death in cardiovascular cases both globally and in Indonesia. Treatment of hypertension is long-term commitment. Therefore, good knowledge and adherence are needed. Improving the patient's knowledge will lead to better health behaviors that affect adherence in treatment and control of blood pressure. Medication Therapy Management (MTM) is one method that can be used to improve the knowledge and adherence of hypertensive patients. Objective: This study aims to determine the effectiveness of Medication Therapy Management (MTM) on the knowledge and adherence of patients with hypertension in Yogyakarta City Health Center. Method: The study used quasi-experimental one group design with pre-testposttest design. Data were analyzed statistically using Wilcoxon test to compare knowledge and adherence of the patients. Result: Forty-four people participated in this study, 63.6% of the respondents are women, the most age is 55 - 64 years (40.9%), the average education level is senior high school (59.1%), patients suffer from hypertension for an average of 1 - 10 years and 15.9 % with complications of DM, 6.8% with hyperlipidemia and 9.1% with DM + hyperlipidemia. The results of the study obtained an average increase in knowledge scores after MTM from 14.3 ± 3.766 to 20, 32 ± 2,399 (p = 0,000) and a decrease in the average adherence score of 1.64 ± 1.464 to 0.39 ± 0.920 (p = 0,000). Conclusion: This study concluded that Medication Therapy Management (MTM) by a pharmacist significantly increased patient knowledge and improved patient adherence. Keywords: medication therapy management, MTM, hypertension, adherence, knowledge