The Relationship Between Knowledge Level and Attitude and Medication Adherence in Elderly Hypertensive Patients

Hilma Aziza; Esty Restiana Rusida; Mochammad Maulidie Alfiannor Saputera

doi:10.30872/

Authors

Hilma Aziza Universitas Borneo Lestari Author https://orcid.org/0009-0007-4488-7474 (unauthenticated)
Esty Restiana Rusida Universitas Borneo Lestari Author
Mochammad Maulidie Alfiannor Saputera Universitas Borneo Lestari Author

DOI:

https://doi.org/10.30872/

Keywords:

hypertension, elderly, knowledge, attitude, adherence

Abstract

Hypertension is a chronic disease commonly experienced by older adults and requires adherence to pharmacological therapy to prevent complications. This study aimed to analyze the association between knowledge level, attitude, and medication adherence among elderly patients with hypertension at RSUD H. Abdul Aziz Marabahan. This analytical observational study employed a cross-sectional design involving 313 respondents selected using purposive sampling. Data were collected using knowledge and attitude questionnaires and the Medication Adherence Report Scale (MARS-10). Data were analyzed using the Chi-square test and logistic regression. The results showed that 217 respondents (69.4%) had good knowledge, 190 (60.7%) demonstrated positive attitudes, and 174 (55.6%) were adherent to their medication regimen. Bivariate analysis revealed significant associations between knowledge and medication adherence (p < 0.001) and between attitude and medication adherence (p < 0.001). Multivariate analysis confirmed significant associations between knowledge (p < 0.001; Exp(B) = 1.838) and attitude (p = 0.001; Exp(B) = 2.176) with medication adherence. Attitude had a higher Exp(B) value than knowledge. In conclusion, knowledge and attitude were significantly associated with antihypertensive medication adherence among elderly patients, with attitude demonstrating the strongest association. These findings highlight the importance of health education and fostering positive attitudes to improve medication adherence among older adults with hypertension

Author Biographies

Hilma Aziza, Universitas Borneo Lestari

Department of Pharmacy, Faculty of Pharmacy, Universitas Borneo Lestari, Banjarbaru, Indonesia
Esty Restiana Rusida, Universitas Borneo Lestari

Department of Pharmacy, Faculty of Pharmacy, Universitas Borneo Lestari, Banjarbaru, Indonesia
Mochammad Maulidie Alfiannor Saputera, Universitas Borneo Lestari

Department of Pharmacy, Faculty of Pharmacy, Universitas Borneo Lestari, Banjarbaru, Indonesia

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