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Ruswati Ruswati

Abstract





This research investigates the pivotal role of nurses in enhancing patient compliance with drug therapy among hypertension patients. Hypertension, a prevalent chronic condition globally, requires effective management through consistent adherence to prescribed medications. Despite advancements in pharmacotherapy, non-compliance remains a significant challenge, leading to suboptimal health outcomes and increased healthcare costs. Nurses play a multifaceted role in promoting medication adherence through patient education, counseling, and ongoing monitoring. Their interventions aim to empower patients, improve health literacy, and address barriers to adherence such as medication side effects and lifestyle factors. This study employs a mixed-methods approach, combining quantitative surveys and qualitative interviews to explore the impact of nursing interventions on medication adherence rates and patient outcomes. Quantitative analysis focuses on medication adherence metrics and clinical outcomes, while qualitative insights delve into patient perspectives and experiences with nursing care. Results underscore the effectiveness of nurse-led interventions in enhancing adherence, achieving better blood pressure control, and fostering patient engagement in hypertension management. Ultimately, this research contributes to advancing nursing roles in chronic disease care and underscores the critical impact of nursing interventions on improving patient compliance and health outcomes in hypertension management.





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How to Cite
Ruswati, R. (2024). The Role of Nurses in Enhancing Medication Adherence and Patient Outcomes in Hypertension Management. International Journal of Nursing and Midwifery Research, 2(3), 78–87. Retrieved from http://journals.iarn.or.id/index.php/ners/article/view/286
References
Bilal, A., Riaz, M., Shafiq, N., Ahmed, M., Sheikh, S., & Rasheed, S. (2015). Non-compliance to anti-hypertensive medication and its associated factors among hypertensives. Journal of Ayub Medical College Abbottabad, 27(1), 158–163.
Billeter‐Koponen, S., & Fredén, L. (2005). Long‐term stress, burnout and patient–nurse relations: qualitative interview study about nurses’ experiences. Scandinavian Journal of Caring Sciences, 19(1), 20–27.
Burnier, M. (2017). Drug adherence in hypertension. Pharmacological Research, 125, 142–149.
Conn, V. S., Ruppar, T. M., Chase, J.-A. D., Enriquez, M., & Cooper, P. S. (2015). Interventions to improve medication adherence in hypertensive patients: systematic review and meta-analysis. Current Hypertension Reports, 17, 1–15.
Conroy, T. (2018). Factors influencing the delivery of the fundamentals of care: Perceptions of nurses, nursing leaders and healthcare consumers. Journal of Clinical Nursing, 27(11–12), 2373–2386.
Dickey, R. A., & Janick, J. J. (2001). Lifestyle modifications in the prevention and treatment of hypertension. Endocrine Practice, 7(5), 392–399.
Durand, H., Casey, M., Glynn, L. G., Hayes, P., Murphy, A. W., & Molloy, G. J. (2020). A qualitative comparison of high and low adherers with apparent treatment-resistant hypertension. Psychology, Health & Medicine, 25(1), 64–77.
Gordon, K., Dainty, K. N., Gray, C. S., DeLacy, J., Shah, A., Resnick, M., & Seto, E. (2020). Experiences of complex patients with telemonitoring in a nurse-led model of care: multimethod feasibility study. JMIR Nursing, 3(1), e22118.
Hacihasanoğlu, R., & Gözüm, S. (2011). The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviours and BMI in a primary health care setting. Journal of Clinical Nursing, 20(5‐6), 692–705.
Kalil, A. C. (2008). A silent killer: cytomegalovirus infection in the nonimmunocompromised critically ill patient. Critical Care Medicine, 36(12), 3261–3264.
Khonsari, S. (2018). Nurse-led mobile health intervention to promote cardiovascular medication adherence in a cardiac rehabilitation setting: a pilot feasibility study.
Maffoni, M., Traversoni, S., Costa, E., Midão, L., Kardas, P., Kurczewska-Michalak, M., & Giardini, A. (2020). Medication adherence in the older adults with chronic multimorbidity: a systematic review of qualitative studies on patient’s experience. European Geriatric Medicine, 11, 369–381.
Marshall, I. J., Wolfe, C. D. A., & McKevitt, C. (2012). Lay perspectives on hypertension and drug adherence: systematic review of qualitative research. Bmj, 345.
Morrissey, E. C., Durand, H., Nieuwlaat, R., Navarro, T., Haynes, R. B., Walsh, J. C., & Molloy, G. J. (2017). Effectiveness and content analysis of interventions to enhance medication adherence and blood pressure control in hypertension: A systematic review and meta-analysis. Psychology & Health, 32(10), 1195–1232.
Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz, D. R., Cífková, R., Dominiczak, A. F., Grassi, G., Jordan, J., Poulter, N. R., & Rodgers, A. (2018). Hypertension. Nature Reviews. Disease Primers, 4, 18014.
Pereira, J. A. R. (2018). Hypertension Prevalence in Portugal: Systematic Review and Meta-Analysis of Population-Based Studies on 21th Century. Universidade da Beira Interior (Portugal).
Pinto, E. (2007). Blood pressure and ageing. Postgraduate Medical Journal, 83(976), 109–114.
Richardson, A., & Storr, J. (2010). Patient safety: a literative review on the impact of nursing empowerment, leadership and collaboration. International Nursing Review, 57(1), 12–21.
Russell, S., Daly, J., Hughes, E., & Hoog, C. op’t. (2003). Nurses and ‘difficult’patients: negotiating non‐compliance. Journal of Advanced Nursing, 43(3), 281–287.
Samb, B., Desai, N., Nishtar, S., Mendis, S., Bekedam, H., Wright, A., Hsu, J., Martiniuk, A., Celletti, F., & Patel, K. (2010). Prevention and management of chronic disease: a litmus test for health-systems strengthening in low-income and middle-income countries. The Lancet, 376(9754), 1785–1797.
Van Camp, Y. P., Van Rompaey, B., & Elseviers, M. M. (2013). Nurse-led interventions to enhance adherence to chronic medication: systematic review and meta-analysis of randomised controlled trials. European Journal of Clinical Pharmacology, 69, 761–770.
van Namen, M., Prendergast, L., & Peiris, C. (2019). Supervised lifestyle intervention for people with metabolic syndrome improves outcomes and reduces individual risk factors of metabolic syndrome: a systematic review and meta-analysis. Metabolism, 101, 153988.
Webb, A. J. S., Fischer, U., Mehta, Z., & Rothwell, P. M. (2010). Effects of antihypertensive-drug class on interindividual variation in blood pressure and risk of stroke: a systematic review and meta-analysis. The Lancet, 375(9718), 906–915.
Wolf, M. S., Curtis, L. M., Waite, K., Bailey, S. C., Hedlund, L. A., Davis, T. C., Shrank, W. H., Parker, R. M., & Wood, A. J. J. (2011). Helping patients simplify and safely use complex prescription regimens. Archives of Internal Medicine, 171(4), 300–305.
Zhu, X., Wong, F. K. Y., & Wu, C. L. H. (2018). Development and evaluation of a nurse-led hypertension management model: A randomized controlled trial. International Journal of Nursing Studies, 77, 171–178.