Akrom, Akrom and Saputri, G Z and Darmawan, Endang Improving Outpatient’s Quality of Life via Patient Adherence of Antihypertensive Therapy Using “Mobile Phone (SMS) and Brief Counseling‑5A” in Polyclinic of Internal Medicine at PKU Muhammadiyah Bantul Hospital, Yogyakarta. [Artikel Dosen]
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Abstract
Abstract
The Health-Related Quality of Life (HRQoL) is one of the important psycho-social characteristics that can affect
patient’s ability to manage therapy. Poor of knowledge of hypertension and the changing lifestyle can affect
the quality of life of patients. One of the pharmacist’s interventions in hypertension management is to conduct
counseling. Motivational counseling helps health service to assess patient’s understanding and patient’s readiness
to change patient’s behavior. Some motivational counseling methods still need to be developed. Therefore,
this study aims to find the influence of the “brief counseling-5A” and “motivational SMS” by a pharmacist on
the quality of life and blood pressure control in hypertension patients in the internal disease polyclinic, PKU
Muhammadiyah Bantul Hospital, Yogyakarta. The study has been done by using the quasi-experimental method
with prospective data collection during the period of January until April 2013. Sixty patients have met inclusion
criteria and were divided into two groups. Thirty patients (50%) received “brief counseling-5A” and “motivational
SMS” as intervention group and the other thirty patients (50%) received usual care as a control group. The data
collection was done by interviewing patients. Medication adherence and QoL were assessed by using Morisky
Medication Adherence Scale (MMAS) and SF-36. The values of blood pressure are taken from patient’s medical
records. Patient’s quality of life showed a good improvement during post study. It is shown in 8 different domains
including pain, fatigue, physical function, emotional function, social function, role physical, mental health, and
general health. In intervention group, physical function, emotional function, and pain showed highly significant
improvement (p<0.05). Systolic and diastolic blood pressure in the intervention group decreased significantly
(p<0.05) (systolic p=0.001 and diastolic p=0.018) in the post study. From this study, it is concluded that the “brief
counseling-5A by pharmacist” and “motivational SMS” had a positive impact on patient’s QoL and patient’s blood
pressure, hence, the therapy outcome has been achieved.
| Item Type: | Artikel Dosen |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Divisi / Prodi: | Faculty of Pharmacy (Fakultas Farmasi) > S2-Master of Pharmacy (S2-Farmasi) |
| Depositing User: | Akrom Akrom |
| Date Deposited: | 15 Sep 2018 03:11 |
| Last Modified: | 15 Sep 2018 03:11 |
| URI: | http://eprints.uad.ac.id/id/eprint/10530 |
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