"It is Difficult to Get Permission During Working Hours": Qualitative Analysis Of Treatment Compliance Of Hypertension Patients With Worker Status At The Elderly Posyandu
DOI:
https://doi.org/10.22487/nmb0x293Keywords:
Hypertension ; Medication Adherence; Factors influencing ComplianceAbstract
Hypertension is a major non-communicable disease that is often undiagnosed and can lead to serious complications. Pucangan Village has the highest number of hypertension cases in the Kartasura Community Health Center area, highlighting the need to improve management, especially among working patients. This study aimed to explore factors influencing medication adherence in working hypertensive patients using a descriptive qualitative approach. A total of 22 informants were involved, including 10 primary informants (5 adherent and 5 non-adherent patients) and 12 triangulation informants (10 family members and 2 Posyandu cadres/officers). Data were collected through in-depth interviews and analyzed qualitatively through transcription, reduction, coding, categorization, and theme development, with validity ensured by source triangulation. The results show that Posyandu serves as an initial screening point, with referrals to health centers for further care. Medication adherence is influenced by workload, time constraints, patient perceptions, and irregular medication use, while family support and the role of Posyandu cadres are important in improving adherence.
Downloads
References
1. Schunk SJ, Zimmermann P. Cardiovascular Risk and Its Presentation in Chronic Kidney Disease. J Clin Med. 2025;14(Cvd):15–20.
2. Kemenkes. Kementrian Kesehatan. 2023 [cited 2026 Feb 4]. Apa itu Hipertensi (Tekanan Darah Tinggi). Available from: https://ayosehat.kemkes.go.id/topik-penyakit/pencegahan-infeksi-pada-usia-produktif/hipertensi-tekanan-darah-tinggi
3. Sukoharjo BPS. 2020. [cited 2026 Feb 4]. Profil Kesehatan Kabupaten Sukoharjo 2020. Available from: https://sukoharjokab.bps.go.id/id/publication/2021/12/31/829d6b03969c053f10f03ba7/profil-kesehatan-kabupaten-sukoharjo-2020.html
4. Nilsson PM, Viigimaa M, Giwercman A, Cifkova R. Hypertension and Reproduction. Curr Hypertens Rep. 2020;22(4):1–8.
5. Talango F, Nugroho YW, Proborini CA, Nusnun N. Upaya Pencegahan Komplikasi Hipertensi dengan Edukasi Berbasis Health Belief Model dan Mengontrol Tekanan Darah. ABDINUSA J Pengabdi Kpd Masy Bina Usada Bali. 2024;2(1):27–34.
6. Newby D, Garfield V et al. Understanding the inter-relationships of type 2 diabetes and hypertension with brain and cognitive health: A UK Biobank study. Diabetes, Obes Metab. 2022;24(5):938–47.
7. WHO. 2023. 2023 [cited 2026 Feb 4]. Hypertension Indonesia 2023 country profile. Available from: https://www.who.int/publications/m/item/hypertension-idn-2023-country-profile
8. Ningsih ES, Aisyah S, Rohmah EN, Sandana KNS. Peningkatan Peran Kader Dalam Posyandu Lansia. J Ilm Multidisiplin Indones. 2022;2(1):191–7.
9. Amanda A. T, Grace D. K, Jeini E. N. Hubungan Karakteristik Individu dengan Kepatuhan Berobat pada Penderita Hipertensi di Puskesmas Wori Kabupaten Minahasa Utara. J KESMAS. 2021;10(4):112.
10. Shierly GS, Soputri N. Analisis Kepatuhan Komsumsi Obat Hipertensi pada Pekerja dengan Hipertensi di Salah Satu Perusahaan BUMN di Jakarta Tahun 2023. J Pendidik Tambusai. 2024;8(1):16453–9.
11. Sinuraya RK, Destiani DP, Puspitasari IM, Diantini A, Farmakologi D, Farmasi F, et al. Tingkat Kepatuhan Pengobatan Pasien Hipertensi di Fasilitas Kesehatan Tingkat Pertama di Kota Bandung Medication Adherence among Hypertensive Patients in Primary Healthcare in Bandung City. 2018;7(2):124–33.
12. Wicaksono TA, Nugraheni A, Wahyudi F, Ardhianto P. FACTORS ASSOCIATED WITH MEDICATION ADHERENCE IN HYPERTENSION IN. J Kedokt Dipenogoro. 2021;10(6):426–32.
13. Kim H, Lee W, Jung W. Status and Risk of Noncompliance of Adherence to Medications for Metabolic Diseases According to Occupational Characteristics. J Clin Med. 2022;11(3484):1–9.
14. Novitasari F, Rachmawati D, Sepdianto TC. An Overview of Hypertension Complication Prevention in Elderly Patients at Nirwana Wreda Health Center , Blitar. J Kesehat dr Soebandi. 2025;13(1):57–67.
15. Wardana I eka, Sriatmsi A, Kusumastuti W. ANALISIS PROSES PENATALAKSANAAN HIPERTENSI (STUDI KASUS DI PUSKESMAS PURWOYOSO KOTA SEMARANG. J Kesehat Masy. 2020;8(1):77–86.
16. Fitriyani S, Halim PA, Nurrachman I, Mecca C. Penyuluhan Komunikasi Kesehatan Efektif Bagi Para Kader Posyandu di Kelurahan Maleer , Kecamatan Batununggal , Kota. J Padma. 2024;04(02):560–71.
17. Mutmainah N, Mila Rahmawati. HUBUNGAN ANTARA KEPATUHAN PENGGUNAAN OBAT DAN KEBERHASILAN TERAPI PADA PASIEN HIPERTENSI DI RUMAH SAKIT DAERAH SURAKARTA TAHUN 2010 CORRELATION. J Pharm. 2010;11(2):51–6.
18. Soesanto E, Ramadlan I, Setyawati D, Aisah S. Factors affecting medication adherence in hypertension patients : A literature review Characteristics of the Study. J Med Bali. 2021;10(3):1364–70.
19. Wang zheng wu, Wang X, Shen Y, Li S, Chen Z, Zheng C, et al. Effect of a Workplace-Based Multicomponent Intervention on Hypertension Control A Randomized Clinical Trial. J Jama Cardio. 2020;5(5):567–75.
20. Sabiti FB, Fatiha CN, Timur WW, Dewi PA. Pengaruh Konseling Apoteker Terhadap Kepatuhan Obat dan Nilai Tekanan Darah pada Pasien Hipertensi The Effect of Pharmacist Counseling on Medication Adherence and Blood Pressure Values in Hypertensive Patients. J Farm Indones. 2023;20(2):151–7.
21. Alfian, D S, Annisa N, Perwitasari DA. The role of illness perceptions on medication nonadherence among patients with hypertension : A multicenter study in indonesia. J Front Pharmacol. 2022;3(September):1–7.
22. Yulianti T, Widayanti AW, Kristina SA, Yasin NM. Theory-based Interventions to Improve Medication Adherence Among Patients With Hypertension in Primary Healthcare and the Community : A Systematic Review. J Prev Med Public Heal. 2025;1(Februari):348–59.
23. Cholifah DN, Rosyid FN. PENGARUH EDUKASI TERHADAP KEPATUHAN MINUM OBAT HIPERTENSI PADA PENDERITA HIPERTENSI Di WILAYAH KERJA PUSKESMAS KEMUSU. J Ners. 2026;10(1):1676–83.
24. Pamungkas R agung, Rohimah S, Zen dini nurbaeti. Jurnal Keperawatan Galuh , Vol.2 No.1 (2020) https://jurnal.unigal.ac.id/index.php/JKG. J Keperawatan Galuh. 2020;2(1):12–8.
25. Shahin W, Kennedy GA. The association between social support and medication adherence in patients with hypertension : A systematic review. J Pharm. 2021;19(2):1–8.
26. Lukitasari M, Nugroho DA, Rohman MS, Mardhotillah H, Natasya DE, Fitriyawati F. An Intervention Study for Impact Assessment of Health Education by Empowered Community Health Workers in Improving Treatment and Diet Adherence in Hypertension. J community Med. 2021;12(3):618–21.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Preventif : Jurnal Kesehatan Masyarakat

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.


