Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.
KMID : 1022320240180020134
Asian Nursing Research
2024 Volume.18 No. 2 p.134 ~ p.140
Pandemic Pressure: Changes in Hypertensive Management Adherence in Indonesia
Dwi H. Tjandrarini

Dewi Kristanti
Tri Wurisastuti
Puti S. Hidayangsih
Sulistyowati Tuminah
Astridya Paramita
Ina Kusrini
Ika Dharmayanti
Frans Dany
Feri Ahmadi
Christiana R. Titaley
Abstract
PurposeThis study aimed to determine factors associated with changes in adherence to hypertension management (medication adherence and blood pressure control) in respondents with hypertension before and during the COVID-19 pandemic in Bogor city, Indonesia.

MethodsAn observational study was conducted using two sources of data (before and during COVID-19 pandemic). Data before the pandemic were derived from the 2019 Cohort Study of non-communicable disease risk factors. Data during the pandemic were derived from an online survey conducted in September and October 2020. Information from 880 participants were analyzed. The dependent variable was the change in adherence to hypertension management before and during the COVID-19 pandemic. Multivariate analysis was performed using logistic polynomial regression.

ResultsRespondents who adhered to hypertension management decreased from 82.0% in 2019 to 47.8% in 2020. The likelihood of non-adherence (respondents who did not adhere to hypertension management both before and during the pandemic) increased in respondents below 55 years old, who did not own any healthcare insurance, who were not obese, and who had no other comorbidities. In the partial adherence group (respondents who did not adhere to hypertension management either before or during the pandemic), we found that most respondents adhered before the pandemic but no longer adhered during the COVID-19 pandemic. We found an increased partial adherence in young and highly educated respondents.

ConclusionsEfforts to improve adherence to hypertension management after the COVID-19 pandemic should target those who were young, highly educated, who did not have any healthcare insurance, and who did not perceive themselves as not having comorbidities.
KEYWORD
adherence, blood pressure monitors, COVID-19 pandemic, hypertension
FullTexts / Linksout information
Listed journal information