Analysis of the Relationship Between Health Literacy and Medication Adherence Among Patients with Type 2 Diabetes Mellitus

Denia Pratiwi; Rahmadinni Rahmadinni; Nadya Putri Auliya Serawaidi

Penulis

Denia Pratiwi
Universitas Abdurrab, Pekanbaru, Indonesia
Rahmadinni Rahmadinni
Universitas Abdurrab, Pekanbaru, Indonesia
Nadya Putri Auliya Serawaidi
Universitas Abdurrab, Pekanbaru, Indonesia

Kata Kunci:

kepatuhan minum obat, diabetes melitus tipe 2, HLS-EU-Q16, MMAS-8, Health literacy

Abstrak

Diabetes Melitus Tipe II (DMT2) merupakan penyakit kronis dengan prevalensi yang terus meningkat dan memerlukan pengobatan jangka panjang. Rendahnya kepatuhan minum obat yang dipengaruhi oleh health literacy menjadi tantangan utama pengelolaan DMT2. Penelitian ini bertujuan mengetahui tingkat health literacy, kepatuhan minum obat, dan hubungan keduanya pada pasien DMT2 rawat jalan di RSUD Arifin Achmad Pekanbaru. Desain kuantitatif analitik dengan pendekatan cross-sectional digunakan. Sebanyak 88 responden dipilih dengan teknik Slovin. Data dikumpulkan menggunakan kuesioner HLS-EU-Q16 untuk health literacy dan MMAS-8 untuk kepatuhan, kemudian dianalisis dengan uji Chi-Square. Hasil menunjukkan 35,2% pasien memiliki health literacy rendah, 31,8% sedang, dan 33% tinggi. Kepatuhan minum obat kategori tinggi sebesar 37,5%, sedang 30,7%, dan rendah 31,8%. Analisis statistik menunjukkan hubungan signifikan antara health literacy dan kepatuhan minum obat (p = 0,003, p < 0,05). Pasien dengan health literacy lebih tinggi cenderung memiliki kepatuhan lebih baik. Variabel pekerjaan merupakan satu-satunya faktor sosiodemografi yang berhubungan signifikan dengan kepatuhan (p = 0,012). Peningkatan health literacy penting untuk mendukung kepatuhan pengobatan jangka panjang pasien DMT2.

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Referensi

[1] International Diabetes Federation, IDF Diabetes Atlas, 10th ed., Brussels: IDF, 2021.

[2] Badan Penelitian dan Pengembangan Kesehatan, Laporan Nasional Riskesdas 2018, Jakarta: Kemenkes RI, 2018.

[3] P. Farmaki, C. Damaskos, N. Garmpis, A. Garmpi, S. Savvanis, and E. Diamantis, "Complications of the Type 2 Diabetes Mellitus," Curr. Cardiol. Rev., vol. 16, no. 4, pp. 249–251, 2021.

[4] K. Sørensen et al., "Health literacy and public health: A systematic review and integration of definitions and models," BMC Public Health, vol. 12, no. 1, p. 80, 2012.

[5] A. K. Mohiuddin, "Low Health Literacy (LHL): A Conniving Opponent of Patient Treatment Compliance," Siasat, vol. 8, no. 1, pp. 33–39, 2023.

[6] F. Al Sayah, S. R. Majumdar, B. Williams, S. Robertson, and J. A. Johnson, "Health Literacy and Health Outcomes in Diabetes: A Systematic Review," J. Gen. Intern. Med., vol. 28, no. 3, pp. 444–452, 2013.

[7] J. Ahn and M. Y. Kim, "A Systematic Review of Questionnaire Measuring eHealth Literacy," vol. 35, no. 3, pp. 297–312, 2024.

[8] D. Nutbeam, "Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century," Health Promot. Int., vol. 15, no. 3, pp. 259–267, 2000.

[9] A. Rosya, "Hubungan Health Literacy dengan Kepatuhan Minum Obat Pasien Diabetes Melitus," J. Kesehat., 2022.

[10] M. M. Mohsen, B. G. Abd El-Aal, S. S. Hassan, and A. A. El-Abbassy, "Effect of Health Literacy Intervention on Medication Adherence among Older Adults with Chronic Diseases," Indian J. Forensic Med. Toxicol., vol. 15, no. 4, pp. 1662–1669, 2021.

[11] N. Pourhabibi et al., "Health literacy, medication adherence, and quality of life in older adults," BMC Geriatr., 2022.

[12] N. D. Berkman, S. L. Sheridan, K. E. Donahue, D. J. Halpern, and K. Crotty, "Low health literacy and health outcomes: An updated systematic review," Ann. Intern. Med., vol. 155, no. 2, pp. 97–107, 2011.

[13] S. De Geest and E. Sabaté, "Adherence to long-term therapies: Evidence for action," Eur. J. Cardiovasc. Nurs., vol. 2, no. 4, p. 323, 2003.

[14] S. Kripalani, T. A. Jacobson, I. C. Mugalla, C. R. Cawthon, and K. J. Niesner, "Health literacy and medication adherence among patients with chronic disease," J. Gen. Intern. Med., vol. 25, no. 5, pp. 435–441, 2010.

[15] S. Coskun and G. Bagcivan, "Associated factors with treatment adherence of patients diagnosed with chronic disease: Relationship with health literacy," Appl. Nurs. Res., vol. 57, p. 151368, 2021.

[16] L. Bergman et al., "Validity and reliability of the arabic version of the HLS-EU-Q16 and HLS-EU-Q6 questionnaires," BMC Public Health, vol. 23, no. 1, pp. 1–10, 2023.

[17] P. Martinez-Perez et al., "Validation and psychometric properties of the 8-item Morisky Medication Adherence Scale (MMAS-8) in type 2 diabetes patients in Spain," Aten. Primaria, vol. 53, no. 2, p. 101942, 2021.

[18] S. A. P. Clouston, J. A. Manganello, and M. Richards, "A life course approach to health literacy: The role of gender, educational attainment and lifetime cognitive capability," Age Ageing, vol. 46, no. 3, pp. 493–499, 2017.

[19] C. Y. Lee et al., "Gender differences in health literacy among adults in Taiwan," BMC Public Health, 2015.

[20] C. Y. Jin et al., "Factors affecting therapeutic compliance: A review from the patient's perspective," Ther. Clin. Risk Manag., vol. 4, no. 1, pp. 269–286, 2008.