| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 102 === Hypertension is a common chronic disease among Indonesian elderly. The biggest community of elderly in Indonesia is found in Nursing home, as a governmental health provider for retirement of old people. Keeping medication adherence for hypertension is the biggest challenge for elderly in Nursing homes. The purpose of this study was to explore self-care and adherence to medication among the elderly with hypertension in Yogyakarta, Indonesia. The study applied triangulation method to assessed their adherence and self-care with hypertension in nursing homes. The quantitative study recruited 152 respondents with the mean age of 73.06+ 7.67 years old. Hill bone instrument was used to explore the medication adherence and related factors such as age, marital status, education level, gender, type of medication, economic source, family type and religion. In qualitative data, 20 elders were recruited from 152 elderly in quantitative study to explore their self-care and utilization of CAM by using purposive sampling and in-depth interview.
The study revealed the significant association between economic source, age, type of medication and education level. There are three factors, age, medication type and economic source are 23.4% of the total variance for explaination medication adherence. The qualitative data was analyzed by content analysis by using constant comparative method. These categories consist of: participants' experiences of Hypertension self-care in the past, Knowledge and Indonesian herbal traditional therapy.
The study suggested that health provider should be more considerate in assisting the elderly with the age equal or older than 75 years old, no formal education or lower education level, using an ACE Inhibitor or Combination medication. Collaborative care approach should facilitate the education of elderly about the hypertension, benefits of medications, the importance of continuous medication use especially in the treatment and management of chronic diseases (Hypertension) with optimize health care management.
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