NURSING CARE FOR HYPERTENSIVE PATIENTS WITH NON-COMPLIANCE WITH THE TREATMENT PROGRAMME THROUGH AUDIO-VISUAL PSYCHOEDUCATION INTERVENTION

Main Article Content

Yanti Rosdiana
Nurita Dwi Arini
Nia Agustiningsih

Abstract

Non-compliance with treatment in hypertensive patients leads to uncontrolled increases in blood pressure, so compliance support through psychoeducation is needed. This case study aimed to provide nursing care for compliance support through audio-visual psychoeducation to hypertensive patients with non-compliance with the treatment programme. The study used a qualitative design with a case study approach, involving 3 hypertensive patients with the nursing problem of non-compliance with the treatment programme due to inadequate understanding, who met the specified criteria. The audio-visual psychoeducation intervention was given 3 times, each lasting 15 minutes, over 3 consecutive days. Compliance was evaluated over 3 consecutive days after the education. Data from the nursing care were presented in tables and narrative form. The best results were achieved by clients 1 and 2, owing to active family participation. Client 3 achieved less optimal results because the family was less active in helping to meet client 3's needs. Audio-visual psychoeducation works by increasing the individual's knowledge and understanding of the obstacles they face. It can therefore be concluded that audio-visual psychoeducation can improve compliance with the treatment programme in hypertensive patients. Nurses whose work relates to the community should improve their communication skills and be able to encourage families to help sick family members.

Article Details

Section

Articles

References

Ampofo, A. G., Khan, E., & Ibitoye, M. B. (2020). Understanding the role of educational interventions on medication adherence in hypertension: A systematic review and meta-analysis. Heart & Lung, 49(5), 537–547. https://doi.org/10.1016/j.hrtlng.2020.02.039

Berahim, R. I., Jusuf, H., & Pateda, S. M. (2025). The effect of m-health utilization with audiovisual education approach on treatment adherence behavior in tuberculosis patients. Indonesian Journal of Global Health Research, 7(2), 1113–1122. https://doi.org/10.37287/ijghr.v7i2.5893

Gast, A., & Mathes, T. (2019). Medication adherence influencing factors: An (updated) overview of systematic reviews. Systematic Reviews, 8(1). https://doi.org/10.1186/s13643-019-1014-8

Gusty, R. P. (2023). Health education model for elderly hypertension on knowledge, attitudes, and adherence to following the dietary approaches to stop hypertension (DASH). Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(2). https://doi.org/10.30604/jika.v8i3.2093

Hadi, A., Parellangi, & Amirudin (2023). The relationship between self-efficacy and family support, adherence to taking hypertension medication. Asian Journal of Healthcare Analytics, 2(1), 151–164. https://doi.org/10.55927/ajha.v2i1.4007

Khadoura, K., Shakibazadeh, E., Mansournia, M. A., Aljeesh, Y., & Fotouhi, A. (2021). Determining the prevalence of and the factors associated with antihypertensive medication non-adherence in the Gaza strip. Korean Journal of Family Medicine, 42(2), 150–158. https://doi.org/10.4082/kjfm.19.0081

Mahmood, S., Jalal, Z., Hadi, M. A., Khan, T. M., Haque, M. S., & Shah, K. U. (2021). Prevalence of non-adherence to antihypertensive medication in asia: A systematic review and meta-analysis. International Journal of Clinical Pharmacy, 43(3), 486–501. https://doi.org/10.1007/s11096-021-01236-z

Murti, L. T. K., Ratnawati, E., & Febriani, D. H. (2025). Hubungan tingkat pengetahuan dengan tingkat kepatuhan minum obat pada pasien hipertensi. Jurnal Kesehatan Panca Bhakti Lampung, 13(2), 118–130. https://doi.org/10.47218/jkpbl.v13i2.405

Nana, R. A., Billong, S. C., Boombhi, J., Endomba, F. T., Djantio, H., & Menanga, A. (2023). Add on digital cartoon video versus paper based counselling for medication adherence in hypertensive patients followed at a referral hospital in Yaoundé (Cameroon): A randomized control trial. (E-adherence study). Education and Information Technologies, 29(1), 721–735. https://doi.org/10.1007/s10639-023-12268-5

Nili, M., Mohamed, R., & Kelly, K. M. (2020). A systematic review of interventions using health behavioral theories to improve medication adherence among patients with hypertension. Translational Behavioral Medicine, 10(5), 1177–1186. https://doi.org/10.1093/tbm/ibaa020

Nuranisa (2022). Influence of health education through audiovisual on knowledge and self management of hypertension elderly in Tondo kelurahan mantikulore district. Journal of Public Health and Pharmacy, 2(3), 65–68. https://doi.org/10.56338/jphp.v2i3.3897

Oneib, B., Mansour, A., & Bouazzaoui, M. A. (2025). The effect of psychoeducation on clinical symptoms, adherence, insight and autonomy in patients with schizophrenia. Discover Mental Health, 5(1). https://doi.org/10.1007/s44192-025-00152-2

Pan, J., Hu, B., Wu, L., & Li, Y. (2021). The effect of social support on treatment adherence in hypertension in China. Patient Preference and Adherence, 15, 1953–1961. https://doi.org/10.2147/ppa.s325793

Pertiwi, L. D., Shobirun, S., & Indriyawati, N. (2021). Development audiovisual health education media for self management of hypertension patients. Media Karya Kesehatan, 4(2). https://doi.org/10.24198/mkk.v4i2.30225

Putri, M. E., Sari, M. T., Fithriyani, F., & Yanti, R. D. (2025). Edukasi alarm minum obat (amino) untuk meningkatkan kepatuhan minum obat hipertensi pada penderita hipertensi. Jurnal Abdimas Kesehatan (JAK), 7(2), 215–220. https://doi.org/10.36565/jak.v7i2.759

Ranjbar, H., Sadeghi-Vazin, K., & Bakhshi, M. (2024). The cost-effectiveness of peer education on medication adherence in the elderly with hypertension: A randomized controlled trial. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-20807-z

Rosendo-Silva, B., Ortigosa-Ferreira, A. C., Prazeres, F., Caramelo, F., Santiago, L. M., & Rosendo, I. (2023). Systematic review of motivational interventions to improve adherence to medication in patients with hypertension and meta-analysis. Hipertensión y Riesgo Vascular, 40(4), 174–196. https://doi.org/10.1016/j.hipert.2023.04.003

Ruksakulpiwat, S., Schiltz, N., Irani, E., Josephson, R., Adams, J., & Still, C. (2024). Medication adherence of older adults with hypertension: A systematic review. Patient Preference and Adherence, 18, 957–975. https://doi.org/10.2147/ppa.s459678

Ruswadi, I., Asyari, H., Marsono, M., Akhmadi, A., & Purwanta, P. (2023). The relationship between self efficacy and family support with hypertension treatment adherence of elderly. Jurnal Pendidikan Keperawatan Indonesia, 9(1), 59–68. https://doi.org/10.17509/jpki.v9i1.59455

Shin, J., & Konlan, K. D. (2023). Prevalence and determinants of medication adherence among patients taking antihypertensive medications in Africa: A systematic review and meta‐analysis 2010-2021. Nursing Open, 10(6), 3506–3518. https://doi.org/10.1002/nop2.1613

Warnidah, H., Helmidanora, R., Sentat, T., Sukawaty, Y., & Handayani, E. (2021). Profil kepatuhan minum obat pada pasien hipertensi di Puskesmas muara wis. Ahmar Metastasis Health Journal, 1(3), 118–123. https://doi.org/10.53770/amhj.v1i3.67

Windahandayani, V. Y., Ajul, K., & Surani, V. (2025). Pengaruh edukasi berbasis android terhadap kepatuhan minum obat pada penderita hipertensi. Holistik Jurnal Kesehatan, 18(10), 1230–1237. https://doi.org/10.33024/hjk.v18i10.575