Skripsi
PENGARUH KONSELING FARMASIS TERSTRUKTUR TERHADAP TARGET TEKANAN DARAH DAN KUALITAS HIDUP PASIEN HIPERTENSI LANJUT USIA DENGAN POLIFARMASI DI RSUD SITI FATIMAH PALEMBANG
Hypertension in elderly patients with polypharmacy is a chronic condition that may reduce the achievement of blood pressure targets and quality of life. Structured Pharmacist counseling is one of the interventions that can improve therapeutic outcomes. This study aimed to analyze the effect of structured pharmacist counseling based on leaflets on blood pressure and quality of life, as well as the relationship between changes in both variables among elderly hypertensive patients at RSUD Siti Fatimah Palembang. This study employed a quasi-experimental design with a non-equivalent control group and a prospective approach. A total of 56 patients were divided into intervention and control groups. The intervention group received structured pharmacist counseling using leaflets accompanied by verbal explanations, while the control group received standard care. Measurements were conducted before and after the intervention using blood pressure data and the EQ-5D-5L questionnaire. The results showed a significant reduction in blood pressure and improvement in quality of life in the intervention group compared to the control group (p=0.000). The reduction in systolic and diastolic blood pressure was 14.89 mmHg and 7.25 mmHg, respectively. A strong positive correlation was found between blood pressure reduction and improvement in quality of life (r=0.669–0.699; p=0.000). This study concludes that structured pharmacist counseling based on leaflets is effective in improving blood pressure control and quality of life among elderly hypertensive patients with polypharmacy.
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