PELAYANAN KEFARMASIAN BERBASIS TEKNOLOGI DALAM UPAYA MENINGKATKAN KEPATUHAN PASIEN HIPERTENSI

Authors

  • Abdul Kholik Tasib Program Studi Magister Farmasi Klinik, Fakultas Farmasi, Universitas Padjajaran
  • Eli Halimah Departemen Farmakologi dan Farmasi Klinik, Fakultas Farmasi, Universitas Padjadjaran
  • Irma Melyani Puspitasari Pusat Unggulan Inovasi Pelayanan Kefarmasian, Universitas Padjadjaran

Keywords:

Teknologi, Pelayanan Kefarmasian, Kepatuhan, Hipertensi

Abstract

Kepatuhan yang buruk terhadap pengobatan antihipertensi merupakan faktor risiko utama dari tekanan darah yang tidak terkontrol. Pemanfaatan teknologi dapat memungkinkan farmasis untuk melakukan pelayanan kefarmasian secara lebih efektif dan efisien dalam meningkatkan kepatuhan pasien hipertensi. Hasil penelusuran dari database pubmed dengan kata kunci (Pharmacist) AND (Adherence OR compliance) AND (Hypertension OR "blood pressure") AND (Technology) didapatkan 8 artikel yang memenuhi kriteria inklusi dan eksklusi untuk direview. Dalam studi ini, penggunaan teknologi untuk meningkatkan kepatuhan dengan menggunakan Botol Pil Berbicara, Pengingat Layanan Pesan Singkat (SMS), Video Online Berkode QR, Sistem Respons Suara Interaktif, Teknologi Informasi Multidisiplin, Klinik Perawatan Kolaboratif Virtual, Telehealth dalam Layanan Manajemen Perawatan Kronis, dan Teknologi yang Mendukung Rencana Kesehatan dan Apotek Komunitas. Teknologi dapat diterapkan dalam pelayanan kefarmasian secara efektif dapat meningkatkan kepatuhan pasien hipertensi. Penerapan teknologi dalam pelayanan kefarmasian yang paling efektif dan efisien untuk meningkatkan kepatuhan karena kelupaan dapat menggunakan Pengingat SMS, sedangkan untuk pasien dengan literasi kesehatan rendah dapat menggunakan Botol Pil Berbicara atau Video Online berkode QR. Penerapan teknologi memungkinkan farmasis untuk memantau kepatuhan pengobatan dan tekanan darah di rumah dengan menggunakan Teknologi Sistem Respon Suara Aktif dan memungkinkan berkolaborasi dengan tenaga profesional kesehatan lainnya untuk meningkatkan kepatuhan pasien dengan menggunakan Teknologi Informasi Multidisiplin, Klinik Perawatan Kolaboratif Virtual atau pun Telehealth. Penerapan teknologi juga memungkinkan untuk diterapkan secara luas yang melibatkan apotek komunitas dan rencana kesehatan daerah dalam upaya meningkatkan kepatuhan pasien hipertensi dengan cara berbagi data menggunakan Teknologi yang Mendukung Rencana Kesehatan dan Apotek Komunitas.

References

Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension [Internet]. 2020 Jun 1 [cited 2022 Aug 18];75(6):1334–57. Available from: https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.120.15026

WHO. Guideline for the Pharmacological Treatment of Hypertension in Adults: Summary [Internet]. 2022 [cited 2022 Aug 17]. Available from: https://www.who.int/publications/i/item/9789240050969

kemenkes RI. Pedoman Pelayanan Kefarmasian pada Hipertensi. Jakarta; 2019.

Tomlinson M, Rotheram-Borus MJ, Swartz L, Tsai AC. Scaling Up mHealth: Where Is the Evidence? PLoS Med [Internet]. 2013 [cited 2023 Jun 26];10(2). Available from: /pmc/articles/PMC3570540/

Agarwal S, Lefevre AE, Lee J, L’engle K, Mehl G, Sinha C, et al. Guidelines for reporting of health interventions using mobile phones: mobile health (mHealth) evidence reporting and assessment (mERA) checklist. BMJ [Internet]. 2016 Mar 17 [cited 2023 Jun 26];352. Available from: https://www.bmj.com/content/352/bmj.i1174

Lam AY, Nguyen JK, Parks JJ, Morisky DE, Berry DL, Wolpin SE. Addressing low health literacy with “Talking Pill Bottles”: A pilot study in a community pharmacy setting. J Am Pharm Assoc (2003) [Internet]. 2017 Jan 1 [cited 2023 Jun 26];57(1):20-29.e3. Available from: https://pubmed.ncbi.nlm.nih.gov/27777076/

Haramiova Z, Stasko M, Hulin M, Tesar T, Kuzelova M, Morisky DM. The effectiveness of daily SMS reminders in pharmaceutical care of older adults on improving patients’ adherence to antihypertensive medication (SPPA): study protocol for a randomized controlled trial. Trials [Internet]. 2017 Jul 18 [cited 2023 Jun 26];18(1). Available from: https://pubmed.ncbi.nlm.nih.gov/28720121/

Yeung DL, Alvarez KS, Quinones ME, Clark CA, Oliver GH, Alvarez CA, et al. Low-health literacy flashcards & mobile video reinforcement to improve medication adherence in patients on oral diabetes, heart failure, and hypertension medications. J Am Pharm Assoc (2003) [Internet]. 2017 Jan 1 [cited 2023 Jun 26];57(1):30–7. Available from: https://pubmed.ncbi.nlm.nih.gov/27816544/

Ashjian EJ, Yoo A, Piette JD, Choe HM, Thompson AN. Implementation and barriers to uptake of interactive voice response technology aimed to improve blood pressure control at a large academic medical center. J Am Pharm Assoc (2003) [Internet]. 2019 Mar 1 [cited 2023 Jun 26];59(2S):S104-S109.e1. Available from: https://pubmed.ncbi.nlm.nih.gov/30660451/

Rinfret S, Lussier MT, Peirce A, Duhamel F, Cossette S, Lalonde L, et al. The impact of a multidisciplinary information technology-supported program on blood pressure control in primary care. Circ Cardiovasc Qual Outcomes [Internet]. 2009 May [cited 2023 Jun 26];2(3):170–7. Available from: https://pubmed.ncbi.nlm.nih.gov/20031834/

Gupta A, Ellis SD, Burkhardt C, Young K, Mazzotti DR, Mahnken J, et al. Implementing a home-based virtual hypertension programme—a pilot feasibility study. Fam Pract [Internet]. 2023 Mar 28 [cited 2023 Jun 26];40(2):414. Available from: /pmc/articles/PMC10047620/

Taylor AM, Bingham J, Schussel K, Axon DR, Dickman DJ, Boesen K, et al. Integrating Innovative Telehealth Solutions into an Interprofessional Team-Delivered Chronic Care Management Pilot Program. J Manag Care Spec Pharm [Internet]. 2018 Aug 1 [cited 2023 Jun 26];24(8):813–8. Available from: https://pubmed.ncbi.nlm.nih.gov/30058982/

Frail CK, Cooper S, Gallagher T, Sarkis J, Topor L, Bruzek RJ. A technology-supported collaboration between a health plan and a community pharmacy to improve blood pressure control. J Am Pharm Assoc (2003) [Internet]. 2017 Sep 1 [cited 2023 Jun 26];57(5):630–4. Available from: https://pubmed.ncbi.nlm.nih.gov/28712738/

Pickering TG, Miller NH, Ogedegbe G, Krakoff LR, Artinian NT, Goff D. Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring: Executive Summary. Hypertension [Internet]. 2008 Jul 1 [cited 2023 Jun 26];52(1):1–9. Available from: https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.107.189011

Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Himmelfarb CD, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults a report of the American College of Cardiology/American Heart Association Task Force on Clinical practice guidelines. Hypertension [Internet]. 2018 Jun 1 [cited 2023 Jun 26];71(6):E13–115. Available from: https://www.ahajournals.org/doi/abs/10.1161/HYP.0000000000000065

Drawz PE, Agarwal A, Dwyer JP, Horwitz E, Lash J, Lenoir K, et al. Concordance Between Blood Pressure in the Systolic Blood Pressure Intervention Trial and in Routine Clinical Practice. JAMA Intern Med [Internet]. 2020 Dec 1 [cited 2023 Jun 26];180(12):1655. Available from: /pmc/articles/PMC7551238/

Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertensionThe Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). Eur Heart J [Internet]. 2018 Sep 1 [cited 2023 Jun 26];39(33):3021–104. Available from: https://dx.doi.org/10.1093/eurheartj/ehy339

Feltner C, Christine Jones MD, Crystal Cené MW, Zhi-Jie Zheng M, Sueta CA, Coker-Schwimmer EJ, et al. Transitional Care Interventions To Prevent Readmissions for People With Heart Failure. Agency for Healthcare Research and Quality [Internet]. 2014 [cited 2023 Jul 4];160(133):774–84. Available from: https://www.ncbi.nlm.nih.gov/books/NBK209241/

Downloads

Published

2023-12-31

Issue

Vol. 27 No. 3 (2023): MFF

Section

Articles

License

Copyright (c) 2023 Majalah Farmasi dan Farmakologi

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

The copyright to this article is transferred to Universitas Hasanuddin (UNHAS) if and when the article is accepted for publication. The undersigned hereby transfers all rights in and to the paper including without limitation all copyrights to UNHAS. The undersigned hereby represents and warrants that the paper is original and that he/she is the author of the paper, except for material that is clearly identified as to its original source, with permission notices from the copyright owners where required. The undersigned represents that he/she has the power and authority to make and execute this assignment.

We declare that:

  1. This paper has not been published in the same form elsewhere.
  2. It will not be submitted anywhere else for publication prior to acceptance/rejection by this Journal.
  3. A copyright permission is obtained for materials published elsewhere and which require this permission for reproduction.

Furthermore, I/We hereby transfer the unlimited rights of publication of the above-mentioned paper in whole to UNHAS The copyright transfer covers the exclusive right to reproduce and distribute the article, including reprints, translations, photographic reproductions, microform, electronic form (offline, online) or any other reproductions of similar nature.

The corresponding author signs for and accepts responsibility for releasing this material on behalf of any and all co-authors. This agreement is to be signed by at least one of the authors who have obtained the assent of the co-author(s) where applicable. After submission of this agreement signed by the corresponding author, changes of authorship or in the order of the authors listed will not be accepted.