Open AccessThe Relationship Between Medication Adherence, Rehospitalization and Mortality in Bandung, Indonesia
Author(s) -
Noviyah Noviyah,
Ulfah Nurrahmani,
Nurlaeci Nurlaeci,
Hawani Sasmaya Prameswari
Publication year - 2020
Publication title -
asian community health nursing research
Language(s) - English
Resource type - Journals
eISSN - 2655-8629
pISSN - 2654-2900
DOI - 10.29253/achnr.2020.24848
Subject(s) - medicine , heart failure , incidence (geometry) , medical record , medication adherence , descriptive statistics , general hospital , retrospective cohort study , cohort , mortality rate , emergency medicine , statistics , physics , mathematics , optics
Medication adherence in patients with heart failure is very important. Previous study, the low level of medication adherence in patients with heart failure can increase the risk of recurrence of the patient, thereby increasing the rehospitalization and mortality. This study was conducted to evaluate existing programs in heart failure clinic. The purpose of this study is to determine the relationship between the incidence of medication adherence with the incidence of rehospitalization and mortality in patients with heart failure. Retrospective cohort study conducted using medical record data from the Heart Failure Clinic in dr Hasan Sadikin Hospital Bandung between October 2018 to July 2020. This study involved 77 people with a diagnosis of CHF and had attended a minimum of 6 months of the heart failure clinic program at Dr Hasan Sadikin Hospital, Bandung. Descriptive statistics were used to describe demographic characteristics such as age, gender, and NYHA class. Chi-square analysis was used to analyze the relationship between medication adherence, the incidence of rehospitalization and mortality. Result, demographic data, there are 55 (71.4%) adults and 22 (28.6%) elderly, male 50 (64.9%) and female 27 (35.1%), NYHA I 32 people (41.6%), NYHA II 26 (33.8%), NYHA III 7 (9.1%), NYHA IV 12 (15.6%). Non-adherence 8 (10,4%), rehospitalizayion 20 (26%), and mortality 18 (23,4%). Based on the chi-square statistical analysis, there was a relationship with the incidence of rehospitalization (p <0.001) and there was a relationship with mortality (p <0.002). This study has research limitations, because the data obtained is only based on medical record data. Medication adherence was associated with rehospitalization and mortality. It is important to develop interventions to improve medication adherence. This study is the most recent study conducted at the Heart Failure Clinic Dr Hasan Sadikin Hospital Bandung, and can be used as an evaluation of the program that has been carried out.