FACTORS INFLUENCING MEDICATION BELIEFS AMONG HYPERTENSIVE PATIENTS AT NGEMPLAK BOYOLALI COMMUNITY HEALTH CENTER IN 2026
DOI:
https://doi.org/10.47701/xz9v5w15Keywords:
Medication beliefs, Hypertension, Influencing factor, BMQAbstract
Hypertension requires long-term treatment to control blood pressure and prevent complications. Adherence to this therapy is influenced by medication beliefs—specifically, patients' perceptions regarding the necessity of the medication and concerns about its use. Given that these perceptions impact quality of life, it is important to analyze the factors influencing the medication beliefs of hypertensive patients at the Ngemplak Boyolali Community Health Center in 2026. Objective: This study aimed to analyze the factors influencing medication beliefs among patients with hypertension at Ngemplak Public Health Center, Boyolali, in 2026. Methods: This cross-sectional, quantitative analytical observational study evaluated 92 hypertensive patients meeting the inclusion criteria at Ngemplak Public Health Center, Boyolali, in 2026. The Beliefs about Medicines Questionnaire (BMQ) assessed medication beliefs, while a structured questionnaire recorded potential influencing factors. Statistical relationships were examined via the Chi-Square test (
= 0.05). Results: The results showed that most respondents were aged 36–55 years (75.0%), female (64.1%), educated up to elementary school (59.8%), others therapy (94.6%), and had hypertension for less than 5 years (73.9%). Statistical analysis revealed no significant relationships between medication beliefs and age (p = 0.614), gender (p = 0.680), education level (p = 0.737), or disease duration (p = 0.815). Conversely, others therapy was identified as a significant factor associated with medication beliefs (p = 0.020). Conclusion: Among evaluated factors, others therapy significantly influenced medication beliefs in hypertensive patients at Ngemplak Community Health Center in 2026. Tailored counseling, healthcare provider support, and family engagement are recommended to optimize patient adherence.
References
Abdallah, A. M., Nofal, H. A., & Sharafeddin, M. A. (2021). Illness Perceptions , Beliefs about Medication and Blood Pressure Control Among Hypertensive Egyptian Cohort. 39(1).
Abdullah, R., Filliana, U., Agung, I. D., & Diva, A. (2026). Medication Beliefs and Associated Factors Among Heart Failure Patients in Yemen and Role of Regimen Complexity : a Cross-Sectional Study. 7899, 125–140.
Adiputra, I. M. S., Trisnadewi, N. W., Oktaviani, N. P. W., & Munthe, S. A. (2021). Metodologi Penelitan Kesehatan.
AHA, Collins, K. J., & Commodore-mensah, Y. (2025). Guideline for the Prevention , Detection , Evaluation and Management of High Blood Pressure in Adults : A Report of the American College of Cardiology / American Heart (Issue October). https://doi.org/10.1161/HYP.0000000000000249
Akinola, Y. O., Aina, O. F., Agbesanwa, T. A., Ibrahim, O., Bodunde, B., Ibirongbe, A. T., Emmanuel, O., Owoyemi, A. J., & Aderibigbe, Y. B. (2025). Pattern of Medication Belief and Blood Pressure Control among Hypertensive Patients ; A Single Centre Study. 8(01), 64–70. https://doi.org/https://doi.org/10.5281/zenodo.14915274
Anatolia, K., Ozumba, L. N., Dienye, P., Ndukwu, G., & Kedokteran, J. (2023).
Role of Illness Perception and Medication Beliefs in Medication Adherence among Hypertensive Patients. https://doi.org/10.5505/anatoljfm.2021.02486
Anggraini, A. N., & Yulitasari, B. I. (2021). Kualitas Hidup Penderita Hipertensi Di Puskesmas Sedayu II Bantul , Yogyakarta Hypertensive Patients ’ Quality o f Life At Sedayu II Bantul Public Health Center ,. 8(2), 77–83.
Aulia, A. T., Mappahya, K. A., & Ardiansar, A. M. (2023). Karakteristik Pasien Hipertensi pada Usia < 45 Tahun di Klinik Kimia Farma pada Juli Tahun 2023. 4(2), 128–138.
Bagus, P., Saputra, T., Lamara, A. D., Saputra, M. E., Achmad, R., Hermawati, I. E., Achmad, H. A., & Prastowo, R. A. (2023). Diagnosis dan Terapi Non- farmakologis Hipertensi. 50(6), 322–330.
Baringbing, E. P. (2023). Pengaruh Karakteristik Pendidikan dengan Kejadian Hipertensi pada Pasien Rawat Jalan di RSUD dr . Doris Sylvanus Provinsi Kalimantan Tengah The Influence of Education Characteristics on the Incident of Hypertension in Outpatient Patient at RSUD dr . Doris.
Budiantoro, N. C., Shoaliha, M., Wahidah, A. T. N., & Irwanto, M. F. (2026).
Optimasi hubungan kepatuhan minum obat terhadap kualitas hidup pasien hipertensi. 1, 9–18.
Dimitrijevic, I., Hnatesen, D., Rados, I., Budrovac, D., & Tot, O. K. (2023) BELIEFS ABOUT MEDICINES QUESTIONNAIRE ( BMQ ) IN. 19–26. https://doi.org/10.20471/acc.2023.62.s4.3
Dumanauw, J. M., Si, S., & Sc, M. (2025). FARMASI KLINIS (M. K. La Ode Alifariki, S.Kep., Ns. (ed.)). Media Pustaka Indo.
Dunisani, G., Nakwa, O., Chibi, B., & Sartorius, B. (2022). Heliyon Factors in fl uencing poor medication adherence amongst patients with chronic disease in low-and-middle-income countries : A systematic scoping review. 8(April). https://doi.org/10.1016/j.heliyon.2022.e09716
ESH, Co-chair, R. K., Burnier, M., Grassi, G., Januszewicz, A., Lorenza, M., Tsioufis, K., Agabiti-rosei, E., Abd, E., Algharably, E., Azizi, M., Benetos, A., Borghi, C., Brguljan, J., Cifkova, R., Coca, A., Cornelissen, V., Cruickshank, J. K., Cunha, P. G., ... Kjeldsen, S. E. (2023). Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension Endorsed by the International Society of Hypertension ( ISH ) and the European Renal Associa. 41(12).
Fitria, N., Nguyen, T., Machlaurin, A., Rizka, N. Al, & Juwita, D. A. (2024).
Comparative Economic and Clinical Utility of Adding Candesartan for Hypertension Management. 111–117. https://doi.org/10.25077/jsfk.11.2.111- 117.2024
Foley, L., Doherty, A. S., Wallace, E., Hons, B., & Hons, B. (2023). Exploring the Multidimensional Relationship Between Medication Beliefs and Adherence to Medications Among Older Adults Living With Multimorbidity Using Polynomial Regression : An Observational Cohort Study. March, 561–570.
Hermansson borrebaeck, R., Andersson, U., & Jakobsson, U. (2023). Beliefs about medications when treating hypertension in primary health care : results from “ person-centredness in hypertension management using information Technology ( PERHIT ).” Blood Pressure, 32(1). https://doi.org/10.1080/08037051.2023.2226736
Hidayah, F., Nurmayunita, H., & Zakaria, A. (2026). Hubungan Antara Self Care Management Dengan Kualitas Hidup Pada. 4(4), 9347–9357.
Hien, H. A., Tam, N. M., Devroey, D., Heytens, S., Tam, V., Thang, T. B., Nu, V., Duc, H., Thi, D., Nha, T., Pham, D., Long, P., Phong, N. V., Minh, H. Van, & Tien, H. A. (2024). Hypertension knowledge and its associated factors among hypertensive patients in primary care settings in Central Vietnam : A cross- sectional study. 12(5), 943–955.
Honestly, A., Muslim, A. S., & Sukoharjanti3, B. T. (2025). Hubungan Kepatuhan Pengobatan Terhadap Kualitas Hidup Pasien Hipertensi Di Wilayah Kerja Puskesmas Kedungwungu Banyuwangi. 5(6), 155–170.
Husaini, F., Fonna, T. R., Masyarakat, I. K., & Kedokteran, F. (2024). Hipertensi dan Komplikasi Yang Menyertai Hipertensi. 2(3).
Husnawati, Hasti, S., & Rahman, R. A. (2025). JOPS : Journal of Pharmacy and Science Analysis of Medication Adherence and Therapeutic Outcome in Hypertension Patients at Public Health Centers in Bengkalis Regency. 8(2), 195–204.
Ilmiawan, R. (2024). Hubungan Antara Tingkat Kepatuhan Dengan Kepercayaan Pengobatan Pada Pasien Rawat Jalan Hipertensi Di Rs Dr Asmir Salatiga [Universitas Ngudi Waluyo]. https://repository2.unw.ac.id/4694/
Immanuela, J. F., Noveyani, A. E., & Meikalynda, A. (2023). Epidemiolgi Deskriptif Hipertensi di Puskesmas Arjasa Kabupaten Jember. 2(1), 148–159. https://doi.org/10.54259/sehatrakyat.v2i1.1509
Insani, W. N., Wei, L., Abdulah, R., Alfian, S. D., Ramadhani, N. A., & Andhika, R. (2025). Exploring the association of adverse drug reactions with medication adherence and quality of life among hypertensive patients : a cross ‐ sectional study. International Journal of Clinical Pharmacy, 47(2), 354–364. https://doi.org/10.1007/s11096-024-01832-9
Karim, U. N., Sadiyah, S. R., Hijriyati, Y., & Dewi, A. (2024). Hubungan Kejadian Hipertensi Dengan Kualitas Hidup Lansia Di Puskesmas Kecamatan Cengkareng Program Studi Keperawatan , Fakultas Keperawatan dan Kebidanan , Universitas Binawan , Jakarta , Indonesia Abstrak PENDAHULUAN Salah satu penyebab utama kematian d. 12, 138–143.
Kemenkes RI. (2021). Pedoman Nasional Pelayanan Kedokteran Tata Laksana Hipertensi Dewasa. In Pedoman Nasional Pelayanan Kedokteran.
Kemenkes RI. (2023). Pedoman Pengendalian Hipertensi Di Fasilitas Kesehatan Tingkat Pertama 1. In Pedoman Nasional Pelayanan Kedokteran.
Kemenkes RI. (2024a). Bahaya hipertensi, upaya pecegahan dan pengendalian hipertensi. In Pedoman Nasional Pelayanan Kedokteran. https://kemkes.go.id/id/bahaya-hipertensi-upaya-pencegahan-dan- pengendalian-hipertensi
Kemenkes RI. (2024b). Bahaya Hipertensi Mengintai Anak Muda Indonesia. Pedoman Nasional Pelayanan Kedokteran. https://www.badankebijakan.kemkes.go.id/bahaya-hipertensi-mengintai- anak-muda-indonesia/
Makmun, A. (2025). Gambaran karakteristik penderita puskesmas jumpandang baru. 6, 7319–7324.
Nilawati, I., Kasron, & Sodikin. (2023). Hubungan Jenis Kelamin , Pendidikan Dan Lama Menderita Hipertensi Dengan Kualitas Hidup Lansia Hipertensi. 6, 6– 12.
Nugroho, D. P. (2025). Analisis Faktor Kualitas Hidup Lansia Penderita
Hipertensi Wilayah Kerja Puskesmas Kauman Kabupaten Tulungagung. 3.
Otenyo, S. O., Kedokteran, J., & Eropa, K. (2021). Kepercayaan tentang Obat dan Antihipertensi Kepatuhan Minum Obat di Kalangan Pasien yang Menghadiri Rumah Sakit Rujukan Daerah di Kenya. 46–50. https://doi.org/10.24018/ejclinicmed.2021.2.3.56
Otenyo, S. O., & Kereri, D. K. (2021). Beliefs about Medicine and Antihypertensive Medication Adherence among Patients ’ Attending a County Referral Hospital in Kenya. X, 46–50. https://doi.org/10.24018/ejclinicmed.2021.2.3.56
Patoding, S., Fadli, & Armawati. (2024). Faktor yang berhubungan dengan kualitas hidup pada pasien hipertensi. 3(1), 1–10.
PERKI. (2022). Panduan Prevensi Penyakit Kardiovaskular Aterosklerosis. Perhimpunan Dokter Spesialis Kardiovaskular Indonesia.
Pome, G., Ulfa, M. H., & Hidup, K. (2023). Gambaran Tingkat Kualitas Hidup Pasien Hipertensi di Wilayah Binaan UPTD Puskesmas Sukaraya. 4(1).
Putri, A., Sjaaf, F., Eldrian, F., & Oktora, M. Z. (2023). Gambaran Tingkat Pengetahuan Upaya Pencegahan Kekambuhan Hipertensi pada Lansia di Puskesmas Nanggalo Tahun 2023. 151–158.
Rafhi, E., Stupans, I., Stevens, J. E., Soo, J., & Wang, K. N. (2025). Research in Social and Administrative Pharmacy The influence of beliefs and health literacy on medication-related outcomes in older adults : A cross-sectional study SEAMS. Research in Social and Administrative Pharmacy, 21(1), 47– 55. https://doi.org/10.1016/j.sapharm.2024.10.003
Rahmawati, & Kasih, R. P. (2023). Hipertensi Usia Muda. 2(5).
Ratnawati, R., Utami, Y., & Kusuma, A. P. P. (2023). Faktor yang Berpengaruh terhadap Kualitas Hidup Penderita Hipertensi di UPTD Puskesmas Demangan Kota Madiun. 4(2), 133–137.
Rohana, G. A. P. D., Pome, G., & Ulfa3, M. H. (2023). Gambaran Tingkat Kualitas Hidup Pasien Hipertensi di Wilayah Binaan UPTD Puskesmas Sukaraya. 4(1).
Rupakheti, B. (2024). Treatment Adherence and Health-Related Quality of Life Among Patients with Hypertension at Tertiary Healthcare Facility in Lalitpur , Nepal : A Cross-Sectional Study. October, 2077–2090.
Salmanpour, N., Salehi, A., Nemati, S., Rahmanian, M., Zakeri, A., & Bazrafshan, H. (2025). The effect of self-care , self-efficacy , and health literacy on health- related quality of life in patients with hypertension : a cross- sectional study.
Selpiya, Soemarie, Y., & Fadillah, A. (2024). Jurnal Farmasi Lampung JFL. 13(1).
Septiani, V., Suherman, L. P., Susiani, S., Rukmawati, I., Jenderal, U., Yani, A., Jend, J. T., Sel, K. C., Cimahi, K., Barat, J., Puskesmas, U. P. T., Adjie, I.,
Ibrahim, J., No, A., Bandung, K., & Barat, J. (2023). Jurnal Ilmiah Farmako Bahari Identification Of Drug Related Problems On Hypertension Comorbid Arthritis Patients At One Of Community Health Center In Bandung. 26–31.
Shabrina, G. N., Taufan, A., & Adam, M. (2021). Quality of Life Level Description of Elderly Patients with Hypertension Using Instruments WHOQOL- BREF. 37(Asmc), 187–192.
Sheils, E., Tillett, W., James, D., Brown, S., Dack, C., Family, H., & Chapman, S. C. E. (2024). Changing Medication-Related Beliefs : A Systematic Review and Meta-Analysis of Randomized Controlled Trials. 43(3), 155–170.
Simanjuntak, E. Y., & Amazihono, E. (2023). Kepatuhan Pengobatan Dengan Kualitas Hidup Pasien Hipertensi. 6.
Sugiyono. (2023). Metode penelitian kuantitatif,kualitatif dan R&D.
Wagiu, A. E., Wiyono, W. I., & Mpila, D. A. (2025). Hubungan Kepatuhan Penggunaan Obat Antihipertensi dengan Kualitas Hidup Pasien Hipertensi. 13(1), 34–40.
Wahyuni, S., Apriyanto, B. S., Pujiastutik, Y. E., & Yauri, I. (2025). Kepatuhan Pengobatan terhadap Kontrol Tekanan Darah dan Quality of Life Penderita Hipertensi : A Cross-Sectional Survey Medication Adherence with Blood Pressure Control and Quality of Life Among Hypertensive Patients : A Cross- Sectional Survey. 6(1).
Wardana, A., Hartati, Y., & Minata, F. (2024). Sosial Kejadian Hipertensi Di Upt Puskesmas Teluk Betung Kabupaten Banyuasin Tahun 2023. 8(April), 254– 265.
WHO. (2025). Hipertensi. World Health Organization. https://www.who.int/news- room/fact-sheets/detail/hypertension
Zeijen, V. J. M., Peeters, L. E. J., Asman, A., Boersma, E., & Massey, E. K. (2024).
resistant hypertension : the Resistant HYpertension : MEasure to ReaCh Targets trial. 0, 1687–1694. https://doi.org/10.1097/HJH.0000000000003780