Empowerment Education to Increase Medication Adherence among Older People with Hypertension in Rural Areas in Indonesia

Andi Fitrah Ramadhanty; Andi Masyitha Irwan; Andina Setyawati

doi:10.5294/aqui.2026.26.1.3

Autores

Andi Fitrah Ramadhanty Autor Hasanuddin University https://orcid.org/0009-0000-0631-6290
Andi Masyitha Irwan Autor Hasanuddin University https://orcid.org/0000-0002-4715-7668
Andina Setyawati Autor Hasanuddin University https://orcid.org/0000-0003-4728-0815

DOI:

https://doi.org/10.5294/aqui.2026.26.1.3

Palavras-chave:

Educação para o empoderamento, hipertensão, adesão à medicação, idosos, zona rural

Resumo

Introdução: O empoderamento é uma das abordagens mais eficazes para promover comportamentos saudáveis e melhorar a adesão à medicação em pessoas idosas. Objetivo: investigar a eficácia da educação para o empoderamento na melhoria da adesão à medicação em pessoas idosas com hipertensão. Materiais e métodos: Utilizamos uma abordagem quantitativa com um delineamento quase experimental. Pessoas idosas com hipertensão foram divididas aleatoriamente em um grupo de intervenção (n = 22), que recebeu educação de empoderamento, e um grupo controle (n = 22), que recebeu o cuidado usual do centro médico. O programa de educação para o empoderamento incluiu informações sobre a hipertensão, a importância da adesão à medicação e técnicas para controlar a hipertensão por meio de modificações no estilo de vida. A adesão à medicação foi medida usando o questionário Morisky Medication Adherence Scale-8 (MMAS-8). Análise estatística: Para determinar a pressão arterial e a categoria de conformidade de adesão à medicação geriátrica pré e pós-teste, bem como a comparação entre o grupo de intervenção e o grupo controle (entre os participantes), utilizou-se o teste de Mann-Whitney; para estimar o tamanho do efeito, aplicou-se o coeficiente d de Cohen. Resultados: A adesão à medicação no grupo de intervenção indicou um aumento significativo (p = 0,000) com tamanho de efeito moderado (d > 0,05). Por sua vez, a adesão ao grupo controle não foi significativa (p = 0,392). Conclusões: Esta intervenção pode ser uma opção para que enfermeiros auxiliem idosos a melhorar a adesão à medicação e, consequentemente, a qualidade de vida.

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