Analysis of Cost Factors and Family Motivation on Adherence to Follow-up Treatment for Patients After Cardiac Catheterization at NTB Provincial Hospital
DOI:
10.29303/jppipa.v12i6.14540Published:
2026-06-25Downloads
Abstract
Cardiovascular disease represents a global mortality burden with suboptimal medication adherence (40-60%) after cardiac catheterization, resulting in increased complications and rehospitalization. This study aims to analyze the cost determinants and family motivation for medication adherence among patients after coronary intervention at the NTB Provincial General Hospital. This cross-sectional study involved 85 respondents using purposive sampling, with the Morisky Medication Adherence Scale, Family Support Scale, and a validated cost questionnaire as instruments. Chi-Square analysis was applied to test the association of variables with a significance level of 0.05. The results showed that the majority of respondents had high financial capacity (64.7%), substantive family motivation (62.4%), and superior adherence (64.7%). Economic capacity had a significant effect on adherence (p<0.001), with patients with high capacity showing 87.3% adherence versus 23.3% in the moderate group. Optimal family motivation resulted in 84.9% adherence compared to 31.3% in the moderate support group (p<0.001). The study concluded that financial accessibility and familial support are crucial predictors of treatment adherence, indicating the urgency of implementing inclusive financing schemes and structured family education programs to optimize long-term cardiovascular outcomes.
Keywords:
Cardiac catheterization Family motivation Follow-up treatmentReferences
Adhanty, S., & Syarif, S. (2023). Kepatuhan Pengobatan pada Pasien Tuberkulosis dan Faktor-Faktor yang Mempengaruhinya: Tinjauan Sistematis. Jurnal Epidemiologi Kesehatan Indonesia, 7(1), 7–13. https://doi.org/10.7454/epidkes.v7i1.6571 DOI: https://doi.org/10.7454/epidkes.v7i1.6571
Alfaqeeh, M., Abdullah, R., Zakiyah, N., Suwantika, A. A., Postma, M. J., Rahmawati, F., Widayanti, A. W., & Ibrahim, B. (2025). Medication Adherence and Contributing Factors in Patients with Heart Failure Within the Middle East: A Systematic Review. Global Heart, 20(1), 47. https://doi.org/10.5334/gh.1431 DOI: https://doi.org/10.5334/gh.1431
Ashtari, S., & Taylor, A. D. (2022). The Internet Knows More Than My Physician: Qualitative Interview Study of People With Rare Diseases and How They Use Online Support Groups. Journal of Medical Internet Research, 24(8). https://doi.org/10.2196/39172 DOI: https://doi.org/10.2196/39172
Ayuditiawati, M., Kumala, S., & Sarnianto, P. (2020). Biaya Pengeluaran Sendiri dan Pengaruhnya Terhadap Kesulitan Ekonomi Pasien Hemodialisis di Rumah Sakit Umum Daerah Kabupaten Cirebon. Syntax Literate ; Jurnal Ilmiah Indonesia, 5(4), 137. https://doi.org/10.36418/syntax-literate.v5i4.1078 DOI: https://doi.org/10.36418/syntax-literate.v5i4.1078
Binuko, R. S., & Fauziyah, N. F. (2022). Pengaruh Beban Kerja Perawat Terhadap Respon Time Dan Kepuasan Pasien Instalasi Rawat Jalan Di Rumah Sakit X. Infokes: Jurnal Ilmiah Rekam Medis Dan Informatika Kesehatan, 12(1), 15–19. https://doi.org/10.47701/infokes.v12i1.1363 DOI: https://doi.org/10.47701/infokes.v12i1.1363
Chindhy, S., Taub, P. R., Lavie, C. J., & Shen, J. (2020). Current challenges in cardiac rehabilitation: strategies to overcome social factors and attendance barriers. Expert Review of Cardiovascular Therapy, 18(11), 777–789. https://doi.org/10.1080/14779072.2020.1816464 DOI: https://doi.org/10.1080/14779072.2020.1816464
Cutler, R. L., Fernandez-Llimos, F., Frommer, M., Benrimoj, C., & Garcia-Cardenas, V. (2018). Economic impact of medication non-adherence by disease groups: A systematic review. BMJ Open, 8(1). https://doi.org/10.1136/bmjopen-2017-016982 DOI: https://doi.org/10.1136/bmjopen-2017-016982
Daud, R., Rahma, S., & Arsad, S. F. M. (2025). Hubungan Dukungan Keluarga Dengan Kepatuhan Diet Pada Pasien Diabetes Melitus Di Wilayah Kerja the Relationship Between Family Support and Diet Compliance in Diabetes Mellitus Patients in the Kuta. Journal of Health and Psychology (IJOHAP), 1(2), 182–195. https://doi.org/10.56338/jks.v8i7.8322
Deshpande, S., Quek, R. G. W., Forbes, C. A., de Kock, S., Kleijnen, J., Gandra, S. R., & Simpson, R. J. (2017). A systematic review to assess adherence and persistence with statins. Current Medical Research and Opinion, 33(4), 769–778. https://doi.org/10.1080/03007995.2017.1281109 DOI: https://doi.org/10.1080/03007995.2017.1281109
Gast, A., & Mathes, T. (2019). Medication adherence influencing factors - An (updated) overview of systematic reviews. Systematic Reviews, 8(1), 1–17. https://doi.org/10.1186/s13643-019-1014-8 DOI: https://doi.org/10.1186/s13643-019-1014-8
Gopinath, B., Harris, D. C., Wall, J. R., Kifley, A., & Mitchell, P. (2013). Relationship between thyroid dysfunction and chronic kidney disease in community-dwelling older adults. Maturitas, 75(2), 159–164. https://doi.org/10.1016/j.maturitas.2013.03.009 DOI: https://doi.org/10.1016/j.maturitas.2013.03.009
Haeruddin, H., Ananda, U. D. D., Fachrin, S. A., & Yusuf, R. A. (2021). Faktor Yang Mempengaruhi Kepatuhan Pengobatan Pasien Hipertensi pada Masa Pandemi Covid-19. Jurnal Ilmiah Kesehatan (JIKA), 3(3), 166–176. https://doi.org/10.36590/jika.v3i3.197 DOI: https://doi.org/10.36590/jika.v3i3.197
Huber, M., Busch, A. K., Stalder-Ochsner, I., Flammer, A. J., & Schmid-Mohler, G. (2024). Medication adherence in adults after hospitalization for heart failure: A cross-sectional study. International Journal of Cardiology Cardiovascular Risk and Prevention, 20(September), 200234. https://doi.org/10.1016/j.ijcrp.2023.200234 DOI: https://doi.org/10.1016/j.ijcrp.2023.200234
Hussein, D., Jima, A. K., Geleta, L. A., Gashaw, K., Girma, D., Ibrahim, S. M., Lakew, M. S., Kumbe, B. M., Oyato, B. T., Siyum, G., & Senbate, A. A. (2024). Medication adherence and associated factors among chronic heart failure patients on follow-up in north Shewa public hospitals, Oromia region, Ethiopia. BMC Cardiovascular Disorders, 24(1). https://doi.org/10.1186/s12872-024-04090-9 DOI: https://doi.org/10.1186/s12872-024-04090-9
Ikakusumawati, N. D., Cora, S. M., & Farida, Y. (2025). Tingkat Kepatuhan Pengobatan pada Pasien Geriatri di RS Surakarta. Generics: Journal of Research in Pharmacy, 5(1), 31–39. https://doi.org/10.14710/genres.v5i1.24849 DOI: https://doi.org/10.14710/genres.v5i1.24849
Khera, R., Valero-Elizondo, J., Okunrintemi, V., Saxena, A., Das, S. R., De Lemos, J. A., Krumholz, H. M., & Nasir, K. (2018). Association of out-of-pocket annual health expenditures with financial hardship in low-income adults with atherosclerotic cardiovascular disease in the United States. JAMA Cardiology, 3(8), 729–738. https://doi.org/10.1001/jamacardio.2018.1813 DOI: https://doi.org/10.1001/jamacardio.2018.1813
Koswara, R. S., Sarnianto, P., & Utami, R. H. (2020). Struktur Biaya Sendiri Dan Faktor Penentu Kesulitan Ekonomi Pada Pasien Gagal Ginjal Kronis Dengan Terapi Hemodialisis Di Rumah Sakit Sentra Medika Cibinong. Healthy Tadulako Journal(Jurnal Kesehatan Tadulako, 6(2), 1–81. https://doi.org/10.22487/htj.v6i2.89
Kusmiyani, O. T., Hermanto, H., & Rosela, K. (2024). Analisis Faktor yang Berhubungan dengan Kepatuhan Minum Obat Anti Tuberkulosis pada Pasien TB Paru di Puskesmas Samuda dan Bapinang Kotawaringin Timur. Jurnal Surya Medika, 10(1), 139–151. https://doi.org/10.33084/jsm.v10i1.7165 DOI: https://doi.org/10.33084/jsm.v10i1.7165
Lam, W. Y., & Fresco, P. (2015). Medication Adherence Measures: An Overview. BioMed Research International, 2015, 1–12. https://doi.org/10.1155/2015/217047 DOI: https://doi.org/10.1155/2015/217047
Peh, K. Q. E., Kwan, Y. H., Goh, H., Ramchandani, H., Phang, J. K., Lim, Z. Y., Loh, D. H. F., Østbye, T., Blalock, D. V., Yoon, S., Bosworth, H. B., Low, L. L., & Thumboo, J. (2021). An Adaptable Framework for Factors Contributing to Medication Adherence: Results from a Systematic Review of 102 Conceptual Frameworks. Journal of General Internal Medicine, 36(9), 2784–2795. https://doi.org/10.1007/s11606-021-06648-1 DOI: https://doi.org/10.1007/s11606-021-06648-1
Pishgoo, B., Shahmoradi, A., & Asadian, L. (2017). Cardiac Catheterization and Intervention in Pediatric Cardiac Disease: A Narrative Review of Current Indications, Techniques, and Complications. Journal of Pediatrics Review, 5(2), 2–6. https://doi.org/10.5812/jpr.10815 DOI: https://doi.org/10.5812/jpr.10815
Popescu, G., Maștaleru, A., Oancea, A., Costache, A. D., Adam, C. A., Rîpă, C., Cumpăt, C. M., & Leon, M. M. (2025). Impact of Family Involvement in Cardiac Rehabilitation—Insights from a Literature Review. Journal of Clinical Medicine, 14(18), 1–14. https://doi.org/10.3390/jcm14186468 DOI: https://doi.org/10.3390/jcm14186468
Shalaeva, E. V., Bano, A., Kasimov, U., Janabaev, B., Laimer, M., & Saner, H. (2023). Impact of Persistent Medication Adherence and Compliance with Lifestyle Recommendations on Major Cardiovascular Events and One-Year Mortality in Patients with Type 2 Diabetes and Advanced Stages of Atherosclerosis: Results From a Prospective Cohort Study. Global Heart, 18(1). https://doi.org/10.5334/gh.1273 DOI: https://doi.org/10.5334/gh.1273
Sibua, S., & Watung, G. I. V. (2021). Hubungan Dukungan Keluarga dengan Kepatuhan Berobat Penderita Tuberkulosis di Kabupaten Bolaang Mongondow Timur. Aksara: Jurnal Ilmu Pendidikan Nonformal, 7(3), 1443. https://doi.org/10.37905/aksara.7.3.1443-1450.2021 DOI: https://doi.org/10.37905/aksara.7.3.1443-1450.2021
Siontis, G. C. M., Mavridis, D., Greenwood, J. P., Coles, B., Nikolakopoulou, A., Jüni, P., Salanti, G., & Windecker, S. (2018). Outcomes of non-invasive diagnostic modalities for the detection of coronary artery disease: network meta-analysis of diagnostic randomised controlled trials. BMJ, 360, k504. https://doi.org/10.1136/bmj.k504 DOI: https://doi.org/10.1136/bmj.k504
Slavin, S. D., Khera, R., Zafar, S. Y., Nasir, K., & Warraich, H. J. (2021). Financial burden, distress, and toxicity in cardiovascular disease. American Heart Journal, 238, 75–84. https://doi.org/10.1016/j.ahj.2021.04.011 DOI: https://doi.org/10.1016/j.ahj.2021.04.011
Solihah, D. B., Wahyono, D., Hapsari, I., Kunci, K., & Biaya, : (2024). Narrative Review: Dampak Kepatuhan Minum Obat Terhadap Kesehatan dan Efisiensi Biaya Pengobatan Narrative Review: The Impact of Medication Adherence on Health and Treatment Cost Efficiency. PHARMACY: Jurnal Farmasi Indonesia, 22(02), 77–83. Retrieved from https://jurnalnasional.ump.ac.id/index.php/PHARMACY
Tolla, M. T., Norheim, O. F., Verguet, S., Bekele, A., Amenu, K., Abdisa, S. G., & Johansson, K. A. (2017). Out-of-pocket expenditures for prevention and treatment of cardiovascular disease in general and specialised cardiac hospitals in Addis Ababa, Ethiopia: A cross-sectional cohort study. BMJ Global Health, 2(2). https://doi.org/10.1136/bmjgh-2016-000280 DOI: https://doi.org/10.1136/bmjgh-2016-000280
Wasila, H., Solikin, S., & Olviani, Y. (2024). Factors Affecting Post-Coronary Angiography/Pci Patient Care Compliance At Rsud Ulin Banjarmasin. Jurnal Keperawatan Suaka Insan (JKSI), 9(2), 113–122. https://doi.org/10.51143/jksi.v9i2.659 DOI: https://doi.org/10.51143/jksi.v9i2.659
Yuliana, S., Endarti, D., & Wiedyaningsih, C. (2026). Analisis Biaya Pengobatan Penyakit Jantung Koroner: A Systematic Review. Generics: Journal of Research in Pharmacy, 6(1), 15–27. https://doi.org/10.14710/genres.v6i1.26695 DOI: https://doi.org/10.14710/genres.v6i1.26695
Yustiana, Nilamsari, W. P., Susilo, H., Dinda Monika Nusantara Ratri, & Bawole, F. M. (2025). Medication Adherence, Quality of Life, and Rehospitalization in Post-Acute Coronary Syndrome Patients. Jurnal Farmasi Dan Ilmu Kefarmasian Indonesia, 12(2), 195–207. https://doi.org/10.20473/jfiki.v12i22025.195-207 DOI: https://doi.org/10.20473/jfiki.v12i22025.195-207
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