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Influence of Self-Motivation and Health Locus of Control on Adherence to Medication Among Hypertension Patients

Jurnal Keperawatan Indonesia · Vol. 26 No. 1 (2023) · pp. 11–19

DOI
10.7454/jki.v26i1.2526
ISSN
2354-9203, 1410-4490
Published
2023-03-31
Publisher
Fakultas Ilmu Keperawatan Universitas Indonesia
Language
eng
License
creativecommons.org/licenses/by-sa/4.0

Abstract

Hypertension is one of the more common comorbidities among patients infected with the Sars-CoV-2 virus, which causes COVID-19, but many hypertensive patients do not comply with taking medication. This study analyzed the relationship of self-motivation and health locus of control with self-management (medication adherence) among hypertensive patients during the COVID-19 pandemic at Private Hospital Surabaya, Indonesia. The research adopted a correlative analytic design with a cross-sectional approach, and the study’s population comprised 74 hypertensive patients recruited by simple random sampling who were treated at Private Hospital Surabaya, Indonesia The instruments used included the Treatment Self-Regulation Questionnaire to measure self-motivation, the Multidimensional Health Locus of Control Scale to measure locus of control, and the Morisky Medication Adherence Scale–8 to measure self-management (medication adherence). Spearman’s rank correlation coefficient was employed for data analysis to measure the relationships between self-motivation, locus of control, and with self-management (adherence to taking medication). The results reveal a relationship between self-motivation and adherence to medication at a level of p = 0.000 and a relationship between health locus of control and adherence to taking medication at a level of p = 0.000 among hypertensive patients during the COVID-19 pandemic at Private Hospital Surabaya, Indonesia. The findings suggest the value of efforts to provide motivation to patients and support their being more responsible in controlling their health conditions by adherence to medication. Abstrak Pengaruh Motivasi Diri dan Locus of Control pada Kepatuhan Minum Obat Pasien dengan Hipertensi. Hipertensi merupakan salah satu penyakit dengan komorbiditas tertinggi pada pasien yang terinfeksi virus Sars-CoV-2 penyebab COVID-19, diperparah dengan masih banyaknya pasien hipertensi yang tidak patuh minum obat. Penelitian ini bertujuan untuk menganalisis hubungan motivasi diri dan health locus of control dengan self-management (kepatuhan minum obat) pada pasien hipertensi pada era pandemi COVID-19 di rumah sakit swasta Surabaya. Desain penelitian ini adalah analitik korelatif dengan pendekatan cross-sectional. Populasi penelitian ini adalah pasien hipertensi yang dirawat di rumah sakit swasta Surabaya Indonesia dengan simple random sampling sebanyak 74 orang. Instrumen yang digunakan dalam penelitian ini adalah the Treatment Self-Regulation Questionnaire untuk mengukur motivasi diri, Multidimensional Health Locus of Control Scale untuk mengukur locus of control, dan Morisky, Medication Adherence Scale untuk mengukur selfmanagement (kepatuhan pengobatan). Analisis data yang digunakan untuk mengukur self-motivation, locus of control dengan self-management (kepatuhan minum obat) adalah tes Rank Spearman. Hasil penelitian menunjukkan bahwa ada hubungan antara motivasi diri dengan kepatuhan minum obat pada pasien hipertensi di era pandemi COVID-19 di rumah sakit swasta Surabaya dengan taraf (p = 0,000), dan ada hubungan antara lokus kesehatan dengan pengendalian dan kepatuhan minum obat bagi pasien hipertensi di era pandemi COVID-19 di rumah sakit swasta Surabaya (p = 0,000). Hasil penelitian menunjukkan bahwa upaya dengan memberikan motivasi dan dukungan untuk lebih bertanggung jawab dalam mengontrol kondisi kesehatannya (patuh minum obat). Kata Kunci: kepatuhan minum obat, locus of control, pasien hipertensi, self-motivation

Keywords

Collaboration network of the authors

28 authors · 96 co-authorship links · 49 across different organisations

Hover or tap a name to highlight its co-authors. Double-click to open the author's page.

  • Universitas Nahdlatul Ulama Surabaya
  • Universitas Airlangga
  • Yogyakarta State University
  • Universitas Islam Negeri Sultan Amai Gorontalo
  • University of Brawijaya
  • Walisongo State Islamic University
  • UIN Sunan Ampel Surabaya
  • Other organisations
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
Ah YusufUniversitas Airlangga3
Erika Martining WardaniUniversitas Nahdlatul Ulama Surabaya3
I Ketut SudianaUniversitas Airlangga2
Umdatus SolehaUniversitas Nahdlatul Ulama Surabaya2
Marzuki MarzukiYogyakarta State University1
Abdul RohmanWalisongo State Islamic University1
Kasim YahijiUniversitas Islam Negeri Sultan Amai Gorontalo1
Said Subhan PosangiUniversitas Islam Negeri Sultan Amai Gorontalo1
Anik GhufronYogyakarta State University1
Moch. TolchahUIN Sunan Ampel Surabaya1
St. Wardah Hanafie DasUniversitas Muhammadiyah Parepare1
Ahsan AhsanUniversity of Brawijaya1
Mukhamad FathoniUniversity of Brawijaya1
Siti NurjanahIPB University1
Khamida KhamidaUniversitas Nahdlatul Ulama Surabaya1
Triana Jamaliah JalaluddinUniversitas Nahdlatul Ulama Indonesia1
Ika Yuni WidyawatiUniversitas Airlangga1
Yurike SeptianingrumUniversitas Nahdlatul Ulama Surabaya1
Ratna Yunita SariUniversitas Nahdlatul Ulama Surabaya1
Imamatul FaizahUniversitas Nahdlatul Ulama Surabaya1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) http://jki.ui.ac.id/index.php/jki/oai, first harvested 9 Nov 2026, last seen 9 Nov 2026.
Original metadata (oai_dc)
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	<dc:title xml:lang="en-US">Influence of Self-Motivation and Health Locus of Control on Adherence  to Medication Among Hypertension Patients</dc:title>
	<dc:creator>Ainiyah, Nur</dc:creator>
	<dc:creator>Zuhriyah, Najmiatu</dc:creator>
	<dc:creator>Zahroh, Chilyatiz</dc:creator>
	<dc:creator>Damawiyah, Siti</dc:creator>
	<dc:creator>Kusumawati, Diah Retno</dc:creator>
	<dc:creator>Afiyah, R. Khairiyatul</dc:creator>
	<dc:creator>Budury, Syiddatul</dc:creator>
	<dc:creator>Fitriasari, Andikawati</dc:creator>
	<dc:subject xml:lang="en-US">adherence to medication</dc:subject>
	<dc:subject xml:lang="en-US">locus of control</dc:subject>
	<dc:subject xml:lang="en-US">hypertension patients</dc:subject>
	<dc:subject xml:lang="en-US">self-motivation</dc:subject>
	<dc:description xml:lang="en-US">Hypertension is one of the more common comorbidities among patients infected with the Sars-CoV-2 virus, which causes COVID-19, but many hypertensive patients do not comply with taking medication. This study analyzed the relationship of self-motivation and health locus of control with self-management (medication adherence) among hypertensive patients during the COVID-19 pandemic at Private Hospital Surabaya, Indonesia. The research adopted a correlative analytic design with a cross-sectional approach, and the study’s population comprised 74 hypertensive patients recruited by simple random sampling who were treated at Private Hospital Surabaya, Indonesia The instruments used included the Treatment Self-Regulation Questionnaire to measure self-motivation, the Multidimensional Health Locus of Control Scale to measure locus of control, and the Morisky Medication Adherence Scale–8 to measure self-management (medication adherence). Spearman’s rank correlation coefficient was employed for data analysis to measure the relationships between self-motivation, locus of control, and with self-management (adherence to taking medication). The results reveal a relationship between self-motivation and adherence to medication at a level of p = 0.000 and a relationship between health locus of control and adherence to taking medication at a level of p = 0.000 among hypertensive patients during the COVID-19 pandemic at Private Hospital Surabaya, Indonesia. The findings suggest the value of efforts to provide motivation to patients and support their being more responsible in controlling their health conditions by adherence to medication.
 
Abstrak
Pengaruh Motivasi Diri dan Locus of Control pada Kepatuhan Minum Obat Pasien dengan Hipertensi. Hipertensi merupakan salah satu penyakit dengan komorbiditas tertinggi pada pasien yang terinfeksi virus Sars-CoV-2 penyebab COVID-19, diperparah dengan masih banyaknya pasien hipertensi yang tidak patuh minum obat. Penelitian ini bertujuan untuk menganalisis hubungan motivasi diri dan health locus of control dengan self-management (kepatuhan minum obat) pada pasien hipertensi pada era pandemi COVID-19 di rumah sakit swasta Surabaya. Desain penelitian ini adalah analitik korelatif dengan pendekatan cross-sectional. Populasi penelitian ini adalah pasien hipertensi yang dirawat di rumah sakit swasta Surabaya Indonesia dengan simple random sampling sebanyak 74 orang. Instrumen yang digunakan dalam penelitian ini adalah the Treatment Self-Regulation Questionnaire untuk mengukur motivasi diri, Multidimensional Health Locus of Control Scale untuk mengukur locus of control, dan Morisky, Medication Adherence Scale untuk mengukur selfmanagement (kepatuhan pengobatan). Analisis data yang digunakan untuk mengukur self-motivation, locus of control dengan self-management (kepatuhan minum obat) adalah tes Rank Spearman. Hasil penelitian menunjukkan bahwa ada hubungan antara motivasi diri dengan kepatuhan minum obat pada pasien hipertensi di era pandemi COVID-19 di rumah sakit swasta Surabaya dengan taraf (p = 0,000), dan ada hubungan antara lokus kesehatan dengan pengendalian dan kepatuhan minum obat bagi pasien hipertensi di era pandemi COVID-19 di rumah sakit swasta Surabaya (p = 0,000). Hasil penelitian menunjukkan bahwa upaya dengan memberikan motivasi dan dukungan untuk lebih bertanggung jawab dalam mengontrol kondisi kesehatannya (patuh minum obat).
Kata Kunci: kepatuhan minum obat, locus of control, pasien hipertensi, self-motivation</dc:description>
	<dc:publisher xml:lang="en-US">Fakultas Ilmu Keperawatan Universitas Indonesia</dc:publisher>
	<dc:date>2023-03-31</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://jki.ui.ac.id/index.php/jki/article/view/1084</dc:identifier>
	<dc:identifier>10.7454/jki.v26i1.2526</dc:identifier>
	<dc:source xml:lang="en-US">Jurnal Keperawatan Indonesia; Vol. 26 No. 1 (2023): March; 11-19</dc:source>
	<dc:source xml:lang="id-ID">Jurnal Keperawatan Indonesia; Vol 26 No 1 (2023): March; 11-19</dc:source>
	<dc:source>2354-9203</dc:source>
	<dc:source>1410-4490</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://jki.ui.ac.id/index.php/jki/article/view/1084/750</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2023 Jurnal Keperawatan Indonesia</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
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