HUBUNGAN STATUS EKONOMI KELUARGA DAN KEIKUTSERTAAN ASURANSI KESEHATAN TERHADAP KEPATUHAN MINUM OBAT PADA PENDERITA HIPERTENSI Ni Nyoman Widia Aprilia Fakultas Kesehatan Program Studi Sarjana Keperawatan Intitut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Hipertensi merupakan the silent killer tidak dapat disembuhkan, tetapi dapat dikendalikan dengan patuh minum obat. Tujuan: Penelitian ini untuk mengetahui hubungan status ekonomi keluarga dan keikutsertaan asuransi kesehatan terhadap kepatuhan minum obat pada penderita hipertensi. Metode: Desain penelitian menggunakan analitik korelatif dengan pendekatan cross-sectional. Sampel berjumlah 135 responden dengan teknik consecutive sampling. Instrumen penelitian adalah kuesioner. Analisa data yang digunakan univariat dan bivariat, uji Spearman’s rho (status ekonomi keluarga) dan Fisher’s Exact Test (keikutsertaan asuransi kesehatan) menggunakan SPSS 22. Hasil: Hasil penelitian menunjukkan sebagian besar status ekonominya rendah 81 (60%) responden dan sebanyak 130 (93,6%) responden memiliki kepatuhan baik. Hasil analisa menunjukan tidak ada hubungan status ekonomi keluarga terhadap kepatuhan minum obat dengan p-value 0,356 > 0,05 dan nilai r= -0,080 menunjukkan hubungan sangat rendah pola negatif. Sedangkan sebagian besar responden memiliki asuransi kesehatan 123 (91,1%) responden dengan kepatuhan baik. Hasil analisa menunjukkan ada hubungan keikutsertaan asuransi kesehatan terhadap kepatuhan minum obat dengan p-value 0,001 < 0,05. Kesimpulan: Keikutsertaan asuransi kesehatan berhubungan dengan kepatuhan minum obat, sedangkan status ekonomi keluarga tidak berhubungan dengan kepatuhan minum obat. Sehingga diperlukan kesadaran diri, khususnya bagi responden yang tidak memiliki asuransi kesehatan untuk meningkatkan kepatuhan minum obat. Kata Kunci : Asuransi Kesehatan, Hipertensi, Kepatuhan Minum Obat, dan Status Ekonomi.

THE CORRELATION BETWEEN FAMILY ECONOMIC STATUS AND HEALTH INSURANCE PARTICIPATION TOWARD MEDICATION COMPLIANCE IN PATIENTS WITH HYPERTENSION Ni Nyoman Widia Aprilia Faculty of Health Bachelor of Nursing Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Hypertension is a silent killer that cannot be cured but must be controlled by taking medication. Aim: This study aimed to find out the correlation between family economic status and health insurance participation toward medication compliance in patients with hypertension. Methods: The research design implemented in this study was the correlative analytic with a cross-sectional approach. The total sample was 135 respondents which were selected through consecutive sampling technique. The instrument used to collect the data was a questionnaire. The collected data were then analyzed statistically using SPSS 22 through 2 types of analysis - univariate and bivariate analysis using the Spearman's rho test for family economic status and Fisher's Exact Test for health insurance participation. Results: The results of this study showed that majority of respondents (81 respondents; 60%) had a low economic status, and 130 (93,6%) respondents had a good medication compliance. The results of the correlation analysis showed no correlation between family economic status and medication compliance (p-value of 0.356> 0.05 and a value of r = -0.080). With regards to the health insurance participation, the majority of respondents who had health insurance had a good medication compliance (123 people; 91,1%). The correlation analysis showed a correlation between health insurance participation and medication compliance (p-value = 0,001 < 0,05). Conclusion: Health insurance participation is associated with medication compliance, while family economic status is not associated with medication compliance. Therefore, self-awareness is necessary, especially for respondents who do not have health insurance as they need to improve their medication compliance. Keywords: Health Insurance, Hypertension, Medication Compliance, Economic Status.