DEVELOPMENT AND TRIAL OF DRUG DISPENSER FOR ELDERLY WITH CORONARY HEART DISEASE IN MEDICATION ADHERENCE
PENGEMBANGAN DAN UJI COBA DISPENSER OBAT PADA LANSIA DENGAN PENYAKIT JANTUNG KORONER DALAM KEPATUHAN WAKTU MINUM OBAT
Keywords:
Automatic Drug Dispenser; Elderly; Medication Adherence; Coronary Heart Disease; R&DAbstract
Elderly people with coronary heart disease (CHD) often have difficulty adhering to medication schedules due to forgetfulness, cognitive impairment, and the complexity of therapy, which increases the risk of complications. This study aims to develop and test the feasibility and effectiveness of an automatic medication dispenser as a non-pharmacological intervention to improve medication adherence in elderly people with CHD at Jakarta Regional General Hospital. The study used the Borg and Gall R&D model approach with eight stages and involved 18 elderly people aged ?60 years selected by purposive sampling. Data were collected through interviews, FGDs, expert validation, and adherence measurement using the MMAS-8, and were analyzed descriptively and using paired t-tests. The dispenser was developed using an Arduino system with elderly-friendly features. The results of this study showed very high feasibility (97.2%), and the results of this study showed a significant increase in adherence scores from 24.31 to 31.70. A total of 92% of respondents expressed satisfaction. It was concluded that the automatic medication dispenser is feasible and effective in improving medication adherence in elderly people with CHD and supporting their independence. It is recommended that this automatic medication dispenser be implemented more widely in healthcare and community settings as a medication adherence aid, with the development of reminder features and ongoing user education to maximize its benefits for the elderly.Downloads
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