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The adherence with therapy in hypertensive patients is important to note because hypertension is a disease that cannot be cured but can only be controlled. The success of controlling blood pressure in hypertensive patients influenced by compliance factors in taking antihypertensive drugs. The purpose of this study is to evaluate the relationship between the level of adherence of antihypertensive drugsuse  in first and advanced health facilities. The study design was an observational cross sectional using subjects with hypertension patients older than or equal to 18 years old at Kotabunan Bolaang Mongondow Health Center (first level health facility) and outpatient installation of Robert Wolter Monginsidi Hospital in Manado (advanced health facilities) during the period from October to December 2019. The level of compliance with the use of antihypertensive drugs was assessed using the MMAS-8 questionnaire (Morisky 8-Item Medication Adherence Scale). The total patients in this study were 171 patients, as many as 73 patients in the first level health facilities and 98 patients in the advanced health facilities. The data of patient adherence in the use of antihypertensive drugs in the first level of health facilities showed 83.56% with low levels of adherence (MMAS score <6), and only 16.44% with moderate to high levels of adherence (MMAS score 6-8). In the advanced level of health facilities were 85.71% of patients with low adherence and 14.29% with moderate to high adherence. Comparative statistical of adherence on the two health facilities was not significantly different, with p = 0.767 (95% confidence interval). The data shows that the average patient has a routine history of control as much as 91.8% in health facilities. Based on these results, recommended that each hospital and health center must require its pharmacists to do pharmaceutical practices, and each pharmacy must not provide drug services without the presence of a pharmacist.    

Introduction.Effective therapeutic lack of communication between a nurse with patient resulted in the increasingly distress often what happens on patients can refuse to give the act of nursing by therapeutic lack of communication. Purpose of this research is to analyze The Relation of Communication of Nurse’s Therapeutic towards Outpatients’ satisfaction at Rumah Sakit Umum GMIM Pancaran Kasih Manado. This research used descriptive analytic method with cross sectional study approach. The sampling technique in this research used accidental sampling method. Method.Data collecting was conducted by observation and questionnaires. The collected data then processed by SPSS version 16.0. Result.The test result of chi-square got a significant value p=0,000 that shows that p value is smaller than α 0,05. Conclusion.of this research is the researcher found there is a significant relation of Communication of Nurse’s Therapeutic towards Outpatients’ satisfaction at Rumah Sakit Umum GMIM Pancaran Kasih Manado that is showed by the test result of chi-square that got (p) = 0.000 < 0.05. The value of 0,000 is below of value of alpha 5% (0,05).    

Background: The Central Government and Local Governments including Badung Regency are facing the burden of communicable and non-communicable diseases which has not ended until now. Purpose: to find out the most priority diseases to be prevented and controlled in Badung Regency. Methods: This is a descriptive-analytic study using secondary data from monthly reports of outpatient visits and inpatients at the health center and the Mangusada Regional Hospital during 2014 - 2018. Besides, interviews were also conducted with respondents with a health education background. Results: The scoring results show Hypertension as the first ranked disease to be treated in Badung Regency with a score of 63.8. This disease is classified as a non-communicable disease group. The disease that is ranked second is HIV / AIDS which is an infectious disease with a score of 58.9, and the third rank is occupied by Diabetes Mellitus, which is also a non-communicable disease with a score of 58.7. Conclusion: Based on the results of the interview, hypertension is the most priority disease to be tackled in Badung Regency in 2019. The second and third priority diseases are respectively occupied by HIV / AIDS and Diabetes Mellitus. Latar belakang: Pemerintah Pusat maupun Pemerintah Daerah termasuk Kabupaten Badung menghadapi beban penyakit menular dan penyakit tidak menular yang tidak kunjung usai sampai dengan saat ini. Tujuan: untuk mengetahui penyakit yang paling prioritas untuk dicegah dan dikendalikan di Kabupaten Badung. Metode: adalah penelitian deskriptif analitik menggunakan data sekunder laporan bulanan kunjungan pasien jalan dan pasien rawat inap di puskesmas serta RS Daerah Mangusada sepanjang tahun 2014 – 2018. Selain itu, juga dilakukan wawancara kepada responden dengan latar belakang pendidikan kesehatan.  Hasil: Hasil scoring menunjukan Hipertensi sebagai penyakit ranking pertama untuk ditangani di Kabupaten Badung dengan nilai score 63,8. Penyakit ini tergolong dalam kelompok penyakit tidak menular. Penyakit yang menduduki ranking kedua adalah HIV/AIDS yang merupakan penyakit menular dengan nilai score 58,9, dan ranking ketiga diduduki oleh penyakit Diabetes Melitus yang juga penyakit tidak menular dengan nilai score 58,7. Simpulan: Hipertensi merupakan penyakit yang paling prioritas untuk ditanggulangi di Kabupaten Badung pada tahun 2019. Penyakit kedua dan ketiga yang menjadi prioritas masing-masing ditempati oleh penyakit HIV/AIDS dan Diabetes Melitus.