The influence of reminder book to adherence of heart failure patients in Malang city

  • Alfrina Hany | School of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
  • Rizqa Fadlila School of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
  • Endah Panca Lydia School of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.


Background: Non-adherence to the recommended therapy causes patients with heart failure to experience recurrence of the disease. Reminder book on therapy adherence is very useful, because it assists in monitoring adherence to therapy carried out by patients while at home. Therefore, this study aims to determine the effect of the existence of a reminder book on adherence to therapy among patients with heart failure in a private hospital in Malang.
Design and method: A pre-experiment design with one-group pre and posttest was used. The respondents were 18 patients that received counseling on the management of heart failure therapy while at home and were given a reminder book. Furthermore, the modified MMAS-8 scale was the study instrument used to measure adherence.
Result: The results showed that most respondents were above the age of 65 with a treatment duration of 1 to 5 years. It was discovered that most of the respondents had never received information about heart failure therapy. Data analysis which was carried out using the Wilcoxon test with a p-value of 0.001, showed that there was a significant difference between respondents' compliance before and after being given a reminder book.
Conclusion: From this study, it was concluded that providing a reminder book has an effect on therapeutic adherence in patients with heart failure. Researchers recommend that hospitals should make use of this reminder as a tool to control or supervise outpatient therapy.



PlumX Metrics


Download data is not yet available.


Smeltzer S, Bare B, Hinkle J, et al. Brunner & Suddart’s Textbook of Medical-Surgical Nursing. 12th ed. Wolters Kluwer Health. China; 2010.

Hobbs FDR, Doust J, Mant J, et al. Heart failure: Diagnosis of heart failure in primary care. Heart 2010;96:1773–7. DOI:

Shah BR, DerSarkissian M, Tsintzos SI, et al. Adherence to heart failure management medications following cardiac resynchronization therapy. Curr Med Res Opin 2020;36:199–207. DOI:

Ministry of Health Republic of Indonesia. Basic Health Research 2018. Jakarta: Ministry of Health Republic of Indonesia; 2013.

Gheorghiade M, Vaduganathan M, Fonarow GC, et al. Rehospitalization for heart failure: Problems and perspectives. J Am Coll Cardiol 2013;61:391–403. DOI:

Benjamin EJ, Blaha MJ, Chiuve SE, et al. Heart disease and stroke statistics-2017 update: A report from the American Heart Association. Circulation 2017;135:e146-603. DOI:

Shah D, Simms K, Barksdale D, Wu J-R. Improving medication adherence of patients with chronic heart failure: challenges and solutions. Res Reports Clin Cardiol 2015;6:87-95. DOI:

Hany A, Cahyanti T. Effect MOTENSI apps on adherence behavior taking antihipertensive drugs in patients with hypertension in malang city health care. In Proceedings of Int Nurs Heal Sci Symp 2020. Malang: Jurusan Keperawatan FK UB; 2020.

Ruppar TM, Delgado JM, Temple J. Medication adherence interventions for heart failure patients: A meta-analysis. Eur J Cardiovasc Nurs 2015;14:395–404. DOI:

Ruppar TM, Cooper PS, Mehr DR, et al. Medication adherence interventions improve heart failure mortality and readmission rates: Systematic review and meta-analysis of controlled trials. J Am Heart Assoc 2016;5:1–18. DOI:

Unverzagt S, Meyer G, Mittmann S, et al. [Verbesserung der Adhärenz bei Herzinsuffizienz: Systematisches Review und Metaanalyse zu Interventionen bei medikamentöser Therapie und Lebensstilmodifikationen].[Article in German] Dtsch Arztebl Int 2016;113:423–30.

Aghamohammadi T, Khaleghipour M, Shahboulaghi F, et al. Effect of self-management program on health status of elderly patients with heart failure: a single-blind, randomized clinical trial. J Acute Dis 2019;8:179. DOI:

Koirala B, Dennison Himmelfarb CR, Budhathoki C, Davidson PM. Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study. Heliyon 2020;6:e03412. DOI:

Hany A. Quality of life and mental emotional health of elderly people. Jurnal Ilmu Keperawatan 2018;6:22–8. DOI:

Putri HR, Hany A, Kartika AW. The effectivity of health education follow up to family support in self care. Proceedings 5th Int Conf Nurs 2019. Malang: Jurusan Keperawatan FK UB; 2019.

Jonkman NH, Westland H, Groenwold RHH, et al. Do self-management interventions work in patients with heart failure. J Card Fail 2016;22:861–71. DOI:

Fenerty SD, West C, Davis SA, et al. The effect of reminder systems on patients’ adherence to treatment. Patient Prefer Adherence 2012;6:127–35.

Basoor A, Doshi NC, Cotant JF, et al. Decreased readmissions and improved quality of care with the use of an inexpensive checklist in heart failure. Congest Hear Fail 2013;19:200–6. DOI:

Willeyam W, Sevani GN. [Aplikasi Reminder Pengobatan Pasien Berbasis Sms Gateway].[Article in Indonesian]. Inkom 2013;7:11-20.

Lestari CA, Hany A. The effect of “MOTENSI” application on low salt diet adherence in hypertensive patient at the Malang City public health center. Malang: Jurusan Keperawatan FK UB; 2020.

Seid MA, Abdela OA, Zeleke EG. Adherence to self-care recommendations and associated factors among adult heart failure patients. From the patients’ point of view. PLoS One 2019;14:1–13.

Lennie TA, Chung ML, Moser DK. What should we tell patients with heart failure about sodium restriction and how should we counsel them? Curr Heart Fail Rep 2013;10:219-26. DOI:

Giudicessi JR, Ackerman MJ. Determinants of incomplete penetrance and variable expressivity in heritable cardiac arrhythmia syndromes. Transl Res 2013;161:1-4. DOI:

Saghaeiannejad-Isfahani S, Ehteshami A, Savari E, et al. Developing the medication reminder mobile application “seeb.” Acta Inform Medica 2017;25:108–11. DOI:

Imaligy EU. [Gagal jantung pada geriatri].[Article in Indonesian]. Cermin Dunia Kedokteran 2014;41:19-24.

Ethics Approval
This study was carried out after obtaining ethical permission from the Health Research Ethics Commission of the Faculty of Medicine, Universitas Brawijaya No. 336 / EC / KEPK-S1- PSIK / 12/2018.
Reminder book, adherence to therapy, heart failure
  • Abstract views: 590

  • PDF: 53
How to Cite
Hany, A., Fadlila, R., & Lydia, E. P. (2021). The influence of reminder book to adherence of heart failure patients in Malang city. Journal of Public Health Research, 10(2).