The Relationship Between Family Support and Adherence to Hypertension Care Among Older Adults in a Rural Community
DOI:
https://doi.org/10.56127/jukeke.v4i2.2142Keywords:
Family Support, Treatment Adherence, Hypertension, ElderlyAbstract
Hypertension is often referred to as a silent killer because many individuals are unaware of their elevated blood pressure until serious complications occur. This condition is particularly concerning among older adults due to age-related physiological changes that increase vulnerability to chronic diseases. Objective: This study aimed to analyze the relationship between family support and adherence to hypertension care among elderly individuals in Bangun Rejo Village, highlighting the importance of family involvement in chronic disease management. Methods: This research used a quantitative approach see more with a descriptive correlational design and cross-sectional method. A total of 91 respondents were selected using total sampling. Data were collected through structured questionnaires measuring family support and adherence to hypertension care, and analyzed using descriptive statistics and the Chi-Square test. Results: The results showed that most respondents were aged over 66 years (51.6%) and predominantly male (71.4%). Half of the participants reported good family support (50.5%), while the majority demonstrated low adherence to hypertension care (59.3%). Statistical analysis revealed a significant relationship between family support and adherence (p-value < 0.05). Implications: These findings indicate that strengthening family involvement can improve adherence to hypertension treatment among elderly individuals. Family-centered interventions and education programs in primary healthcare settings are recommended to enhance disease management outcomes. Originality: This study provides localized empirical evidence from a rural community, emphasizing the role of family support in influencing treatment adherence among older adults. It contributes to the development of context-specific strategies for family-based chronic disease management.
References
Afiani, N., & Nurmala, I. (2023). A systematic review on the determinants of medication adherence in older adults with hypertension [Article]. Journal of Public Health in Africa, 14(S2), Article 2578. https://doi.org/10.4081/jphia.2023.2578
Al-Noumani, H., Wu, J. R., Barksdale, D., Knafl, G., Alkhasawneh, E., & Sherwood, G. (2018). Health beliefs and medication adherence in omanis with hypertension [Article]. Journal of Cardiovascular Nursing, 33(6), 518-526. https://doi.org/10.1097/JCN.0000000000000511
Burnier, M., & Egan, B. M. (2019). Adherence in hypertension. Circulation Research, 124(7), 1124-1140. https://doi.org/10.1161/CIRCRESAHA.118.313220
Dinas Kesehatan Provinsi Sumatera, U. (2025). Profil Kesehatan Provinsi Sumatera Utara Tahun 2024. https://dinkes.sumutprov.go.id/unduhan
Ismail, I., Yani, E. D., Hanum, N., Harun, M., Rafsanjani, T. M., Jannah, M., & Bustami, B. (2025). Faktor Risiko Hipertensi Pada Pra Lansia Di Wilayah Kerja Puskesmas Sukakarya Kota Sabang Aceh. Journal of Healthcare Technology and Medicine, 11(1), 214-224.
Kementerian Kesehatan Republik, I. (2021). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/4634/2021 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Hipertensi Dewasa. https://paralegal.id/peraturan/keputusan-menteri-kesehatan-nomor-hk-01-07-menkes-4634-2021/
Kementerian Kesehatan Republik, I. (2023). Survei Kesehatan Indonesia (SKI) 2023. https://repository.badankebijakan.kemkes.go.id/id/eprint/5536/
Khalili, F., Zakizad, M., Papi, S., & Fendereski, A. (2025). The Relationship Between Hope and Meaning in Life with Medication Adherence Among Elderly Hypertensive Patients [Article]. Journal of Nursing and Midwifery Sciences, 12(4), Article e161728. https://doi.org/10.5812/jnms-161728
Kurniawati, N. D., Wahyuni, E. D., & Toulasik, Y. A. (2019). Family support improves hypertensive patient drug compliance [Article]. Indian Journal of Public Health Research and Development, 10(8), 2660-2665. https://doi.org/10.5958/0976-5506.2019.02270.8
Lestari, N. D., & Anisa, V. N. (2022). The relationship between self efficacy and medication adherence in elderly with hypertension [Article]. Bali Medical Journal, 11(3), 1660-1665. https://doi.org/10.15562/bmj.v11i3.3723
Olaniran, G. O., Akodu, B. A., Olaniran, A. A., Bamidele, J. O., Ogunyemi, A. O., & Idowu, O. O. (2023). Medication Adherence and Perceived Family Support Among Elderly Patients with Hypertension Attending a Specialty Clinic in Lagos, Nigeria [Article]. Annals of Health Research, 9(1), 30-42. https://doi.org/10.30442/ahr.0901-04-188
Sheilini, M., Hande, H. M., & George, A. (2019). Family support and medication nonadherence among elderly on antihypertensives [Article]. Indian Journal of Public Health Research and Development, 10(4), 294-298. https://doi.org/10.5958/0976-5506.2019.00706.X
Shen, Y., Peng, X., Wang, M., Zheng, X., Xu, G., Lü, L., Xu, K., Burstrom, B., Burstrom, K., & Wang, J. (2017). Family member-based supervision of patients with hypertension: A cluster randomized trial in rural China [Article]. Journal of Human Hypertension, 31(1), 29-36. https://doi.org/10.1038/jhh.2016.8
Sukartini, T., Mulyasari, P., & Wahyuni, E. D. (2020). The relationship of family support and patients' knowledge with the treatment adherence of hypertension patients [Article]. Systematic Reviews in Pharmacy, 11(6), 1108-1110. https://doi.org/10.31838/srp.2020.6.158
Sutini, N. K. (2025). Buku Referensi Epidemiologi Hipertensi dan Pengendaliannya. PT Sonpedia Publishing Indonesia.
Thuy, L. T., Monkong, S., Pookboonmee, R., Leelacharas, S., & Viwatwongkasem, C. (2020). Factors explaining medication adherence of older adults with hypertension: A cross-sectional study [Article]. Pacific Rim International Journal of Nursing Research, 24(3), 306-320. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85090695488&partnerID=40&md5=2e33263e3a4ec3825817ff147e8997bb
Uchmanowicz, B., Chudiak, A., Uchmanowicz, I., Rosińczuk, J., & Froelicher, E. S. (2018). Factors influencing adherence to treatment in older adults with hypertension [Article]. Clinical Interventions in Aging, 13, 2425-2441. https://doi.org/10.2147/CIA.S182881
United Nations, D. o. E., & Social, A. (2024). SDG 3: Ensure healthy lives and promote well-being for all at all ages. https://sdgs.un.org/goals/goal3
Wang, A., Wan, J., Zhu, L., Chang, W., Wen, L., Tao, X., & Jin, Y. (2023). Frailty and medication adherence among older adult patients with hypertension: a moderated mediation model [Article]. Frontiers in Public Health, 11, Article 1283416. https://doi.org/10.3389/fpubh.2023.1283416
Widayani, N. M. A., Suyasa, I. G. P. D., Kamaryati, N. P., & Rahyanti, N. M. S. (2024). Perceived benefit is the strongest determinant factor of medication adherence in the elderly with hypertension [Article]. Jurnal Keperawatan Padjadjaran, 12(2), 153-161. https://doi.org/10.24198/jkp.v12i2.2384
World Health, O. (2024). Hypertension (Fact sheet). https://www.who.int/news-room/fact-sheets/detail/hypertension
Xiong, S., Peoples, N., Østbye, T., Olsen, M., Zhong, X., Wainaina, C., Fan, S., Wambui, D., & Yan, L. L. (2023). Family support and medication adherence among residents with hypertension in informal settlements of Nairobi, Kenya: a mixed-method study [Article]. Journal of Human Hypertension, 37(1), 74-79. https://doi.org/10.1038/s41371-022-00656-2
