Family support and self-management behavior among clients with hypertension: A Cross-Sectional Study
DOI:
https://doi.org/10.35816/jiksh.v15i1.214Keywords:
Family Support, Health Behavior, Hypertension, Self Care, Self-ManagementAbstract
Introduction: Hypertension remains a leading global public health challenge. The World Health Organization (WHO) reported that the number of adults living with hypertension increased from 650 million in 1990 to 1.3 billion in 2019, contributing substantially to premature mortality and disability worldwide. In Indonesia, hypertension is a major non-communicable disease and a significant contributor to cardiovascular morbidity. Effective blood pressure control requires sustained self-management, including adherence to medication, dietary modifications, physical activity, and stress management. Family support is theoretically considered a reinforcing factor for improving self-management behavior among patients with chronic diseases. To examine the relationship between family support and self-management behavior among clients with hypertension at the Rappokalling Community Health Center, Makassar City.
Research Methodology: A quantitative cross-sectional study was conducted among 164 hypertensive clients selected using purposive sampling. Self-management was measured using the High Blood Pressure Self-Care Profile (HPB-SCP), and family support was assessed using a validated Family Support Questionnaire. Data were analyzed using descriptive statistics and Spearman’s rank correlation test with a 95% confidence interval (α=0.05).
Results: Most respondents reported adequate family support (66.5%) and adequate self-management (95.8%). Spearman’s analysis showed a weak negative correlation between family support and self-management (r = −0.099) with no statistically significant association (p = 0.207; 95% CI).
Conclusion: Family support was not significantly associated with self-management behavior among hypertensive clients. Public health interventions should not rely solely on family involvement but also address individual motivational and psychological determinants to improve hypertension self-management.
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Abrahams-Gessel, S., Manyaapelo, T., Sithole, N., Dlamini, S., Mpanza, N., Nxumalo, S., Mjilo, T., Orne-Gliemann, J., Bachmann, M., Magula, N., Castle, A., Siedner, M. J., & Gaziano, T. (2025). A formative evaluation of potential barriers and facilitators to inform effective implementation of a community-based hypertension care program in rural South Africa: The IMPACT-BP trial. SSM - Health Systems, 5, 100086. https://doi.org/10.1016/j.ssmhs.2025.100086
Acharya, R., Chaudhary, A., Pandey, J., & Pandey, C. (2022). Self-Care Management and Its Associated Factors Among Patient With Hypertension in Nepal. Journal of Chitwan Medical College, 12(2), 91–96. https://doi.org/10.54530/jcmc.637
Adzitey, S. P., Akimanimpaye, F., & Crowley, T. (2026). Effectiveness of nurse-facilitated hypertension self-management interventions: A mixed-methods systematic review and meta-analysis. International Journal of Nursing Sciences, 13(2), 217–225. https://doi.org/10.1016/j.ijnss.2026.02.016
Aovare, P., Beune, E., Chilunga, F. P., Moens, N., Moll van Charante, E. P., & Agyemang, C. (2026). The acceptability, adoption and feasibility of mobile health interventions for diabetes and hypertension care among Ghanaian healthcare workers. PEC Innovation, 8, 100456. https://doi.org/10.1016/j.pecinn.2026.100456
Apriana, L., Hadiyanto, H., & Basri, B. (2023). Hubungan Dukungan Keluarga Dengan Pencegahan Hipertesni Pada Lansia Di Wilayah Kerja Puskesmas Sukabumi. Jurnal Kesehatan Tambusai, 4(4), 4567–4574. https://doi.org/10.31004/jkt.v4i4.16970
Apriliani, I., Dolifah, D., & Rahmat, D. Y. (2025). The Relationship Between Family Support and Compliance with Control in Hypertensive Patients in the Working Area of the Jatinangor Community Health Center, Hegarmanah Village. NERS Journal Keperawatan, 21(2), 237–245. https://doi.org/10.25077/njk.v21i2.290
Aquaristha, V. F., Muhith, A., & Hasina, S. N. (2024). Hubungan Dukungan Keluarga Dengan Kepatuhan Kunjungan Penderita Hipertensi Peserta Prolanis. Journal of Languega and Health, 5(2), 861–868. https://doi.org/10.37287/jlh.v5i2.4138
Aty, Y. M. V. B., Suni, M. I. L., Gonsalves, D., Sambriong, M., & Elfi, T. (2022). Hubungan Dukungan Keluarga dengan Manajemen Diri Penyakit Hipertensi di Puskesmas Sikumana Kecamatan Maulafa Kota Kupang. Bima Nursing Journal, 4(1), 39–46. https://doi.org/10.32807/bnj.v4i1.1021
Audilla, A., & Islamy, A. (2025). Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Lansia Penderita Hipertensi. Journal of Languega and Health, 6(1), 155–160. https://doi.org/10.37287/jlh.v6i1.5989
Badi, S., Suliman, S. Z., Almahdi, R., Aldomah, M. A., Elkheir, H. K., Ibrahim, M. I. M., & Ahmed, M. H. (2025). Impact of clinical pharmacist video-based education on self-care and glycemic control in Sudanese adults with type 2 diabetes: A pre-post interventional study. Exploratory Research in Clinical and Social Pharmacy, 19, 100617. https://doi.org/10.1016/j.rcsop.2025.100617
Bayu Dwisetyo, & Intan Safina. (2024). Family Support With Self-Care Management For Hypertension Patients. International Journal of Public Health, 1(4), 211–220. https://doi.org/10.62951/ijph.v2i1.266
Cheraghi, Z., Azmi-Naei, B., Cheraghi, P., & Doosti-Irani, A. (2025). The global prevalence of uncontrolled hypertension: a systematic review and meta-analysis. BMC Public Health, 25(1), 4259. https://doi.org/10.1186/s12889-025-25553-4
Chrismilasari, L. A., Nursery, S. M. C., & Negara, C. K. (2024). Self-efficacy and support from family self-care for individuals with high blood pressure. Jurnal EduHealt, 15(01), 53–60. https://doi.org/10.54209/jurnaleduhealth.v15i01
Darvishpour, A., Mansour-Ghanaei, R., & Mansouri, F. (2022). The Relationship Between Health Literacy, Self-Efficacy, and Self-Care Behaviors in Older Adults With Hypertension in the North of Iran. Health Literacy Research and Practice, 6(4), e262–e269. https://doi.org/10.3928/24748307-20221013-01
Donelle, L., Hiebert, B., Warner, G., Reid, M., Reid, J., Shariff, S., Richard, E., Regan, S., Weeks, L., & Ledoux, K. (2025). Passive Remote Monitoring Technologies’ Influence on Home Care Clients’ Ability to Stay Home: Multiprovincial Randomized Controlled Trial. JMIR Aging, 8, e69107. https://doi.org/10.2196/69107
Enright, G., Allman-Farinelli, M., & Redfern, J. (2020). Effectiveness of Family-Based Behavior Change Interventions on Obesity-Related Behavior Change in Children: A Realist Synthesis. International Journal of Environmental Research and Public Health, 17(11), 4099. https://doi.org/10.3390/ijerph17114099
Febriyani, R., Harun, S., & Istiqomah, I. (2024). Hubungan dukungan keluarga dan tingkat pengetahuan dengan kepatuhan minum obat pada penderita hipertensi. Jurnal Keperawatan Florence Nightingale, 7(2), 321–331. https://doi.org/10.52774/jkfn.v7i2.225
Grindlay, K., Key, K., McDonald-Mosley, R., Kottke, M., Diallo, D. D., Gulati, M., & Grossman, D. (2025). Over-the-counter access to combined oral contraceptives for individuals with hypertension: an expert review. American Journal of Preventive Cardiology, 24, 101328. https://doi.org/10.1016/j.ajpc.2025.101328
Hadi, A., Parellangi, & Amirudin. (2023). The Relationship between Self-Efficacy, Family Support and Adherence to Taking Hypertension Medication. Asian Journal of Healthcare Analytics (AJHA), 2(1), 151–164. https://doi.org/10.55927/ajha.v2i1.4007
Haq, M. F. I., Putri, R. G. P., Laariya, T. A., & Rizkita, L. D. (2025). Analysis Of Family Support For Medication Compliance In Hypertensive Patients Participating Prolanis at Puskesmas Tepus 2. Jurnal Kedokteran Diponegoro, 14(4), 189–194. https://doi.org/10.14710/jkd (dmj).v14i4.49421
Jamadar, D. M., Bugade, V. D., Sancheti, P. V, Parande, M. A., Borle, P. S., & Tambe, M. P. (2025). Self Care Practices and Role of Family Support in Control of Blood Pressure Among Hypertensive Patients Visiting a Tertiary Care Centre. Indian Journal of Public Health Research and Development, 16(2). https://doi.org/10.37506/sjwk9f68
Josefsson, C., Liljeroos, T., Hellgren, M., Pöder, U., Hedström, M., & Olsson, E. M. G. (2024). The Sukaribit Smartphone App for Better Self-Management of Type 2 Diabetes: Randomized Controlled Feasibility Study. JMIR Formative Research, 8, e46222. https://doi.org/10.2196/46222
Joshi, A., Surapaneni, K. M., Grover, A., Kaur, H., Saggu, S. R., & Oliveira, D. (2025). Swasthya Pahal (Health for All) Using a Sustainable, Multisector, Accessible, Affordable, Reimbursable, and Tailored Informatics Framework in Rural and Urban Areas of Chennai, Tamil Nadu: Protocol for a Quantitative Study. JMIR Research Protocols, 14, e39950. https://doi.org/10.2196/39950
Kurnia, V., Pauzi, M., Gusmiati, R., & Wahyuni, S. (2024). Family support for management of hypertension. Jurnal Kesehatan, 15(2), 1–6. https://doi.org/10.35730/jk.v15i2.1096
Lawless, M. T., Oster, C., Block, H., Cash, B., Bulto, L. N., Pinero de Plaza, M. A., George, S., Ambagtsheer, R., Archibald, M., Battersby, M., & Kitson, A. (2025). Self-management support interventions for socioeconomically disadvantaged older adults with chronic conditions: A systematic review. Patient Education and Counseling, 141, 109305. https://doi.org/10.1016/j.pec.2025.109305
Lee, H.-J., & Kang, H.-Y. (2024). Effects of a Customized Diet Education Program Using a Mobile Instant Messenger for People Undergoing Peritoneal Dialysis: A Feasibility Test. Asian Nursing Research, 18(4), 367–376. https://doi.org/10.1016/j.anr.2024.09.007
Lee, H., & Lee, K. S. (2023). Withdrawal of antihypertensive medication in young to middle-aged adults: a prospective, single-group, intervention study. Clinical Hypertension, 29(1), 1–10. https://doi.org/10.1186/s40885-022-00225-2
Londoño, E., Gupta, R., Stuyft, P. Van der, Heine, M., Giraldo, G., Ku, G. M., Brettler, J., Rosende, A., Irazola, V., Toelsie, J., Neira, C., Aumala, T., Valdés, Y., Zúñiga, E., Rodríguez, L., Villatoro, M., Escobar, M. C., Pérez, V., Bencomo, A., … Ordunez, P. (2026). HEARTS quality: a policy framework to strengthen hypertension and cardiovascular risk management in primary healthcare—insights from HEARTS in the Americas. The Lancet Regional Health - Americas, 53, 101311. https://doi.org/https://doi.org/10.1016/j.lana.2025.101311
Lynch, E. B., Tangney, C., Ruppar, T., Zimmermann, L., Williams, J., Jenkins, L. D., Epting, S., Avery, E., Olinger, T., Berumen, T., Skoller, M., & Wornhoff, R. (2024). Heart 2 Heart: Pilot Study of a Church-Based Community Health Worker Intervention for African Americans with Hypertension. Prevention Science, 25(Suppl 1), 22–33. https://doi.org/10.1007/s11121-023-01553-x
Mariyani, M., Azriful, A., & Bujawati, E. (2021). Family Support Through Self Care Behavior for Hypertension Patients. Diversity: Disease Preventive of Research Integrity, 2(1), 1–8. https://doi.org/10.24252/diversity.v2i1.23180
Nababan, O., Marbun, M., Sumule, A., Nurdian, R., Lily, C., & Apriana, L. (2024). Dukungan Keluarga Meningkatkan Kepatuhan Minum Obat Pasien Tuberkulosis. BEST JOURNAL (Biology Education, Science & Technology), 7(2), 1081–1087. https://doi.org/10.30743/best.v7i2.10649
Nasser Albarqi, M. (2024). Continuity and sustainability of care in family medicine: Assessing its association with quality of life and health outcomes in older populations—A systematic review. PLoS ONE, 19(12), 1–20. https://doi.org/10.1371/journal.pone.0299283
Nurannisa, D., Febtrina, R., ’Irfan, M. Z., & Kharisna, D. (2022). Family Support Increases the Hypertension Medication Adherence in the elderly at Public Health Center of Simpang Tiga Pekanbaru. Science Midwifery, 10(5), 4246–4253. https://doi.org/10.35335/midwifery.v10i5.1010
Nurleny, & Meria Kontesa. (2023). Dukungan Keluarga Berhubungan Dengan Tingkat Ansietas Pada Lansia Yang Mengalami Penyakit Degeneratif. JKJ): Persatuan Perawat Nasional Indonesia, 11(1), 11–18. https://doi.org/10.26714/jkj.11.1.2023.79-88
Orsso, C. E., Gormaz, T., Valentine, S., Trottier, C. F., Matias de Sousa, I., Ferguson-Pell, M., Johnson, S. T., Kirkham, A. A., Klein, D., Maeda, N., Mota, J. F., Neil-Sztramko, S. E., Quintanilha, M., Salami, B. O., & Prado, C. M. (2024). Digital Intervention for behaviouR changE and Chronic disease prevenTION (DIRECTION): Study protocol for a randomized controlled trial of a web-based platform integrating nutrition, physical activity, and mindfulness for individuals with obesity. Methods, 231, 45–54. https://doi.org/10.1016/j.ymeth.2024.09.009
Pan, J., Hu, B., Wu, L., & Li, Y. (2021). The effect of social support on treatment adherence in hypertension in China. Patient Preference and Adherence, 15, 1953–1961. https://doi.org/10.2147/PPA.S325793
Pratamawati, T. M., Zein, A. F. M. Z., Khasanah, U., Nauphar, D., Budhyanto, V. S. W., Alwi, I., & Asmarinah. (2025). Clinical profile of hypertension patients in primary health Care in Cirebon Regency, Indonesia. Endocrine and Metabolic Science, 18(March), 100232. https://doi.org/10.1016/j.endmts.2025.100232
Rahayu, M. R., Adriani, R. B., & Patriyani, R. E. H. (2025). Family Support on Blood Pressure in Elderly Hypertension: A Literature Review. Interest : Jurnal Ilmu Kesehatan, 12(1), 68–82. https://doi.org/10.37341/interest.v12i1.714
Rasdiyanah, R., Wiarsih, W., & Sukihananto, S. (2020). Health Education Using Booklet and Diary Media on the Self-Efficacy of Housewives with Hypertension. Jurnal Pendidikan Keperawatan Indonesia, 6(1). https://doi.org/10.17509/jpki.v6i1.23205
Rasyid, A., Pemila, U., Aisah, S., Harris, S., Wiyarta, E., & Fisher, M. (2023). Self-Efficacy and Self-Care as Risk Factors for Ischemic Stroke: Development and Validation of a Nomogram. Journal of Clinical Medicine, 12(17). https://doi.org/10.3390/jcm12175665
Reed, M., Banks, T., Halloway, S., Julion, K., Kitsiou, S., Schoeny, M., Swanson, B., Tangney, C., Webber-Ritchey, K., Wilbur, J., Wilhelm, K., Yeager, C., & Julion, W. (2025). Rationale and design of a race-conscious, school-linked, pilot randomized controlled trial to improve physical activity and dietary behaviors of Black adolescent daughter/mother dyads. Contemporary Clinical Trials, 156, 107996. https://doi.org/10.1016/j.cct.2025.107996
Ribeiro, A. M. V. B., Almeida, P. F. de, & Vilasbôas, A. L. Q. (2026). Continuity of care for people with hypertension in primary health care: a scoping review. Revista Da Escola de Enfermagem Da U S P, 59, e20250053. https://doi.org/10.1590/1980-220X-REEUSP-2025-0053en
Seng, J. J. B., Nyanavoli, H., Decruz, G. M., Kwan, Y. H., & Low, L. L. (2025). Health Coaching and Its Impact in the Remote Management of Patients With Type 2 Diabetes Mellitus: Scoping Review of the Literature. Journal of Medical Internet Research, 27. https://doi.org/https://doi.org/10.2196/60703
Shahin, W., Kennedy, G. A., & Stupans, I. (2021). The association between social support and medication adherence in patients with hypertension: A systematic review. Pharmacy Practice, 19(2), 1–8. https://doi.org/10.18549/PharmPract.2021.2.2300
Shen, B., Guan, T., Du, X., Pei, C., Zhao, J., & Liu, Y. (2022). Medication Adherence and Perceived Social Support of Hypertensive Patients in China: A Community-Based Survey Study. Patient Preference and Adherence, 16, 1257–1268. https://doi.org/10.2147/PPA.S363148
Suprapto, Kamaruddin, M. I., Herlianty, & Nurhanifah, D. (2024). Building Nurse Competency Strategy at Public Health Center in Indonesia: A Descriptive Qualitative Approach. The Malaysian Journal of Nursing, 15(03), 62–70. https://doi.org/10.31674/mjn.2024.v15i03.008
Susanto, T., Hernawati, S., Yunanto, R. A., Rahmawati, I., Ati, N. A. L., & Fauziah, W. (2024). Family Self-management Program for Hypertension Management and Sodium Consumption Adherence: A Parallel Randomized Control Trial Among Family Caregivers and People With Hypertension. Journal of Research in Health Sciences, 24(4), e00628–e00628. https://doi.org/10.34172/jrhs.2024.163
Tahan, T., Surabakti, I. S., Sinaga, S. N., Murdianto, E., Valegis, W., & Noviani, V. E. (2026). The Relationship Between Family Support and Adherence to Hypertension Care Among Older Adults in a Rural Community. Jurnal Kesehatan Dan Kedokteran, 5(1), 432–444. https://doi.org/10.56127/jukeke.v4i2.2142
Usnaini, H., Anjar, F., Setyani, R., & Aryu, F. (2025). The Relationship between Family Support and Adherence to Taking Medication in Hypertension Patients at the Internal Medicine Polyclinic. Lentera Perawat, 6(1), 101–108. https://doi.org/10.52235/lp.v6i1.408
Van der Velde, N. R., Te Winkel, M. T., Kanning, J. P., Lissenberg-Witte, B. I., Harskamp, R., & Maarsingh, O. R. (2026). Association between continuity of care and detection of hypertension in Dutch general practice: a 10-year cohort study. BMJ Open, 16(3), e113374. https://doi.org/10.1136/bmjopen-2025-113374
Widaryati, W., Prihatiningsih, D., Tunggali, A. P. P. W., & Naulufar, K. (2023). Identification of self-care practices in patients with hypertension during the COVID-19 pandemic. International Journal of Health Science and Technology, 4(3), 244–254. https://doi.org/10.31101/ijhst.v4i3.2813
Xu, W., Yu, E. Y. T., Chin, W. Y., Mak, I. L., Ying Chan, C. I., Lam, C. L. K., & Wan, E. Y. F. (2023). Team-based continuity of care for patients with hypertension: a retrospective primary care cohort study in Hong Kong. British Journal of General Practice, 73(736), E807–E815. https://doi.org/10.3399/BJGP.2023.0150
Zheng, Y., Liu, Y., Xue, D., Shang, Z., Zhang, B., & Dai, Y. (2024). Research on the control rate of hypertension under family physician-contracted service. BMC Primary Care, 25(1), 1–15. https://doi.org/10.1186/s12875-024-02280-0
Zhou, T., Wang, Y., Zhang, H., Wu, C., Tian, N., Cui, J., Bai, X., Yang, Y., Zhang, X., Lu, Y., Spatz, E. S., Ross, J. S., Krumholz, H. M., Lu, J., Li, X., & Hu, S. (2023). Primary care institutional characteristics associated with hypertension awareness, treatment, and control in the China PEACE-Million Persons Project and primary health-care survey: a cross-sectional study. The Lancet Global Health, 11(1), e83–e94. https://doi.org/10.1016/S2214-109X(22)00428-4
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