Relationship between family support and medication adherence among older adults with hypertension: A cross-sectional study in indonesian primary care

Authors

  • Sulkifli Nurdin Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, South Sulawesi, Indonesia, Indonesia https://orcid.org/0000-0001-9216-9409
  • A Rushaimin Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, South Sulawesi, Indonesia, Indonesia
  • Ishak Kenre Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, South Sulawesi, Indonesia, Indonesia
  • Sri Sakinah Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, South Sulawesi, Indonesia, Indonesia https://orcid.org/0009-0009-0872-7371
  • Hasrul Hasrul Institut Teknologi Kesehatan dan Sains Muhammadiyah Sidrap, South Sulawesi, Indonesia, Indonesia https://orcid.org/0000-0002-4881-8528

DOI:

https://doi.org/10.35816/jiksh.v15i2.408

Keywords:

chronic disease management, family support, hypertension, medication adherence, primary healthcare

Abstract

Introduction: Globally, hypertension continues to impose a substantial burden on older populations, and suboptimal medication adherence further compromises blood pressure control while elevating the risk of adverse outcomes. This study set out to determine whether family support is associated with medication adherence among older adults with hypertension receiving primary healthcare.

Research Methodology: Fifty older adults with hypertension were enrolled through consecutive sampling in this cross-sectional analytical study. Structured face-to-face interviews captured data on family support (20 items) and medication adherence (8 items); because the resulting scores departed from a normal distribution, Spearman’s rho was used to test their association.

Results: Most participants reported moderate family support (60%) and high medication adherence (68%). A moderate, statistically significant positive correlation emerged between the two variables (ρ = 0.569, p < 0.001): participants reporting stronger family support tended toward more consistent medication-taking.

Conclusion: Family support emerges as a meaningful psychosocial correlate of medication adherence among older adults with hypertension, suggesting that primary healthcare programs stand to gain from embedding family-based strategies that sustain adherence and improve long-term clinical outcomes.

Downloads

Download data is not yet available.

References

Aini, T. F., Aisyiah, A., & Rifiana, A. J. (2024). Analisis Faktor yang Berhubungan dengan Kepatuhan Minum Obat Pada Lansia dengan Hipertensi di Wilayah Kerja Puskesmas Tridayasakti Tambun Selatan. Malahayati Nursing Journal, 6(8), 3448–3463. https://doi.org/10.33024/mnj.v6i8.14188

Akbaba, A., Dirik, H. F., & Mert, H. (2025). The role of medication timing and patient involvement in adherence to treatment for hypertension. Scientific Reports, 15(1), 34853. https://doi.org/10.1038/s41598-025-98583-y

Almutairi, A. S., Alhazmi, T. M., Alotaibi, Y. H., Alfraidi, A. A., Alsaad, A. M., Matrood, R. A., Al-khatir, A. N., Alsubaie, A. A., & Alotibi, W. M. (2022). Medication Adherence Among Multimorbid Patients With Polypharmacy and Its Relation to Social Support at National Guard Primary Health Care Centers, Riyadh. Cureus, 14(10). https://doi.org/10.7759/cureus.30679

Boonyathee, S., Seangpraw, K., Ong-Artborirak, P., Auttama, N., Tonchoy, P., Kantow, S., Bootsikeaw, S., Choowanthanapakorn, M., Panta, P., & Dokpuang, D. (2021). Effects of a social support family caregiver training program on changing blood pressure and lipid levels among elderly at risk of hypertension in a northern Thai community. PLOS ONE, 16(11), e0259697. https://doi.org/10.1371/journal.pone.0259697

Burnier, M., & Egan, B. M. (2019). Adherence in Hypertension. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/CIRCRESAHA.118.313220

Cahyaningrum, E., Abidin, Z., & Marsanti, A. S. (2024). Effect Of Family Support On Medication Adherence In Elderly Hypertensive Patients. International Journal of Health Literacy and Science, 2(1), 26–30. https://doi.org/10.60074/ihelis.v2i1.25

Eugenia del Pilar, H. G., Rivero Doria, J. D., & Amador Ahumada, C. (2026). Asociación entre el apoyo familiar y la adherencia al tratamiento en personas con hipertensión arterial. Dialnet (Universidad de La Rioja). https://dialnet.unirioja.es/servlet/oaiart?codigo=10484243

Fauzia, W. (2023). Improving Adherence to Taking Medication through Family Support for Hypertensive Elderly in the District Area of the Patient. Journal Educational of Nursing (JEN), 6(2), 127–133. https://doi.org/10.37430/jen.v6i2.172

Kardas, P., Ágh, T., Dima, A., Goetzinger, C., Potočnjak, I., Wettermark, B., & van Boven, J. F. M. (2023). Half a Century of Fragmented Research on Deviations from Advised Therapies: Is This a Good Time to Call for Multidisciplinary Medication Adherence Research Centres of Excellence? Pharmaceutics, 15(3), 933. https://doi.org/10.3390/pharmaceutics15030933

Kim, J., & Parish, A. L. (2021). Nursing: polypharmacy and medication management in older adults. Clinics in Integrated Care, 8, 100070. https://doi.org/10.1016/j.intcar.2021.100070

Liu, Y., Xu, K., Wu, S., Qin, M., & Liu, X. (2022). Value of estimated pulse wave velocity to identify left ventricular hypertrophy prevalence : insights from a general population. BMC Cardiovascular Disorders, 1–12. https://doi.org/10.1186/s12872-022-02541-9

Margiati, R., & Panma, Y. (2026). The Relationship Between Family Support and Medication Compliance in Hypertension Patients: Literature Review. Maternal & Neonatal Health Journal, 7(1), 55–66. https://doi.org/10.37010/mnhj.v7i1.2212

Murray, C. J. L., Aravkin, A. Y., Zheng, P., Abbafati, C., Abbas, K. M., Abbasi-Kangevari, M., Abd-Allah, F., Abdelalim, A., Abdollahi, M., Abdollahpour, I., Abegaz, K. H., Abolhassani, H., Aboyans, V., Abreu, L. G., Abrigo, M. R. M., Abualhasan, A., Abu-Raddad, L. J., Abushouk, A. I., Adabi, M., … Lim, S. S. (2020a). Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1223–1249. https://doi.org/10.1016/S0140-6736(20)30752-2

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

Rasdiyanah, R., Nurul Farah Dila, Nur Al Marwah Asrul, Eny Sutria, & Nur Andani. (2026). Family Support and Self-Management Behavior Among Clients with Hypertension: A Cross-Sectional Study. Jurnal Ilmiah Kesehatan Sandi Husada, 15(1), 112–121. https://doi.org/10.35816/jiksh.v15i1.214

Sadewa, D. M. A. (2023). Enabling the Grass Root: Health Cadres Empowerment Program in Efforts to Prevent and Manage Hypertension in the Tanjung Sub-Village Community. Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement), 9(3), 181. https://doi.org/10.22146/jpkm.86250

Sari, I., & Meilina, R. (2025). Relationship Between Knowledge And Family Support On Hypertension Medication In Simpang Tanah Lapang Village Community. Jurnal Serambi Ilmu, 26(2), 323–333. https://doi.org/10.32672/jsi.v26i2.3259

Savira, R., Tambunan, R., & Fauziah, L. (2023). The relationship between family support and adherence to taking medication in hypertensive elderly members at the cibed health center. International Journal of Scientific Research in Science, Engineering and Technology, 32–33. https://doi.org/10.36106/ijsr/7221748

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), 2300. https://doi.org/10.18549/PharmPract.2021.2.2300

Shen, Z., Ding, S., Shi, S., & Zhong, Z. (2022). Association between social support and medication literacy in older adults with hypertension. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.987526

Shin, J., Jang, J., & Afaya, A. (2022). Effectiveness of eHealth interventions targeted to improve medication adherence among older adults with mild cognitive impairment: a protocol for a systematic review and meta-analysis. BMJ Open, 12(11), e060590. https://doi.org/10.1136/bmjopen-2021-060590

Suprapto, Yuriatson, Menga, M. K., Arda, D., Syamsi, N. L. N., Mulat, T. C., Djaha, Y. T., & Angreani, T. A. (2026). Strategies to improve health service quality in Indonesia: a qualitative study. BMC Health Services Research, 26(1), 1203. https://doi.org/10.1186/s12913-026-14221-x

Togatorop, L. (2024). Family Emotional Suport With Elderly Compliance In Hypertension Management. International Journal of Health and Medicine, 1(1), 1–7. https://doi.org/10.62951/ijhm.v1i1.106

Trijayanti, M., Parellangi, P., & Amiruddin, A. (2025). The Relationship between Motivation and Family Support and Adherence to Taking Hypertension Medication in the Elderly. KESANS International Journal of Health and Science, 4(2), 101–110. https://doi.org/10.54543/kesans.v4i2.181

Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Alonso, A., Beaton, A. Z., Bittencourt, M. S., Boehme, A. K., Buxton, A. E., Carson, A. P., Commodore-Mensah, Y., Elkind, M. S. V., Evenson, K. R., Eze-Nliam, C., Ferguson, J. F., Generoso, G., Ho, J. E., Kalani, R., Khan, S. S., Kissela, B. M., … Martin, S. S. (2022). Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association. Circulation, 145(8). https://doi.org/10.1161/CIR.0000000000001052

WHO. (2021). Noncommunicable diseases: Key facts. In WHO. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

WHO. (2023). First WHO report details devastating impact of hypertension and ways to stop it. In WHO. https://www.who.int/news/item/19-09-2023-first-who-report-details-devastating-impact-of-hypertension-and-ways-to-stop-it

Wiedyaningsih, C., Widyakusuma, N. N., & Sri Suryawati. (2023). The role of family caregivers in medication adherence of elderly in Asian setting: a scoping review. Indonesian Journal of Pharmacology and Therapy, 4(2), 91–102. https://doi.org/10.22146/ijpther.8379

Zuriati, Z., Sari, H. P., Suriya, M., & Zahlimar, Z. (2025). Hubungan Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Pasien Hipertensi. Jurnal Kesehatan Bhakti Husada, 11(1), 22. https://doi.org/10.37848/jurnal.v11i1.228

Cover Image

Downloads

Published

08-11-2026

How to Cite

Nurdin, S., Rushaimin, A., Kenre, I., Sakinah, S., & Hasrul, H. (2026). Relationship between family support and medication adherence among older adults with hypertension: A cross-sectional study in indonesian primary care. Jurnal Ilmiah Kesehatan Sandi Husada, 15(2), 752–761. https://doi.org/10.35816/jiksh.v15i2.408

Citation Check