The Relationship Between Family Support and Medication Compliance in Hypertension Patients
Article Sidebar
Main Article Content
Abstract
Background: Hypertension is a chronic disease requiring lifelong therapy, yet suboptimal medication adherence remains a worldwide concern. In hospital inpatient settings, particularly in eastern Indonesia, empirical evidence examining how family involvement directly shapes patient compliance remains scarce.
Objectives: To determine the relationship between family support and medication adherence among hypertensive patients in the Inpatient Ward
Methods: An analytical cross-sectional study was conducted involving 33 hospitalized hypertensive patients in July 2026, recruited through a total sampling technique. Data were collected using a validated 12-item family support questionnaire covering emotional, instrumental, informational, and appraisal dimensions, alongside the Modified Morisky Adherence Scale (MMAS-8). Bivariate data analysis was performed using the Gamma correlation test (α = 0.05)
Results: The majority of respondents were aged 46–59 years and ≥60 years (39.4% each), male (60.6%), senior high school graduates (48.5%), employed (69.7%), and had undergone treatment for 1–5 years (66.7%). Family support was mostly categorized as moderate/sufficient (60.6%), while medication adherence was predominantly moderate (45.5%). The Gamma correlation test revealed a statistically significant, strong positive relationship between family support and medication compliance (p = 0.007; Gamma = 0.669)
Conclusion: There is a significant positive relationship between family support and medication compliance among hypertensive inpatients. Comprehensive family-centered discharge planning and ongoing psychoeducation are critical strategies to enhance patient treatment adherence
Downloads
Article Details
Section
How to Cite
References
Aliyah, N. (2024). Family support in adherence to taking antihypertensive medication. Galenical: Malikussaleh Student Journal of Medicine and Health, 4(6), 340–349. https://doi.org/10.29103/jkkmm.v4i6.14201
Allender, J. A., Rector, C., & Warner, K. D. (2021). Community & Public Health Nursing: Promoting the Public's Health (9th ed.). Wolters Kluwer.
Anjalina, A. P., Suyanto, & Noor, M. A. (2023). The relationship between family support and adherence to antihypertensive medication. Journal of Healthy Cultured Nursing, 2(1), 15–24. https://doi.org/10.35473/jkbs.v2i1.2815
Apsari, D. P., Putra, I. G. N. M. S. W., & Maharjana, I. B. N. (2021). The relationship between family support and the role of pharmaceutical personnel on adherence to antihypertensive medication. Jurnal Ilmiah Medicamento, 7(1), 45–52. https://doi.org/10.36733/medicamento.v7i1.1499
Arnanda, F. A., Ardian, I., Haiya, N. N., & Azizah, I. R. (2024). Family support and self-care improve medication adherence in hypertension patients. Karya Bhakti Nursing Journal, 10(1), 12–21. https://doi.org/10.56186/jkkb.207
Diahastuti, K. F., Luthfa, I., & Abrori. (2025). The relationship between family support and medication adherence in hypertensive patients. Journal of Health Science Students, 3(4), 132–140. https://doi.org/10.30659/jikes.v3i4.3211
Fadhilah, N., Cahya, M. D., Hasyim, D. I., & Bowo, I. T. (2023). Knowledge and medication adherence in hypertensive patients. Scientific Journal of Health, 12(2), 88–95. https://doi.org/10.52657/jik.v12i2.2073
Friedman, M. M., Bowden, V. R., & Jones, E. G. (2020). Textbook of Family Nursing: Research, Theory, Practice (5th ed.). EGC.
Glanz, K., Rimer, B. K., & Viswanath, K. (2020). Health behavior: Theory, research, and practice (5th ed.). Jossey-Bass.
Handayani, P., Rastipiati, & Kholilah, S. (2024). The relationship between family attitudes and support and medication adherence in patients with hypertension. Journal of Nursing Practice and Education, 4(2), 110–118. https://doi.org/10.34305/670m5n08
House, J. S., Umberson, D., & Landis, K. R. (2021). Structures and processes of social support. Annual Review of Sociology, 47(1), 1–20. https://doi.org/10.1146/annurev.so.14.080188.001453
Kaakinen, J. R., Coehlo, D. P., Tabacco, A., & Hanson, S. M. H. (2021). Family health care nursing: Theory, practice, and research (7th ed.). F.A. Davis Company.
Meha, A. M., Wulandari, R., & Prasetyo, B. (2024). Factors influencing medication adherence in hypertensive patients. Indonesian Nursing Journal, 27(1), 45–53. https://doi.org/10.7454/jki.v27i1.1520
Ministry of Health of the Republic of Indonesia. (2024). Pedoman Pengendalian Hipertensi di Fasilitas Kesehatan Tingkat Pertama. Kementerian Kesehatan Republik Indonesia.
Nasela, S. J., Yikwa, J. P., & Kogoya, M. (2025). Risk factors for hypertension in communities in Eastern Indonesia. Papua Journal of Tropical Nursing, 8(1), 12–20. https://doi.org/10.31965/pjtn.v8i1.411
Nurfadhila, & Sumiyati. (2024). The relationship between family support and medication adherence in elderly people with hypertension. Marendeng Health Journal, 9(2), 77–85. https://doi.org/10.51871/jhm.v9i2.332
Papua Provincial Health Office. (2025). Papua Health Profile 2024. Dinas Kesehatan Provinsi Papua.
Putra, G., & Martini. (2025). The role of family support on medication adherence in hypertensive patients: A qualitative study. Journal of Nursing and Health Sciences, 6(1), 50–58. https://doi.org/10.36082/jnhs.v6i1.921
Rahmawati, D., Suryani, E., & Handayani, L. (2022). The relationship between family support and medication adherence in hypertensive patients. Journal of Clinical Nursing, 6(2), 101–109. https://doi.org/10.22219/jk.v6i2.19021
Rozaq, M. H., Kusyani, A., Nurjannah, S., & Prasetyo, J. (2022). The relationship between family support and medication adherence in hypertension patients. Scientific Journal of Nursing, 8(2), 125–133. https://doi.org/10.33023/jikep.v8i2.985
Safirah, K. D., Utomo, W., & Erika. (2024). Factors influencing the level of compliance of hypertensive patients in taking antihypertensive medication. Online Journal of Nursing Students, 11(1), 45–56. https://doi.org/10.31258/jom.v11i1.2891
Sari, R. P., & Putri, A. N. (2023). The role of family support in adherence to therapy for hypertension patients in primary health care. Indonesian Journal of Public Health, 18(1), 55–63. https://doi.org/10.20473/ijph.v18i1.35412
Silvianah, S., & Indrawati, I. (2024). Level of medication compliance in hypertensive patients and factors influencing it. Scientific Journal of Health Sciences, 12(2), 210–218. https://doi.org/10.35971/gojhes.v12i2.19821
Siswati, S., Sari, D. S. A., Praningsih, S., Maryati, H., & Nurmalinsyah, F. F. (2023). Factors influencing adherence to antihypertensive medication in patients with hypertension. Scientific Journal of Nursing, 9(5), 612–620. https://doi.org/10.33023/jikep.v9i5.1763
Widiarso, Y. A. P. (2023). The relationship between adherence to antihypertensive medication and the quality of life of hypertensive patients. Journal of Professional Nursing Research, 6(6), 2411–2418. https://doi.org/10.37287/jppp.v6i6.3633
World Health Organization. (2025). Global report on hypertension 2025: The race against a silent killer. World Health Organization. https://www.who.int/publications/i/item/9789240081062
Yanti, D. Y., & Wijaksono, M. A. (2024). Evaluation of compliance of hypertension patients in taking antihypertensive medication according to the drug control card. Health Sciences and Pharmacy Journal, 9(1), 33–41. https://doi.org/10.32504/hspj.v9i1.1170