The influence of family support on medication adherence in hypertension patients at the Tatelu Community Health Center
Keywords:
family support, medical adherence, hypertension, Spearman's rhoAbstract
Background: Hypertension is a non-communicable disease with increasing prevalence in Indonesia, particularly in North Sulawesi. Medication adherence is a key factor in blood pressure control and prevention of complications. Family support plays an important role in influencing patient adherence to long-term treatment.
Aim: To analyze the influence of family support on medication adherence in hypertensive patients at Tatelu Primary Health Center, North Minahasa Regency.
Methods: An observational analytic study with cross-sectional design was conducted involving 60 hypertensive patients at Tatelu Primary Health Center during February 2026. Total sampling was used. Data were collected using a Likert-scale family support questionnaire (11 i t e m s ) and the validated MMAS-8 instrument. Data analysis was performed using Spearman's rho correlation test.
Results: The majority of respondents had high family support (56.7%), while medication adherence was predominantly moderate (43.3%) and low (36.7%). Spearman's rho analysis revealed a significant positive correlation between family support and medication adherence (rho = 0.566; p < 0.001), indicating moderate strength of association.
Conclusion: Family support has a significant positive influence on medication adherence in hypertensive patients at Tatelu Primary Health Center. Higher family support is associated with higher medication adherence, underscoring the importance of family-centered approaches in hypertension management.
References
1. Badan Pusat Statistik Provinsi Sulawesi Utara. (2024). Statistik Kesehatan Provinsi Sulawesi Utara 2023.
2. Bosworth, HB, Fortmann, AL, & Linde, S. (2022). Dukungan keluarga dan kepatuhan pengobatan dalam manajemen hipertensi . Jurnal Hipertensi, 40 (3), 456-465.
3. Dinas Kesehatan Provinsi Sulawesi Utara. (2022). Profil kesehatan Provinsi Sulawesi Utara 2022 .
4. Friedman, MM, Bowden, VR, & Jones, EG (2021). Keperawatan keluarga: Penelitian, teori, dan praktik (edisi ke-9). Pearson.
5. Kementerian Kesehatan Republik Indonesia. (2021). Laporan Riskesdas nasional 2018 .
6. Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia 2023: Bab 7 penyakit tidak menular .
7. Mansens, L. (2021). Kepatuhan minum obat pada pasien hipertensi di Puskesmas Tatelu. Jurnal Keperawatan Prima, 9 (1), 19-26.
8. Stanhope, M., & Lancaster, J. (2021). Keperawatan kesehatan masyarakat: Perawatan kesehatan yang berpusat pada populasi di masyarakat (edisi ke-10). Elsevier.
9. Organisasi Kesehatan Dunia. (2021). Hipertensi.
10. Organisasi Kesehatan Dunia. (2022). Laporan global tentang hipertensi: Perlombaan melawan pembunuh senyap .
11. Abegaz, T. M., Shehab, A., Gebreyohannes, E. A., Bhagavathula, A. S., & Elnour, A. A. (2020). Nonadherence to antihypertensive drugs: A systematic review and meta-analysis. Medicine, 99(4), e18955. https://doi.org/10.1097/MD.
0000000000018955
12. American Heart Association. (2024). High blood pressure symptoms and causes. American Heart Association. (2025). High blood pressure.
13. Arslan, A. (2023). Characteristics, types and functions of family concept. African Educational Research Journal, 11(1), 45–48.
14. Assegaf, S., Zakiah, M., Ulfah, R., & Putri, T. (2024). Program edukasi kontrol tekanan darah, cara penggunaan obat anti hipertensi yang benar dan self management untuk peserta Prolanis dengan ceramah interaktif di Puskesmas Kampung Dalam. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 7(8), 3641–3652.
15. A’yun, H. Q., Susanti, I., & Octavia, D. R. (2025). Pengaruh dukungan keluarga terhadap kepatuhan minum obat pada pasien lansia dengan hipertensi. Jurnal Sains Kesehatan, 7(4), 286–292.
16. Beevers, G., Lip, G. Y. H., & O’Brien, E. (2001). ABC of hypertension: The pathophysiology of hypertension. BMJ, 322(7291), 912– 916. https://doi.org/10.1136/bmj.322.7291.912
17. Burnier, M., & Egan, B. M. (2019). Adherence in hypertension: A review of prevalence, risk factors, impact, and management. Circulation Research, 124(7), 1124– 1140.
https://doi.org/10.1161/CIRCRESAHA.118.3132 20
18. Carey, R. M., Muntner, P., Bosworth, H. B., & Whelton, P. K. (2021). Prevention and control of hypertension. Journal of the American College of Cardiology, 77(13), 1579–1598.
19. Dinas Kesehatan Kabupaten Barito Timur. (2025). Konsep keluarga dan fungsi perawatan kesehatan.
20. Friedman, M. M., Bowden, V. R., & Jones, E. G. (2020). Family nursing: Research, theory, and practice (6th ed.). Pearson.
21. Frontiers in Public Health. (2024). Facilitators of medication adherence in patients with hypertension. Frontiers in Public Health, 12, 1372698.
22. Greenhalgh, T., et al. (2022). The role of the family in health promotion: A scoping review. Health Promotion International, 37(6), daac119. https://doi.org/10.1093/heapro/daac119
23. Hamrahian, S. M., Maarouf, O. H., & Fülöp, T. (2022). A critical review of medication adherence in hypertension: Barriers and facilitators clinicians should consider. Patient
Preference and Adherence, 16, 2749–2757.
24. Hafiza Usnaini, Setyani, F. A. R., & Aryu P., S. 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.
25. Iqbal, A. M., & Jamal, S. F. (2025). Essential hypertension. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK5398 59/
26. Jones, D. W., Ferdinand, K. C., Taler, S. J., Johnson,
H. M., Shimbo, D., Abdalla, M., et al. (2025). 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/
AMA/ASPC/NMA/PC NA/SGIM guideline for the prevention, detection, evaluation and management of high blood pressure in adults. Circulation, 152(11).
27. Lane, D., Lawson, A., Burns, A., Azizi, M., Burnier, M., Jones, D. J. L., et al. (2022). Nonadherence in hypertension: How to develop and implement chemical adherence testing. Hypertension, 79(1), 12–23.
28. Lee, E. K. P., Poon, P., Yip, B. H. K., Bo, Y., Zhu, M.,
Yu, C., et al. (2022). Global
29. burden, regional differences, trends, and health consequences of medication nonadherence for hypertension during 2010 to 2020. Journal of the American Heart Association, 11(17).
30. Mala, H., Kapantow, N., Kaunang, E., Korompis, G., & Tahulending, J. (2025). Faktor-faktor yang mempengaruhi kepatuhan minum obat pada pasien hipertensi di fasilitas pelayanan kesehatan primer. Jurnal Promotif Preventif, 8, 1335–1345.
31. Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223–237.
32. Nurannisa, D., Febtrina, R., Irfan, M., & Kharisna,
D. (2022). Family support increases the hypertension medication adherence in the elderly. Science Midwifery, 10(5).
33. Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz,
D. R., Cífková, R., & Dominiczak, A. F., et al. (2018). Hypertension. Nature Reviews Disease Primers, 4, 18014
34. Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz,
D. R., Cífková, R., & Dominiczak, A. F., et al. (2023). Hypertension. Nature Reviews Disease Primers, 9(1), 8.
35. Puteri Anjalina, A., Suyanto, & Arifin Noor, M. (2024). Hubungan dukungan keluarga dengan kepatuhan konsumsi minum obat anti
hipertensi. JKBS, 2(1), 40–44.
36. Shahin, W., Kennedy, G. A., & Stupans, I. (2021). The association between social support and medication adherence in patients with hypertension. Pharmacy Practice, 19(2), 2300. https://doi.org/10.18549/PharmPract.2021.2. 2300
37. Sunandar, K., & Suheti, T. (2020). Pelaksanaan lima tugas kesehatan pada keluarga dengan klien hipertensi. Jurnal Riset Kesehatan Poltekkes Depkes Bandung.
38. Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., et al. (2020). 2020 international society of hypertension global hypertension practice guidelines. Hypertension, 75(6), 1334–1357
39. Vanier Institute of the Family. (2024).
Definition of family.
40. Vrijens, B., De Geest, S., Hughes, D. A., Kardas, P., Demonceau, J., & Ruppar, T., et al. (2020). A new taxonomy for describing and defining adherence to medications. British Journal of Clinical Pharmacology, 86(6), 1165–1173.
41. World Health Organization. (2020). Adherence to long-term therapies: Evidence for action.
42. World Health Organization. (2023).
Hypertension profiles 2023.
43. World Health Organization. (2025).
Hypertension (high blood pressure) fact sheet.
44. Zuriati, Z., et al. (2025). Hubungan dukungan keluarga dengan kepatuhan minum obat pada pasien hipertensi. Jurnal Kesehatan Bhakti Husada, 11(1), 22–30.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Margareth Sutjiato, Thirsa Mongi, Esther Lontoh
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
