THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND MEDICATION ADHERENCE WITH BLOOD PRESSURE AMONG PATIENTS WITH HYPERTENSION IN THE WORKING AREA OF JAGALEMPENI PUBLIC HEALTH CENTER

Abstract

Background: Blood pressure control is influenced not only by pharmacological therapy but also by medication adherence and family support. Family support plays an important role in improving patient motivation and treatment adherence among individuals with hypertension. Therefore, this study aims to analyze the relationship between family support and medication adherence with blood pressure among hypertensive patients in the working area of Jagalempeni Primary Health Care.

Method: This quantitative correlational study employed a cross-sectional design. The sample consisted of 31 outpatient hypertensive patients enrolled in the Prolanis program at Jagalempeni Public Health Center, Brebes Regency, in January 2026, using a total sampling technique. Data were collected using the Family Support questionnaire, the MMAS-8 (Morisky Medication Adherence Scale), and direct blood pressure measurements. Data analysis was performed using the Spearman rank correlation test.

Result: Most respondents had blood pressure in stage 1 and stage 2 hypertension categories (38.7%), with the majority demonstrating moderate medication adherence and moderate family support (54.8%). A significant moderate negative correlation was found between family support and blood pressure (p = 0.006; r = –0.479), while medication adherence showed a very strong negative correlation with blood pressure (p = 0.000; r = –0.864).

Conclusion: Family support and medication adherence were significantly associated with blood pressure among hypertensive patients. Better family support and higher medication adherence were associated with better blood pressure control.