Family Support on Blood Pressure in Elderly Hypertension: A Literature Review
Main Article Content
Abstract
Background: Hypertension is a non-communicable disease that mostly occurs in the elderly and can cause serious complications such as stroke and heart disease. One factor that can help manage hypertension in the elderly is family support. This support plays a role in improving adherence to medication, maintaining a healthy diet, and reducing stress that can affect blood pressure. This study aims to examine the relationship between family support and blood pressure management in hypertensive elderly based on a literature review.
Methods: This study used the literature review method with guidelines from Grove and Gray EBP. Articles were searched through Google Scholar, Ebsco, and Elsevier databases with the keywords "family support," "hypertension," and "elderly." Articles were screened using the PICOS Framework to ensure relevance to the research topic.
Results: Analysing 10 articles that met the selection criteria, we found that good family support contributed to improved medication adherence, hypertension diet adherence, and improved quality of life for the elderly. The most influential forms of support include emotional, social, instrumental, and financial support.
Conclusion: Family support plays a significant role in the management of blood pressure in hypertensive elderly. Elderly people who get emotional, social, instrumental, and financial support from their families show better blood pressure control and higher quality of life. Families can provide optimal support for the elderly with hypertension by offering emotional, informational, instrumental, and appreciation support to improve adherence to medication and maintain a healthy lifestyle.
Article Details
References
Ainiyah, N., Zuhriyah, N., Zahroh, C., Damawiyah, S., Kusumawati, D. R., Afiyah, R. K., Budury, S., & Fitriasari, A. (2023). Influence of self-motivation and health locus of control on adherence to medication among hypertension patients. Jurnal Keperawatan Indonesia, 26(1), 11–19. https://doi.org/10.7454/jki.v26i1.2526
Bowling, C. B., Lee, A., & Williamson, J. D. (2021). Blood pressure control among older adults with hypertension: Narrative review and introduction of a framework for improving care. American Journal of Hypertension, 34(3), 258–266. https://doi.org/10.1093/ajh/hpab002
Chen, T., Shao, F., Chen, K., Wang, Y., Wu, Z., Wang, Y., Gao, Y., Cornelius, V., Li, C., & Jiang, Z. (2022). Time to clinical benefit of intensive blood pressure lowering in patients 60 years and older with hypertension: A secondary analysis of randomized clinical trials. JAMA Internal Medicine, 182(6), 660–667. https://doi.org/10.1001/jamainternmed.2022.1657
Dahlan, S. (2021). Statistik untuk kedokteran dan kesehatan (6th Ed.). Epidemiologi Indonesia.
Hendri Kurniawan, & Br Sinukaban, E. D. (2023). The Relationship Between Family Support and Elderly Behavior in Hypertension Control in the Working Area of Tiga Balata Health Center. International Journal of Public Health Excellence (IJPHE), 2(2), 471–474. https://doi.org/10.55299/ijphe.v2i2.356
Mahmood, S., Jalal, Z., Hadi, M. A., & Shah, K. U. (2020). Association between attendance at outpatient follow-up appointments and blood pressure control among patients with hypertension. BMC Cardiovascular Disorders, 20(1), 1–11. https://doi.org/10.1186/s12872-020-01741-5
Manurung, R., & Sari, J. Y. (2020). Hubungan dukungan keluarga dengan kepatuhan diet pada pasien gagal ginjal kronik di Rumah Sakit Umum Imelda Pekerja Indonesia (RSU IPI) Medan Tahun 2019. Jurnal Ilmiah Keperawatan Imelda, 6(1), 1–9. http://jurnal.uimedan.ac.id/index.php/JURNALKEPERAWATAN
McManus, R. J., Little, P., Stuart, B., Morton, K., Raftery, J., Kelly, J., Bradbury, K., Zhang, J., Zhu, S., Murray, E., May, C. R., Mair, F. S., Michie, S., Smith, P., Band, R., Ogburn, E., Allen, J., Rice, C., Nuttall, J., … Yardley, L. (2021). Home and online management and evaluation of blood pressure (HOME BP) using a digital intervention in poorly controlled hypertension: Randomised controlled trial. The BMJ, 372, 1–13. https://doi.org/10.1136/bmj.m4858
Ministry of Health of the Republic of Indonesia. (2018). The result of Riskesdas 2018. Ministry of Health of the Republic of Indonesia.
Presilia, I., Haryanto, J., & Astuti, P. (2020). Factors associated with perceived family support among elderly with hypertension. International Journal of Nursing and Health Services (IJNHS) Th, 3, 26–32. https://doi.org/10.35654/ijnhs.v3i1.178
Riasmini, N. M., Achjar, K. A. H., Hartini, T., Khatimah, H., C.Gomez, E., & Riyanto, R. (2023). A continuity of care model based on family empowerment improves the family’s ability in managing hypertension among elderly. Jurnal Kesehatan Prima, 17(2), 78. https://doi.org/10.32807/jkp.v17i2.1183
Susianti, M., Asnawati, R., & Polapa, S. K. (2022). Relationship between family social support and quality of life for hypertensive elderly in Tenggela Village, Tilango District. Journal of Community Health Provision, 2(1), 1–12.
Tutpai, G., Unja, E. E., & Nura, F. (2021). Family support for controlling blood pressure of elderly patients in health facilities during the Covid-19 pandemic in Banjarmasin. KnE Life Sciences, 2021, 268–277. https://doi.org/10.18502/kls.v6i1.8614
Zhang, Q., Huang, F., Zhang, L., Li, S., & Zhang, J. (2021). The effect of high blood pressure-health literacy, self-management behavior, self-efficacy and social support on the health-related quality of life of Kazakh hypertension patients in a low-income rural area of China: A structural equation model. BMC Public Health, 21(1), 1–10. https://doi.org/10.1186/s12889-021-11129-5
Zhang, S., Wu, S., Ren, J., Chen, X., Zhang, X., Feng, Y., Zhou, X., Zhu, B., Yang, J., Tian, G., Jiang, Y., Guo, Z., Li, Y., Wang, T. D., Kario, K., Zhang, W., & Cai, J. (2020). Strategy of blood pressure intervention in the elderly hypertensive patients (STEP): Rational, design, and baseline characteristics for the main trial. Contemporary Clinical Trials, 89, 1–9. https://doi.org/10.1016/j.cct.2019.105913
Zhou, B., Perel, P., Mensah, G. A., & Ezzati, M. (2021). Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nature Reviews Cardiology, 18(11), 785–802. https://doi.org/10.1038/s41569-021-00559-8