Logo-jrhs
J Res Health Sci. 2024;24(4): e00628.
doi: 10.34172/jrhs.2024.163
  Abstract View: 418
  PDF Download: 47

Original Article

Family Self-management Program for Hypertension Management and Sodium Consumption Adherence: A Parallel Randomized Control Trial Among Family Caregivers and People With Hypertension

Tantut Susanto 1* ORCID logo, Sri Hernawati 2 ORCID logo, Rismawan Adi Yunanto 3 ORCID logo, Ira Rahmawati 4 ORCID logo, Niken Asih Laras Ati 1 ORCID logo, Wahyuni Fauziah 5

1 Department of Community, Family and Geriatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
2 Department of Oral Disease, Faculty of Dentistry, Universitas Jember, Jember, Indonesia
3 Department of Emergency and Critical Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
4 Department Maternal and Pediatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
5 Department of Neurology, Dr. H Koesnadi Regional Hospital of Bondowoso, Bondowoso, Indonesia
*Corresponding Author: Tantut Susanto, Email: tantut_s.psik@unej.ac.id

Abstract

Background: Hypertension (HTN) has become a serious health problem in developing countries. The family has an important role in maintaining blood pressure (BP) at home, and sodium diet compliance in people with HTN needs to be developed. Therefore, this research aimed to evaluate the effectiveness of a family self-management program (FSMP) in HTN management and compliance with sodium consumption in rural areas of Indonesia.

Study Design: A parallel-group, single-blind randomized controlled trial.

Methods: One hundred twenty-six eligible participants were randomly allocated to an intervention (n=63) and a control group (n=63). Participants in the intervention group received a 24-week (6-month) FSMP intervention. The primary outcome measures included the systolic and diastolic BP, the Score Sodium Questionnaire (SSQ), and the Morisky Medication Adherence Scale 8 (MMAS-8). The Knowledge of Health Care for HTN questionnaire and the Efficacy and Behavior Toward Health Care for Patients with HTN questionnaire were used to assess the secondary outcome.

Results: The final results were analyzed from 121 participants (n=61 intervention and n=60 control group). The repeated analysis of variance (ANOVA) test results demonstrated significant effects on the management of HTN and adherence to sodium consumption as indicated by systolic (P=0.004) and diastolic BP (P=0.006), SSQ (P<0.001), MMAS 8 (P<0.001), caregivers’ knowledge (P<0.001), caregivers’ self-efficacy (P<0.001), and caregivers’ behaviors (P=0.005).

Conclusion: The FMSP emerges as a promising strategy for managing BP and adherence to sodium consumption in people with HTN through the support of family caregivers and selfmanagement activities.


Please cite this article as follows: Susanto T, Hernawati S, Yunanto RA, Rahmawati I, Ati NAL, Fauziah W. Family self-management program for hypertension management and sodium consumption adherence: a parallel randomized control trial among family caregivers and people with hypertension. J Res Health Sci. 2024; 24(4):e00628. doi:10.34172/jrhs.2024.163
First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 419

Your browser does not support the canvas element.


PDF Download: 47

Your browser does not support the canvas element.

Submitted: 06 Mar 2024
Revision: 05 May 2024
Accepted: 23 Aug 2024
ePublished: 30 Sep 2024
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)