Main Article Content
Family participation is important in addressing non-adherence to treatment among older persons with uncontrolled hypertension. Supporting from family could enhance better medication and healthy lifestyle modification adherence. Thus, strategies that promote family participation in the care for older persons with uncontrolled hypertension are as follows: 1) facilitating older persons in performing self-management activities, 2) being a partner in decision-making and problem-solving, 3) finding and connecting to outside resources, 4) supporting stress management, 5) helping to integrate illness care into daily life and promoting social engagement, and 6) assisting patient-provider communication. This article aims to describe the importance of family participation in caring for older persons with uncontrolled hypertension, family participation, and strategies to enhance family participation. Family participation in hypertension care can improve patient outcomes and quality of care.
Keywords: Hypertension, Family participation, Treatment adherence, Older persons
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
Benetos A, Petrovic M, Strandberg T. Hypertension management in older and frail older patients. Circ Res.2019;124(7):1045-60. doi: 10.1161/CIRCRESAHA.118.313236.
Oliveros E, Patel H, Kyung S, Fugar S, Goldberg A,Madam N, et al. Hypertension in older adults: assessment,management, and challenges. Clin Cardiol. 2019;43(2):99-107. doi: 10.1002/clc.23303.
Department of Health. Bureau of Elderly Health Annual Report 2020 [Internet].2020 [cited 2021 June 16];Available from https://eh.anamai.moph.go.th/web-upload/10x2f8665bc5c6742a30312c81435ca284e/filecenter/Annual%20report%20file/Annual%20
report%202020.pdf (in Thai)
Thamnamsin K, Amnatsatsue K, Kerdmongkol P,Artsanthia J. Effect of self-care promoting program on self-care behavior among older adults with uncontrolled hypertension in Bangkok metropolitan. Journal of Public Health Nursing. 2015;29(2):44-55. (in Thai)
Sinsap N, Jankra J. Jaiman B. Hypertension in elderly:silence killer should be aware. Journal of Phrapokklao Nursing College. 2017;28(1):100-11. (in Thai)
Beune E, Nieuwkerk P, Stronks K, Meeks K, Schulze MB,Mockenhaupt FP, et al. Medication non-adherence and blood pressure control among hypertensive migrant and non-migrant populations of sub-Saharan African origin:the RODAM study. J Hum Hypertens. 2019;33(2):131-48.doi:10.1038/s41371-018-0120-8.
Jenjob J, Chomson S. Factors related to blood pressure control behaviors of patients with essential hypertension of Ban Keskasorn sub-district health promotion hospital Lankrabue district, KamphaengPhet province [Internet].2016 [cited 2021 June 16]; Available from http://188.8.131.52/kmhealth_new/Documment/blood/research/10.pdf. (in Thai)
Neelasri A. Factors affecting blood pressure control in patients with hypertension health promoting hospital Tambon Wang Nam Khieo, Kamphaeng Saen district,Nakhon Pathom province. Region 4-5 Medical Journal.2016;35(2):77-88. (in Thai)
Khantamoon R, Daenseekaew S. Self-management among people with uncontrolled hypertension. Journal of Nursing and Health Care. 2017;35(2):89-97. (in Thai)
Seesawang J, Thongtang P. Factors associated with self-management ability among older adults with hypertension in Asia: a systematic review of qualitative studies. Nursing Science Journal of Thailand. 2019;37(1):86-107.
Chang AK, Lee EJ. Factor affecting self-care in elderly patients with hypertension in Korea. Int J Nurs Pract.2015;21(5):584-91. doi: 10.1111/ijn.12271.
Lee E, Park E. Self-care behavior and related factors in older patients with uncontrolled hypertension. Contemp Nurse. 2017;53(6):607-21. doi: 10.1080/10376178.2017.1368401.
Ademe S, Aga F, Gela D. Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia. BMC Health Serv Res.2019;19(1):51. doi: 10.1186/s12913-019-3880-0.
Olalemi OE, Muyibi SA, Ladipo MM. Perceived family support and medication adherence amongst hypertension outpatients in a tertiary hospital, Ibadan, Nigeria. West Afr J Med. 2020;37(5):481-9.
Uchmanowicz B, Chudiak A, Uchmanowicz I, Rosinczuk J, Froelicher ES. Factors influencing adherence to treatment
in older adults with hypertension. Clin Interv Aging.2018;13:2425-41. doi:10.2147/CIA.S182881.
Kanchanakijsakul C. Family participation in supporting drug use for Thai elderly with chronic diseases. Journal of Health Science. 2016;25(2):192-203. (in Thai)
Mackie BR, Mitchell M, Marshall AP. Patient and family members’ perceptions of family participation in care on acute care wards. Scand J Caring Sci. 2019;33(2):359-70.doi: 10.1111/scs.12631.
Maneetup K, Daenseekaew S. Situation of salt intake among people with hypertension in Thangkhuang subdistrict,Waengnoi district, Khonkaen province. Journal of Nursing and Health Care. 2017;35(4):140-9. (in Thai)
Jazieh AR, Volker S, Taher S. Involving the family in patient care: a culturally tailored communication model. Global Journal on Quality and Safety in Healthcare. 2018;1(2):33-7. doi: 10.4103/JQSH.JQSH_3_18.
Maslakpak MH, Rezaei B, Parizad N. Does family involvement in patient education improve hypertension management? A single-blind randomized, parallel group,controlled trial. Cogen Med. 2018;5(1):1537063. doi:10.1080/2331205X.2018.1537063.
Budda D, Aungwattana S, Boonchieng W. Development of eating pattern for people with uncontrolled hypertension using family participation approach. Nursing Journal.2019;46 Suppl:36-48. (in Thai)
Shen Y, Peng X, Wang M, Zheng X, Xu G, Lu L, et al.Family member-based supervision of patients with hypertension: a cluster randomized trial in rural China. J Hum Hypertens. 2017;31(1):29-36. doi: 10.1038/jhh.2016.8.
Schepp K. Psychometric assessment of the preferred participation scale for parent of hospitalized children.Unpublished manuscript, University of Washington, School of Nursing, Seattle, WA, USA.;1995.
Songwatthanayuth P, Watthanakorn K, Klinhom K,Ratanapat P. Effects of family and village health volunteer participation program on health promoting behaviors and blood pressure in pre-hypertension adults. Veridian E-Journal, Science and Technology Silpakorn University.2559;3(3):1-14. (in Thai)
Wutthitham N, Srinopkun P, Srinual C. The development of pattern of behavioral health medication among hypertension group by family participation: Damnoen Saduak hospital in Ratchburi province. Nursing Journal.2019;46(2):70-82. (in Thai)
Pairojkittrakul S, Harnirattisai T, Thitiarchakul S. The effect of a shared care-promoting program on shared care,nutritional status and, exit site infection among continuous ambulatory peritoneal dialysis patients. Ramathibodi Nursing Journal. 2014;20(3):325-340. (in Thai)
Ojo OS, Malomo SO, Sogunle PT. Blood pressure (BP)control and perceived family support in patients with essential hypertension seen at a primary care clinic in Western Nigeria. J Family Med Prim Care. 2016;5(3):569-75. doi: 10.4103/2249-4863.197284.
Nyaaba GN, Stronks K, Meeks K, Beune E, Owusu-Dabo E,Addo J, et al. Is social support associated with hypertension control among Ghanaian migrants in Europe and non-migrants in Ghana? The RODAM study. Intern Emerg Med. 2019;14(6):957-66. doi: 10.1007/s11739-019-02075-7.
Chacko S, Jeemon P. Role of family support and self-care practices in blood pressure control in individuals with hypertension: results from a cross-sectional study in Kollam District, Kerala. Wellcome Open Res. 2020;5:180. doi: 10.12688/wellcomeopenres.16146.1.
Surakan P, Jougudomkarn D. The family caregiver’s roles in providing care for the chronically ill family members:a synthesis of qualitative research theses. Journal of the Office of DPC 7 Khon Kaen. 2018;26(2):83-92. (in Thai)
Mahamad P. Knowledge, attitude and principle of caregiver in elderly disability care in Sungaikolok, Narathiwas. Journal of Gerontology and Geriatric Medicine. 2018;17(1-2):1-9. (in Thai)
Eassom E, Giacco D, Dirik A, Priebe S. Implementing family involvement in the treatment of patients with psychosis: a systematic review of facilitating and hindering factors. BMJ Open. 2014;4(10):e006108. doi:10.1136/bmjopen-2014-006108.
Kamrapis R, Buajaroen H, Kasipol T. Effects of a transactional program on the control of hypertension in the community.
HCU Journal of Health Science. 2013; 16(32):3-18.(in Thai)
Cohen LW, Zimmerman S, Reed D, Sloane PD, Beeber AS, Washington T, et al. Dementia in relation to family caregiver involvement and burden in long-term care.J Appl Gerontol. 2014;33(5):522-40. doi: 10.1177/0733464813505701.
Mayberry LS, Berg CA, Greevy RA, Wallston KA.Assessing helpful and harmful family and friend involvement in adults’type 2 diabetes self-management. Patient EducCouns. 2019;102(7):1380-8. doi:10.1016/j.pec.2019.02.027.