Ake Royke Calvin Langingi Langingi
Sekolah Tinggi Ilmu Kesehatan Gunung Maria Tomohon

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Psychosocial Determinants of Quality of Life in Hypertensive Patients in Semi-Urban Areas of Indonesia: A Cross-Sectional Study Grace Irene Viodyta Watung; Ake Royke Calvin Langingi Langingi; Sudirman
Jurnal Kesehatan Masyarakat Vol. 22 No. 1 (2026)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v22i1.48825

Abstract

Hypertension is one of the global public health challenges that reduces patients' quality of life (QoL). Psychosocial determinants such as anxiety, family support, coping mechanisms, perceptions of illness, and motivation to recover play an important role but are often overlooked. Analysing psychosocial determinants of quality of life among hypertensive patients in semi-urban areas. A cross-sectional study was conducted on 938 hypertensive patients in Kotamobagu City, Indonesia (May–July 2025) using stratified random sampling, data were collected using standard instruments: WHOQOL-BREF (QoL), State-Trait Anxiety Inventory (anxiety), Family APGAR (family support), Coping Inventory (coping mechanisms), Brief Illness Perception Questionnaire (illness perception), and Treatment Self-Regulation Questionnaire (motivation). Chi-square analysis and logistic regression were performed using SPSS 27. Adaptive coping mechanisms were the dominant predictor with the largest contribution in the model (OR = 3.10; Wald = 203.68). Motivation to recover was a strong predictor, but not dominant (OR = 3.67; Wald = 49.00). Positive perception of illness can be used as an additional strong predictor (OR = 3.67; Wald = 30.25). Adaptive coping strategies, including task-oriented, cognitive, emotional, social, and spiritual strategies, as well as social support and resilience, play a dominant role in improving quality of life and managing hypertension.