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p-Index From 2021 - 2026
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All Journal Journal of Public Health Sciences Journal of Health Sciences and Medical Development
Lorraine Turiano
King Khalid University
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Self-Care in Hypertension Management: Qualitative Insights into Patient Practices and Challenges: Qualitative Perspectives on Hypertension Self-Care Salami Salami; Angga Wilandika; Lorraine Turiano; Cyril B. Romero
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001417

Abstract

Hypertension is a leading global health burden, affecting over a billion adults, yet fewer than a quarter achieve adequate control. In Indonesia, hypertension is a major contributor to cardiovascular morbidity and mortality. Patients often struggle with sustained self-care. This study explored self-care practices and barriers to hypertension management among patients, caregivers, and nurses in a primary healthcare in Bandung. A qualitative phenomenological approach was used. Twenty participants were purposively recruited, comprising seven patients, seven family members, and six nurses. Data were collected through semi-structured interviews, transcribed verbatim, and analyzed using Colaizzi’s method. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability criteria. Two themes emerged. Self-care practices included medication adherence, dietary modification, physical activity, stress management, blood pressure monitoring, and smoking cessation, though these were inconsistent. Barriers included cultural dietary norms, misconceptions about medication, limited knowledge and motivation, financial constraints, and fear of complications. Hypertension self-care in Indonesia is shaped by complex cultural, social, and economic challenges. Culturally sensitive, family-centered, and nurse-led interventions are needed to strengthen self-care and improve outcomes.
Analysis of Factors Affecting Healthy Reproductive Behavior in Adolescents in the Digital Era Zumrotul Ula; Rasi Rahagia; Suprapto; Peer Zada Muhammad Aamir Khan; Lorraine Turiano
Journal of Health Sciences and Medical Development Vol. 4 No. 03 (2025): Journal of Health Sciences and Medical Development
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/hesmed.v4i03.1322

Abstract

Adolescents in the digital era face opportunities and challenges in maintaining healthy reproductive behavior due to easy access to information and social media influence. This quantitative cross-sectional study surveyed 320 high school students aged 15–19 in Surabaya, Indonesia, using stratified random sampling. Data collected from April–July 2025 via self-administered questionnaires were analyzed with descriptive statistics, chi-square tests, correlations, and logistic regression. The findings showed that 62.5% of adolescents had good reproductive behavior, which was significantly associated with high knowledge (73.3% vs. 36.8%, p < 0.001), positive attitudes (71.4% vs. 45.5%, p = 0.001), strong parental guidance (80.6% vs. 39.3%, p < 0.001), supportive peer influence (73.7% vs. 46.2%, p = 0.002), and controlled digital media exposure (80.0% vs. 41.4%, p < 0.001). Multivariate analysis identified strong parental guidance (AOR = 3.65; 95% CI: 2.12–6.28) and controlled digital media exposure (AOR = 3.21; 95% CI: 1.85–5.58) as the strongest predictors, followed by high knowledge (AOR = 2.45), positive attitudes (AOR = 1.78), and supportive peers (AOR = 1.92). In conclusion, adolescent reproductive behavior is shaped by a combination of individual, family, peer, and digital factors, with parental guidance and digital literacy emerging as the most critical protective elements. Strengthening family involvement and promoting responsible digital engagement are recommended to foster healthy adolescent reproductive behavior.
Co-Authors Cyril B. Romero Peer Zada Muhammad Aamir Khan Rasi Rahagia Salami Salami Wilandika, Angga Zumrotul Ula