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Wearable-Integrated Education and Its Association with Self-Management and Quality of Life Among Patients with Hypertension: A Quasi-Experimental Study Sudarman, Sudarman; Asfar, Akbar; Asnaniar, Wa Ode Sri; Siokal, Brajakson; Ratniwati S, Wa Ode
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.91277

Abstract

Introduction: Hypertension is a leading global health concern requiring sustained self-management to prevent complications and improve quality of life. While digital health interventions are increasingly adopted, evidence on the effectiveness of wearable-integrated education in hypertension management remains limited.Objective: This study aimed to evaluate the effectiveness of wearable-integrated education on self-management behaviors and quality of life in patients with hypertension.Methods: A quasi-experimental study was conducted with 200 hypertensive patients recruited from community health centers. Participants were allocated into an intervention group (n = 100), which received wearable-integrated educational modules providing personalized feedback and reminders, and a control group (n = 100), which received standard health education. Outcomes included self-management, measured using the Hypertension Self-Management Behavior Questionnaire (HSMBQ), and quality of life, assessed with the WHOQOL-BREF. Descriptive, correlation, and multivariate regression analyses were performed.Results: Participants had a mean age of 54.2 years (SD = 9.1), with no significant baseline differences between groups. Post-intervention, the intervention group reported significantly higher self-management scores (78.4 ± 8.6 vs. 70.2 ± 9.1; p 0.001) and quality of life scores (82.6 ± 10.2 vs. 75.1 ± 11.0; p 0.001) compared with controls. Correlation analyses indicated that higher education, shorter duration of hypertension, and intervention participation were positively associated with outcomes. Multivariate regression confirmed the intervention as an independent predictor of both self-management (β = 0.39, p 0.001) and quality of life (β = 0.36, p 0.001), with models explaining 29% and 26% of the variance, respectively.Conclusion: Wearable-integrated education significantly improves self-management behaviors and quality of life among hypertensive patients. These findings highlight the potential of integrating wearable technology with educational strategies as a scalable, community nursing–driven approach to hypertension management
Co-Authors A. Jasmine Haya Aqilah Patrianur A.Wahyuni Ristani AA Sudharmawan, AA Abd. Haris, Rizka Putri Yulianti Abri, Putri Damayanti Adiva Suci Chairunnisa Agus, Al Ihksan Agustini, Tutik Akbar Asfar Akbar Asfar Akbar, Akbar Asfar Al Ihksan Agus Al Ikhsan Agus Alfianti Djamil Alfira Pratiwi Jafar Amelia Hartika Rani Amir, Haeril Ananda, Ribi Andi Mappanganro Andi Mappanganro Armelia Sri Diah Safitri Asfar, Akbar Atmajaya, Dedy Brajakson Siokal Brajakson Siokal Della Safitri Djamil, Alfianti Efendy, Rahmat Eliaty Paturungi Emin, Wan Sulastri Erna Marini Ernasari, Ernasari Fatma Jama Firmansyah Firmansyah Haeril Amir Hamzah, Wardiah Haris, Asman Hikmawaty Rahman Idris, Fairus Prihatin Indah Permata Asri Jama, Fatma K, Heidi Lailan, Nur Alfiah Mappanganro, Andi Mardiah Marwan, Nurul Insaniyah Massi, Siti Hardianty MR, Rifka Riska Munir , Nur Wahyuni Muslimah Kurniawati napu, Lia afriani Nasruddin Syam Novitri Cahyani Marinda Nur Erna Marinir Nur Ilah Padhila Nur Ilah Phadila Nur Maya Nur Rahmah Nur Wahyuni Munir Nurhidayah Nurhidayah Nurliah Jafar Nurul Khafifah NURWAHIDAH NURWAHIDAH Nurwahyuni Munir Nurwijayanti Padhila, Nur Ilah Rahmat Hidayat Rahmawati Ramli Rahmi Sakir Ramla Tuanany Ratniwati S, Wa Ode Refika Septinia Basra Rizqy Iftitah Alam Safitri Ulandari Safitri, Della Safruddin Safruddin, Safruddin Sakir, Rahmi Samsualam, Samsualam Selpin, Selpin Sintawati Majid Siti Maghfirah Juniar N Djafar Sitti Zubaedah Bakhtiar Soamole, Rahayu Suchi Avnalurini Sharief Sudarman Sudarman Sudarman Sudarman Sudarman Suhermi Suhermi Suhermi Suhermi, Suhermi Sunarti Sunarti Syahrul Syahrul Takdir Takdir, Takdir Taqiyah, Yusrah Tisna HS Sianu Tutik Agustini Ulfa Sulaiman Wahyuni Ningsi Wan Sulastri Emin Wan Sulastri Emin Wandalia Safitri La Ada WIDYASTUTI Widyastuti Widyastuti Wisdamayanti, Alvina Yeyen Amaliah Lestari Yusrah Taqiyah Yusrah Taqiyah Yusrah Taqyiah