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All Journal Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Malahayati International Journal of Nursing and Health Science
Len, Jenny Firda
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Influence of Self-Care Management on Blood Pressure Control in Hypertensive Patients: A Literature Review Asseggaf, Syarifah Nurul Yanti Rizki Syahab; Zakiah, Mistika; Ulfah, Ridha; Putri, Triyana Harlia; Len, Jenny Firda; Qatrunnada, Aura
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 2 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i2.1550

Abstract

Background: Hypertension, often referred to as the "silent killer," is a chronic condition characterized by systolic blood pressure >/140 mmHg and diastolic blood pressure >/90 mmHg. It is a major contributor to cardiovascular morbidity and mortality. One key factor affecting blood pressure control is adherence to antihypertensive medication, which is closely linked to self-care management. Objective: This literature review aims to analyze the influence of self-care management on blood pressure control in patients with hypertension. Methods: An integrative literature review was conducted by collecting references from electronic databases. Six journal articles that met the inclusion criteria were analyzed using descriptive analysis techniques. Results: The review found a strong correlation between effective self-care management and improved blood pressure control. Various factors were identified as influencing self-care capacity, including age, duration of illness, presence of comorbidities, self-efficacy, perception, and health literacy. These factors play a critical role in determining a patient's ability to manage their condition. Conclusion: Self-care management is essential in supporting medication adherence and achieving blood pressure control in hypertensive patients. Both intrinsic and extrinsic factors contribute to the effectiveness of self-care strategies and should be considered in hypertension management programs
Self-efficacy and self-care behaviours among adults with antihypertensive medication adherence Len, Jenny Firda; Assegaf, Syarifah Nurul Yanti Rizki Syahab; Ulfah, Ridha
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1100

Abstract

Background: Hypertension is a chronic medical condition characterized by persistently elevated systolic and diastolic blood pressure beyond normal thresholds, often termed a “silent killer.” Increased self-efficacy and effective self-care management have been shown to positively influence adherence to antihypertensive treatment. However, limited research has examined the relationship between intrinsic factors and medication adherence among patients within the Saigon Community Health Center. Purpose: To determine the relationship between self-efficacy, self-care management, and medication adherence among individuals with hypertension. Method: This research employed an analytical observational design with a cross-sectional approach. A total of 100 hypertensive patients participated, assessed using the Morisky Medication Adherence Scale (MMAS-8), the Modified General Perceived Self-Efficacy Scale, and the Hypertension Self-Management Behavior Questionnaire (HSMBQ). Univariate analysis was used to describe respondents’ demographic characteristics, while bivariate analysis was performed using Spearman’s correlation test. Results: The findings showed that 87% of respondents demonstrated good self-care management, 85% had high self-efficacy, and 51% adhered to their prescribed medications. Spearman’s correlation analysis revealed a significant relationship between self-care management and medication adherence (p = 0.002, r = 0.311), as well as between self-efficacy and adherence (p = 0.009, r = 0.262). Conclusion: Both self-efficacy and self-care management were found to have a significant but weak positive correlation with medication adherence. Strengthening patients’ motivation and promoting consistent engagement in hypertension management are essential to reducing related complications.
Co-Authors Assegaf, Syarifah Nurul Yanti Rizki Syahab Asseggaf, Syarifah Nurul Yanti Rizki Syahab Mistika Zakiah Qatrunnada, Aura Ridha Ulfah Triyana Harlia Putri