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p-Index From 2021 - 2026
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All Journal Jurnal Keperawatan Profesional
Sitepu, Juanda
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Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Determinants of Adherence to Taking Antihypertensive Drugs Based on the Health Promotiom Model (HPM); A Systematic Scoping Review Sitepu, Juanda; Jiu, Cau Kim; Hastuti, Lidia; Jais, Suriadi; Hariyanto, Hariyanto
Jurnal Keperawatan Profesional Vol 14, No 1 (2026): Challenges and Integrated Approaches in Various Clinical Conditions
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i1.13974

Abstract

Adherence to antihypertensive medication is a key determinant of successful blood pressure control and the prevention of cardiovascular complications. However, empirical evidence indicates that medication adherence among patients with hypertension remains suboptimal. Therefore, a comprehensive and theory-based approach is required to better understand the factors influencing adherence behavior. This study aimed to map and synthesize scientific evidence on factors influencing adherence to antihypertensive medication based on the Health Promotion Model (HPM). This study employed a systematic scoping review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines. Relevant articles published between 2020 and 2025 were systematically selected according to predefined inclusion and exclusion criteria. The findings revealed that key HPM constructs significantly associated with adherence to antihypertensive medication included perceived benefits, self-efficacy, perceived barriers, and interpersonal influences. Among these constructs, perceived benefits and self-efficacy were the most consistently and strongly reported determinants across the reviewed studies. The Health Promotion Model is a relevant and applicable theoretical framework for understanding and improving adherence to antihypertensive medication through promotive and preventive nursing interventions.
Co-Authors Cau Kim Jiu Djaswadi Dasuki HARIYANTO HARIYANTO Suriadi Jais