NurseLine Journal
Vol. 10 No. 2 (2025): November 2025

THE IMPACT OF SELF-MANAGEMENT ON RESILIENCE, STRESS, AND MEANARTERIAL PRESSURE IN HYPERTENSION PATIENTS




Article Info

Publish Date
25 May 2026

Abstract

Background: Hypertension is a chronic disease that requires self-management skills to enhance resilience, reduce psychological distress, maintain optimal blood pressure control. Objective: To investigate relationship between self-management, resilience, psychological stress, mean arterial pressure in patients with hypertension. Methods: A cross-sectional correlational design. 62 respondents were selected using a random sampling from a population of 89 patients. The instruments used Hypertension Self-Management Behaviour Questionnaire, the Connor-Davidson Resilience Scale, and Perceived Psychological Stress Scale, while MAP was measured using a calibrated digital sphygmomanometer. Data were analyzed using ordinal logistic regression with a significance level (Alfa) of 0.05. Results: Selfmanagement, resilience, psychological stress simultaneously influenced blood pressure of hypertensive patients (p 0.006, <0.05). Parameter estimation analysis revealed that self-management (Beta -0.850; p 0.005), resilience (Beta -1.420; p 0.002), stress (Beta 0.520; p 0.004). All independent variables significantly influence dependent variable, although variance explained 19.6% (R² = 0.196), indicates a relatively low contribution. Conclusion: Improved self-management, resilience, stress management are significantly associated with blood pressure stability in hypertensive patients.These components can serve as a strategic complement to care, both at home and in community.

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Journal Info

Abbrev

NLJ

Publisher

Subject

Description

Focus and scopes of the journal including: Medical and surgical nursing (Adult) Emergency and critical nursing Gerontological nursing Family health nursing Mental health nursing Maternity nursing Nursing leadership and management Complementary and alternative medicine in nursing Education in ...