Jurnal Ilmiah STIKES Yarsi Mataram
Vol. 16 No. 2 (2026): Jurnal Ilmiah STIKES Yarsi Mataram

The Effect of Health Belief Model-based Health Education on Self-Management Behavior in Preventing Stroke Among Hypertension Patients

Dika Ratna Sari (Universitas Nahdlatul Ulama Surabaya)
Yurike Septianingrum (Universitas Nahdlatul Ulama Surabaya)
Andikawati Fitriasari (Universitas Nahdlatul Ulama Surabaya)
M. Shodiq (Universitas Nahdlatul Ulama Surabaya)



Article Info

Publish Date
01 Aug 2026

Abstract

This study examined the effect of Health Belief Model (HBM)–based health education delivered through an e-booklet on self-management behavior among patients with hypertension. A quasi-experimental, non-randomized control-group pretest–posttest study was conducted at a primary healthcare center in Surabaya, Indonesia. Forty patients with grade II hypertension were recruited through purposive sampling and allocated to intervention (n = 20) and control (n = 20) groups. The intervention group received six online educational sessions over three weeks, while the control group received routine leaflet-based education. Self-management was measured using the 40-item Hypertension Self-Management Behaviour Questionnaire. Data were analyzed using Wilcoxon signed-rank and Mann–Whitney U tests. The intervention group demonstrated significant improvements in self-integration, self-regulation, interaction with health workers, self-monitoring, and medication adherence (all p = 0.001), whereas the control group showed no significant changes. Post-intervention scores differed significantly between groups across all domains (p = 0.002, 0.025, 0.019, 0.004, and 0.022, respectively). HBM-based education through an e-booklet was associated with improved hypertension self-management and may complement routine education in primary healthcare.

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Journal Info

Abbrev

JISYM

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Description

Jurnal Ilmiah STIKES Yarsi Mataram with E-ISSN 2807-940X and P-ISSN 1978-8940 is a scientific journal that presents research results with the focus and scope of journals including nursing science, obstetrics and public health sciences including maternal and child health sciences, production health, ...