Hypertension is a chronic non-communicable disease that requires long-term management through pharmacological treatment and healthy lifestyle modification. The success of hypertension control is strongly influenced by patients’ ability to perform self-management in daily life. This study aimed to analyze the determinants of self-management among hypertensive patients at Nusa Bakti Community Health Center, East Ogan Komering Ulu Regency, South Sumatra Province. This research used an observational analytic method with a cross-sectional design. The sample consisted of 245 hypertensive patients selected using the Lemeshow formula, and the valid data analyzed involved 240 respondents. Data were collected using questionnaires covering demographic characteristics, self-efficacy, and hypertension self-management. Data analysis was performed using univariate analysis, chi-square test, and logistic regression. The results showed that marital status, family history of hypertension, comorbidities, and self-efficacy were significantly associated with self-management. Multivariate analysis revealed that self-efficacy, marital status, and family history of hypertension were the dominant factors influencing hypertension self-management. These findings indicate that hypertension management should not only focus on medication but also strengthen patients’ confidence, family support, and awareness of hereditary risk. The study implies the need for family-based counseling and self-efficacy strengthening programs in primary health care services.
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