Determinants of Self-Management Behavior in Individuals with Hypertension: A Cross-Sectional Analysis
Main Article Content
Friska Sinaga
Elizabeth Ari
Lidwina Triastuti
Background: Hypertension is a leading contributor to global morbidity and mortality, necessitating not only pharmacological management but also effective self-management practices by patients. Identifying the factors influencing self-management behavior among hypertensive patients is essential for developing targeted interventions to improve health outcomes.
Methods: This study employed a quantitative descriptive correlational design. A total of 105 hypertensive patients residing in the Saguling sub-district were selected using accidental sampling. Data collection instruments included a demographic questionnaire and the validated Hypertension Self-Management Behavior Questionnaire (HSMBQ). Data were analyzed using univariate and bivariate statistical methods, including Kendall’s Tau and Chi-square tests, with a significance level set at p < 0.05.
Results: The findings revealed that various demographic factors—including age, education level, occupation, and duration of hypertension—were significantly associated with self-management behaviors. Most respondents demonstrated moderate levels of self-management. The study identified perceived barriers, self-efficacy, and social support as crucial factors affecting the patients’ ability to manage hypertension effectively.
Conclusion: Understanding the demographic and psychosocial factors influencing self-management behaviors in hypertensive patients is vital for the development of effective health education and intervention programs. Strategies aimed at reducing perceived barriers and enhancing support systems could significantly improve hypertension outcomes.
A.K., N., G., E., & C, S. P. (2015). Socio-demorgraphic and clinical determinants of psychiatric co-morbidity in persons with essential hypertention attending the university of Port Harcourt Teaching Hospital. European Archives of Psychiatry and Clinical Neuroscience, 265(1 SUPPL. 1).
Arrang, S. T., Veronica, N., & Notario, D. (2023). Relationship between Knowledge Level and Other Factors with the Level of Compliance of Hypertension Patients at Dr. Mintohardjo Naval Hospital, Jakarta. JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice), 13(4). https://doi.org/10.22146/jmpf.84908
Cuevas, A. G., Williams, D. R., & Albert, M. A. (2017). Psychosocial factors and hypertension: a review of the literature. Cardiology clinics, 35(2), 223-230
Guwatudde, D., Nankya-Mutyoba, J., Kalyesubula, R., Laurence, C., Adebamowo, C., Ajayi, I. O., Bajunirwe, F., Njelekela, M., Chiwanga, F. S., Reid, T., Volmink, J., Adami, H. O., Holmes, M. D., & Dalal, S. (2015). The burden of hypertension in sub-Saharan Africa: A four-country cross sectional study. BMC Public Health, 15(1). https://doi.org/10.1186/s12889-015-2546-z
Labata, B. G., Ahmed, M. B., Mekonen, G. F., & Daba, F. B. (2019). Prevalence and predictors of self care practices among hypertensive patients at Jimma University Specialized Hospital, Southwest Ethiopia: Cross-sectional study. BMC Research Notes, 12(1). https://doi.org/10.1186/s13104-019-4125-3
Mahboubi, M., Mirzaei-Alavijeh, M., Hosseini, S. N., Motlagh, M. E., Saadatfar, A., Fattahi, M., & Jalilian, F. (2021). Psychometric Analysis of Hypertension Self-Management Behaviors Questionnaire; an Application of Intervention Mapping Approach in Questionnaire Development. Journal of Education and Community Health, 8(4). https://doi.org/10.52547/jech.8.4.237
McClintock, H. F., & Bogner, H. R. (2017). Incorporating patients’ social determinants of health into hypertension and depression care: a pilot randomized controlled trial. Community mental health journal, 53, 703-710. https://doi.org/10.1007/s10597-017-0131-x
Milwati, S., & Pitoyo, J. (2021). Nalyze The Selfcare Model Based on Health Belief Model for Hypertention Patients Aged 45 To and Above In Malang. Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan), 5(1). https://doi.org/10.31290/j.idaman.v(5)i(1)y(2021).page:43-54
Nina, N., Calisane, P., & Lindayani, L. (2021). The Effect of Self-Management Interventions on Self-Care and Blood Pressure in Hypertension Patients. Risenologi, 2018(September).
Sakinah, S., Ratu, J. M., & Weraman, P. (2020). The Relationship between Demographic Characteristics and Knowledge with Self Management of Hypertension in Timorese Community: Cross-sectional Study. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 11(3). https://doi.org/10.33846/sf11305
Siregar, C. T., Nasution, S. Z., Ariga, R. A., Lufthiani, Tanjung, D., & Harahap, I. A. (2021). The role and function of family caring for family members with chronic disease in medan. In AIP Conference Proceedings. 2342(1). 120004. https://doi.org/10.1063/5.0045438
Tsai, H.-T. (2017). Differences of Self-Management in Controlling Blood Pressure between Patients with Hypertension and Healthy People in Vietnam. POJ Nursing Practice & Research, 1(1). https://doi.org/10.32648/2577-9516/1/1/004
Tursina, H. M., Nastiti, E. M., & Sya’id, A. (2022). Factors Influencing Self Management in Hypertension Patients. JURNAL KEPERAWATAN CIKINI, 3(1). https://doi.org/10.55644/jkc.v3i1.67



