| Penulis/Author |
YOPI RIKMASARI (1); Prof. Dr. Susi Ari Kristina, S.Farm., M.Kes., Apt. (2) ; Dr. apt. Dwi Endarti, S.F., M.Sc. (3); Prof. Dr. Tri Murti Andayani, Sp.FRS., Apt. (4); Vo Quang Trung (5) |
| Abstrak/Abstract |
Self-management requiring self-efficacy support is considered a costeffective treatment in hypertensive patients who are influenced by a
complex interaction of intrinsic and extrinsic factors. This study explored
the factors related to self-efficacy, self-management and their impact on
blood pressure and health-related quality of life (HRQoL) of hypertensive
patients in primary health centers. A cross-sectional study from ten primary
health centers in South Sumatra province, with 407 participants, used a
questionnaire and medical records. The data were analysed descriptively,
bivariate (chi-square), and multivariate logistic regression using the
backward method. Factors correlated to self-efficacy include disease
knowledge (OR = 5.538, P=0.000), social support (OR=4.330, P=0,000),
disease courses (OR=2.807, P=0.000) and unemployed/retired (OR=2.174,
P=0.002), while the factor correlated to self-management are disease
knowledge (OR=2.223, P=0.002), unemployed/retired (OR=1.712,
P=0.037), self-efficacy (OR=1.631, P=0.046), age (OR=1.594, P=0.023), and
social support (OR=1.461, P=0.099). Self-management correlates with blood
pressure (OR=5.045, P=0.000) and HRQoL (OR=0.541, P=0.005). Blood
pressure is correlated with HRQoL (OR=1.703, R=0.027). Hypertensive
patients with higher disease knowledge, higher social support, longer
disease courses, and unemployed/retired were significantly more likely to
have good self-efficacy. The higher disease knowledge, unemployed/retired,
good self-efficacy, older age, and higher social support are more likely to
have better self-management. Disease knowledge is most correlated with
self-efficacy and self-management. Self-management has a positive effect on
blood pressure and HRQoL. Controlled blood pressure is known to have a
positive HRQoL. This study provides an overview of how the government
and health care professionals recognise strong predictors and implement
effective self-management interventions in hypertensive patients. |
