The Factors that are Related to Self-Care Agency in Patients with Hypertension

Abstract

Uncontrolled hypertension leads to complex problems experienced by patient as the complication of the hypertension. The patient's ability to do self-care (self-care agency) is essential and recommended to control hypertension. Age, sex, education, occupation, marital status, decision making, duration of hypertension, lifestyle, and insurance availability are contributed to the self-care agency. Nurses and patients should be able to know and understand these self-care agency related factors. The aim of this study was to identify self-care agency relating factors of hypertension patients in Pekanbaru. This study conducted using a quantitative approach with cross sectional design and involving 100 hypertension patients who recruited using purposive sampling techniques. Self-care agency was measure using exercise of self-care agency (ESCA) questionnare. Data were analyzed using Spearman test and Chi Square test to determine the relation of each factors on self-care agency and multivariate logistic regression test to determine the most related factors on self-care agency. The result showed that there were a significant different of age (p=0.048), education (p=0.002), gender (p= 0.025), health insurance (p=0.027), and life style (p=0.003) with self-care agency. Meanwhile, there were no signifcant different of occupation (p=1.000), decision making (p=0.800), marital status (p=1.000), and duration of hypertension (p=0.567) with self-care agency. Multivariate analysis revealed that the most influence factor for self-care agency is life style. This study suggest the nurses in improving self-care agency of hypertension patients must concern about patient lifestyle and help patient to modify their lifestyle.

Self-care behavior among adult patients with hypertension in Padang, West Sumatra, Indonesia: A cross-sectional study

“…The results of our study indicated that self-care behavior among participants is associated with certain factors, such as ethnicity, marital status, and body mass index (BMI). These findings align with a prior study that also identified ethnicity, marital status, and BMI as factors influencing self-care behavior in adults with hypertension (Ademe et al, 2019 ; Istek & Karakurt, 2016 ; Kharisna et al, 2018 ; Nakarmi et al, 2023 ; Zeighami Mohamadi et al, 2015 ). Self-care management for patients with hypertension involves adhering to lifestyle modification recommendations aimed at controlling risk factors that can exacerbate high blood pressure and worsen the patient’s hypertension.…”

Tera Gymnastic Effective for Patient with Hypertension

“…Physical activity is obtained through components of stretching and joint motion whereas relaxation is obtained through the respiratory movement that exists in Tera gymnastics (Sari, 2011). the nurses in improving self-care agency of hypertension patients must concern about patient lifestyle and help patient to modify their lifestyle (Kharisna et al, 2018).…”

“…Hypertension is one of the most deadly chronic diseases in the world by contributing 9.4 million mortality every year (WHO, 2013) in Kharisna, Ropi, and Rahayu (2018). High blood pressure is the risk of risk cardiovascular disease (CVD) and all cause of mortality.…”

Health Status of Older Adults with Hypertension after Family and Cadre Empowerment through Comprehensive Care

“…The role of women in the family closely related to the function of family management and maintaining family's health. Research from Kharisna et al, (2018), prove that women have a better selfcare agency than man, because they can be more active and concern to take care of their health and their family's health as well.…”