scholarly journals The Effects of Hypertension Health School Program on Hypertension-related Knowledge, Self-efficacy, Self-care Behavior and Physiological Parameters in Hypertensive Patients

2016 ◽  
Vol 23 (1) ◽  
pp. 49-60 ◽  
Author(s):  
Koung Oh Chang
Author(s):  
Hye Jin Nam ◽  
Ju Young Yoon

Hypertension has been identified as the most prevalent chronic disease, accounting for the majority of premature deaths in people with physical disability in South Korea. Self-care is vital in controlling high blood pressure. Health literacy has been implicated in self-care behaviors; however, the mechanisms behind this relationship remain unclear. Therefore, the present study aimed to test a hypothetical path model estimating the association between health literacy and hypertension self-care behaviors and to verify the mediating effects of access to healthcare, provider–patient interactions, hypertension knowledge, and hypertension control self-efficacy in hypertensive people with physical disability. In total, 211 hypertensive adults with physical disability completed an online survey. A path analysis using a multi-mediation model was performed using AMOS 17.0 (IBM SPSS Inc., Chicago, IL, USA), and indirect effects were estimated using phantom variables. As a result, the model fit indices were deemed excellent. Significant indirect pathways were determined from health literacy to hypertension self-care behavior via provider–patient interactions, knowledge, and self-efficacy, although no direct association was found between health literacy and self-care behaviors. The study findings supported the importance of provider–patient interactions, knowledge, and self-efficacy, which play a role in linking health literacy and self-care behavior in hypertensive patients with physical disability.


2018 ◽  
Vol 6 (1) ◽  
pp. 57
Author(s):  
Pornpan Saminpanya ◽  
Ampaiwan Toomsan ◽  
Supatcharee Makornkan

This research examined and compared the levels of perceived self-efficacy, outcome expectations, and self-care behavior of hypertensive patients who received treatment at the studied area. Purposive sampling of 76 patients (21 males and 55 females) who had blood pressure controlling under 160/100 mmHg., answered the questionnaires (Alpha-reliability Coefficient as 0.96) from August to November 2017. The statistics used included frequency, percentage, mean, standard deviation, one sample t-test, one-way ANOVA with comparison test by Scheffe’s method, and Stepwise-multiple regression. The results were as follows: (a) a whole of the three aspects is at high level when comparing with the established criteria (60%) at the .05 level of significance with an average mean of 3.56; (b) comparison between genders is not significant, only income makes the three issues significantly different at the .05 level of significance. The best predictor of self-efficacy perception is appropriate time selection for exercises, which could predict the self-care behavior at 48.70 percent and at the .05 level of significance.


2018 ◽  
Vol 7 (1) ◽  
pp. 199
Author(s):  
Alfeus - Manuntung

Hypertension is one of the most common causes of morbidity and mortality in worldwide. Hypertension is also called a "silent killer" because people with hypertension often do not show symptoms. People who suffer from hypertension are usually unaware of his condition. The understanding of the patient and the ability of self care behavior of hypertensive patients is also very low. Non-compliance with this self care behavior can adversely affect the health of people with hypertension. The objective of this research is known the association of self efficacy and self care activity of hypertension patients in the working area of ​​Puskesmas Pahandut Palangka Raya City. Methods this research is used descriptive correlational research design with cross sectional study approach. Sampling technique in this research is using nonprobability sampling technique that is concecutive sampling with 50 respondents. Data collection was done for 2 months by measuring self efficacy level and self care activity using questionnaire. The statistical test used is Chi Square test. The results showed that most of the respondents had good efficacy level of 70%. Most of the respondents sufficient level of self care activity is 58. Pearson Chi Square correlation test results self efficacy and self care activities showed that there is a negative and insignificant relationship between self efficacy and self care activities of hypertensive patients. The conclusion of this research is there is no significant relationship between self efficacy with self care activity of hypertension patient. Further research with randomized controlled clinical trial design and a large number of samples should be undertaken to develop nursing interventions with behavioral approaches in order to improve self efficacy and self care behavior so as to reduce hypertension complications and improve the quality of life of hypertensive patients.;Keywords: self efficacy, self care activity, hypertension


2019 ◽  
Vol 3 (1) ◽  
pp. 12-18
Author(s):  
Ainul Yaqin Salam ◽  
Nur Hamim

 AbstrakLansia dengan diabetes adalah kelompok khusus yang memiliki resiko tinggi komplikasipada kakinya. Self-efficacymenjadi salah satu determinan faktor utama untuk meningkatkan perilaku perawatan kaki. Penelitian ini bertujuan untuk mengidentifikasi tingkat efikasi diri kaki (Foot Self Efficacy) dan perilaku perawatan kaki (Foot Crae Behaviour) dan hubungannya dengan karakteristik demografis pada lansia dengan diabetes.Studi cross-sectional digunakandi Desa Karangren Kecamatan Krejengan Probolinggo dari Mei hingga Juni 2019. Kriteria khusus dipilih untuk berpartisipasi dalam penelitian ini. Para responden diwawancarai menggunakan seperangkat kuesioner yang telah divalidasi. Statistik deskriptif dan inferensial (regresi linier berganda) digunakan untuk menjawab hipotesis penelitiandengan bantuanSPSS 19. Hasil penelitian menyebutkan rata-ratafoot self-efficacysebesar 29,79 dengan standar deviasi 8,26 danrata-ratafoot care behavior sebesar 28,72 dengan SD 6,33. Terdapat hubungan positif dan signifikan antara foot self-efficacy (β = 0,43, p <0,001), tingkat pendidikan (β = 0,43, p <0,001), dan jenis kelamin (β = 0,31, p <0,001) dengan perilaku perawatan kaki. Program edukasi self-efficacydapat menjadi pertimbangan yang krusial  untuk meningkatkan perilaku perawatan kaki. Lansia dengan diabetes harus diajari pemeriksaan kaki secara mandiri.Perawatan kaki diabetes yang tepat dan berkelanjutan dapat secara signifikan mencegah terjadinya komplikasi pada kaki lebih lanju yang berefek pada peningkatan kualitas hidup.                                                                                                     Kata kunci: diabetes, lansia, efikasi diri, perilaku perawatan diri, kaki  AbstractThe elderly with diabetes is a special group that has a high risk of complications in the legs. Self-efficacy is one of the main determinants of improving foot care behavior.The essential aims of this study were to identify the level of self-efficacy and foot care behavior and its relationship to demographic characteristics in elderly patients with diabetes. The cross-sectional study has been done in Karangren Village, Krejengan Probolinggo district from May to June 2019. Specific criteria  were chosen to participate in this study. The respondents interviewed used a set of validated questionnaires. Descriptive and inferential statistics (multiple linear regression) were used to answer the research hypothesisby SPSS 19. The results mentioned that the average foot self-efficacy was 29.79, with a standard deviation of 8.26, and the normal foot care behavior was 28.72, with an SD of 6.33. There is a significant relationship between foot self-efficacy (β = 0.43, p <0.001), level of education (β = 0.43, p <0.001), and gender (β = 0.31, p <0.001) with foot care behavior. The self-efficacy education program can be a crucial considerateness for improving foot care behavior.Elderly with diabetes must be taught foot examinations independently. Appropriate and ongoing diabetes foot care can significantly prevent diabetic foot complications, which affect improving the quality of life. Keywords: diabetes, elderly, self-efficacy, self-care behavior, feet


Author(s):  
Wimar Anugrah Romadhon ◽  
Bernadetta Germia Aridamayanti ◽  
Anggi Hanafiah Syanif ◽  
Gevi Melliya Sari

Background: self-care behavior is an important thing that needs to be considered by clients with hypertension which consists of several components, namely the use of drugs, low-salt diet, physical activity, smoking, weight management and alcohol consumption. Purpose: to show the factors that influence self-care behavior in clients with hypertension. Method: the database used to identify suitable articles obtained from Scopus, ProQuest and Google Scholar, limited to the last 5 years of publication from 2014 to 2019, English, and fulltext articles. The literature review used the keyword "Self-care behavior, Hypertension". In searching articles used "AND". Only 12 articles met the inclusion criteria. This review was from 12 of these articles. Results: self-care behavior in hypertensive clients were influenced by several factors, namely family support, self-efficacy, knowledge, and spirituality. Conclusion: factors related to self-care behavior and pathways can help health care providers develop and design evidence-based interventions for clients with hypertension. Recommendation: Community nurses understand the factors that influence self-care behavior in hypertensive clients in the community so they are able to provide appropriate nursing care. Keywords: factors of self-care behavior; hypertension; community ABSTRAK Latar belakang: self-care behavior merupakan hal penting yang perlu diperhatikan oleh klien dengan hipertensi yang terdiri dari beberapa komponen yaitu penggunaan obat-obatan, diet rendah garam, aktifitas fisik, merokok, manajemen berat badan dan konsumsi alkohol. Tujuan: untuk melihat adanya faktor-faktor yang mempengaruhi self-care behavior pada klien dengan hipertensi. Metode: database digunakan untuk mengidentifikasi artikel yang sesuai diperoleh dari Scopus, ProQuest dan Google Scholar terbatas untuk publikasi 5 tahun terakhir dari 2014 hingga 2019, bahasa inggris, dan fulltex article. Tinjauan literatur menggunakan kata kunci “factors of self-care behavior, Hypertension”. Dalam pencarian artikel menggunakan "AND". Hanya 12 artikel yang memenuhi kriteria inklusi. Ulasan ini berasal dari 12 artikel tersebut. Hasil: self-care behavior pada klien hipertensi dipengaruhi oleh beberapa faktor yaitu dukungan keluarga, self-efficacy, faktor personal, dan spiritualitas. Simpulan: faktor-faktor yang terkait dengan self-care behavior dan jalurnya dapat membantu penyedia layanan kesehatan mengembangkan dan mendesain intervensi bebasis bukti pada klien dengan hipertensi. Saran: Perawat komunitas memahami faktor-faktor yang mempengaruhi self-care behavior pada klien hipertensi di komunitas sehingga mampu memberikan asuhan keperawatan yang tepat. Kata kunci: factors of self-care behavior; hypertension; community


2021 ◽  
Vol 14 (02) ◽  
pp. 82-89
Author(s):  
Ratna Yunita Sari ◽  
Umdatus Soleha ◽  
Erika Chandra Dewi

  Introduction: Diabetes self-care is an effort to control type 2 diabetes mellitus. Family support and self-efficacy are needed for elderly people with type 2 diabetes mellitus to increase independence in managing their disease. This study aims to determine the relationship between family support and self-efficacy with self-care behavior in the elderly with type 2 diabetes mellitus at the Elderly Posyandu in Wadungasri Village. Methods: This study is a quantitative study with a correlational analytic research design using a cross-sectional approach. The population in this study was 132 elderly with type 2 diabetes mellitus using a probability sampling method with a technique used simple random sampling and obtained a sample of 100 elderly DM type 2. Results: The results showed that most of the elderly have family support and good self-efficacy. with less self-care behavior. The results of the analysis using the Spearman rank test showed that family support was associated with self-care for people with diabetes mellitus type 2 (p-value = 0.006, ɑ = 0.05). The results of the Spearman rank test analysis showed that self-efficacy was related to self-care for people with diabetes mellitus type 2 (p-value = 0.001, ɑ = 0.05). Conclusion: Family support and self-efficacy gave to elderly people with type 2 diabetes mellitus can influence health behavior patterns that will make self-care behavior well.


JKEP ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 137-149
Author(s):  
Akhmad Naufal Su'ud ◽  
Murtaqib Murtaqib ◽  
Kushariyadi Kushariyadi

The risk of complications in patients with hypertension can be prevented by good self-care behaviour. Self-care is the main factor that can be done to control blood pressure. Motivation is one of the determining factors for someone to do something they want. This study aims to analyze the correlation between motivation and self-care of hypertensive patients. A total of 84 respondents were selected in the study by using consecutive sampling techniques. Data was collected by distributing questionaires of  Hypertension Self Care Profile (HBP-SCP) behaviour scale and Motivation Scale. Data were analyzed by using Spearman correlation test with a significance value of 0.05. The results showed that mean of motivation and self-care was 59,92 and 56,43. There was significant positive correlation between the two variables (p-value: 0,000 r: +0,444). This result means that the higher the motivation of a person, the higher the self-care behavior. Based on these results, the authors suggest increasing patient motivation in order to improve self-care behavior of hypertensive patients independently.


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