Key result
Belief-based self-regulation directly affected coping and emotional responses, ultimately influencing self-care ability and blood pressure control in patients with hypertension.
Why the study?
Hypertensive patients often have low self-care ability due to inadequate self-regulation for recommended health behaviors, leading to uncontrolled blood pressure and complications.
Cross-Sectional (n=225)
Strengthening patient belief and self-regulation may improve self-care abilities and help control blood pressure in patients with severe hypertension.
Belief may shape self-care and BP control in hypertension; leaves open causal effects and need for prospective trials.
The self-care ability of patients with hypertension is still relatively low. One of the contributing factors is the lack of self-regulation to carry out recommended health behaviors. This will result in uncontrolled blood pressure and an increased risk of complications. The purpose of this study was to develop self regulation model based on belief to improve self-care abilities in people with hypertension. The study design used explanatory surveys. The samples were 225 people with hypertension with systolic blood pressure >160 mmHg taken by multistage random sampling technique. The research variables include social support factors, health services factors, interpretations, emotional responses, beliefs, coping, self-efficacy, coping, self-care abilities and hypertension status. The research instrument used a questionnaire and a digital sphygmomanometer. Data analysis was performed by using Structural Equation Modeling - Partial Least Squares (SEM - PLS). The results showed that the process of self-regulation in patients with hypertension is formed by belief, which can affect self-care ability. Belief directly affects the coping and emotional response of sufferers. Self-efficacy plays a major role in forming coping. In addition, it was found that interpretation was formed by the social support and health services factor. The ability of self-care affects the hypertension status of patients both in blood pressure and pulse. The implication of this result is the need to strengthen the belief of patients made by health workers so that hypertension sufferers can optimally fulfill their care needs appropriately so that blood pressure in patients can be controlled properly.
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Nursalam et al. (2020) conducted a cross-sectional in hypertension (n=225). Belief-based self-regulation factors was evaluated on Self-care ability and hypertension status. Belief-based self-regulation directly affected coping and emotional responses, ultimately influencing self-care ability and blood pressure control in patients with hypertension.
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