Key result
Patient factors and self-care support domains are positively linked to hypertension self-management ability.
Why the study?
Multidimensional factors associated with hypertension self-management and candidate self-care support domains were not well identified to inform person-centered nursing-based interventions.
Cross-Sectional (n=152)
Yes
Patient, family, sociocultural, and healthcare-service factors influence candidate self-care support domains and self-management ability, providing a foundation for developing nursing-based self-care bundles for hypertension.
May inform self-care bundle design in hypertension; hypothesis-generating from cross-sectional data and requires prospective trials.
ObjectivesThis study aimed to identify multidimensional factors associated with hypertension self-management and examine candidate self-care support domains to inform the development of a person-centered nursing-based self-care bundle.MethodsA cross-sectional study was conducted among 152 patients with hypertension aged 40-59 years in primary healthcare centers in Bali, Indonesia, using multistage random sampling. Data were collected using researcher-developed questionnaires informed by established instruments, theories, and previous studies, and preliminarily tested for validity and reliability, measuring patient, family, socio-cultural, healthcare service, candidate self-care support domains, and self-management ability. Partial least squares structural equation modeling was used to examine associations among constructs.ResultsPatient factors were associated with candidate self-care support domains (β=0.593, p<0.001) and self-management ability (β=0.379, p<0.001). Family, sociocultural, and healthcare-service factors were associated with candidate self-care support domains but not directly with self-management ability. Candidate self-care support domains were also associated with self-management ability (β=0.481, p<0.001).ConclusionsThe findings provide a cross-sectional needs-assessment foundation for developing a person-centered nursing-based integrated self-care bundle for hypertension self-management. Future studies should refine the bundle through expert validation and test its feasibility and effectiveness using intervention designs.
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Dewi et al. (2026) conducted a cross-sectional in Hypertension (n=152). Patient factors and candidate self-care support domains was evaluated on Self-management ability (β=0.379, p=<0.001). Patient factors (β=0.379, p<0.001) and candidate self-care support domains (β=0.481, p<0.001) were significantly associated with hypertension self-management ability.
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