Factors Associated with Self-Management in Elderly Hypertensive Patients
DOI:
https://doi.org/10.37287/ijghr.v8i2.819Keywords:
demographic factors, elderly, hypertension, self-managementAbstract
Hypertension is a non-communicable disease that remains a major health problem in Indonesia and is a major risk factor for cardiovascular disease. The prevalence of hypertension in the elderly continues to increase, making self-management of this disease very crucial. One approach that has been proven effective is self-management, that includes adherence to medication, blood pressure monitoring, diet management, physical activity, and stress management. This study have to analyze the connection among demographic factors and the stage of self-management among elderly hypertensive patients at the Gabus District Health Center. The study employed a quantitative approach with a cross-sectional design. The study population consisted of all elderly hypertensive patients registered at the Gabus District Health Center. Purposive sampling was used, resulting in a total sample of 96 respondents. Data were collected using a questionnaire covering demographic characteristics and self-management components. The data were analyzed using descriptive statistics to summarize sample characteristics, Chi-square tests to examine relationships between variables, and logistic regression to identify the most dominant factors influencing self-management among elderly hypertensive patients.The outcome showed that age, education, income, in the process of of hypertension, and the presence of complications were substantially associated by the stage of self-management (p < 0.05). by the logistic regression test, income was proven to be the most dominant variable affecting self-management in elderly people by hypertension (OR = 7.082; 95% CI = 1.806-27.769). Health workers need to have appropriate education and support, whilst future researchers can having more effective self-management programs by considering these factors.
References
Abza, L. F., Yesuf, M. A., Emrie, A. A., Belay, A. S., Bekele, T. G., Tetema, M. D., Berriea, F. W., & Baymot, A. (2024). Self-care adherence and associated factors among hypertensive patients at Guraghe Zone, 2023. Heliyon, 10(17). https://doi.org/10.1016/j.heliyon.2024.e36985
Alsaqer, K., & Bebis, H. (2022). Self-care of hypertension of older adults during COVID-19 lockdown period: a randomized controlled trial. Clinical Hypertension, 28(1). https://doi.org/10.1186/s40885-022-00204-7
Andayani, A., Kesehatan, F., Jadid, N., Pp, J., & Lor, D. T. (2023). PENGARUH SELF MANAGEMENT TERHADAP TEKANAN DARAH SISTOLIK PADA PASIEN HIPERTENSI. http://journal.stikeskendal.ac.id/index.php/PSKM
Azmiardi, A., Widiyanto, A., Atmojo, J. T., Anasulfalah, H., Mubarok, A. S., & Iswahyuni, S. (2023). Hypertension Self-Care Behavior and Its Associated Factors among Patients with Hypertension. Indonesian Journal of Medicine, 8(3), 249–257. https://doi.org/10.26911/theijmed.2023.08.03.02
Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. (2019). Laporan Nasional Riskesdas 2018. https://repository.kemkes.go.id
Bakar, S. F. N., Sari, S. P., & Komariah, M. (2024). The Relationship between Self-Management Hypertension with Blood Pressure in Elderly: A Cross Sectional Study. Indonesian Journal of Global Health Research, 6(4), 2005–2014. https://doi.org/10.37287/ijghr.v6i4.3258
Bandura, Albert. (2004). Health Promotion by Social Cognitive Means. Health Education & Behavior, 31(2), 143–164. https://doi.org/10.1177/1090198104263660
Dinas Kesehatan Provinsi Jawa Tengah. (2021). Profil Kesehatan Provinsi Jawa Tengah Tahun 2021: Prevalensi Hipertensi. https://dinkesjatengprov.go.id
Elisabeth, B., Hadibrata, S., & Rantepadang, A. (2023). SELF-EFFICACY DAN SELF-CARE MANAGEMENT PADA PENDERITA HIPERTENSI (Vol. 5, Issue 1). http://ejournal.unklab.ac.id/index.php/kjn
Fitriani, F., Iswanti Afelya, T., & Astuti Nurfa’izah, D. (2024). FAKTOR YANG MEMPENGARUHI SELF-MANAGEMENT PENDERITA HIPERTENSI. JURNAL KEPERAWATAN TROPIS PAPUA, 7(2), 141–146. https://doi.org/10.47539/jktp.v7i2.410
Guasti, L., Ambrosetti, M., Ferrari, M., Marino, F., Ferrini, M., Sudano, I., Tanda, M. L., Parrini, I., Asteggiano, R., & Cosentino, M. (2022). Management of Hypertension in the Elderly and Frail Patient. Drugs and Aging, 39(10), 763–772. https://doi.org/10.1007/s40266-022-00966-7
Guo, Y. J., Hu, X. Y., Ji, H. J., Zhao, Q., Wang, L. Y., Zhou, X. Y., Tang, J., Yang, L., & Sun, X. C. (2022). The status and predictors of self-care among older adults with hypertension in China using the Chinese version of Self-Care of Hypertension Inventory – A cross-sectional study. Nursing Open, 9(2), 1241–1261. https://doi.org/10.1002/nop2.1165
Jung, S. Y., & Moon, K. J. (2023). Factors affecting self-care among community-dwelling hypertensive older adults: A cross-sectional study. Nursing Open, 10(6), 3892–3905. https://doi.org/10.1002/nop2.1647
Kunutsor, S. K., Rikhtehgaran, R., Touw, D. J., Dullaart, R. P. F., & Bakker, S. J. L. (2025). Self-reported smoking, urine cotinine, and risk of incident hypertension: findings from the PREVEND prospective cohort study. Journal of Human Hypertension, 39(11), 792–800. https://doi.org/10.1038/s41371-025-01073-x
Nagarjuna, P., Kumar, V., Faujdar, D., & Yadav, A. (2023). Role of health literacy and primary health-care access in self-care management of hypertension. Indian Journal of Public Health, 67(3), 442–447. https://doi.org/10.4103/ijph.ijph_1704_22
Pahria, T., Nugroho, C., & Yani, D. I. (2022). Factors Influencing Self-Care Behaviors in Hypertension Patients With Complications. Vascular Health and Risk Management, 18, 463–471. https://doi.org/10.2147/VHRM.S366811
Putri, S. E., Rekawati, E., Nurviyandari, D., & Wati, K. (2021). Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension. In Journal of Public Health Research (Vol. 10, Issue s1).
Qin, Z., Li, C., Qi, S., Zhou, H., Wu, J., Wang, W., Ye, Q., Yang, H., Wang, C., & Hong, X. (2022). Association of socioeconomic status with hypertension prevalence and control in Nanjing: a cross-sectional study. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-12799-5
Sahile, A. T., & Nurhussien, H. A. (2023). Level of self-care practices and associated factors among hypertensive patients in Addis Ababa, Ethiopia. BMC Cardiovascular Disorders, 23(1). https://doi.org/10.1186/s12872-023-03062-9
Sarfika, R., Sulistiawati, Afriyanti, E., & Yanuar Saifudin, I. M. M. (2023). Self-care behavior among adult patients with hypertension in Padang, West Sumatra, Indonesia: A cross-sectional study. Belitung Nursing Journal, 9(6), 595–602. https://doi.org/10.33546/bnj.2915
Schwarz, M., Gyawali, B., Nkonge-Ngumba, D. M., Anekha, S. K., Ngure, M., & Dræbel, T. A. (2024). A cross-sectional study on socio-demographic correlates of self-reported self-care practices for hypertension and type 2 diabetes among adults living in rural Kenya. BMC Health Services Research, 24(1). https://doi.org/10.1186/s12913-024-12088-4
Sinaga, F., Ari, E., & Triastuti, L. (2025). Determinants of Self-Management Behavior in Individuals with Hypertension: A Cross-Sectional Analysis. Open Access Health Scientific Journal, 6(1), 166–170. https://doi.org/10.55700/oahsj.v6i1.90
Wang, J., Zhang, Y., Feng, Y., Yang, Y., & Ding, H. (2025). Association of Emotion, Sleep Quality With Hypertension and Complications in the Elderly Population. Brain and Behavior, 15(7). https://doi.org/10.1002/brb3.70676
Wondmieneh, A., Gedefaw, G., Getie, A., & Demis, A. (2021). Self-Care Practice and Associated Factors among Hypertensive Patients in Ethiopia: A Systematic Review and Meta-Analysis. International Journal of Hypertension, 2021. https://doi.org/10.1155/2021/5582547
Zhang, X.-N., Qiu, C., Zheng, Y.-Z., Zang, X.-Y., & Zhao, Y. (2020). Self-management Among Elderly Patients With Hypertension and Its Association With Individual and Social Environmental Factors in China. Journal of Cardiovascular Nursing, 35(1). https://journals.lww.com/jcnjournal/fulltext/2020/01000/self_management_among_elderly_patients_with.9.aspx
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.







