Sari Eka Afrima, Mirwanti Ristina, Herliani Yusshy Kurnia, Pratiwi Sri Hartati
Medical and Surgical Nursing Department, Faculty of Nursing, Universitas Padjadjaran, Bandung, 45363, Indonesia.
Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, 45363, Indonesia.
Vasc Health Risk Manag. 2025 Jan 15;21:17-24. doi: 10.2147/VHRM.S489688. eCollection 2025.
Adequate self-care behavior is an important factor in controlling hypertension to reduce the number of complications. A patient's knowledge about hypertension can influence their self-care behavior in practice.
The aim of this study was to identify self-care behaviors among hypertension patients based on their knowledge.
This descriptive correlational study was conducted on patients with hypertension in primary care. The sample was selected using purposive sampling, with a one-month data collection period yielding 115 samples. The Hypertension Self-Care Profile instrument was used to assess self-care behavior while the Knowledge on Hypertension instrument was utilized to evaluate knowledge. The characteristics variable was analyzed using descriptive statistics, while the correlation between self-care behavior and knowledge was evaluated using spearman rank correlation.
Most participants had favorable attitudes towards self-care (53%), and they had adequate knowledge about hypertension (53.9%). Patients with favorable behavior and adequate knowledge were 52.5%, while patients with unfavorable behavior and inadequate knowledge were 63.0%. This study found no significant association between self-care behavior and knowledge (p = 0.099, r = 0.155).
Despite most participants demonstrated favorable attitudes and adequate knowledge regarding hypertension self-care, a significant association between these variables was not identified. This suggests that knowledge alone may not be a sufficient predictor of self-care behavior in this population and further research is required to understand the complex factors influencing self-care adherence and develop effective interventions to improve patient outcomes.
充足的自我护理行为是控制高血压以减少并发症数量的重要因素。患者对高血压的认知会在实际中影响其自我护理行为。
本研究的目的是根据高血压患者的认知情况确定其自我护理行为。
本描述性相关性研究针对基层医疗中的高血压患者开展。采用目的抽样法选取样本，在为期一个月的数据收集期内共获得115个样本。使用高血压自我护理概况工具评估自我护理行为，同时使用高血压知识工具评估认知情况。采用描述性统计分析特征变量，使用斯皮尔曼等级相关性评估自我护理行为与认知之间的相关性。
大多数参与者对自我护理持积极态度（53%），且对高血压有足够的认知（53.9%）。行为良好且认知充足的患者占52.5%，而行为不良且认知不足的患者占63.0%。本研究发现自我护理行为与认知之间无显著关联（p = 0.099，r = 0.155）。
尽管大多数参与者对高血压自我护理表现出积极态度且有足够认知，但未发现这些变量之间存在显著关联。这表明仅靠认知可能不足以预测该人群的自我护理行为，需要进一步研究以了解影响自我护理依从性的复杂因素，并制定有效的干预措施以改善患者预后。
