Han Hae-Ra, Benjasirisan Chitchanok, Metlock Faith E, Tesfai Yordanos, Commodore-Mensah Yvonne
School of Nursing, Johns Hopkins University, Baltimore, MD 21205, USA.
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
Int J Environ Res Public Health. 2025 Aug 8;22(8):1244. doi: 10.3390/ijerph22081244.
Self-care is a critical component of chronic disease management and is linked to better health outcomes. The Hypertension Self-Care Profile (HBP SCP) is one of the few validated instruments designed to assess not only behaviors but also self-efficacy and motivation in HBP self-care. This scoping review synthesized published research using the HBP SCP to examine its scope and utility across diverse populations. A total of 48 studies were reviewed-34 non-validation studies and 14 validation studies-spanning regions including Asia, the Middle East, and the Americas. The HBP SCP showed strong psychometric performance across multiple cultural adaptations, with Cronbach's alpha values ranging from 0.73 to 0.99. Several correlates of HBP self-care emerged, including self-efficacy, social support, health literacy, and education. Findings also revealed that HBP self-care remains suboptimal, particularly among rural populations and low- and middle-income countries. The HBP SCP has proven to be a versatile and culturally adaptable instrument for evaluating HBP self-care behaviors, self-efficacy, and motivation. Its consistently demonstrated validity and reliability across diverse contexts, combined with its responsiveness in randomized controlled trials, affirm its value as both a clinical assessment tool and a research outcome measure in interventions aimed at improving cardiovascular health.
自我护理是慢性病管理的关键组成部分，且与更好的健康结果相关。高血压自我护理概况量表（HBP SCP）是少数经过验证的工具之一，旨在评估高血压自我护理中的行为、自我效能感和动机。本范围综述综合了使用HBP SCP的已发表研究，以检验其在不同人群中的范围和效用。共审查了48项研究——34项非验证性研究和14项验证性研究，涵盖亚洲、中东和美洲等地区。HBP SCP在多种文化适应性研究中均表现出强大的心理测量性能，克朗巴哈系数值在0.73至0.99之间。出现了几个与高血压自我护理相关的因素，包括自我效能感、社会支持、健康素养和教育程度。研究结果还显示，高血压自我护理仍未达到最佳水平，尤其是在农村人口以及低收入和中等收入国家。事实证明，HBP SCP是一种通用且具有文化适应性的工具，可用于评估高血压自我护理行为、自我效能感和动机。它在不同背景下始终表现出有效性和可靠性，再加上其在随机对照试验中的反应性，证实了其作为临床评估工具和旨在改善心血管健康的干预措施研究结果测量指标的价值。
