The Correlation Between Self-Care Behavior and The Self-Efficacy of Hypertensive Adults

Ratna Puspita Adiyasa, Bea Gracia M Cruz

Abstract views = 73 times | views = 19 times


Introduction: Medication adherence is critical to succesful of hypertension control, and other effort to maintain blood pressure for hypertensive adult is lifestyle modifica­tions involving healthy eating, sodium reduction, and increased physical activity. A person’s behavior to maintain their health condition including their high blood pressure can be affected by their self-efficacy. The purpose of this study is to assess the self-care behavior of hypertensive adults to examine its relationship with the self-efficacy in order to propose inputs to the development of lifestyle program. Methods: The descriptive correlation method of quantitative research utilized in this study. The respondents of this stady consisted of of 120 hypertensive adults. The self-care behavior and self-efficacy of hypertensive adults were assessed use questionnaires and statistically tested with pearson-r. Results: The characteristic of respondents in this study were mostly female (76.7%), age ≥ 60 years old (57.5%), and graduated from Senior High School (59.2%). The pearson-r results showed that the computated T of 4.705 was greater than tabular value of 1.96 so that the null hypothesis was rejected. Conclusions: The characteristic of respondents in this study were mostly female (76.7%), age ≥ 60 years old (57.5%), and graduated from Senior High School (59.2%). There is a significant relationship between self-care bahavior and self-efficacy of hypertensive adults.


Behavior, Hypertension, Self-Efficacy, Self-Care

Full Text:



Bandura, A. (1994). Self Efficacy. Academic Press.

Bandura, A. (2004). Health promotion by social cognitive means. Health Education and Behavior, 31(2), 143–164.

Bandura, A., & Bandura, A. (2006). Guide For Constructing Self-Efficacy Scales (pp. 307–337). Information Age Publishing.

Bhandari, B., Bhattarai, M., Bhandari, M., & Jha, N. (2012). Awareness of Disease And Self Care Among Hypertensive Patients Attending Tribhuvan University Teaching Hospital Kathmandu ,. Journal of Nobel Medicine College, 1, 29–35.

Dela-Rosa, R. D. (2010). Self-efficacy judgements of filipino patientswith end-stage chronic disease: an action plan of well being. Trinity University of Asia.

Flynn, S. J., Ameling, J. M., Hill-Briggs, F., Wolff, J. L., Bone, L. R., Levine, D. M., Roter, D. L., Lewis-Boyer, L., Fisher, A. R., Purnell, L., Ephraim, P. L., Barbers, J., Fitzpatrick, S. L., Albert, M. C., Cooper, L. A., Fagan, P. J., Martin, D., Ramamurthi, H. C., & Boulware, L. E. (2013). Facilitators and barriers to hypertension self-management in urban African Americans: Perspectives of patients and family members. Patient Preference and Adherence, 7, 741–749.

Ghezelbash, S., & Ghorbani, A. (2012). Lifestyle Modification and Hypertension Prevention. ARYA Atherosclerosis Journal, 8(Special Issue in National Hypertension Treatment), 202–207.

Grossman, S., & Porth, C. M. (2014). Porth’s pathophysiology : Concepts of altered health states (9th edition). Wolters Kluwer Health | Lippincott Williams & Wilkins.

Hu, H. H., Li, G., & Arao, T. (2014). The association of family social support , depression , anxiety and self-efficacy with specific hypertension self-care behaviours in Chinese local community. Journal of Human Hypertension, 29(March), 198–203.

Khosravizade, A., Hassanzadeh, A., & Mostafavi, F. (2015). The impact of self-efficacy education on self-care behaviours of low salt and weight setting diets in hypertensive women covered by health-care centers of Dehaghan in 2013. Journal of the Pakistan Medical Association, 65(5), 506–511.

Kirk, K. (2013). Helping student believe in themselve.

Lewis, Dirksen, Heitkemper, Bucher, & Camera. (2014). Levis’s medical-surgical nursing assessment and management of clinical problem. Philippines Edition (A. R. Borromeo (ed.)). Elsevier. Inc.

Morisky, D. E., Ang, A., & Krousel-wood, M. (2009). Predictive validity of a medication adherence measure in an outpatient setting. Journal of Clinical Hypertension (Greenwich), 10(5), 348–354.

Motlagh, Z., Chaman, R., Sadeghi, E., & Eslami, A. A. (2016). Self-Care Behaviors and Related Factors in Hypertensive Patients. Iranian Red Crescent Medical Journal, 18(6).

Mularcik, K. A. (2010). Self-efficacy toward health behaviors to improve blood pressure in patients who receive care in a primary care network. The Ohio State University.

Octaviano, E. F., & Balita, C. E. (2008). Theoritical Foundations of Nursing: The Philippine Perspective. Ultimate Learning Series.

Porth, C. M. (2011). Essensials Pathophysiology (3rd edition). Wolters Kluwer Health │ Lippincott Williams & Wilkins.

Raymond, M., Iliffe, S., Kharicha, K., Harari, D., Swift, C., & Gillmann, G. (2011). Health risk appraisal for older people 5 : self-efficacy in patient – doctor interactions. Primary Health Care Research & Development, 12, 348–356.

Simces, Z. L., Ross, S. E., & Rabkin, S. W. (2012). Diagnosis of hypertension and lifestyle modifications for its management. BC Medical Journal, 54(October), 392–398.

Smeltzer, S. C., Bore, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth’s textbook of medical surgical nursing (12th edition). Wolters Kluwer Health │ Lippincott Williams & Wilkins.

Tedesco, M. A., Di Salvo, G., Caputo, S., Natale, F., Ratti, G., Iarussi, D., & Iacono, A. (2001). Educational level and hypertension: How socioeconomic differences condition health care. Journal of Human Hypertension, 15(10), 727–731.

Wahyuni, & Eksanoto, D. (2013). Hubungan tingkat pendidikan dan jenis kelamin dengan kejadian hipertensi di kelurahan jagalan di wilayah kerja puskesmas pucangsawit surakarta. Jurnal Ilmu Keperawatan Indonesia, 1(1), 112–121.

Warren-findlow, J., Basalik, D. W., Dulin, M., Tapp, H., & Kuhn, L. (2013). Preliminary Validation of the Hypertension Self-Care Activity Level Effects ( H-SCALE ) and Clinical Blood Pressure Among Patients With Hypertension. The Journal of Clinical Hypertension, 15(9), 637–643.

World Health Organization. (2016). Cardiovascular diseases (CVDs).

Yang, S., Jeong, G. H., Kim, S., Lee, S. H., & Lee, S. (2013). Correlates of Self-Care Behaviors among Low-Income Elderly Women with Hypertension in South Korea. Journal of Obstetric, Gynecologic & Neonatal Nursing, 43, 97–106.


  • There are currently no refbacks.

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

This journal is indexed by:


Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).


View My Stats