Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension
Background: Adherence to self-care is the goal of nursing care for elderly people with hypertension to give them optimal functional health status. The purpose of this paper is to determine the effectiveness of self-management on adherence to self-care and management of health status elderly people l...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-05-01
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| Series: | Journal of Public Health Research |
| Subjects: | |
| Online Access: | https://www.jphres.org/index.php/jphres/article/view/2406 |
| _version_ | 1797971635519619072 |
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| author | Silvia Elki Putri Etty Rekawati Dwi Nurviyandari Kusuma Wati |
| author_facet | Silvia Elki Putri Etty Rekawati Dwi Nurviyandari Kusuma Wati |
| author_sort | Silvia Elki Putri |
| collection | DOAJ |
| description | Background: Adherence to self-care is the goal of nursing care for elderly people with hypertension to give them optimal functional health status. The purpose of this paper is to determine the effectiveness of self-management on adherence to self-care and management of health status elderly people living with hypertension in Pekanbaru City.
Design and methods: This study design was quasi-experimental with a pre-post test with a control group. The self-management intervention was provided through four home visits to elderly people living with hypertension with a caregiver. Samples were taken by the consecutive sampling technique, and a total number 134 elderly people were participants. The instruments used were the adherence to self-care questionnaire and the Short Form 12 Health Survey (SF12) for elderly people.
Results: The results showed that most of the respondents with hypertension were 60-74 years of age (84.3%), were female (67.9%), of Minang ethnicity (48.5%), had completed primary school (44%), were unemployed (81.3) %), had a family history of hypertension (50%), were non-smokers (52.2%), and had never drunk alcohol (95.5%). The effects of self-management were positive on adherence to caring for themselves (p<0.001) and on health status (p<0.001). The most influencing factor on self-care compliance and health status after being controlled by confounding variables was self-management (p<0.001).
Conclusions: This study recommends that nursing interventions on self-management for elderly people with hypertension in the community and should be integrated into the Community Health Nurses’ (Perkesmas) program in Indonesia. |
| first_indexed | 2024-04-11T03:34:43Z |
| format | Article |
| id | doaj.art-97dad1a50be34295a40957a6f062e339 |
| institution | Directory Open Access Journal |
| issn | 2279-9028 2279-9036 |
| language | English |
| last_indexed | 2024-04-11T03:34:43Z |
| publishDate | 2021-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Public Health Research |
| spelling | doaj.art-97dad1a50be34295a40957a6f062e3392023-01-02T05:27:11ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362021-05-0110s110.4081/jphr.2021.2406Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertensionSilvia Elki Putri0Etty Rekawati1Dwi Nurviyandari Kusuma Wati2Faculty of Nursing, Universitas Indonesia, Depok, West JavaDepartement of Community Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West JavaDepartement of Community Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West JavaBackground: Adherence to self-care is the goal of nursing care for elderly people with hypertension to give them optimal functional health status. The purpose of this paper is to determine the effectiveness of self-management on adherence to self-care and management of health status elderly people living with hypertension in Pekanbaru City. Design and methods: This study design was quasi-experimental with a pre-post test with a control group. The self-management intervention was provided through four home visits to elderly people living with hypertension with a caregiver. Samples were taken by the consecutive sampling technique, and a total number 134 elderly people were participants. The instruments used were the adherence to self-care questionnaire and the Short Form 12 Health Survey (SF12) for elderly people. Results: The results showed that most of the respondents with hypertension were 60-74 years of age (84.3%), were female (67.9%), of Minang ethnicity (48.5%), had completed primary school (44%), were unemployed (81.3) %), had a family history of hypertension (50%), were non-smokers (52.2%), and had never drunk alcohol (95.5%). The effects of self-management were positive on adherence to caring for themselves (p<0.001) and on health status (p<0.001). The most influencing factor on self-care compliance and health status after being controlled by confounding variables was self-management (p<0.001). Conclusions: This study recommends that nursing interventions on self-management for elderly people with hypertension in the community and should be integrated into the Community Health Nurses’ (Perkesmas) program in Indonesia.https://www.jphres.org/index.php/jphres/article/view/2406Adherenceelderly people with hypertensionhealth statushome visitself-management |
| spellingShingle | Silvia Elki Putri Etty Rekawati Dwi Nurviyandari Kusuma Wati Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension Journal of Public Health Research Adherence elderly people with hypertension health status home visit self-management |
| title | Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension |
| title_full | Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension |
| title_fullStr | Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension |
| title_full_unstemmed | Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension |
| title_short | Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension |
| title_sort | effectiveness of self management on adherence to self care and on health status among elderly people with hypertension |
| topic | Adherence elderly people with hypertension health status home visit self-management |
| url | https://www.jphres.org/index.php/jphres/article/view/2406 |
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