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Padjadjaran of Nursing Journal

Original

Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran

The Factors that are Related to Self-Care Agency in Patients with Hypertension

DOI
https://doi.org/10.24198/jkp.v6i1.301
Submitted
April 24, 2017
Published
2018-04-30

Abstract

Uncontrolled hypertension leads to complex problems experienced by patient as the complication of the hypertension. The patient’s ability to do self-care (self-care agency) is essential and recommended to control hypertension. Age, sex, education, occupation, marital status, decision making, duration of hypertension, lifestyle, and insurance availability are contributed to the self-care agency. Nurses and patients should be able to know and understand these self-care agency related factors. The aim of this study was to identify self-care agency relating factors of hypertension patients in Pekanbaru. This study conducted using a quantitative approach with cross sectional design and involving 100 hypertension patients who recruited using purposive sampling techniques. Self-care agency was measure using exercise of self-care agency (ESCA) questionnare. Data were analyzed using Spearman test and Chi Square test to determine the relation of each factors on self-care agency and multivariate logistic regression test to determine the most related factors on self-care agency. The result showed that there were a significant different of age (p=0.048), education (p=0.002), gender (p= 0.025), health insurance (p=0.027), and life style (p=0.003) with self-care agency. Meanwhile, there were no signifcant different of occupation (p=1.000), decision making (p=0.800), marital status (p=1.000), and duration of hypertension (p=0.567) with self-care agency. Multivariate analysis revealed that the most influence factor for self-care agency is life style. This study suggest the nurses in improving self-care agency of hypertension patients must concern about patient lifestyle and help patient to modify their lifestyle.

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References

  1. Adi, R. (2004). Metodologi penelitian sosial dan hukum. Jakarta: Granit.
  2. Akyol, A. D., Cetinkaya, Y., Bakan, G., Yarali, S., & Akkus, S. (2007). Self-care agency and factors related to this agency among patients with hypertension. Journal of Clinical Nursing, 16, 679-687.
  3. Allen, J. E. (2011). Nursing home administration. (6th ed.). New York: Springer Publishing Company.
  4. Alizadeh, Z., Ashktorab, T., Nikravan, Mofrad, M., & Zayeri, F. (2014). Correlation between perceived social support and self-care behaviors among patients with heart failure. JHPM, 3 (1), 27-34.
  5. American Heart Association [AHA]. (2007). High blood pressure increase risk of reduced function in older ages. Diperoleh tanggal 29 Maret 2014 dari http://www.americanheart.org/presenter.
  6. Baghaiy, P. (2005). Self-care condition in diabetic patients in Kashandiabetic cancer. Feyz J, 12 (1), 88-93.
  7. Bai, Y. L., Chiou, C. P, & Chang, Y. Y. (2009). Self-care behavior and related factor in older people with type 2 diabetes. Journal of Clinical Nursing, 18, 3308-3315.
  8. Bayliss, E. A., Steiner, J. F., Fernald D. H., Crane, L. A., & Main, D. S. (2003). Descriptions of barriers to self-care by persons with comorbid chronic diseases. Ann Fam Med, 1 (1).
  9. Becker, G., Gates, R., & Newson, E. (2004). Self-care among chronically ill African-Americans: Culture, health disparities, and health insurance. American Journal of Public Health, 94 (12), 2066.
  10. Burn, N., & Grove, S. K. (2005). The practise of nursing research: Conduct, critique, and utilization. (5th ed.). Missouri: Elsevier Saunders.
  11. Burrow, L., & Muller, R. (2007). Chronic kidney disease and cardiovascular disease: Pathophysioligic links. Nephrology Nursing Journal, 34, 55-65.
  12. Callaghan, D. M. (2005). Healthy bhaviours, self efficacy, self-care, and basic conditioning factors in older adults. Journal of Community Health Nursing, 22, 169-178.
  13. Chaturvedi, M., Jindal, S., & Kumar, R. (2009). Lifestyle modification in hypertension in the Indian context. JIACM, 10 (1 & 2), 46-51.
  14. Chobanian, A. V. (2004). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. U.S Department of Health and Human Services.
  15. Coyle, R. L. (2000). Information retrieval of self-care and dependent care agents using net wellness [dissertation]. Ohio: The College of Nursing of Cincinnati University.
  16. Dahlan, M. S. (2010). Besar sampel dan cara pengambilan sampel dalam penelitian kedokteran dan kesehatan. (edisi 3). Jakarta: Salemba Medika.
  17. Daryasari, G, A., Karkezloo, N. V., Mohammadnejad, E., Vosooghi, M. N., & Kagi, M. A. (2012). Study of self-care agency in patients with heart failure. Iranian Journal d Critical Care Nursing, 4 (4), 203-208.
  18. Dinas Kesehatan Kota Pekanbaru. (2015). Profil kesehatan kota pekanbaru tahun 2015. Pekanbaru: Dinas Kesehatan Kota.
  19. Dinas Kesehatan Propinsi Riau. (2012). Profil kesehatan propinsi riau 2012. Pekanbaru: Dinas Kesehatan Propinsi Riau.
  20. Dinas Kesehatan Propinsi Riau. (2013). Profil kesehatan propinsi riau 2013 Pekanbaru: Dinas Kesehatan Propinsi Riau.
  21. Doran, D. (2003). Nursing-sensitive outcomes: State of the science. United States of America: John and Barlett Publishers.
  22. Dunbar, S. B., Clark, P. C., Quinn, C., Gary, R. A., & Kaslow, N. J. (2008). Family influences on heart failure self-care and outcomes. J Cardiovasc
  23. Nurs, 23 (3), 258-265. DOI: 10.1097/01.JCN.0000305093.20012.b8.
  24. Hajjar, I., & Kotchen, T. A. (2003). Trends in prevalence, awareness, treatment, and control of hypertension in the united states, 1988-2000. Journal of American Medical Association, 290, 199-206.
  25. Hassani, M., Farahani, B., Zohour, A. R., & Panahi, A. (2010). Self-care ability based on Orem’s theory in coronaryaartery disease patients. Iranian Journal of Critical care Nursing, Summer 2010, 3 (2), 87-91.
  26. Hermawati, Hidayati, T., & Chayati, N. (2016). Faktor-faktor yang mempengaruhi self care diet nutrisi pasien hemodialisa di RSUD Dr. Moewardi Suarakarta. Gaster, XIV (2), 38-48.
  27. Hu, H., Li, G., & Arao, T. (2013). Prevalence rates of self-care behaviours and related factors in a rural hypertension population: A questionnaire survey. International Journal of Hypertension, 2013, 1-8.
  28. Huang, N., Duggan, K., & Harman, J. (2008). Lifestyle management of hypertension. Australian Prescriber, 31 (6), 150-153.
  29. Istek, N., & Karakurt, P. (2016). Effect of activity daily living on self-care agenccy in individuals with type 2 diabetes. Journal of Diabetes Mellitus, 6, 247-262.
  30. Kamrani, A. A., Foroughan, M., Taraghi, Z., Yazdani, J., Kaldi, A., Ghanei, N., & Mokhtarpoor, R. (2014). Self care behaviour among elderly with chronic heart failure and related factors. Pakistan Journal of Biological Sciences, 17, 1161-1169.
  31. Kementerian Kesehatan RI. (2013). Riset kesehatan dasar. Diperoleh tanggal 28 Maret 2014 dari http://www.depkes.go.id/downloads/riskesdas2013/Hasil%20Riskesdas%202013.pdf‎.
  32. Khresheh, R., & Mohammed, N. (2016). Self-care behaviors among women with hypertension in Saudi Arabia. IOSR Journal of Nursing and Health Science, 5 (3), 52-56. DOI: 10.9790/1959-0503035256.
  33. Khroshtarash, M., Momeni, M., Ghanbari, A., Salezhzadeh, A. H., & Rahmatpour. P. (2013). Self-care behaviors and related factors in patients with heart failure reffering tp medical & educational center of heart in Rasht. Holistic Nursing and Midwifery Journal, 23 (1), 22-29.
  34. Lewis, S. M., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2007). Medical-Surgical Nursing: Assessment and Management of Clinical Problems. (7th ed.). St. Louis: Mosby.
  35. Meleis, A. I. (2012). Theoritical nursing: Development and progress. (5th ed.). Philadelphia: Lippincott Williams & Wilkins.
  36. Mersal, F. A., & Mersal, N. A. (2015). Effect of evidence based lifestyle guidelines on self efficacy of patient with hypertension. International Joural of Current Microbiology and Applied Sciences, 4 (3), 244-263.
  37. Messerli, F. H., Williams, B, & Ritz, E. (2007). Essential hypertension. Lancet, 370, 591-603.
  38. Mohamadi, S. Z., Alhani, F., Shakoor, M., Farmani, P., Fahidi, F., Mohseni, B., & Taherpazir, E. F. (2015). Self-care bahaviors in patients with systolic heart failure. Journal of Nursing and Midwifery Sciences, 2 (1), 46-54.
  39. Oksel, E., Akbiyk, G., & Koca, K. G. (2009). Self-care behavior analysis of patients with chronic heart failure. Eur J Cardiovasc Nurs, 31 (8), 22-26.
  40. Orem, D. E. (2001). Nursing: Concepts of practice. (6th ed.). St. Louis: Mosby.
  41. Potter, P. A., & Perry, A. G. (2009). Basic nursing: Essentials for practice. Mosby: Elsevier.
  42. Purwanto, M. N. (2004). Psikologi Pendidikan. Bandung: Remaja Rosdakarya.
  43. Ranpenning, K., & Taylor, S. G. (2003). Self-care theory in nursing: selected paper of dorothea orem. New York: Springer Publishing Company.
  44. Roger, V. L., Go, A. S., Llyod-Jones, D. M., Benjamin, E. J., Berry, J. D., Borden, W. B., . . . Turner, M. B. (2012). Heart disease and stroke statistics. American Heart Association, e2-e9. DOI: 10.1161/CIR.0b013e31823ac046.
  45. Sadeghi, M., Shiri, M., Roohafza, H., Rakhshani, F., Sepanlou, S., & Sarrafzadegan, N. (2013). Developing an appropriate model of self-care hypertensive patients: firts experience from EMRO. ARYA Atherpscler, 9 (4), 232-240.
  46. Saleema, L., Panpakdee, O., Arpanantikul, M., & Chai-Aroon, T. (2016). The influence of basic conditioning factors and self-care agency on self-care behaviors in Thais with hypertension. Pasific Rim Int J Nurs Res, 20 (1), 5-17.
  47. Sastroasmoro, S. (2011). Dasar-dasar metodologi penelitian klinis. (edisi 4.). Jakarta: Sagung Seto.
  48. Schneider, C. (2010). Chronic disease: Accesss to health care and barriers to self-management. Winnipeg Regional Health Authority.
  49. Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. Journal of Diabetes & Metabolic Disorders, 12 (14), 1-5.
  50. Skinner, T. C., & Hampson, S. E. (2001). Personal models of diabetes in realtion to self care, wellbeing and glycemic control: A prospective study in adolescence. Diabetes care, 24 (5), 828-833.
  51. Smeltzer, S.C., Bare, B.G., Hinkle, J.L., & Cheever, K. H. (2010). Brunner and Suddarth's textbook of medical-surgical nursing. (12th ed.). Philadelphia: Lippincott Williams & Wilkins.
  52. Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice. (4th ed). Philadelphia: F. A Daris Company.
  53. Sousa, V. D., Zauszniewski, J. A., Musil, C. M., Lea, P. J. P.,, & Davis, S. A. (2005). Relationship among self-care agency, self efficacy, self-care, and glycemic control. Reasearch and Theory for Nursing Practice: An International Journal, 9 (3), 61-67.
  54. Srikan, P. (2012). The relationship of basic conditioning factors, knowledge, self-care agency, self-care behaviour, and urinary sodium excretion of hypertensive older adults: Testing orem’s self-care theory. Knoxville: University of Tennessee.
  55. Tsuyuki, R. T., McLean, D. L., & McAlister, F. A. (2008). Management of hypertension in elderly long-term care residents. Can J Cardiol, 24 (12), 912-914.
  56. Unsar, S., Erol, O., & Mollaoglu, M. (2007). The self-care agency in dialyzed patients. Dyalisis & Transplantation, 1-7.
  57. Vivienne, S. F., Courtney, M., Edwards, H., McDowell, J., Shortridge-Bagget, L. M., & Chang, P. (2007). Self-efficacy, outcome expectation and self care behaviour in people with type 2 diabetes in Taiwan. Journal Compilation, 250-256.
  58. Yang, G., Kong, L., Zhao, W., Wan, W., Zhai, Y., Chen, L. C., & Koplan, J. P. (2008). Emergence of chronic non-communicable diseases in China. The Lancet, 372 (9650), 1697-1705.
  59. Zinat, M. S. F., Chaman, R., Sadeghi, E., & Eslami, A. A. (2016). Self-care bahaviors and related factors in hypertensive patients. Iran Red Crescent Medical Journal, 18 (6), 1-10. DOI: 10.5812/ircmj.35805.