{
  "abstract": "Objectives: This study aimed to identify multidimensional factors associated with hypertension self-management and examine candidate self-care support domains to inform the development of a person-centered nursing-based self-care bundle.\n\nMethods: A cross-sectional study was conducted among 152 patients with hypertension aged 40–59 years in primary healthcare centers in Bali, Indonesia, using multistage random sampling. Data were collected using researcher-developed questionnaires informed by established instruments, theories, and previous studies, and preliminarily tested for validity and reliability, measuring patient, family, socio-cultural, healthcare service, candidate self-care support domains, and self-management ability. Partial least squares structural equation modeling was used to examine associations among constructs.\n\nResults: Patient factors were associated with candidate self-care support domains (β=0.593, p<0.001) and self-management ability (β=0.379, p<0.001). Family, sociocultural, and healthcare-service factors were associated with candidate self-care support domains but not directly with self-management ability. Candidate self-care support domains were also associated with self-management ability (β=0.481, p<0.001).\n\nConclusions: The findings provide a cross-sectional needs-assessment foundation for developing a person-centered nursing-based integrated self-care bundle for hypertension self-management. Future studies should refine the bundle through expert validation and test its feasibility and effectiveness using intervention designs.",
  "abstract_shown": true,
  "affiliations": [
    "Faculty of Nursing, Airlangga University, Surabaya, Indonesia",
    "Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Ni Putu Ayu Ratna Dewi",
      "orcid": "0000-0002-6840-4234"
    },
    {
      "affs": [
        0
      ],
      "name": "Nursalam",
      "orcid": "0000-0002-9052-6983"
    },
    {
      "affs": [
        0
      ],
      "name": "Sriyono",
      "orcid": "0000-0002-6533-1973"
    },
    {
      "affs": [
        1
      ],
      "name": "Ni Luh Putu Inca Buntari Agustini",
      "orcid": "0000-0003-3327-3817"
    },
    {
      "affs": [
        1
      ],
      "name": "Komang Ardidhana Nugraha Putra",
      "orcid": "0000-0001-6598-6841"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/073v93kjm6vpz.bib",
  "cited_by": 0,
  "doi": "10.1177/21501319261490395",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13735690/",
  "id": "073v93kjm6vpz",
  "issns": [
    "2150-1319",
    "2150-1327"
  ],
  "landing_url": "https://doi.org/10.1177/21501319261490395",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research Article"
    ],
    [
      "openalex",
      "2705|Blood Pressure and Hypertension Studies"
    ]
  ],
  "openalex": "W7214074253",
  "pdf_url": null,
  "pmcid": "PMC13735690",
  "pmid": "42777269",
  "published": "2026-09-23",
  "publisher": "SAGE Publications",
  "ris": "https://research.draconitic.com/paper/073v93kjm6vpz.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:21:19Z",
      "native_id": "PMC13735690",
      "source": "pmc",
      "url": "https://doi.org/10.1177/21501319261490395"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Blood Pressure and Hypertension Studies",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Multidimensional Determinants of Hypertension Self-Management to Inform the Development of a Person-Centered Nursing-Based Self-Care Bundle: A Cross-Sectional Study in Primary Care",
  "title_text": "Multidimensional Determinants of Hypertension Self-Management to Inform the Development of a Person-Centered Nursing-Based Self-Care Bundle: A Cross-Sectional Study in Primary Care",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:21:19Z",
  "url": "https://research.draconitic.com/paper/073v93kjm6vpz",
  "venue": "Journal of Primary Care & Community Health",
  "versions": []
}