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
- 1Faculty of Nursing, Airlangga University, Surabaya, Indonesia
- 2Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia
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.
Methods: 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.
Results: 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).
Conclusions: 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.
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BibTeX
@article{dewi2026multidimensional,
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}},
author = {Ni Putu Ayu Ratna Dewi and Nursalam and Sriyono and Ni Luh Putu Inca Buntari Agustini and Komang Ardidhana Nugraha Putra},
journal = {Journal of Primary Care \& Community Health},
year = {2026},
month = sep,
doi = {10.1177/21501319261490395},
url = {https://doi.org/10.1177/21501319261490395},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - 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
AU - Ni Putu Ayu Ratna Dewi
AU - Nursalam
AU - Sriyono
AU - Ni Luh Putu Inca Buntari Agustini
AU - Komang Ardidhana Nugraha Putra
PY - 2026
DA - 2026/09/23
JO - Journal of Primary Care & Community Health
DO - 10.1177/21501319261490395
UR - https://doi.org/10.1177/21501319261490395
AB - 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. Methods: 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. Results: 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). Conclusions: 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.
SN - 2150-1319
SN - 2150-1327
ER -