Self-care behavior among adult patients with hypertension in Padang, West Sumatra, Indonesia: A cross-sectional study


self-care behavior
life style
marital status
body mass index
blood pressure
cross-sectional studies

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Sarfika, R., Sulistiawati, Afriyanti, E., & Saifudin, I. M. M. Y. (2023). Self-care behavior among adult patients with hypertension in Padang, West Sumatra, Indonesia: A cross-sectional study. Belitung Nursing Journal, 9(6), 595–602.
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Accepted for publication: 2023-10-26
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Background: Self-care behavior is crucial in preventing chronic diseases, such as hypertension, which has become highly prevalent in Indonesia. Hypertension, often referred to as the “silent killer” due to its asymptomatic nature, can easily go unnoticed. Neglecting its treatment can lead to severe complications, including heart disease, heart failure, and stroke. Despite adults with hypertension feeling well, embracing self-care behavior, including making healthy lifestyle choices, disease management, and enhancing life quality, remains essential.

Objective: This study aimed to describe the self-care behavior of adult patients with hypertension in Indonesia.

Methods: A cross-sectional study design was employed, involving 270 participants selected through consecutive sampling. Data were collected between 15 March and 4 April 2023, using the Hypertension Blood Pressure Self Care Profile (HBP-SCP) questionnaire in six public healthcare centers in Padang City, West Sumatra, Indonesia. The data were analyzed using descriptive analysis, Mann-Whitney, and Kruskal-Wallis tests.

Results: The self-care behavior among adult patients with hypertension was at a moderate level (Mean = 49.78, SD = 6.64), and it had significant differences according to ethnicity (p = 0.041), marital status (p = 0.017), and body mass index (p = 0.008).

Conclusion: The findings highlight the influence of diverse ethnic backgrounds, various marital statuses, and differing body mass index levels, which may lead to distinct approaches to managing hypertension. These results offer valuable insights for nurses and other healthcare professionals to develop comprehensive strategies to enhance self-care among adult patients with hypertension.

Supporting Agencies

This work was supported by a grant from the Research and Community Service Center (LPPM) of Universitas Andalas (Grant number: T/48/UN16.19/PT.01.03/KO-RPT/2023). The funding was granted for conception until the reporting of the result and did not include the publication. The funding body played no role in this paper’s study design, analysis, or interpretation of data.


Copyright (c) 2023 Rika Sarfika, Sulistiawati, Esi Afriyanti, I Made Moh. Yanuar Saifudin

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

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Declaration of Conflicting Interest

The authors affirm that there were no financial or commercial conflicts of interest throughout this study and state that they have no competing interests with the funders.


The authors thank the participants for their interest and generous participation in this study. The authors would also like to thank the Research and Community Service Centre (LPPM) of Universitas Andalas for the support and facilities provided.

Authors’ Contributions

All authors contributed equally in this study in substantial contributions to the conception or design of the work, analysis or interpretation of data for the work, drafting of the work, and final approval of the version to be published.

Data Availability

The datasets generated during and analyzed during the current study are available from the corresponding author upon reasonable request.

Declaration of Use of AI in Scientific Writing

In the research, AI tools were employed to improve the clarity of language. However, the authors later examined all interpretations to ensure their accuracy.


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