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HİPERTANSİYON HASTALARINDA ÖZ BAKIM PROFİLİNİN BELİRLENMESİ

Year 2025, Volume: 13 Issue: 3, 676 - 692
https://doi.org/10.33715/inonusaglik.1641779

Abstract

Araştırmanın amacı, hipertansiyon tanısı olan hastalarda öz bakım profilinin belirlenmesidir. Araştırma tanımlayıcı, kesitsel ve ilişkisel tiptedir. Araştırma evrenini Türkiye’nin doğusunda yer alan bir Eğitim ve Araştırma Hastanesinin kardiyoloji ve dahiliye servislerinde yatan 450 hasta oluşturdu. Araştırma Ağustos 2024-Ocak 2025 tarihleri arasında hipertansiyon tanısı konulan ve çalışmaya katılmaya gönüllü olan 209 hasta ile tamamlandı. Veriler, “Hasta Tanıtıcı Form” ve “Hipertansiyon Öz bakım Profili Ölçeği” kullanılarak toplandı. Veriler IBM SPSS ile analiz edildi. Araştırmanın bulgularına göre, hipertansiyon hastalarının öz-bakım profili ölçeği toplam puan ortalaması 168.46 (SD:24.64) olarak saptanmıştır. Hipertansiyon öz bakım profili alt boyutlarından öz yeterlik alt boyutu ortalaması 55.16 (SD:8.71), davranış alt boyutu ortalaması 51.79 (SD: 9.84) ve motivasyon alt boyutu 61.51 (SD: 8.03) olarak saptanmıştır. Çalışmada hipertansiyon öz bakım profili ile alt boyutları arasında pozitif yönlü bir ilişki olduğu bulunmuştur. Çalışmada, hipertansiyon öz yeterlik ve davranış alt boyutu orta düzeyde, motivasyon alt boyutu ise yüksek düzeyde olduğu bulunmuştur. Hipertansiyon hastalarında öz yeterlik, davranış ve motivasyon alt boyutlarının düzeyini yükseltmek için düzenli fiziksel aktivite, sağlıklı beslenme, tuz alımının sınırlandırılması, ilaç tedavisine uyum, stres yönetimi, kan basıncı izleme, kilo kontrolü ve sosyal destek sistemlerinin güçlendirilmesi önerilmektedir.

Ethical Statement

Araştırma verilerinin toplanmasından önce X Üniversitesi Etik Kurulu’ndan etik onay (Sayı: 2024/08, Karar no: 2024/08-09) ve hastaneden kurum izni alındı.

Thanks

Çalışmamıza katılan hipertansiyon tanılı hastalara teşekkür ederiz.

References

  • Acharya, R., Chaudhary, A., Pandey, J. & Pandey, C. (2022). Self-Care Management And Its Associated Factors Among Patient With Hypertension In Nepal. Journal of Chitwan Medical College, 12(2), 91-96.
  • Ademe, S., Aga, F. & Gela, D. (2019). Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia. BMC Health Services Research, 19(1), 51. https://doi.org/10.1186/s12913-019-3880-0
  • AlHadlaq, R.K., Swarelzahab, M.M., AlSaad, S.Z., AlHadlaq, A.K., Almasari, S. M., Alsuwayt, S.S. & Alomari, N.A. (2019). Factors affecting self-management of hypertensive patients attending family medicine clinics in Riyadh, Saudi Arabia. J Family Med Prim Care, 8(12).
  • Çelik Ayar, M. & Mutluay Yayla, E. (2024). The Relationship Between Fragility And Self-Care Agency For Elderly Patients With Hypertension. Turkish Journal of Cardiovascular Nursing, 15(38), 121-127. https://doi.org/10.5543/khd.2024.37232
  • Ding, W., Li, T., Su, Q., Yuan, M. & Lin, A. (2018). Integrating factors associated with hypertensive patients’ self-management using structural equation modeling: a cross-sectional study in Guangdong, China. Patient Preference and Adherence, 12(null), 2169-2178. https://doi.org/10.2147/PPA.S180314
  • Durmaz, C. & Arslan, P. (2017). Factors Affecting Hypertension and Blood Pressure in the Community. Bes Diy Derg, 45(3), 278-286.
  • Eminağa Yaşar, A. (2024). Self Care Behaviors of Patients with Hypertension. (Master's), Marmara Universitesi (Turkey), Turkey. Retrieved from https://www.proquest.com/dissertations-theses/hipertansiyonu-olan-hastaların-öz-bakım/docview/3061560413/se-2?accountid=16268
  • George, D. & Mallery, M. (2010). SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 update (10a ed.) Boston: Pearson.
  • Hacıhasanoğlu Aşılar, R. (2015). Medication Adherence and Self-care Management in Hypertension. Turkish Journal of Cardiovascular Nursing, 6(11), 151-159. https://doi.org/10.5543/khd.2015.014
  • Han, H.R., Lee, H., Commodore-Mensah, Y. & Kim, M. (2014). Development and Validation of the Hypertension Self-care Profile: A Practical Tool to Measure Hypertension Self-care. Journal of Cardiovascular Nursing, 29(3).
  • Hani, S.B., Abu Sabra, M.A., Alhalabi, M.N., Alomari, A.E. & Abu Aqoulah, E.A. (2024). Exploring the Level of Self-Care Behavior, Motivation, and Self-Efficacy among Individuals With Hypertension: A Cross-Sectional Study. SAGE Open Nursing, 10, 23779608241257823. https://doi.org/10.1177/23779608241257823
  • Karataş, G., Yava, A., Tosun, N. & Koyuncu, A. (2024). Evaluation of Self Effectiveness and Health Literacy in Patients with Hypertension: A Case of Southeastern Anatolia. Turk J Cardiovasc Nurs, 15(37), 79-86.
  • Kes, D. & Gökdoğan, F. (2020). Reliability and validity of a Turkish version of the hypertension self-care profile. Journal of Vascular Nursing, 38(3), 149-155. https://doi.org/10.1016/j.jvn.2020.05.001
  • Keskin, A.Y., Şolpan, N.Ö. & Değirmenci, H. (2024). The Effect of Mobile Application Follow-Up on Treatment Compliance and Self-Care Management in Patients With Hypertension: Randomized Controlled Trial. Public health nursing (Boston, Mass.).
  • Khairy, S., Aslan, A., Samara, A.M., Mousa, I., Alkaiyat, A.S. & Zyoud, S.H. (2021). Factors associated with self-efficacy in patients with hypertension: a cross-sectional study from Palestine. Journal of Health, Population and Nutrition, 40(1), 1. https://doi.org/10.1186/s41043-021-00225-2
  • Komaç, F. & Duru, P. (2024). The effect of education based on a health belief model and motivational interviews on cardiovascular disease risk factors and healthy lifestyle behaviour changes in patients with essential hypertension: A randomized controlled trial. Patient Education and Counseling, 120, 108126. https://doi.org/10.1016/j.pec.2023.108126
  • Köklü, N., Büyüköztürk, Ş. & Bökeoğlu, Ö. Ç. (2006). Statistics for social sciences (Enhanced ed., 2nd ed.). Ankara: Pegem A Publishing.
  • Kurt, D. & Gurdogan, E.P. (2022). The effect of self-management support on knowledge level, treatment compliance and selfcare management in patients with hypertension. TheAustralian Journal of Advanced Nursing, 39(3), 14-23.
  • Lim, W.L., Koh, Y.L.E., Tan, Z.E., Tan, Y.Q. & Tan, N.C. (2024). Self-Efficacy in Patients With Hypertension and Their Perceived Usage of Patient Portals. Journal of Primary Care & Community Health, 15, 21501319231224253. https://doi.org/10.1177/21501319231224253
  • Metin, T., Semerci, V. & Çetinkaya Özdemir, S. (2023). Hipertansiyon Hastalarının Tanımlayıcı Özellikleri ve Aleksitimi Düzeyleri Öz Etkililik Düzeylerinin Yordayıcısı Mıdır? [The Relationship Between Alexithymia Levels and Self-Efficacy of Hypertension Patients]. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 10(3), 188-197. https://doi.org/10.34087/cbusbed.1315499
  • Putri Noor K.P.W., Nursiswati, N. & Eka Afrima, S. (2024). Self-Care Profile pada Pasien Hipertensi. Jurnal Keperawatan 'Aisyiyah, 11(1), 23-34. https://doi.org/10.33867/f7nhr503
  • Salim, H., Lee, P.Y., Sazlina, S.G., Ching, S M., Mawardi, M., Shamsuddin, N.H., . . . Tan, N.C. (2019). The self-care profiles and its determinants among adults with hypertension in primary health care clinics in Selangor, Malaysia. PLoS One, 14(11), e0224649. https://doi.org/10.1371/journal.pone.0224649
  • Sarfika, R., Sulistiawati, Afriyanti, E. & Saifudin, I. (2023). Self-care behavior among adult patients with hypertension in Padang, West Sumatra, Indonesia: A cross-sectional study. Belitung Nurs J, 9(6), 595-602. https://doi.org/10.33546/bnj.2915
  • Soylu, A. & Tanrıverdi, Ö. (2024). The moderating effect of self-efficacy in the risk awareness and treatment compliance of hypertensive patients. Journal of Human Hypertension, 38(11), 772-778. https://doi.org/10.1038/s41371-024-00949-8
  • Su'ud, A.N., Murtaqib, M. & Kushariyadi, K. (2020). Hubungan motivasi dengan perawatan diri pasien hipertensi. Jurnal Keperawatan, 5(2), 137-149.
  • Tabachnick, B.G. & Fidell, L.S. (2013). Using multivariate statistics (6th ed.), Boston: Allyn and Bacon
  • Tan, F.C.J.H., Oka, P., Dambha-Miller, H. & Tan, N. C. (2021). The association between self-efficacy and self-care in essential hypertension: a systematic review. BMC Family Practice, 22(1), 44. https://doi.org/10.1186/s12875-021-01391-2
  • TÜİK. (2024). Ölüm, Ölüm Nedeni İstatistikleri.
  • Türker, E. (2024). Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients. [Hipertansiyon Hastalarında Öz Bakım Davranış Profili ve Öz Bakım Yönetiminin İncelenmesi]. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 6(1), 81-88. https://doi.org/10.48071/sbuhemsirelik.1409462
  • Upoyo, A.S., Sari, Y., Taufik, A., Anam, A. & Kuswati, A. (2024). The Effect of Online Group Education on Promoting Knowledge, Motivation, Self-Efficacy, Self-Care Behaviors and Preventing Uncontrolled Blood Pressure in Hypertensive Patients: A Quasi-Experiment Study. SAGE Open Nursing, 10, 23779608241299288. https://doi.org/10.1177/23779608241299288
  • Wee, Y.M.S., Koh, Y.L.E. & Tan, N. C. (2024). Assessment and stratification of self-care profile of patients with essential hypertension. Singapore Medical Journal, 65(8).
  • WHO. (2023). Hypertansion. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hypertension
  • Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M., . . . Group, E.S.C.S.D. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). European Heart Journal, 39(33), 3021-3104. https://doi.org/10.1093/eurheartj/ehy339
  • Wondmieneh, A., Gedefaw, G., Getie, A. & Demis, A. (2021). Self-Care Practice and Associated Factors among Hypertensive Patients in Ethiopia: A Systematic Review and Meta-Analysis. International Journal of Hypertension, 2021(1), 5582547. https://doi.org/10.1155/2021/5582547

DETERMINING THE SELF-CARE PROFILES IN HYPERTENSIVE PATIENTS

Year 2025, Volume: 13 Issue: 3, 676 - 692
https://doi.org/10.33715/inonusaglik.1641779

Abstract

This study aims to assess the self-care profile of patients diagnosed with hypertension. The research was descriptive and cross-sectional and conducted between August 2024 and January 2025 with 209 patients diagnosed with hypertension who voluntarily participated. Data were obtained using a "Patient Information Form" and the "Hypertension Self-care Profile Scale." The data were analyzed using IBM SPSS version 22.0. The findings revealed that the total mean score of the Hypertension Self-care Profile Scale was 168.46 (SD: 24.64). Among the subscales, the mean score for self-efficacy was 55.16 (SD: 8.71), for behavior was 51.79 (SD: 9.84), and for motivation was 61.51 (SD: 8.03). A positive correlation was observed between the overall self-care profile and its subscales. This study determined that self-efficacy and behavior subscales were at a moderate level, whereas the motivation subscale was at a high level. Regular physical activity, healthy eating, limiting salt intake, medication adherence, stress management, blood pressure monitoring, weight control, and strengthening social support systems are recommended to enhance the levels of self-efficacy, behavior, and motivation subscales in hypertensive patients.

References

  • Acharya, R., Chaudhary, A., Pandey, J. & Pandey, C. (2022). Self-Care Management And Its Associated Factors Among Patient With Hypertension In Nepal. Journal of Chitwan Medical College, 12(2), 91-96.
  • Ademe, S., Aga, F. & Gela, D. (2019). Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia. BMC Health Services Research, 19(1), 51. https://doi.org/10.1186/s12913-019-3880-0
  • AlHadlaq, R.K., Swarelzahab, M.M., AlSaad, S.Z., AlHadlaq, A.K., Almasari, S. M., Alsuwayt, S.S. & Alomari, N.A. (2019). Factors affecting self-management of hypertensive patients attending family medicine clinics in Riyadh, Saudi Arabia. J Family Med Prim Care, 8(12).
  • Çelik Ayar, M. & Mutluay Yayla, E. (2024). The Relationship Between Fragility And Self-Care Agency For Elderly Patients With Hypertension. Turkish Journal of Cardiovascular Nursing, 15(38), 121-127. https://doi.org/10.5543/khd.2024.37232
  • Ding, W., Li, T., Su, Q., Yuan, M. & Lin, A. (2018). Integrating factors associated with hypertensive patients’ self-management using structural equation modeling: a cross-sectional study in Guangdong, China. Patient Preference and Adherence, 12(null), 2169-2178. https://doi.org/10.2147/PPA.S180314
  • Durmaz, C. & Arslan, P. (2017). Factors Affecting Hypertension and Blood Pressure in the Community. Bes Diy Derg, 45(3), 278-286.
  • Eminağa Yaşar, A. (2024). Self Care Behaviors of Patients with Hypertension. (Master's), Marmara Universitesi (Turkey), Turkey. Retrieved from https://www.proquest.com/dissertations-theses/hipertansiyonu-olan-hastaların-öz-bakım/docview/3061560413/se-2?accountid=16268
  • George, D. & Mallery, M. (2010). SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 update (10a ed.) Boston: Pearson.
  • Hacıhasanoğlu Aşılar, R. (2015). Medication Adherence and Self-care Management in Hypertension. Turkish Journal of Cardiovascular Nursing, 6(11), 151-159. https://doi.org/10.5543/khd.2015.014
  • Han, H.R., Lee, H., Commodore-Mensah, Y. & Kim, M. (2014). Development and Validation of the Hypertension Self-care Profile: A Practical Tool to Measure Hypertension Self-care. Journal of Cardiovascular Nursing, 29(3).
  • Hani, S.B., Abu Sabra, M.A., Alhalabi, M.N., Alomari, A.E. & Abu Aqoulah, E.A. (2024). Exploring the Level of Self-Care Behavior, Motivation, and Self-Efficacy among Individuals With Hypertension: A Cross-Sectional Study. SAGE Open Nursing, 10, 23779608241257823. https://doi.org/10.1177/23779608241257823
  • Karataş, G., Yava, A., Tosun, N. & Koyuncu, A. (2024). Evaluation of Self Effectiveness and Health Literacy in Patients with Hypertension: A Case of Southeastern Anatolia. Turk J Cardiovasc Nurs, 15(37), 79-86.
  • Kes, D. & Gökdoğan, F. (2020). Reliability and validity of a Turkish version of the hypertension self-care profile. Journal of Vascular Nursing, 38(3), 149-155. https://doi.org/10.1016/j.jvn.2020.05.001
  • Keskin, A.Y., Şolpan, N.Ö. & Değirmenci, H. (2024). The Effect of Mobile Application Follow-Up on Treatment Compliance and Self-Care Management in Patients With Hypertension: Randomized Controlled Trial. Public health nursing (Boston, Mass.).
  • Khairy, S., Aslan, A., Samara, A.M., Mousa, I., Alkaiyat, A.S. & Zyoud, S.H. (2021). Factors associated with self-efficacy in patients with hypertension: a cross-sectional study from Palestine. Journal of Health, Population and Nutrition, 40(1), 1. https://doi.org/10.1186/s41043-021-00225-2
  • Komaç, F. & Duru, P. (2024). The effect of education based on a health belief model and motivational interviews on cardiovascular disease risk factors and healthy lifestyle behaviour changes in patients with essential hypertension: A randomized controlled trial. Patient Education and Counseling, 120, 108126. https://doi.org/10.1016/j.pec.2023.108126
  • Köklü, N., Büyüköztürk, Ş. & Bökeoğlu, Ö. Ç. (2006). Statistics for social sciences (Enhanced ed., 2nd ed.). Ankara: Pegem A Publishing.
  • Kurt, D. & Gurdogan, E.P. (2022). The effect of self-management support on knowledge level, treatment compliance and selfcare management in patients with hypertension. TheAustralian Journal of Advanced Nursing, 39(3), 14-23.
  • Lim, W.L., Koh, Y.L.E., Tan, Z.E., Tan, Y.Q. & Tan, N.C. (2024). Self-Efficacy in Patients With Hypertension and Their Perceived Usage of Patient Portals. Journal of Primary Care & Community Health, 15, 21501319231224253. https://doi.org/10.1177/21501319231224253
  • Metin, T., Semerci, V. & Çetinkaya Özdemir, S. (2023). Hipertansiyon Hastalarının Tanımlayıcı Özellikleri ve Aleksitimi Düzeyleri Öz Etkililik Düzeylerinin Yordayıcısı Mıdır? [The Relationship Between Alexithymia Levels and Self-Efficacy of Hypertension Patients]. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 10(3), 188-197. https://doi.org/10.34087/cbusbed.1315499
  • Putri Noor K.P.W., Nursiswati, N. & Eka Afrima, S. (2024). Self-Care Profile pada Pasien Hipertensi. Jurnal Keperawatan 'Aisyiyah, 11(1), 23-34. https://doi.org/10.33867/f7nhr503
  • Salim, H., Lee, P.Y., Sazlina, S.G., Ching, S M., Mawardi, M., Shamsuddin, N.H., . . . Tan, N.C. (2019). The self-care profiles and its determinants among adults with hypertension in primary health care clinics in Selangor, Malaysia. PLoS One, 14(11), e0224649. https://doi.org/10.1371/journal.pone.0224649
  • Sarfika, R., Sulistiawati, Afriyanti, E. & Saifudin, I. (2023). Self-care behavior among adult patients with hypertension in Padang, West Sumatra, Indonesia: A cross-sectional study. Belitung Nurs J, 9(6), 595-602. https://doi.org/10.33546/bnj.2915
  • Soylu, A. & Tanrıverdi, Ö. (2024). The moderating effect of self-efficacy in the risk awareness and treatment compliance of hypertensive patients. Journal of Human Hypertension, 38(11), 772-778. https://doi.org/10.1038/s41371-024-00949-8
  • Su'ud, A.N., Murtaqib, M. & Kushariyadi, K. (2020). Hubungan motivasi dengan perawatan diri pasien hipertensi. Jurnal Keperawatan, 5(2), 137-149.
  • Tabachnick, B.G. & Fidell, L.S. (2013). Using multivariate statistics (6th ed.), Boston: Allyn and Bacon
  • Tan, F.C.J.H., Oka, P., Dambha-Miller, H. & Tan, N. C. (2021). The association between self-efficacy and self-care in essential hypertension: a systematic review. BMC Family Practice, 22(1), 44. https://doi.org/10.1186/s12875-021-01391-2
  • TÜİK. (2024). Ölüm, Ölüm Nedeni İstatistikleri.
  • Türker, E. (2024). Examination of Self-Care Behavior Profile and Self-Care Management in Hypertension Patients. [Hipertansiyon Hastalarında Öz Bakım Davranış Profili ve Öz Bakım Yönetiminin İncelenmesi]. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 6(1), 81-88. https://doi.org/10.48071/sbuhemsirelik.1409462
  • Upoyo, A.S., Sari, Y., Taufik, A., Anam, A. & Kuswati, A. (2024). The Effect of Online Group Education on Promoting Knowledge, Motivation, Self-Efficacy, Self-Care Behaviors and Preventing Uncontrolled Blood Pressure in Hypertensive Patients: A Quasi-Experiment Study. SAGE Open Nursing, 10, 23779608241299288. https://doi.org/10.1177/23779608241299288
  • Wee, Y.M.S., Koh, Y.L.E. & Tan, N. C. (2024). Assessment and stratification of self-care profile of patients with essential hypertension. Singapore Medical Journal, 65(8).
  • WHO. (2023). Hypertansion. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hypertension
  • Williams, B., Mancia, G., Spiering, W., Agabiti Rosei, E., Azizi, M., Burnier, M., . . . Group, E.S.C.S.D. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). European Heart Journal, 39(33), 3021-3104. https://doi.org/10.1093/eurheartj/ehy339
  • Wondmieneh, A., Gedefaw, G., Getie, A. & Demis, A. (2021). Self-Care Practice and Associated Factors among Hypertensive Patients in Ethiopia: A Systematic Review and Meta-Analysis. International Journal of Hypertension, 2021(1), 5582547. https://doi.org/10.1155/2021/5582547
There are 34 citations in total.

Details

Primary Language English
Subjects Fundamentals of Nursing, Nursing (Other)
Journal Section Araştırma Makalesi
Authors

Uğur Öner 0000-0002-4975-9558

Zeliha Cengiz 0000-0002-3819-1717

Züleyha Gürdap 0000-0002-2231-8218

Early Pub Date October 6, 2025
Publication Date October 8, 2025
Submission Date February 17, 2025
Acceptance Date September 1, 2025
Published in Issue Year 2025 Volume: 13 Issue: 3

Cite

APA Öner, U., Cengiz, Z., & Gürdap, Z. (2025). DETERMINING THE SELF-CARE PROFILES IN HYPERTENSIVE PATIENTS. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 13(3), 676-692. https://doi.org/10.33715/inonusaglik.1641779