Depa Raihan, Farrah Fahdhienie, Riza Septiani

Hubungan Efikasi Diri, Lama Terdiagnosis, dan Dukungan Sosial dengan Perilaku Pengendalian Hipertensi pada Wanita Dewasa di Wilayah Kerja Puskesmas Montasik Kabupaten Aceh Besar

Introduction

Hubungan efikasi diri, lama terdiagnosis, dan dukungan sosial dengan perilaku pengendalian hipertensi pada wanita dewasa di wilayah kerja puskesmas montasik kabupaten aceh besar. Pahami hubungan efikasi diri, lama terdiagnosis, & dukungan sosial dengan perilaku pengendalian hipertensi pada wanita dewasa di Aceh Besar. Studi ini menunjukkan hubungan signifikan antar faktor tersebut.

Abstract

Hypertension or high blood pressure, is a dangerous condition that often occurs without symptoms and can affect people of all ages. This disease is influenced by lifestyle factors, treatment compliance, and self-confidence. This study aims to identify hypertension control behaviors among adult women in the working area of the Montasik Community Health Center, Aceh Besar Regency. The study employed a quantitative approach with a cross-sectional design and involved 90 respondents selected using accidental sampling. Data collection was conducted through interviews using a questionnaire from January 4 to 7, 2025. Data analysis was performed using SPSS with univariate and bivariate analyses. The results showed that 40% of respondents did not engage in hypertension management behaviors, 40% had low self-efficacy, 42.2% had a duration of hypertension of less than 1 year, and 52.2% received low social support. Bivariate analysis showed a significant association between self-efficacy (p=0.000), duration of hypertension (p=0.000), and social support (p=0.010) with hypertension control behavior. However, there was no significant association between educational level (p=0.230) and hypertension control behavior. By identifying the factors influencing hypertension control behavior, healthcare workers need to collaborate with community leaders and health workers to enhance public awareness regarding healthy lifestyles and hypertension control.

Review

This study investigates the critical factors influencing hypertension control behaviors among adult women in a specific community in Aceh Besar, Indonesia. The research effectively identifies a significant portion (40%) of respondents not engaging in appropriate hypertension management, underscoring the public health challenge. Through a quantitative cross-sectional design, the authors demonstrate robust associations between self-efficacy, duration of hypertension, and social support with hypertension control behavior, all showing high statistical significance. These findings highlight the multi-faceted nature of disease management, extending beyond clinical parameters to include psychological and social determinants. The study's aim to identify these factors is clearly met, providing valuable insights for targeted health interventions in the region. From a methodological standpoint, the study provides a clear snapshot of the issue, although some considerations warrant discussion. The use of accidental sampling, while practical, may introduce selection bias and limit the generalizability of the findings beyond the studied population. Furthermore, the very short data collection period (four days) raises questions about potential data saturation or representativeness, and whether all potential respondents could be adequately reached without pressure. While the abstract mentions the use of a questionnaire, information on its validation or prior use would strengthen confidence in the data quality. Nonetheless, the identified strong associations between self-efficacy, duration of diagnosis, and social support are compelling and contribute meaningfully to understanding the determinants of hypertension control in this specific demographic. The finding that educational level was not significantly associated with control behavior is also noteworthy, suggesting that other factors might be more dominant in this context. The practical implications of this research are substantial, offering a clear direction for local healthcare initiatives. The authors' call for collaboration between healthcare workers and community leaders to enhance awareness and control efforts is well-justified given the identified gaps in control behaviors and low social support. Future research could build upon these findings by employing longitudinal designs to establish causality more definitively, exploring the specific mechanisms through which self-efficacy and social support operate, and designing intervention studies that specifically target these modifiable factors. Investigating qualitative aspects to understand the lived experiences and barriers to control from the women's perspectives could also offer richer insights, complementing the quantitative data presented here and further informing culturally sensitive health promotion strategies.

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