Shelsa Aprilia Putri, S Tauriana, Setiyo Adi Nugroho

Hubungan Self-Efficacy dan Motivasi dengan Self-Management pada Penderita Hipertensi

Introduction

Hubungan self-efficacy dan motivasi dengan self-management pada penderita hipertensi. Hubungan self-efficacy dan motivasi dengan self-management pada penderita hipertensi dikaji. Temukan pentingnya faktor psikologis untuk kepatuhan pengobatan & sarankan intervensi.

Abstract

Hypertension is one of the most prevalent chronic diseases and a major risk factor for severe complications such as stroke, kidney failure, and cardiovascular disorders. Its management requires long-term strategies that go beyond pharmacological treatment and rely heavily on patients’ ability to engage in effective self-management. However, low levels of self-efficacy and motivation often hinder patients’ adherence to treatment regimens and lifestyle modifications. This study aimed to examine the relationship between self-efficacy, motivation, and self-management among hypertensive patients. An observational analytic design with a cross-sectional approach was applied, involving 163 respondents recruited through total sampling. Data were collected using the General Self Efficacy Scale (GSES), the Treatment Self Regulation Questionnaire (TSRQ), and the Hypertension Self Management Behavior Questionnaire (HSMBQ). Statistical analysis was conducted using Spearman’s correlation test. The findings revealed significant relationships between self-efficacy and self-management (p=0.003) and between motivation and self-management (p=0.005). These results emphasize that enhancing patients’ psychological empowerment and motivation is essential for successful self-management of hypertension. The study suggests that comprehensive interventions integrating health education, family support, and motivational strategies are needed to strengthen patients’ adherence to healthy lifestyles and treatment regimens. By addressing these psychological and behavioral aspects, healthcare providers can help reduce the risk of complications and improve patients’ overall quality of life. Consequently, this research provides valuable insights and a scientific basis for designing more effective primary care interventions targeting hypertensive populations.

Review

This study, titled "Hubungan Self-Efficacy dan Motivasi dengan Self-Management pada Penderita Hipertensi," addresses a highly pertinent issue in chronic disease management. It critically examines the relationships between self-efficacy, motivation, and self-management among hypertensive patients, recognizing that these psychological factors are crucial yet often hinder effective long-term care beyond pharmacological treatments. Employing an observational analytic design with a cross-sectional approach, the researchers recruited 163 participants via total sampling. Utilizing validated instruments such as the General Self Efficacy Scale (GSES), Treatment Self Regulation Questionnaire (TSRQ), and Hypertension Self Management Behavior Questionnaire (HSMBQ), the study performed Spearman’s correlation analyses. The core findings indicate significant positive relationships between self-efficacy and self-management (p=0.003), and similarly between motivation and self-management (p=0.005), underscoring their vital role in successful hypertension management. A significant strength of this research lies in its clear focus on a prevalent health challenge and the application of established psychological constructs within a clinical context. The sample size of 163 respondents obtained through total sampling suggests a robust effort to capture the target population, enhancing the internal validity for the specific context studied. The use of validated and widely recognized scales (GSES, TSRQ) further supports the methodological rigor. However, as an observational cross-sectional study, it inherently establishes correlation rather than causation. While the abstract effectively highlights statistical significance, the practical magnitude or strength of these relationships (e.g., Spearman's rho values) is not presented, which would be beneficial for a fuller interpretation of the findings' real-world impact. The study provides valuable insights and a scientific basis for developing more effective interventions in primary care settings. The emphasis on psychological empowerment and motivation serves as a strong reminder for healthcare providers to integrate these elements into patient education and support programs. The recommendation for comprehensive interventions encompassing health education, family support, and motivational strategies is well-founded and actionable, offering a clear path for translating research into practice. Moving forward, longitudinal studies or randomized controlled trials exploring the causal pathways and the effectiveness of such integrated interventions would be a logical next step to build upon these foundational correlational findings, ultimately aiming to reduce complications and enhance the quality of life for hypertensive patients.

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