Health Beliefs, Illness Perceptions, and Self-Management Behaviors in Hypertension Clients

Main Article Content

  Muhamad Jauhar
  Ririn Widyasari
  Heny Siswanti
  Novi Tiara

Abstract

Background: Hypertension is a health problem that impacts all age groups and social backgrounds, with the risk of serious complications, reduced quality of life, and a huge burden for clients, families, and the country. The increasing number of hypertension cases requires serious attention to reduce its impact.
Aims: This study analyzes the relationship between health beliefs disease perceptions and self-management behavior in hypertensive clients at the Juwana Community Health Center.
Methods: This research used a cross-sectional design and involved 95 clients selected using purposive sampling. Data was collected through a valid and reliable questionnaire and then analyzed using the Spearman-Rho correlation test
Result: The results showed a significant relationship between health beliefs and self-management behavior (r = 0.327; p = 0.001), while the relationship between illness perception and self-management was insignificant (r = 0.178; p = 0.083). The majority of clients had sufficient categories for health beliefs (74%), disease perceptions (81.3%), and self-management behavior (71.9%).
Conclusion: In conclusion, health beliefs influence self-management behavior, while illness perceptions do not have a significant relationship. Interactive media-based educational programs are needed to increase health confidence and support self-management of hypertension patients.

Downloads

Download data is not yet available.

Article Details

How to Cite
Jauhar, M., Ririn Widyasari, Heny Siswanti, & Novi Tiara. (2026). Health Beliefs, Illness Perceptions, and Self-Management Behaviors in Hypertension Clients . Indonesian Journal of Health Research and Development, 4(1), 1–11. https://doi.org/10.58723/ijhrd.v4i1.537
Section
Research Articles
Author Biographies

Muhamad Jauhar, Universitas Muhammadiyah Kudus

Faculty of Health Sciences 

Ririn Widyasari, Universitas Muhammadiyah Kudus

Faculty of Health Sciences 

Heny Siswanti, Universitas Muhammadiyah Kudus

Faculty of Health Sciences 

Novi Tiara, Universitas Muhammadiyah Kudus

Faculty of Health Sciences 

References

Afifah, W. V., Pakki, I. B., & Asrianti, T. (2022). Analysis of Risk Factors for Hypertension in the Elderly in the Working Area of the Rapak Mahang Community Health Center, Tenggarong District, Kutai Kartanegara Regency. Wal'afiat Hospital Journal, 03(01), 59–72. https://doi.org/10.33096/whj.v0i0.67

Bardian, A., & Pefbrianti, D. (2024). Self-Management of Elderly People with Hypertension [Manajemen Diri Lansia dengan Hipertensi]. JOIN: Journal of Intan Nursing: STIKES Intan Martapura, 3(2), 36-42. https://doi.org/10.54004/join.v3i2.162

Beno, J., Silen, A., & Yanti, M. (2022). The relationship between the level of knowledge of hypertension and attitudes in preventing hypertension complications in DSWungu Village, Wungu District, Madiun Regency. Braz Dent J., 33(1), 1–12.

Bosworth, H. B., Olsen, M. K., Grubber, J. M., Neary, A. M., Orr, M. M., Powers, B. J., Adams, M. B., Svetkey, L. P., Reed, S. D., Li, Y., & Oddone, E. Z. (2018). Two self-management interventions to improve hypertension control: A randomized trial. Annals of Internal Medicine, 168(7), 481–490. https://doi.org/10.7326/M17-2508

Caesaria, S., Robiyanto, & Untari, E. K. (2020). Perception of Illness in HIV/Aids Patients with Antiretroviral Therapy Using the Indonesian Version of the Brief Illness Perception Questionnaire (BIPQ) Instrument at the Cst Clinic RSJD Sungai Bangkong Pontianak [Persepsi Penyakit Pada Pasien HIV/AIDS Dengan Terapi Antiretroviral Menggunakan Instrumen Brief Illness Perception Questionnaire (B-Ipq) Versi Indonesia di Klinik Cst RSJD Sungai Bangkong Pontianak.]. Farmaka, 18(1), 1–15. https://doi.org/10.24198/farmaka.v18i3.21222

Carey, R. M., & Whelton, P. K. (2018). Prevention, detection, evaluation, and management of high blood pressure in adults. Hypertension, 71(6), 1269–1324. https://doi.org/10.1161/HYP.0000000000000065

Central Java Health Department, (2023). Middle of 2023 Central Java.

Eswarya, B., Putra, I. G. B. G. P., & Widarsa, I. K. T. (2023). Gambaran Kualitas Tidur Penderita Hipertensi di Puskesmas II Denpasar Barat. Aesculapius Medical Journal, 3(2), 240-246. https://doi.org/10.22225/amj.3.2.2023.240-246

Fahriah, K., Rizal, A., & Irianty, H. (2021). The Relationship between Education Level, Knowledge, and Attitudes on the Prevention of Hypertension in the Productive Age in the Melati Kuala Kapuas Health Center Work Area in 2021 [Hubungan Tingkat Pendidikan, Pengetahuan dan Sikap Terhadap Pencegahan Penyakit Hipertensi Pada Usia Produktif di Wilayah Kerja Puskesmas Melati Kuala Kapuas Tahun 2021]. Unsika, 63, 1-8. https://eprints.uniska-bjm.ac.id/id/eprint/7792

Flynn, S. J., Ameling, J. M., Hill-Briggs, F., Wolff, J. L., Bone, L. R., Levine, D. M., Purnell, L., & Lewis-Boyer, L. (2020). Facilitators and barriers to hypertension self-management in urban African Americans. Journal of Clinical Hypertension, 22(3), 390–399. https://doi.org/10.1111/jch.13795

Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). Jossey-Bass.

Hamiidah, S. N., Noviana, U., & Haryani, H. (2024). Relationship between Perception of Illness and Self-Management in Hypertension Clients. Journal of Clinical and Community Nursing (Clinical and Community Nursing Journal), 8(1), 48. https://doi.org/10.22146/jkkk.95062

Health Department, K. P. (2022). Pati District Health Profile in 2022. Applied Chemistry International Edition, 6(11), 951–952. https://medium.com/@arifwicaksanaa/pengertian-use-case-a7e576e1b6bf

Hilmi, R. Z., Hurriyati, R., & Lisnawati. (2019). The Relationship Between Patient Perceptions About Their Illness and Anxiety Levels in the Outpatient Polyclinic at Roemani Muhammadiyah Hospital Semarang. 3(2), 91–102.

Indonesian Ministry of Health. (2023). Indonesian Health Profile. In Pusdatin.Kemenkes.Go.Id. https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf

Irawan, B. (2023). Overview of Self-Care Management in Hypertension Patients. Unissula.

Ismayadi, T., Adawiyah, W. R., & Aji, B. (2021). The Influence of the Health Belief Model on Compliance with Treatment Control with Corona Phobia as a Moderating Variable [Pengaruh health belief model terhadap kepatuhan kontrol pengobatan dengan coronaphobia sebagai variabel moderasi]. Jurnal Ekonomi, Bisnis, dan Akuntansi, 23(4), 96-109. https://doi.org/10.32424/JEBA.V23I4.2881

Laili, N., Aini, E. N., & Rahmayanti, P. (2023). Relationship between the Health Belief Model and Compliance with Medication in Hypertension Patients. Journal of Holistic Health, 7(2), 1–13. https://doi.org/10.33377/jkh.v7i2.157

Lailiyah, F. (2021). Analysis of Factors Associated with Improving Health Behavior in Hypertension Patients at Dinoyo Health Center, Malang City [Analisis Faktor-Faktor Yang Berhubungan Dengan Peningkatan Perilaku Kesehatan Pada Pasien Hipertensi]. Media Husada Journal of Nursing Science, 2(2), 35-46.https://doi.org/10.33475/MHJNS.V2I2.48

Mabuka, E. C. (2022). The Relationship Between Perceptions of Illness and Self-Control in Elderly Hypertension Clients in Kuma Village, Central Tabukan District. Unikadelasa. https://repo.unikadelasalle.ac.id/3726/

Maya Rahmana Sari, I. P. (2024). The Relationship Between Self-Awareness and Compliance with Blood Pressure Control in Hypertension Patients at Ngesti Waluyo Christian Hospital. Stikesbethesda, 1–5.

Mufidah, N. (2020). The Relationship between Self-Management and Blood Pressure in Hypertensive Patients at the Outpatient Clinic of Anwar Medika Hospital, Sidoarjo. Anwar Medika Hospital STIKES Repository, 1–93.

Rusmadi, N., Pristianty, L., & Zairina, E. (2021). Validity and Reliability of the Treatment Adherence Questionnaire for Elderly Patients with Hypertension Based on the Health Belief Model Theory [Validitas dan Reliabilitas Kuesioner Kepatuhan Pengobatan Pasien Lansia dengan Hipertensi berdasarkan Teori Health Belief Model]. Jurnal Sains Farmasi & Klinis, 8(1), 60-68. https://doi.org/10.25077/jsfk.8.1.60-68.2021

Pebrisiana, P., Tambunan, L. N., & Baringbing, E. P. (2022). Correlation of Characteristics with the Incidence of Hypertension in Outpatients at RSUD Dr. Doris Sylvanus, Central Kalimantan Province. Surya Medika Journal, 8(3), 176–186. https://doi.org/10.33084/jsm.v8i3.4511

Pratiwi, A. (2020). The Effect of Slow Deep Breathing on Blood Pressure in Hypertension Patients. Medical Mask, 8(2), 263–267. https://doi.org/10.52523/maskermedika.v8i2.414

Prazuliana, D. P. (2022). Relationship between disease perception and medication compliance in hypertensive clients. Journal of Health Care, 1–45. http://repository.unissula.ac.id

Purwono, J., Sari, R., Ratnasari, A., & Budianto, A. (2020). Salt Consumption Patterns and the Incident of Hypertension in the Elderly. Journal of Health Discourse, 5(1), 531. https://doi.org/10.52822/jwk.v5i1.120

Rasdiyanah, R.-, Rahmatia, E., & Syisnawati, S. (2022). Relationship between Self-Efficacy and Hypertension Management Behavior. Echo Journal of Nursing, 15(2), 320–322. https://doi.org/10.33992/jgk.v15i2.2340

Rayanti, R. E., Nugroho, K. P. A., & Marwa, S. L. (2021). Health Belief Model and Management of Hypertension in Primary Hypertension Clients in Papua. Muhammadiyah Nursing Journal, 6(1). https://doi.org/10.30651/jkm.v6i1.7065

Roflin, E., Liberty, IA, & Pariyana. (2021). Population, Sample, Variable in Medical Research. Journal of Medicine, 1, 4.

Rosaline, M. D., & Rahmah, N. A. (2023). The Relationship between Health Belief and Health Literacy with Treatment Compliance in Hypertension Clients [Hubungan Health Belief dan Health Literacy Dengan Kepatuhan Pengobatan pada Penderita Hipertensi]. MAHESA: Malahayati Health Student Journal. 3(3), 572-585. https://doi.org/10.33024/mahesa.v3i3.9876

Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Press.

Sonia, F. S., Subiyanto, P., & Noviati, B. E. (2023). The Relationship Between Self-Management Behavior and Blood Pressure Control in Hypertension Patients at Panti Rini Hospital. Journal of Clinical and Community Nursing (Clinical and Community Nursing Journal), 7(3), 173. https://doi.org/10.22146/jkkk.90070

Sugestina, N. (2023). Relationship between Hypertension Client Knowledge and Blood Pressure Control. 1–93. https://repository.unissula.ac.id/id/eprint/29992

Susanti, S., Bujawati, E., Aulia, R., Sadarang, I., Ihwana, D., Studi, P., Masyarakat, K., Islam, U., Makassar, N. A., & Selatan, S. (2022). Relationship of Self-Efficacy with Self-Management of Hypertension Patients at Kassi-Kassi Health Center, Makassar City in 2022 [Hubungan Self-Efficacy dengan Manajemen Diri Penderita Hipertensi Di Puskesmas Kassi-Kassi Kota Makassar Tahun 2022]. Jambi Public Health Journal, 6(2), 48-58. https://doi.org/10.22437/jkmj.v6i2.20540

Vrijens, B., De Geest, S., Hughes, D. A., Przemyslaw, K., Demonceau, J., Ruppar, T., Dobbels, F., Fargher, E., Morrison, V., Lewek, P., Matyjaszczyk, M., Mshelia, C., Clyne, W., Aronson, J. K., & ABC Project Team. (2021). A new taxonomy for describing and defining adherence to medications. British Journal of Clinical Pharmacology, 87(2), 465–473. https://doi.org/10.1111/bcp.14446

Wahyuni, N. (2021). The Relationship Between Perceptions of Hypertension and Compliance with Medication in Hypertension Patients at the Jeunieb Health Center, Bireun Regency. https://repository.stikeslhokseumawe.ac.id/index.php?p=show_detail&id=649&keywords=

World Health Organization. (2024). WORLD HEALTH ORGANIZATION—World health statistics 2024. ISBN 9789240094703.

Yuliana, A. S., Handoko, B., Ramadhani, A., Andriani, D. P., Anggraini, E., Yumadil, G. A., Nuryafi, M. I., Sakit, A. R., & Bros, U. A. (2024). Counseling on healthy lifestyles to prevent hypertension disease. 5(2), 14–23.

Zhabilla Gustin, M. (2023). The Effect of Interpersonal Nutrition Counseling Using 'Gamaberry' Juice (Dragon Fruit, Tomato, and Strawberry) on Potassium and Sodium Intake in Prehypertension Conditions. Yogyakarta Ministry of Health Polytechnic. http://eprints.poltekkesjogja.ac.id/13462