Predictors of health-promoting behaviour among older adults with hypertension in Indonesia

Giena, Vike Pebri; Thongpat, Sunanta; Nitirat, Pornruedee

doi:10.1016/j.ijnss.2018.04.002

Cited by 31 publications

(42 citation statements)

References 22 publications

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“…In this study, participants with higher levels of self-efficacy were found to have higher levels of engagement in health-promoting behaviors, consistent with previous findings [ 7 , 44 ]. This indicates the necessity of providing a nursing intervention to improve the self-efficacy of elderly women with hypertension who must be encouraged to engage in health-promoting behaviors.…”

Section: Discussionsupporting

confidence: 92%

Effects of Self-Efficacy, Depression, and Anger on Health-Promoting Behaviors of Korean Elderly Women with Hypertension

Kim

Jang

Park

et al. 2020

IJERPH

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The prevalence of hypertension among women in Korea aged 65 years or older is 61.7%. Past research has emphasized the importance of health-promoting behaviors in hypertension management for the elderly. The purpose of this cross-sectional study was to identify the effects of self-efficacy, depression, trait anger, and anger expression on the health-promoting behaviors of elderly women with hypertension. Self-report questionnaires were completed by 208 women aged 65 and older (age range: 65 to 85) diagnosed with hypertension by physicians and living in the communities of G city and N city of Gyeonggi-do in South Korea. A hierarchical regression analysis revealed that exercise (β = 0.36, p < 0.001) had the most significant effect on health-promoting behaviors, followed by depression (β = −0.31, p < 0.001), trait anger (β = 0.21, p = 0.002), anger control (β = 0.20, p < 0.001), religion (β = 0.18, p = 0.001), and self-efficacy (β = 0.18, p = 0.003). Trait anger and anger control were identified to have a more significant effect on health-promoting behaviors than self-efficacy. Thus, health-promoting behaviors were influenced by exercise, depression, anger, religion, and self-efficacy. It is necessary to implement a nursing intervention strategy which pays attention to these factors to improve health-promoting behaviors of Korean community-dwelling elderly women.

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Section: Discussionsupporting

confidence: 92%

Effects of Self-Efficacy, Depression, and Anger on Health-Promoting Behaviors of Korean Elderly Women with Hypertension

Kim

Jang

Park

et al. 2020

IJERPH

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“…Of the 22 cross-sectional studies included, ten were performed in Asia [ 22 , 24 , 27 , 31 , 33 , 36 , 37 , 40 – 42 ], three in the Middle East [ 23 , 25 , 32 ], five in the United States of America [ 26 , 28 , 29 , 37 , 43 ], two in Europe [ 30 , 39 ], one in Africa [ 34 ] and one in Australia [ 69 ]. All the studies involved adults, of which four [ 24 , 36 , 40 , 42 ] involved exclusively elderly adults aged 60 or older.…”

Section: Resultsmentioning

confidence: 99%

“…All the studies involved adults, of which four [ 24 , 36 , 40 , 42 ] involved exclusively elderly adults aged 60 or older. Of the 22 studies, 13 studies [ 23 , 25 , 27 , 29 , 31 , 32 , 34 , 36 , 38 – 42 ] involved participants recruited from healthcare settings while eight [ 22 , 24 , 26 , 28 , 33 , 37 , 43 , 69 ] involved participants recruited from the community.…”

Section: Resultsmentioning

confidence: 99%

“…Sedentary behaviour was instead significantly predicted by variables such as empowerment level, perceived health, time since diagnosis of hypertension, vigorous-intensity physical activity, and depression, which explained 42.6% of the variance in sedentary behaviour . 7 Ea et al, 2018 [ 28 ] Population: 163 adult (aged at least 18) first-generation Filipino immigrants in the United States, recruited from the community Instrument used: Self-efficacy – Hypertension self-care profile self-efficacy scale [ 49 ] Comparison made: Independent variable: Self-efficacy to engage in various aspects of hypertension management, dependent variable: tendency to engage in hypertension self-care behaviours Self-care behaviours assessed: adherence to appropriate diet, adherence to medications, smoking cessation, regular exercise, stress avoidance and use of relaxation techniques - Medical Outcomes Study Specific Adherence Scale [ 55 ] Self-efficacy is positively correlated with hypertension self-care (correlation coefficient = 0.407, p < 0.001), self-efficacy is a significant predictor of hypertension self-care (β = 0.270, p = 0.003) 8 Elder et al, 2012 [ 29 ] Population: 235 Southern African American men aged 18 or over, recruited from a hospital in Alabama, USA Instrument used: Self-efficacy - Ogedegbe Self-Efficacy Scale [ 56 ] Comparison made: Independent variable: Self-efficacy; dependent variables: Medication adherence Medication adherence – measured by Morisky Medication Adherence Scale [ 50 ] Participants with higher self-efficacy more likely to report better medication adherence (OR = 1.08; 95% CI = 1.02) 9 Gacek, 2014 [ 30 ] Population: 160 women from Małopolska, Poland, aged 45–60 Instrument used: General self-efficacy – General Self-Efficacy Scale (35, as cited in Gacek, 2014) Comparison made: Independent variable: Self-efficacy; dependent variable: Adherence to recommended diet Frequency of consumption of food products – measured using a seven-item scale Higher levels of self-efficacy were associated with more frequent consumption of recommended food products 10 Giena, Thongpat & Nitirat, 2018 [ 31 ] Population : 333 adults aged 60 and above from 4 primary health centres in Bengkulu City, Indonesia Instrument used: Self-efficacy – Self-rated Abilities for Health Practice Scale (54, as cited in Giena et al 2017) Comparison made: Independent variable: Self-efficacy; dependent variable: Performance of self-care behaviour Self-care - Measured by modified versio...…”

Section: Methodsmentioning

confidence: 99%

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The association between self-efficacy and self-care in essential hypertension: a systematic review

Tan

Oka²,

Dambha‐Miller³

et al. 2021

BMC Fam Pract

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Background The successful management of hypertension requires sustained engagement in self-care behaviour such as adhering to medication regimens and diet. Bandura’s Social Cognitive Theory suggests that self-efficacy is a major determinant of engagement in self-care behaviour. Self-efficacy refers to an individual’s belief in their capacity to execute behaviours necessary to produce specific performance attainments. This systematic review of observational studies aims to summarise and evaluate the quality of evidence available to support the association between self-efficacy and engagement in self-care behaviour in hypertension. Methods Searches were performed of the Pubmed, MEDLINE, CINAHL and OpenSIGLE databases from database inception to January 2020. Reference lists and individual journals were also hand searched. Observational studies in English quantifying self-efficacy and self-care behaviour in hypertensive adults were included. The quality of included articles was assessed with the National Institute of Health Quality Assessment Tool for observational studies. Results The literature search identified 102 studies, of which 22 met the inclusion criteria for full-text review. There were 21 studies which reported that higher self-efficacy was associated with engagement in self-care behaviours including medication adherence (n = 9), physical activity (n = 2) and dietary changes (n = 1). Of these, 12 studies were rated as ‘good’ on the quality assessment tool and 10 were ‘fair’. A common limitation in these studies was a lack of objectivity due to their reliance on self-reporting of engagement in self-care behaviour. Conclusion Our review suggests an association between self-efficacy and self-care. However, the evidence supporting this association is of low to medium quality and is limited by heterogeneity. Our findings suggest the need for further well-designed interventional studies to investigate this association.

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“…According to the World Health Organization (WHO), noncommunicable diseases (NCDs), such as cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes, account for 41 million deaths each year globally, and more than three-quarters of global NCD-related deaths occur in lowand middle-income countries [1]. Indonesia is one of the countries that has been facing a rapid increase in NCD-related deaths [2,3], and the prevalence of NCDs including obesity, hypertension, and diabetes in women is significantly higher than that in men [4][5][6][7][8]. The Indonesian Ministry of Health has developed NCDs control programs and launched several community health centers (Puskesmas) and health village posts for older adults (Posyandu Lansia) in the mid-2000s.…”

Section: Introductionmentioning

confidence: 99%

Behaviors toward Noncommunicable Diseases Prevention and Their Relationship with Physical Health Status among Community-dwelling, Middle-aged and Older Women in Indonesia

Yamada

Hapsari

Matsuo

2020

IJERPH

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We aim to clarify the behaviors toward noncommunicable diseases (NCDs) prevention focusing on lifestyle-related diseases and physical health status and examine their relationship among community-dwelling women in Indonesia. This cross-sectional study included women aged 45 years and older. Data were collected through an interview using a structured questionnaire; the following parameters were also measured: height, weight, body mass index (BMI), blood pressure (BP), handgrip strength, and 10 m gait speed. This study found that the majority of women adopted one or more healthy behaviors to prevent NCDs, while few women practiced comprehensive behaviors. Age, satisfaction with house income, living alone, social support, social participation, and household decision making were the determinant factors for behaviors toward NCDs prevention. A high prevalence of underweight (26.4%), overweight (31.9%), obesity (5.6%), high systolic blood pressure (SBP) (62.5%), and low muscle strength (54.2%) were frequently observed. Eating well-balanced meals, avoiding fatty foods, and undergoing blood cholesterol testing had significant correlations with physical health status. It is concluded that the activities at Posyandu Lansia (health village posts for older adults) are necessary to help women with unhealthy eating behaviors and lower physical activity and unawareness of health checkups to maintain focus and to develop a more practical approach to NCDs prevention.

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Predictors of health-promoting behaviour among older adults with hypertension in Indonesia

Cited by 31 publications

References 22 publications

Effects of Self-Efficacy, Depression, and Anger on Health-Promoting Behaviors of Korean Elderly Women with Hypertension

Effects of Self-Efficacy, Depression, and Anger on Health-Promoting Behaviors of Korean Elderly Women with Hypertension

The association between self-efficacy and self-care in essential hypertension: a systematic review

Behaviors toward Noncommunicable Diseases Prevention and Their Relationship with Physical Health Status among Community-dwelling, Middle-aged and Older Women in Indonesia

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