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Self-Care and Treatment Adherence for Blood Pressure Control among Patients with Hypertension: a Cross-sectional Study

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The prevalence of hypertension is increasing every year. The keys of full success in controlling blood pressure among patients with hypertension were self-care and medication adherence. The research problem was that patients with hypertension still had inadequate self-care skills and were not compliant with treatment regimens. The aim of the study was to analyze the association between self-care and medication adherence with blood pressure control among patients with hypertension. The method, design of the study was cross-sectional. Primary data collection was conducted in outpatient wards at Type A Hospital, Bandung- Indonesia with accidental sampling technique. Period of data collection was February-March 2025. Total sample involved 138 respondents. The instruments used in this study were High Blood Pressure-Self-care Profile (HBP-SCP) and Modified-Morisky Adherence Scale-8 (MMAS-8). The statistical test used was Chi- Square. Results: We found 82.0% respondents with low self-care, 86.0% not adhere to medication, and 66.0% respondents with uncontrolled blood pressure. The results of the study showed there was a significant association between self-care and blood pressure control (P < .001), medication adherence and blood pressure control among patients with hypertension (P < .001). Recommendations related to improving self-care and medication adherence need to be evaluated periodically, support from health care professionals through ongoing health education or the use of appropriate technology needs to be carried out to monitor the self-care abilities of hypertension sufferers to avoid various complications.