Health Belief Model Through Enhancing Home Self-Care in Hypertensive Patients
Keywords:
Hypertension, Self-Management, HBM, Self-care BehaviourAbstract
This research aims to develop a self-management model grounded in the Health Belief Model (HBM) theory to enhance self-care behavior among hypertensive patients at home. Utilizing an explanatory survey design, the study involved a sample of 135 patients from Centro Saude Comoro Dili, selected through cluster random sampling. The analysis revealed significant influences of demographic factors, such as occupation and education level, on individual beliefs, evidenced by a statistical T value of 12.440. Additionally, structural factors like knowledge significantly impacted individual beliefs, with a T value of 5.078. Individual beliefs were found to significantly affect self-management, demonstrated by a T value of 26.815. Furthermore, self-management exerted a substantial influence on self-care behavior, with a T value of 51.333. The second phase of the research incorporated focus group discussions (FGD) and expert consultations, providing a foundation for developing tailored self-management models and modules for hypertensive individuals. The findings underscore the importance of demographic and structural factors in shaping individual beliefs, which in turn influence self-management and self-care behaviors. This study recommends that community nurses utilize the developed modules to enhance the self-care practices of hypertensive patients, thereby improving health outcomes and promoting effective self-management strategies in home settings
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