Background Self‐care activities are a critical determinant of hypertension management in older adults. Understanding the factors influencing hypertension self‐care is critical to developing effective programs to improve adherence to hypertension management and control in this population. Methods A cross‐sectional, descriptive design was used to examine the relationship between key variables from Pender’s Health Promotion Model and self‐care activities among older adults with hypertension. A convenience sample of 151 older adults diagnosed with hypertension was surveyed at several senior centers. Multiple linear regression analysis examined the associations between hypertension self‐care activities and demographic, psychological, and behavioral variables. The study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Results Seven factors had a significant impact on hypertension self‐care activities, including four individual factors: age ( β = −0.183, p < 0.05), body mass index ( β = −0.189, p < 0.05), employment ( β = −0.183, p < 0.05), and depression ( β = −0.186, p < 0.05) and three behavior‐specific factors: self‐efficacy ( β = 0.204, p < 0.01), health status ( β = 0.190, p < 0.05), and social support ( β = 0.189, p < 0.05). Conclusion and Implications for Practice Recognizing the complex interaction between individual and behavior‐specific factors such as perceptions of health status, social support, self‐efficacy, and self‐care activities, healthcare providers should adopt more individualized and holistic approaches to hypertension treatment. When managing hypertension in older adults, clinicians must take a comprehensive approach that includes age, employment status, body mass index, hypertension knowledge, and depression screening. A targeted and evidence‐based approach is required to improve health outcomes and assist older adults with self‐care activities. This study lays the groundwork for future research to develop and refine intervention strategies to improve older adults’ quality of life and hypertension management.
Tailakh et al. (Thu,) studied this question.