Effectiveness of Self-Management Related to Physical Activity with Life Quality in Hypertension

Authors

  • Juliyanti Cardoso Amaral Master of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
  • Shanti Wardaningsih Master of Nursing, Universitas Muhammadiyah Yogyakarta, Indonesia
  • Lisa Musharyanti School of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia

DOI:

https://doi.org/10.30994/jnp.v9i1.815

Keywords:

hypertension, physical activity, quality of life, self-management

Abstract

Background: Hypertension is a major cause of disability and death worldwide. Efforts to reduce blood pressure and disease complications can be made by changing lifestyle, controlling the disease, and monitoring blood pressure regularly. Blood pressure management and improved quality of life can be achieved through effective self-management, particularly through physical activity.                                                        

Purpose: The purpose of this literature review is to identify the effectiveness of self-management in physical activity in improving the quality of life of patients with hypertension.                                                                                                                                           Methods: In this study, three international databases, i.e., Dimensions, Scopus, and ScienceDirect, were included. There were initial 605 articles from the last 5 years (2020 to 2024). The inclusion criteria used included English articles, original articles, and full text. Then, after screening using the Prisma guide, 18 articles met the criteria.  

Results: The literature review showed that quality of life, physical activity and self-management in patients with hypertension can be improved with digital interventions, support from various parties (family and society, multidisciplinary health workers), and self-management training. There is evidence that exercise such as walking, aerobic exercise, and light strength training can lower blood pressure and improve health status. Social and psychological support are also critical in supporting self-management.

Conclusion: A comprehensive approach, which includes a combination of technology-based interventions, multidisciplinary support and self-management training in physical activity, is needed to improve the quality of life of patients with hypertension. Continuous intervention and support programs can encourage patients to adopt a healthy lifestyle and be motivated to control the disease.

Downloads

Download data is not yet available.

References

Andersson, U., Nilsson, P. M., Kjellgren, K., & Midlöv, M. E. & P. (2024). Associations between daily home blood pressure measurements and self-reports of lifestyle and symptoms in primary care: the PERHIT study. Scandinavian Journal of Primary Health Care, 42(3), 415–423. https://doi.org/10.1080/02813432.2024.2332745.

Bozorgi, A., Hosseini, H., Eftekhar, H., Majdzadeh, R., Yoonessi, A., Ramezankhani, A., Mansouri, M., & Ashoorkhani, M. (2021). The effect of the mobile “blood pressure management application” on hypertension self-management enhancement: a randomized controlled trial. Randomized Controlled Trial, 22(1), 1–10. https://doi.org/10.1186/s13063-021-05270-0.

Cheung, N. W., Redfern, J., Thiagalingam, A., Hng, T. M., Marschner, S., Haider, R., Faruquie, S., Von Huben, A., She, S., McIntyre, D., Cho, J. G., & Chow, C. K. (2023). Effect of Mobile Phone Text Messaging Self-Management Support for Patients With Diabetes or Coronary Heart Disease in a Chronic Disease Management Program (SupportMe) on Blood Pressure: Pragmatic Randomized Controlled Trial. In Journal of Medical Internet Research (Vol. 25). https://doi.org/10.2196/38275.

David, C. N., Iochpe, C., Harzheim, E., Sesin, G. P., Gonçalves, M. R., Moreira, L. B., Fuchs, F. D., & Fuchs, S. C. (2023). Effect of Mobile Health Interventions on Lifestyle and Anthropometric Characteristics of Uncontrolled Hypertensive Participants: Secondary Analyses of a Randomized Controlled Trial. Healthcare (Switzerland), 11(8). https://doi.org/10.3390/healthcare11081069.

Depping, M. K., Uhlenbusch, N., Härter, M., Schramm, C., & Löwe, B. (2021). Efficacy of a Brief, Peer-Delivered Self-management Intervention for Patients with Rare Chronic Diseases: A Randomized Clinical Trial. JAMA Psychiatry, 78(6), 607–615. https://doi.org/10.1001/jamapsychiatry.2020.4783.

Dorsch, M. P., Golbus, J. R., Stevens, R., Trumpower, B., Basu, T., Luff, E., Warden, K., Giacalone, M., Bailey, S., Rubick, G. V., Mishra, S., Klasnja, P., Newman, M. W., Skolarus, L. E., & Nallamothu, B. K. (2025). Physical activity and diet just-in-time adaptive intervention to reduce blood pressure: a randomized controlled trial. Npj Digital Medicine, 8(1), 4–10. https://doi.org/10.1038/s41746-025-01844-3.

Du, M., Kong, H., Ran, L., Ran, Y., Bai, L., Du, Y., Guan, H., Dong, Y., & Zhao, Y. (2022). Associations among health-promoting lifestyle, self-care agency and health-related quality of life in Bai older adults with hypertension in Yunnan China. BMC Geriatrics, 22(1), 942. https://doi.org/10.1186/s12877-022-03608-0.

Eghbali, M., Akbari, M., Seify, K., Fakhrolmobasheri, M., Heidarpour, M., Roohafza, H., Afzali, M., Mostafavi-esfahani, F., Karimian, P., Sepehr, A., Shafie, D., & Khosravi, A. (2022). Evaluation of Psychological Distress, Self-Care, and Medication Adherence in Association with Hypertension Control. International Journal of Hypertension, 2022, 1–7. https://doi.org/10.1155/2022/7802792.

Gazit, T., Gutman, M., & Beatty, A. L. (2021). Assessment of Hypertension Control among Adults Participating in a Mobile Technology Blood Pressure Self-management Program. JAMA Network Open, 4(10), 1–11. https://doi.org/10.1001/jamanetworkopen.2021.27008.

Han, T. C., Lin, H. S., & Chen, C. M. (2022). Association between Chronic Disease Self-Management, Health Status, and Quality of Life in Older Taiwanese Adults with Chronic Illnesses. Healthcare (Switzerland), 10(4). https://doi.org/10.3390/healthcare10040609.

Hardy, S. T., Hannon, L., Hall, L., & Cherrington, & A. L. (2023). Design of the Equity in Prevention and Progression of Hypertension by Addressing Barriers to Nutrition and Physical Activity Study: A Cluster Randomized Trial. American Journal of Hypertension, 36(5), 248–255. https://doi.org/10.1093/ajh/hpad011.

Huang, J., Xu, Y., Cao, G., He, Q., & Yu, P. (2022). Impact of multidisciplinary chronic disease collaboration management on self-management of hypertension patients: A cohort study. Medicine (United States), 101(28), E29797. https://doi.org/10.1097/MD.0000000000029797.

Huzmeli, I., Katayıfçı, N., Yalçın, F., & H¨uzmeli, E. D. (2024). Effects of different inspiratory muscle training protocols on functional exercise capacity and respiratory and peripheral muscle strength in patients with chronic kidney disease: a randomized study. BMC Nephrology, 25(1). https://doi.org/10.1186/s12882-024-03610-1.

Inan-Eroglu, E., Ahmadi, M., Sainsbury, A., Leitzmann, M., Khunti, K., Yates, T., & Stamatakis, E. (2025). Joint associations of diet and physical activity with incident type 2 diabetes and hypertension: an analysis of 144 288 UK Biobank participants. American Journal of Epidemiology, 194(5), 1362–1370. https://doi.org/10.1093/aje/kwae180.

International Society of Hypertension. (2020). 2020 ISH global hypertension practice guidelines. International Society of Hypertension, 75(6), 1334–1357. https://ish-world.com/global-hypertension-practice-guidelines/.

Jeihooni, A. K., Sobhani, A., & Pooyan Afzali Harsini and Mehdi Amirkhani. (2023). Effect of educational intervention based on PRECEDE model on lifestyle modification, self-management behaviors, and hypertension in diabetic patients. BMC Endocrine Disorders, 23(1), 6. https://doi.org/10.1186/s12902-023-01264-y.

Jiao, L., Liu, L., Zheng, J., & Zhou, Z. (2022). Interaction between self-perceived disease control and self-management behaviours among Chinese middle-aged and older hypertensive patients: the role of subjective life expectancy. BMC Public Health, 22, 1–16. https://doi.org/https://doi.org/10.1186/s12889-022-12990-8.

Juan, P., & Xianyi, Z. (2023). Aerobic Exercise Effects on the Health Management of Elderly Patients With Chronic Diseases. Revista Brasileira de Medicina Do Esporte, 29(Imc), 1–4. https://doi.org/10.1590/1517-8692202329012022_0787.

Kordvarkane, Z., Oshvandi, K., Mohammadi, Y., & Azizi, A. (2023). Effect of education based on the Common-Sense Model of Self-Regulation on blood pressure and self-management of hypertensive patients: A clinical trial study. International Journal of Nursing Sciences, 10(3), 294–301. https://doi.org/10.1016/j.ijnss.2023.06.009.

Korenhof, S. A., Rouwet, E. V., Elstgeest, L. E. M., Tan, S. S., Macchione, S., Vasiljev, V., Rukavina, T., Alhambra-Borrás, T., Fierloos, I. N., & Raat, H. (2022). Evaluation of an Intervention to Promote Self-Management Regarding Cardiovascular Disease: The Social Engagement Framework for Addressing the Chronic-Disease-Challenge (SEFAC). In International Journal of Environmental Research and Public Health (Vol. 19, Issue 20). https://doi.org/10.3390/ijerph192013145.

Kundapur, R., Modi, B., Ansari, R., R, D., P, S., & Saxena, D. (2022). Effectiveness of lifestyle modification on quality of life among uncontrolled diabetics and hypertensives in India – Community based intervention study. Journal of Family Medicine and Primary Care, 11(2), 492–497. https://doi.org/10.4103/jfmpc.jfmpc_543_21.

Lee, C. J., Park, W. J., Suh, J. W., Choi, E. K., Jeon, D. W., Lim, S. W., Kim, D. H., Cha, K. S., Lee, B. R., Kim, N. H., Kang, T. S., & Ha, J. W. (2020). Relationship between health-related quality of life and blood pressure control in patients with uncontrolled hypertension. Journal of Clinical Hypertension, 22(8), 1415–1424. https://doi.org/10.1111/jch.13941.

Liu, R., Dahlan, A., Mohd Fahmi Teng, N. I., & Zhan, X. Z. (2024). Barriers to Health Self-Management Among Older People with Hypertension and Diabetes in Institutions in China: A Phenomenological Study. Environment-Behaviour Proceedings Journal, 9(27), 137–142. https://doi.org/10.21834/e-bpj.v9i27.5608.

Paukkonen, L., Oikarinen, A., Kähkönen, O., & Kaakinen, P. (2022). Patient activation for self‐management among adult patients with multimorbidity in primary healthcare settings. Health Science Reports, 5(4). https://doi.org/10.1002/hsr2.735.

Polsook, R., & Aungsuroch, Y. (2024). The effect of a self-management programme on blood pressure levels among people with hypertension: a randomised controlled trial. Journal of Research in Nursing, 17449871241261668.

Shi, W., Cheng, L., & Li, Y. (2022). Influence of “Hospital-Community-Family” Integrated Management on Blood Pressure, Quality of Life, Anxiety and Depression in Hypertensive Patients. In Computational and Mathematical Methods in Medicine (Vol. 2022). https://doi.org/10.1155/2022/1962475.

Shibuta, T., Waki, K., Miyake, K., Igarashi, A., Yamamoto-Mitani, N., Sankoda, A., Takeuchi, Y., Sumitani, M., Yamauchi, T., Nangaku, M., & Ohe, K. (2023). Preliminary Efficacy, Feasibility, and Perceived Usefulness of a Smartphone-Based Self-Management System With Personalized Goal Setting and Feedback to Increase Step Count Among Workers With High Blood Pressure: Before-and-After Study. In JMIR Cardio (Vol. 7). https://doi.org/10.2196/43940.

Sun, T., Xu, X., Ding, Z., Xie, H., Ma, L., Zhang, J., Xia, Y., Zhang, G., & Ma, Z. (2024). Development of a Health Behavioral Digital Intervention for Patients With Hypertension Based on an Intelligent Health Promotion System and WeChat: Randomized Controlled Trial. JMIR MHealth and UHealth, 12(1), 1–19. https://doi.org/10.2196/53006.

Unda Villafuerte, F., Llobera Cànaves, J., Estela Mantolan, A., Bassante Flores, P., Rigo Carratalà, F., Requena Hernández, A., Oliver Oliver, B., Pou Bordoy, J., Moreno Sancho, M. L., Leiva, A., & Lorente Montalvo, P. (2024). Effectiveness of medication self-management, self-monitoring and a lifestyle intervention on hypertension in poorly controlled patients: The MEDICHY randomized trial. In Frontiers in Cardiovascular Medicine (Vol. 11). https://doi.org/10.3389/fcvm.2024.1355037.

Upoyo, A. S., Sari, Y., Taufik, A., Anam, A., & Kuswati, A. (2024). The Effect of Online Group Education on Promoting Knowledge, Motivation, Self-Efficacy, Self-Care Behaviors and Preventing Uncontrolled Blood Pressure in Hypertensive Patients: A Quasi-Experiment Study. SAGE Open Nursing, 10. https://doi.org/10.1177/23779608241299288.

World Health Organization (2021). https://www.who.int/news/item/25-08-2021-more-than-700-million-people-with-untreated-hypertension.

World Health Organization. (2023). Population, Indonesia.

World Health Organization. (2024). Department of Healthier Populations and Noncommunicable Diseases (HPN). https://www.who.int/southeastasia/our-work/noncommunicable-disease-and-mental-health.

Xu, Y., MMa, MMb, W. Z., Ming Yang, Mm., Lei Zhu, Mm., Yun Zhang, Mm., Fu, Mm., & Ting Dai, Mm. (2024). Influence of intelligent management mode based on Internet of Things on self-management ability and prognosis of elderly patients with hypertensive heart disease: An observational study. Medicine, 103(22), e38179. https://doi.org/10.1097/md.0000000000038179.

Yang, J., Zeng, Y., Yang, L., Khan, N., Singh, S., Walker, R. L., Eastwood, R., & Quan, H. (2024). Identifying personalized barriers for hypertension self-management from TASKS framework. BMC Research Notes, 17(1). https://doi.org/10.1186/s13104-024-06893-7.

Zhang, Q., Huang, F., Zhang, L., Li, S., & Zhang, J. (2021). The effect of high blood pressure-health literacy, self-management behavior, self-efficacy and social support on the health-related quality of life of Kazakh hypertension patients in a low-income rural area of China: a structural equation model. BMC Public Health, 21(1), 1–10. https://doi.org/10.1186/s12889-021-11129-5.

Zhu, Z., Yan, W., Wang, X., Hu, D., Zhu, Y., & Chen, J. (2021). Physical Activity, Blood Pressure Control, and Health-Related Quality of Life Among Hypertensive Individuals: A Cross-Sectional Study in Jiangsu Province, China. Asia-Pacific Journal of Public Health, 33(5), 539–546. https://doi.org/10.1177/10105395211014650.

Downloads

Published

2025-10-28

How to Cite

Juliyanti Cardoso Amaral, Shanti Wardaningsih, & Lisa Musharyanti. (2025). Effectiveness of Self-Management Related to Physical Activity with Life Quality in Hypertension. Journal Of Nursing Practice, 9(1), 34–43. https://doi.org/10.30994/jnp.v9i1.815

Issue

Section

Articles