The Relationship between Knowledge and Chronic Kidney Failure Prevention Behavior in Hypertensive Patients at Limboto Health Center

  • Dwi Ayu Novelita Mahasiswa Program Studi Ilmu Keperawatan UNG
  • Nurdiana Djamaluddin Dosen Program Studi Ilmu Keperawatan UNG
  • Sitti Fatimah M. Arsad Dosen Program Studi Ilmu Keperawatan UNG
Keywords: Knowledge, Preventive Behavior, Chronic Kidney Failure, Hypertension, Hypertension Patients

Abstract

Uncontrolled hypertension can cause various serious complications, one of which is chronic kidney failure (CKD). Hypertensive patients' knowledge of their disease plays an important role in the prevention behavior of complications such as chronic kidney failure. Good knowledge is characterized by an understanding of risk factors, the importance of blood pressure control, adherence to taking medications, as well as a healthy lifestyle such as a low-salt diet and regular exercise that can prevent complications, one of which is chronic kidney failure.

This study aims to analyze the relationship between knowledge and chronic kidney failure prevention behavior in hypertensive patients at the Limboto Health Center. The method used is a quantitative research with a cross-sectional design. The research sample amounted to 95 patients who were selected using the purposive sampling technique. Data collection was conducted using a structured questionnaire that measured the level of knowledge about hypertension and chronic kidney failure prevention behaviors. The data were analyzed univariate and bivariate using the spearman rank  test with a significance level of 5%. The results showed that most of the respondents were at a good level of knowledge and the majority had good kidney failure prevention behaviors. Bivariate analysis showed that there was a weak level of relationship strength (0.333) between knowledge and GGK prevention behavior in hypertensive patients at the Limboto Health Center (p < 0.05) with the direction of positive relationship. In conclusion, the higher the knowledge, the better the behavior to prevent chronic kidney failure, even though the strength of the relationship is relatively weak. This suggests that knowledge plays a role in the formation of preventive behaviors, but is not the only factor that influences them.

References

Gorontalo Regency Health Office. (2024). Health Profile of Gorontalo Regency 2024. https://dinkes.gorontalokab.go.id/profil-kesehatan-2024
Gorontalo Provincial Health Office. (2024). KIE 2024 Publication Performance Report. https://dinkes.gorontaloprov.go.id/laporan-kinerja-publikasi-kie-2024/
Gultom, M. D., & Sudaryo, M. K. (2023). The Relationship between Hypertension and the Incidence of Chronic Kidney Failure at DR. Djasamen Saragih Hospital, Pematang Siantar City in 2020. Journal of Community Health Epidemiology, 8(1), 40–47. https://doi.org/10.14710/jekk.v8i1.11722
Ministry of Health. (2023). Indonesian Health Survey 2023 (SKI). Ministry of Health, 235.
Liu, J. and A. F. of C. B. among M.-A. and O. H. P. in C. : R. from the C. H. and R. L. S., Yang, Y., Zhou, J., Liu, T., Zhang, W., & Wei, L. (2020). Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China : Results from the China Health and Retirement Longitudinal Study. China CDC.
Momuat, A. G. F., & Annisaa', E. (2023). Evaluation of the Rationality of the Use of Antihypertensive Group Angiotensin II Receptor Blocker (ARB) in Patients with Chronic Kidney Disease. Generics: Journal of Research in Pharmacy, 3(1), 55–64. https://doi.org/10.14710/genres.v3i1.17210
Novitasari, I., Andala, S., & Akbar, Y. (2023). The relationship between dietary adherence and the prevention of complications in people with hypertension. STIKes Muhammadiyah Lhokseumawe, 4(1), 31–37. https://jurnalmanajemen.petra.ac.id/index.php/stikes/article/view/18433
Oktavia, S., Natalia, A. M., & Fernandez, G. (2023). The Relationship between Knowledge Level and Complication Prevention Behavior in Hypertension Patients at the Shoulder Health Center, Manado City. Ejournal.Unsrat.Ac.Id, 1(1), 102–107. https://ejournal.unsrat.ac.id/v3/index.php/caring/article/view/48963
S, N. S., Hidayat, W., & Lindriani. (2021). The Relationship between Knowledge Level about Hypertension and Prevention Behaviors for Hypertension Complications. Florence Nightingale Journal of Nursing, 4(2), 89–93. https://doi.org/10.52774/jkfn.v4i2.78
Sari, E. A. (2025). Self-Care Behavior Based on Knowledge of Patients with Hypertension : A Cross-Sectional Study. January, 17–24.
Seme, J., Id, A., Ngulupi, S. S., & Massae, A. F. (2025). Factors associated with chronic kidney disease knowledge and preventive practices : An analytical cross-sectional study among patients with hypertension at Amana Regional Referral Hospital in Dar es Salaam , Tanzania. 13, 9–16. https://doi.org/10.1371/journal.pone.0317257
Susanita, N., Haditama, R., Pardede, L., Ners, P. P., Nursing, P. S., & Prevention, P. (2025). COMPLICATIONS OF HYPERTENSIVE PATIENTS. 11(2), 199–203.
Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., Tomaszewski, M., Wainford, R. D., Williams, B., & Schutte, A. E. (2020). 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension, 75(6), 1334–1357. https://doi.org/10.1161/HYPERTENSIONAHA.120.15026
Wibrata, D. A., Fadilah, N., Wijayanti, D., Kholifah, S. N., Nursing, J., Health, P., Surabaya, K., Timur, J., Health, P., Surabaya, K., & Timur, J. (2023). Perceptions of factors influencing compliance behavior in hypertensive clients. 6(2), 135–140.
Published
2026-02-25
How to Cite
Dwi Ayu Novelita, Nurdiana Djamaluddin, & Sitti Fatimah M. Arsad. (2026). The Relationship between Knowledge and Chronic Kidney Failure Prevention Behavior in Hypertensive Patients at Limboto Health Center. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(2), 980~986. https://doi.org/10.56338/ijhess.v8i2.10504