Axiological Perspectives on Self-Care Interventions and Their Impact on Hypertension Patient Behaviors: A Systematic Review

Introduction: Hypertension has remained a significant global health issue, with self-care being a critical yet underexplored area, particularly from an axiological perspective. Aim: This study aimed to examine the axiological perspectives underlying self-care interventions and their impact on hypertension patient behaviors. Methods: A systematic review was conducted using Scopus, ProQuest, Sage, and PubMed, adhering to PRISMA guidelines. Studies published between 2020 and 2024 were selected based on predefined PICOS criteria. Data analysis was performed thematically by two independent reviewers, with conflicts resolved by a third reviewer. The research protocol was registered in PROSPERO (CRD42024617855). Results: Out of 2,925 retrieved articles, 10 met the inclusion criteria, involving 1,477 respondents from 11 countries. Three core themes were identified: (1) Personal values (beliefs, perceptions, emotional regulation, and intrapersonal characteristics), (2) Socio-cultural values (social support, family roles, cultural norms, and gender-related barriers), (3) Healthcare system values (accessibility, resource availability, and nurse-led education). Self-care interventions enhanced medication adherence and blood pressure monitoring. Conclusion: The axiological perspective highlighted the critical role of personal, socio-cultural, and healthcare system factors in improving self-care behavior among hypertensive patients. Integrating these perspectives into nursing education and intervention strategies was essential for optimizing hypertension management.