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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">arthyper</journal-id><journal-title-group><journal-title xml:lang="ru">Артериальная гипертензия</journal-title><trans-title-group xml:lang="en"><trans-title>"Arterial’naya Gipertenziya" ("Arterial Hypertension")</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1607-419X</issn><issn pub-type="epub">2411-8524</issn><publisher><publisher-name>Antihypertensive League</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18705/1607-419X-2025-2363</article-id><article-id custom-type="edn" pub-id-type="custom">ZCVBGU</article-id><article-id custom-type="elpub" pub-id-type="custom">arthyper-2363</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Модель здорового поведения, основанная на транскультурной теории по оказанию сестринской медицинской помощи для профилактики сердечно-сосудистых осложнений у пациентов с артериальной гипертензией</article-title><trans-title-group xml:lang="en"><trans-title>Health behavior model based on transcultural nursing for preventing cardiovascular complications in hypertension patients in the community</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9362-1540</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Исрафил</surname><given-names>И.</given-names></name><name name-style="western" xml:lang="en"><surname>Israfil</surname><given-names>I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Исрафил Исрафил — профессор факультета сестринского ухода Университета Эйрланга; Отделение сестринского ухода, Институт технологий и здравоохранения Бали.</p><p>Кампус C, ул. Доктора Ир. Х. Сукарно, Мулиореджо, Сурабая, Восточная Ява, 60115; Кампус II, ул. Тукад Балиан, 180, Ренон, Денпасар, Бали, 80226</p></bio><bio xml:lang="en"><p>Israfil Israfil - Professor, Faculty of Nursing, Universitas Airlangga; Department of Nursing, Institute of Technology and Health Bali.</p><p>Campus C, Jl. Dr. Ir. H. Soekarno, Mulyorejo, Surabaya 60115, East Java; Campus II, Jl. Tukad Balian No.180 Renon, Denpasar 80226, Bali</p></bio><email xlink:type="simple">ahmadisrafil6@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6669-0767</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юсуф</surname><given-names>А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yusuf</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юсуф Ах — профессор факультета сестринского ухода Университета Эйрланга.</p><p>Сурабая</p></bio><bio xml:lang="en"><p>Ah Yusuf - Professor, Faculty of Nursing, Universitas Airlangga.</p><p>Surabaya</p></bio><email xlink:type="simple">ah-yusuf@fkp.unair.ac.id</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7988-9196</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Эфенди</surname><given-names>Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Efendi</surname><given-names>F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Эфенди Ферри — профессор факультета сестринского ухода Университета Эйрланга.</p><p>Сурабая</p></bio><bio xml:lang="en"><p>Ferry Efendi - Professor, Faculty of Nursing, Universitas Airlangga.</p><p>Surabaya</p></bio><email xlink:type="simple">ferry-e@fkp.unair.ac.id</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Факультет сестринского ухода, Университет Эйрланга; Отделение сестринского ухода, Институт технологий и здравоохранения Бали<country>Индонезия</country></aff><aff xml:lang="en">Faculty of Nursing, Airlangga University; Department of Nursing, Institute of Technology and Health Bali<country>Indonesia</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Факультет сестринского ухода, Университет Эйрланга<country>Индонезия</country></aff><aff xml:lang="en">Faculty of Nursing, Airlangga University<country>Indonesia</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>05</day><month>08</month><year>2025</year></pub-date><volume>31</volume><issue>2</issue><fpage>148</fpage><lpage>162</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Исрафил И., Юсуф А., Эфенди Ф., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Исрафил И., Юсуф А., Эфенди Ф.</copyright-holder><copyright-holder xml:lang="en">Israfil I., Yusuf A., Efendi F.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://htn.almazovcentre.ru/jour/article/view/2363">https://htn.almazovcentre.ru/jour/article/view/2363</self-uri><abstract><p>Актуальность. Артериальная гипертензия (АГ) — «молчаливый убийца», и в отсутствие должного лечения может приводить к сердечно-сосудистыми осложнениям (ССО) вплоть до летального исхода. Несмотря на развитие превентивных подходов, поведение пациентов с АГ в отношении профилактики ССО остается неоптимальным. Цель исследования — разработать модель здорового поведения на основании транскультурной теории по оказанию сестринской медицинской помощи для профилактики ССО у пациентов с АГ. Материалы и методы. Данное исследование является кросс-секционным. Всего было включено 130 участников, соответствовавших критериям включения/исключения. Предлагаемая модель включает 7 переменных, а именно: факторы, связанные с пациентом; культурные факторы, факторы, связанные со службой оказания медицинской помощи; сопровождение, переговоры, реструктурирование и профилактика ССО. Данные были собраны с помощью опросника, который ранее был валидирован и продемонстрировал надежные результаты. Анализ результатов был проведен с использованием метода моделирования, «метода частичных наименьших квадратов» (the Structural Equation Modeling — Partial Least Square, SEM-PLS). Результаты. По результатам критерия R-квадрата, вклад факторов, связанных с пациентом, культурных факторов и факторов, связанных со службой оказания медицинской помощи, составил 50,4 % в сопровождение, 34,7 % — в переговоры, и 23,3 % — в реструктурирование. Более того, вклад сопровождения, переговоров и реструктурирования в профилактику ССО у пациентов с АГ составил 58,7 %. Согласно результатам Q2 теста прогностической значимости показатель составил &gt; 0. Выводы. Факторы, связанные с пациентом, культурные факторы, факторы, связанные со службой оказания медицинской помощи, влияют на показатели сопровождения, переговоров и реструктурирования при применении мер по профилактике ССО у пациентов с АГ. Модель здорового поведения, разработанная в этом исследовании, обладает хорошей прогностической значимостью, что свидетельствует о том, что эта модель является перспективной с точки зрения преодоления бремени АГ и внедрения мер по профилактике ССО.</p></abstract><trans-abstract xml:lang="en"><p>Background. Hypertension is a silent killer which, if not treated properly, can result in cardiovascular complications, including lethal events. Many efforts have been made, but the behavior of hypertensive patients to prevent cardiovascular complications in society continues to be a challenge. Objective. This study aims to develop a health behavior framework model based on transcultural nursing for preventing cardiovascular complications in hypertensive patients in the community. Method. This is a cross-sectional study. A total of 130 respondents who met the inclusion criteria were involved in this research. The development model is proposed with seven variables, namely patient factors, cultural factors, health services factors, maintenance, negotiation, restructuring, and prevention of cardiovascular complications. Data was collected using a questionnaire that had been tested for validity and reliability. Data analysis was carried out using the Structural Equation Modeling - Partial Least Square (SEM-PLS) technique. Results. Based on the R-Sqaure test, it was found that patient factors, cultural factors and health service factors contributed 50,4% to maintenance, 34,7% to negotiation, 23,3% to restructuring. Furthermore, maintenance, negotiation, and restructuring contributed 58,7% to prevention of cardiovascular complications in hypertensive patients in the community. The results of the Q2 predictive relevance test (Q-Square) found that the Q2 predictive relevance value was &gt; 0. Conclusion. Patient factors, cultural factors, and health service factors influence hypertensive patients to perform maintenance, negotiation, and restructuring in implementing preventive cardiovascular measures in the community. The health behavior model that was successfully built in this study has a good predictive relevance value, meaning that this model is relevant and promising to be applied in overcoming the problems of hypertensive patients in carrying out preventive measures for cardiovascular complications in the community.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>здоровое поведение</kwd><kwd>артериальная гипертензия</kwd><kwd>транскультурная теория по оказанию сестринской медицинской помощи</kwd><kwd>сердечно-сосудистые заболевания</kwd></kwd-group><kwd-group xml:lang="en"><kwd>health behavior model</kwd><kwd>hypertension</kwd><kwd>transcultural nursing</kwd><kwd>cardiovascular disease</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Исследование проведено при поддержке Дирекции по научным исследованиям, технологиям и общественным работам Министерства образования, культуры, науки и технологий в 2022 году.</funding-statement></funding-group><funding-group xml:lang="en"><funding-statement>This study received funding support from the Directorate of Research, Technology and Community Service, the Ministry of Education, Culture, Research and Technology in 2022.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Oyewole O, Olorunfemi O, Ojewole F, Olawale M. 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