The basis for success in self-care management of any disease is self-efficacy in hypertensive patients, many patients who cannot manage themselves start consuming prohibited foods, so that efficacy is needed for the prevention of sustainable hypertension. The research objective was to determine whether there was a relationship between Self-Efficacy and Self-Care Management in Hypertension Patients at the Indrapura Public Health Center, Batubara Regency in 2019. This study used a cross-sectional design type of research. The population in this study were all hypertensive patients at Indarapura Community Health Center Batubara Regency with a sample size of 1897 hypertension patients. The sample of this study used accidental sampling technique where the research sample was 95 people, statistical analysis of the data used in this study were univariant and bivariant, namely using the Chi-square (x) test. Based on the results of high self-efficacy research with the belief that they can control their blood pressure well, as many as 64 respondents (67.4%), self-care for hypertension patients in Batubara Regency, the majority is sufficient as many as 62 respondents (65.3%), Chi statistical test results square value obtained p value = 0.000 (p <0.05) means that the hypothesis is accepted, which means that there is a significant relationship between self-efficacy and self-care management in hypertensive patients at Indrapura Public Health Center, Batubara Regency in 2019. For Health Workers to make appropriate interventions can improve self-efficacy of hypertensive sufferers, promote self-care management, and prevent complications of hypertension in adults. In addition, the puskesmas and the community must also implement intervention strategies to improve adult self-care management.