<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Objective</h3>
<p>To determine the effects of the Self-Management Training Program on self-management behavior and blood pressure (BP) levels among elderly people with hypertension (HT).</p>
</sec>
<sec><h3>Methods</h3>
<p>This study was based on a quasi-experimental design using sampling groups composed of elderly residents of Pathum Thani Province with HT. Simple random sampling was applied to two sampling groups, an experimental group and a control group. However, the experimental group had been on the Self-Management Training Program based on the Creer concept. The Program's contents included small-group health-education sessions and the patients’ manual, Self-Management Training Skills for Self-Management Behavior. Small group discussions were held for self-reflection, to stimulate follow-up for self-management behavior training during home visits. The Self-Management Training Program was compared with programs involving the more usual care. Data were collected using the Self-Management Behavior for Hypertension Control Questionnaire and BP assessment tests. Data were analyzed using a descriptive statistic, chi-square test, pair t-test, repeated-measures Analysis of Variance (ANOVA), and repeated-measures Analysis Covariance (ANCOVA).</p>
</sec>
<sec><h3>Results</h3>
<p>It was found that at 13 weeks after entering the program, the experimental group demonstrated a significantly lower systolic and diastolic BP with a baseline statistical significance (<italic>P</italic> &lt; 0.005), and that at the 4th week and the 13th week, there was a decrease in BP in the experimental group. The experimental group also had above-baseline self-management behavior scores that were higher than in the control group (<italic>P</italic> &lt; 0.01).</p>
</sec>
<sec><h3>Conclusions</h3>
<p>Results from this study show that the Self-Management Program was useful for BP control and promoted sustainable self-management behavior.</p>
</sec>
</abstract>

Objective
To determine the effects of the Self-Management Training Program on self-management behavior and blood pressure (BP) levels among elderly people with hypertension (HT).

Methods
This study was based on a quasi-experimental design using sampling groups composed of elderly residents of Pathum Thani Province with HT. Simple random sampling was applied to two sampling groups, an experimental group and a control group. However, the experimental group had been on the Self-Management Training Program based on the Creer concept. The Program's contents included small-group health-education sessions and the patients’ manual, Self-Management Training Skills for Self-Management Behavior. Small group discussions were held for self-reflection, to stimulate follow-up for self-management behavior training during home visits. The Self-Management Training Program was compared with programs involving the more usual care. Data were collected using the Self-Management Behavior for Hypertension Control Questionnaire and BP assessment tests. Data were analyzed using a descriptive statistic, chi-square test, pair t-test, repeated-measures Analysis of Variance (ANOVA), and repeated-measures Analysis Covariance (ANCOVA).

Results
It was found that at 13 weeks after entering the program, the experimental group demonstrated a significantly lower systolic and diastolic BP with a baseline statistical significance (P < 0.005), and that at the 4th week and the 13th week, there was a decrease in BP in the experimental group. The experimental group also had above-baseline self-management behavior scores that were higher than in the control group (P < 0.01).

Conclusions
Results from this study show that the Self-Management Program was useful for BP control and promoted sustainable self-management behavior.

Effects of the self-management training program on self-management behavior and blood pressure levels among elderly people with hypertension

Frontiers of Nursing

This work is licensed under the Creative Commons Attribution 4.0 International License.

Objective
To determine the effects of the Self-Management Training Program on self-management behavior and blood pressure (BP) levels among elderly people with...

Effects of the self-management training program on self-management behavior and blood pressure levels among elderly people with hypertension

Article Category: Original article

Published Online: Apr 13, 2022

Page range: 71 - 80

Received: Jun 16, 2021

Accepted: Aug 10, 2021

DOI: https://doi.org/10.2478/fon-2022-0009

Keywords
hypertension, self-management behavior, blood pressure levels, elderly people

© 2022 Swanee Bumrungsuk, published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Effects of the self-management training program on self-management behavior and blood pressure levels among elderly people with hypertension

Article Category: Original article

Published Online: Apr 13, 2022

Page range: 71 - 80

Received: Jun 16, 2021

Accepted: Aug 10, 2021

DOI: https://doi.org/10.2478/fon-2022-0009

Keywordshypertension, self-management behavior, blood pressure levels, elderly people

© 2022 Swanee Bumrungsuk, published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Keywords
hypertension, self-management behavior, blood pressure levels, elderly people