Effects of the self-management training program on self-management behavior and blood pressure levels among elderly people with hypertension
Article Category: Original article
Data publikacji: 13 kwi 2022
Zakres stron: 71 - 80
Otrzymano: 16 cze 2021
Przyjęty: 10 sie 2021
DOI: https://doi.org/10.2478/fon-2022-0009
Słowa kluczowe
© 2022 Swanee Bumrungsuk, published by Sciendo
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 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 (
Conclusions
Results from this study show that the Self-Management Program was useful for BP control and promoted sustainable self-management behavior.