The Influence of Basic Conditioning Factors and Self-Care Agency on Self-Care Behaviors in Thais with Hypertension

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Ladda Saleema
Orasa Panpakdee
Manee Arpanantikul
Teeradej Chai-Aroon


             Individuals with uncontrolled hypertension have a high risk for heart disease, stroke, and renal diseases. Self-care behavior is important for hypertension control. This study aimed to test the Self-Care Deficit Nursing Theory by exploring the pattern of relationship among basic conditioning factors, self-care agencies, and self-care behaviors regarding hypertension control. The participants consisted of 402 people with hypertension who received treatment at outpatient medical clinics of three regional hospitals in the central part of Thailand. In addition to the Demographic and Health Information Sheet, the Chronic Illness Resources Survey, the Revised Illness Perceptions Questionnaire, the Knowledge of Self-Care Demands Questionnaire, and the Self-Care Behavior Questionnaire were used for data collection. The data were analyzed using Structural Equation Modelling.

              Results showed that the modified hypothesized model of self-care behaviors for hypertension controls fitted with the empirical data and explained 49% of variance in the self-care behaviors regarding hypertension control. Patient-provider communication had positive direct and indirect effects on self-care behaviors for hypertension control through knowledge about hypertension, knowledge about self-care demands, and perception about hypertension. 

              The results supported the Self-Care Deficit Nursing Theory regarding the influence of basic conditioning factors on self-care agency. They provide evidence for the development a nursing intervention program to promote patient-provider communication for helping individuals with hypertension to increase self-care behaviors regarding hypertension control.

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Saleema L, Panpakdee O, Arpanantikul M, Chai-Aroon T. The Influence of Basic Conditioning Factors and Self-Care Agency on Self-Care Behaviors in Thais with Hypertension. PRIJNR [Internet]. 2016 Jan. 25 [cited 2022 Sep. 28];20(1):5-17. Available from:
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