The Influence of Basic Conditioning Factors and Self-Care Agency on Self-Care Behaviors in Thais with Hypertension
Keywords:
Hypertension, Knowledge, Patient-provider communication, Perception, Self-care behaviors, Self-Care Deficit Nursing Theory, Theory testinAbstract
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.
References
1. Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics—2012 update: A report from the American Heart Association. Circulation. 2012;125(1):e2-e220.
2. Bureau of Policy and Strategy. Thailand health profile report 2011 [Internet] Bangkok (Bangkok): Ministry of Public Health; 2013 [updated 2013 June 15; cited 2014 April 1]. Available from: https://www.moph.go.th/ops/ thp/index.php?option=com_ content &task= sectio. (2011). n&id=1&Itemid=2&lang=en.
3. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jr., et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003; 42(6):1206-52.
4. Gwadry-Sridhar FH, Manias E, Lal L, Salas M, Hughes DA, Ratzki-Leewing A, et al. Impact of interventions on medication adherence and blood pressure control in patients with essential hypertension: A systematic review by the ISPOR medication adherence and persistence special interest group. Value Health. 2013;16(5):863-71.
5. Glynn LG, Murphy AW, Smith SM, Schroeder K, Fahey T. Interventions used to improve control of blood pressure in patients with hypertension. The Cochrane database of systematic reviews. 2010(3):Cd005182
6. Harrison JA, Mullen PD, Green LW. A meta-analysis of studies of the Health Belief Model with adults. Health Educ Res. 1992;7(1):107-16.
7. Srichairattanakull J, Kaewpan W, Powattana A, Pichayapinyo P. Self-management improvement program combined with community involvement in Thai hypertensive population: An action research. J Med Assoc Thai. 2014;97(4):456-66.
8. Jang Y, Yoo H. Self-management programs based on the social cognitive theory for Koreans with chronic disease: A systematic review. Contemp Nurse. 2012; 40(2):147-59.
9. Park YH, Song M, Cho BL, Lim JY, Song W, Kim SH. The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: A randomized controlled trial. Patient Educ Couns. 2011; 82(1):133-7.
10. Kongjarern S, Wattana C, Harnirattisai T. Effects of a Self-regulation program for blood pressure control on self-regulation behaviors, blood pressure level and stroke risk among Thai Muslim with hypertension. Nursing Journal. 2013;40(1):23-33. (in Thai)
11. Orem DE. Nursing: concepts of practice. 6th ed. St. Louis: Mosby; 2001.
12. Pickett S, Allen W, Franklin M, Peters RM. Illness beliefs in African Americans with hypertension. West J Nurs Res. 2014;36(2):152-70.
13. Phillips LA, Leventhal H, & Leventhal EA. Assessing theoretical predictors of long-term medication adherence: Patients’ treatment-related beliefs, experiential feedback and habit development. Psychol Health. 2013 28(10): 1135-51.
14. Lewis LM. Factors associated with medication adherence in hypertensive blacks: A review of the literature. J Cardiovasc Nurs. 2012;27(3):208-19.
15. Hall E, Lee SY, Clark PC, Perilla J. Social ecology of adherence to hypertension treatment in Latino migrant and seasonal farmworkers. J Transcult Nurs. 2014:1-9.
16. Okwuonu CG, Ojimadu NE, Okaka EI, Akemokwe FM. Patient-related barriers to hypertension control in a Nigerian population. Int J Gen Med. 2014;7:345-53.
17. Rujiwatthanakorn D, Panpakdee O, Malathum P, Tanomsup S. Effectiveness of a self-management program for Thais with essential hypertension. Pac Rim Int J Nurs Res Thai. 2011;15(2):97-110.
18. AlGhurair SA, Hughes CA, Simpson SH, Guirguis LM. A systematic review of patient self-reported barriers of adherence to antihypertensive medications using the world health organization multidimensional adherence model. J Clinn Hypertens (Greenwich, Conn). 2012;14(12):877-86.
19. Chen SL, Tsai JC, Chou KR. Illness perceptions and adherence to therapeutic regimens among patients with hypertension: A structural modeling approach. Int J Nurs Stud. 2011;48(2):235-45.
20. Panpakdee O, Hanucharurnkul S, Sritanyarat W, Kompayak J, Tanomsup S. Self-care process of the patients with essential hypertension: An emerging model. Thai J Nurs Res. 2003;7(2):121-36.
21. Flynn SJ, Ameling JM, Hill-Briggs F, Wolff JL, Bone LR, Levine DM, et al. Facilitators and barriers to hypertension self-management in urban African Americans: perspectives of patients and family members. Patient Prefer Adherence. 2013;7:741-9.
22. Hill MN, Miller NH, Degeest S, Materson BJ, Black HR, Izzo JL, Jr., et al. Adherence and persistence with taking medication to control high blood pressure. J Am Soc Hypertens. 2011;5(1):56-63.
23. Hu H, Li G, Arao T. Prevalence rates of self-care behaviors and related factors in a rural hypertension population: A questionnaire survey. Int J Hypertens. 2013;2013:526949.
24. Yue Z, Bin W, Weilin Q, Aifang Y. Effect of medication adherence on blood pressure control and risk factors for antihypertensive medication adherence. J Eval Clin Pract. 2014;21:166-72.
25. Osamor PE, Owumi BE. Factors associated with treatment compliance in hypertension in southwest Nigeria. J Health Popul Nutr. 2011;29(6):619-28.
26. McDowell I. Measuring health: A guide to rating scales and questionnaires. 3rd ed. New York: Oxford University Press; 2006.
27. Yamane T. Statistics: An introductory analysis. 3rd ed. New York: Happer & Row Publisher; 1973.
28. Glasgow RE, Strycker LA, Toobert DJ, Eakin E. A socialecologic approach to assessing support for disease selfmanagement: The Chronic Illness Resources Survey. J Behav Med. 2000;23(6):559-83.
29. Willgerodt MA, Kataoka-Yahiro M, Kim E, Ceria C. Issues of instrument translation in research on Asian immigrant populations. J Prof Nurs. 2005;21(4):231-9.
30. Moss-Morris R, Weinman I, Petrie K, Horne R, Cameron L, Buick D. The revised illness perception questionnaire (IPQ-R). Psych Health. 2002;17(1):1-16.
31. Sriprasong S, Hanucharurnkul S, Panpakdee O, Krittayaphong R, Pongthavornkamol K, Vorapongsathorn T. Functional status model: An empirical test among discharged acute myocardial infarction patients. Thai J Nurs Res. 2009;13(4):268-84.
32. Varitsakul R. The effectiveness of self-care participation promotion program on perceived self-care efficacy, disease control and satisfaction of health care service in essential hypertensive patients. [master’s thesis]. Bangkok (Bangkok): Mahidol Univ.; 2001. 100 p.
33. Byrne BM. Structural equation modeling with Mplus: Basic concepts, applications, and programming. New York: Routledge; 2012.
34. Orem DE. Nursing: concepts of practice. 3rd ed. New York: McGraw-Hill; 1985.
35. Tian M, Chen Y, Zhao R, Chen L, Chen X, Feng D, et al. Chronic disease knowledge and its determinants among chronically ill adults in rural areas of Shanxi province in China: A cross-sectional study. BMC public health. 2011;11:948.
36. Magrin ME, D’Addario M, Greco A, Miglioretti M, Sarini M, Scrignaro M, et al. Social support and adherence to treatment in hypertensive patients: A meta-analysis. Ann Behav Med. 2015;49(3):307-18.
37. Marshall IJ, Wolfe CD, McKevitt C. Lay perspectives on hypertension and drug adherence: Systematic review of qualitative research. BMJ (Clinical research ed). 2012; 345:e3953.
38. Karakurt P, Kasikci M. Factors affecting medication adherence in patients with hypertension. J Vasc Nurs. 2012;30(4):118-26.
39. Morgado M, Rolo S, Macedo AF, Pereira L, Castelo-Branco M. Predictors of uncontrolled hypertension and antihypertensive medication nonadherence. J Cardiovasc Dis Res. 2010; 1(4):196-202.
40. Anthony H, Valinsky L, Inbar Z, Gabriel C, Varda S. Perceptions of hypertension treatment among patients with and without diabetes. BMC family practice. 2012;13:24.
41. Kline RB. Assumptions in structural equation modeling. In: Hoyle RH, editor. Handbook of structural equation modeling. New York: The Guilford Press; 2012. p. 111-25.
2. Bureau of Policy and Strategy. Thailand health profile report 2011 [Internet] Bangkok (Bangkok): Ministry of Public Health; 2013 [updated 2013 June 15; cited 2014 April 1]. Available from: https://www.moph.go.th/ops/ thp/index.php?option=com_ content &task= sectio. (2011). n&id=1&Itemid=2&lang=en.
3. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jr., et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003; 42(6):1206-52.
4. Gwadry-Sridhar FH, Manias E, Lal L, Salas M, Hughes DA, Ratzki-Leewing A, et al. Impact of interventions on medication adherence and blood pressure control in patients with essential hypertension: A systematic review by the ISPOR medication adherence and persistence special interest group. Value Health. 2013;16(5):863-71.
5. Glynn LG, Murphy AW, Smith SM, Schroeder K, Fahey T. Interventions used to improve control of blood pressure in patients with hypertension. The Cochrane database of systematic reviews. 2010(3):Cd005182
6. Harrison JA, Mullen PD, Green LW. A meta-analysis of studies of the Health Belief Model with adults. Health Educ Res. 1992;7(1):107-16.
7. Srichairattanakull J, Kaewpan W, Powattana A, Pichayapinyo P. Self-management improvement program combined with community involvement in Thai hypertensive population: An action research. J Med Assoc Thai. 2014;97(4):456-66.
8. Jang Y, Yoo H. Self-management programs based on the social cognitive theory for Koreans with chronic disease: A systematic review. Contemp Nurse. 2012; 40(2):147-59.
9. Park YH, Song M, Cho BL, Lim JY, Song W, Kim SH. The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: A randomized controlled trial. Patient Educ Couns. 2011; 82(1):133-7.
10. Kongjarern S, Wattana C, Harnirattisai T. Effects of a Self-regulation program for blood pressure control on self-regulation behaviors, blood pressure level and stroke risk among Thai Muslim with hypertension. Nursing Journal. 2013;40(1):23-33. (in Thai)
11. Orem DE. Nursing: concepts of practice. 6th ed. St. Louis: Mosby; 2001.
12. Pickett S, Allen W, Franklin M, Peters RM. Illness beliefs in African Americans with hypertension. West J Nurs Res. 2014;36(2):152-70.
13. Phillips LA, Leventhal H, & Leventhal EA. Assessing theoretical predictors of long-term medication adherence: Patients’ treatment-related beliefs, experiential feedback and habit development. Psychol Health. 2013 28(10): 1135-51.
14. Lewis LM. Factors associated with medication adherence in hypertensive blacks: A review of the literature. J Cardiovasc Nurs. 2012;27(3):208-19.
15. Hall E, Lee SY, Clark PC, Perilla J. Social ecology of adherence to hypertension treatment in Latino migrant and seasonal farmworkers. J Transcult Nurs. 2014:1-9.
16. Okwuonu CG, Ojimadu NE, Okaka EI, Akemokwe FM. Patient-related barriers to hypertension control in a Nigerian population. Int J Gen Med. 2014;7:345-53.
17. Rujiwatthanakorn D, Panpakdee O, Malathum P, Tanomsup S. Effectiveness of a self-management program for Thais with essential hypertension. Pac Rim Int J Nurs Res Thai. 2011;15(2):97-110.
18. AlGhurair SA, Hughes CA, Simpson SH, Guirguis LM. A systematic review of patient self-reported barriers of adherence to antihypertensive medications using the world health organization multidimensional adherence model. J Clinn Hypertens (Greenwich, Conn). 2012;14(12):877-86.
19. Chen SL, Tsai JC, Chou KR. Illness perceptions and adherence to therapeutic regimens among patients with hypertension: A structural modeling approach. Int J Nurs Stud. 2011;48(2):235-45.
20. Panpakdee O, Hanucharurnkul S, Sritanyarat W, Kompayak J, Tanomsup S. Self-care process of the patients with essential hypertension: An emerging model. Thai J Nurs Res. 2003;7(2):121-36.
21. Flynn SJ, Ameling JM, Hill-Briggs F, Wolff JL, Bone LR, Levine DM, et al. Facilitators and barriers to hypertension self-management in urban African Americans: perspectives of patients and family members. Patient Prefer Adherence. 2013;7:741-9.
22. Hill MN, Miller NH, Degeest S, Materson BJ, Black HR, Izzo JL, Jr., et al. Adherence and persistence with taking medication to control high blood pressure. J Am Soc Hypertens. 2011;5(1):56-63.
23. Hu H, Li G, Arao T. Prevalence rates of self-care behaviors and related factors in a rural hypertension population: A questionnaire survey. Int J Hypertens. 2013;2013:526949.
24. Yue Z, Bin W, Weilin Q, Aifang Y. Effect of medication adherence on blood pressure control and risk factors for antihypertensive medication adherence. J Eval Clin Pract. 2014;21:166-72.
25. Osamor PE, Owumi BE. Factors associated with treatment compliance in hypertension in southwest Nigeria. J Health Popul Nutr. 2011;29(6):619-28.
26. McDowell I. Measuring health: A guide to rating scales and questionnaires. 3rd ed. New York: Oxford University Press; 2006.
27. Yamane T. Statistics: An introductory analysis. 3rd ed. New York: Happer & Row Publisher; 1973.
28. Glasgow RE, Strycker LA, Toobert DJ, Eakin E. A socialecologic approach to assessing support for disease selfmanagement: The Chronic Illness Resources Survey. J Behav Med. 2000;23(6):559-83.
29. Willgerodt MA, Kataoka-Yahiro M, Kim E, Ceria C. Issues of instrument translation in research on Asian immigrant populations. J Prof Nurs. 2005;21(4):231-9.
30. Moss-Morris R, Weinman I, Petrie K, Horne R, Cameron L, Buick D. The revised illness perception questionnaire (IPQ-R). Psych Health. 2002;17(1):1-16.
31. Sriprasong S, Hanucharurnkul S, Panpakdee O, Krittayaphong R, Pongthavornkamol K, Vorapongsathorn T. Functional status model: An empirical test among discharged acute myocardial infarction patients. Thai J Nurs Res. 2009;13(4):268-84.
32. Varitsakul R. The effectiveness of self-care participation promotion program on perceived self-care efficacy, disease control and satisfaction of health care service in essential hypertensive patients. [master’s thesis]. Bangkok (Bangkok): Mahidol Univ.; 2001. 100 p.
33. Byrne BM. Structural equation modeling with Mplus: Basic concepts, applications, and programming. New York: Routledge; 2012.
34. Orem DE. Nursing: concepts of practice. 3rd ed. New York: McGraw-Hill; 1985.
35. Tian M, Chen Y, Zhao R, Chen L, Chen X, Feng D, et al. Chronic disease knowledge and its determinants among chronically ill adults in rural areas of Shanxi province in China: A cross-sectional study. BMC public health. 2011;11:948.
36. Magrin ME, D’Addario M, Greco A, Miglioretti M, Sarini M, Scrignaro M, et al. Social support and adherence to treatment in hypertensive patients: A meta-analysis. Ann Behav Med. 2015;49(3):307-18.
37. Marshall IJ, Wolfe CD, McKevitt C. Lay perspectives on hypertension and drug adherence: Systematic review of qualitative research. BMJ (Clinical research ed). 2012; 345:e3953.
38. Karakurt P, Kasikci M. Factors affecting medication adherence in patients with hypertension. J Vasc Nurs. 2012;30(4):118-26.
39. Morgado M, Rolo S, Macedo AF, Pereira L, Castelo-Branco M. Predictors of uncontrolled hypertension and antihypertensive medication nonadherence. J Cardiovasc Dis Res. 2010; 1(4):196-202.
40. Anthony H, Valinsky L, Inbar Z, Gabriel C, Varda S. Perceptions of hypertension treatment among patients with and without diabetes. BMC family practice. 2012;13:24.
41. Kline RB. Assumptions in structural equation modeling. In: Hoyle RH, editor. Handbook of structural equation modeling. New York: The Guilford Press; 2012. p. 111-25.
Downloads
Published
2016-01-25
How to Cite
1.
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 2024 Nov. 22];20(1):5-17. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/32861
Issue
Section
Original paper
License
Copyright: The Pacific Rim International Journal of Nursing Research, Thailand Nursing & Midwifery Council has exclusive rights to publish, reproduce and distribute the manuscript and all contents therein.
.png)
