Effects of Self-management Promoting Program on Health Behaviors and Blood Pressure Level of Persons with Uncontrolled Hypertension
Keywords:
Self-management Promoting Program, Health Behaviors and Blood Pressure Level, Persons with Uncontrolled HypertensionAbstract
Hypertension is a major public health problem in Thailand as well as all over the world because the number of persons who are unable control their blood pressure levels are constantly increasing which can lead to many complications. A self-management promoting program is important to help them to have better health behaviors and blood pressure levels.
This quasi-experimental research aimed to examine the effects of self-management program on health behaviors and blood pressure levels of persons with uncontrolled hypertension. The samples consisted of adults with uncontrolled hypertension who were on the list of treatment in the Chronic Disease Clinic, primary care unit of Saraphi, Chiang Mai. Forty-eight persons selected by criteria were assigned into experimental groups and control groups, twenty-four in each group. The data were collected during March to June 2017. The instruments used in this study consisted of the self-management promoting program in persons with uncontrolled hypertension, handbook of self-management in persons with uncontrolled hypertension, two videos about hypertension and how to self-manage for persons with uncontrolled hypertension, a book recording of self-management in persons with uncontrolled hypertension, manual blood pressure monitoring and the health behaviors for persons with uncontrolled hypertension questionnaire. The reliability of health behaviors questionnaire was .87, tested by Cronbach’s alpha coefficient. Data were analyzed by using descriptive statistics, independent t-test and paired t-test.
The results of this study revealed that the mean score of the health behaviors of persons with uncontrolled hypertension after receiving the self-management promotion program was statistically significantly higher than before and higher than the control group (p<.01). Systolic blood pressure and diastolic blood pressure of persons with uncontrolled hypertension after receiving the self-management promotion program was statistically significantly higher than before and higher than the control group (p<.05)
The findings of this study indicate the effectiveness of the self-management promotion program to promote and support persons with uncontrolled hypertension who must constantly monitor and adjust their health behavior which will lead to a better control of blood pressure levels.
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