Effects of a Self-Management Education Program on Self-Management Behaviors Among Older Persons with Atrial Fibrillation
Keywords:
Self-Management Education Program, Older Persons with Atrial FibrillationAbstract
Atrial fibrillation is a common chronic illness in older persons. Self-management can help patient control the disease. This two group pretest-posttest experimental research aimed to study the effect of self-management education program on self-management behaviors among older persons with atrial fibrillation attending the medical clinic in the outpatient department at Phrae Hospital from November 2015-to April 2016. The subjects were purposively selected based on the inclusion criteria and were randomly assigned into experimental and control groups by using permuted block design with thirty older persons in each group. The subjects in the experimental group received a 6-week self-management education program, while the control group received routine nursing care. The research instruments consisted of the Self-Management Education Program, and the Self-Management Behavior Handbook of the Older Persons with Atrial Fibrillation. The instruments used for data collection consisted of Demographic Data Recording Form, and Self- Management Behaviors Scale for Older Persons with Atrial Fibrillation. Data were analyzed using descriptive statistics and the t-test.
The results of this study indicate that
- After attending the Self-Management Education Program, the older persons with atrial fibrillation had significantly better self-management behaviors than before attending the program at level of p < .001
- Older persons with atrial fibrillation who attended the Self- Management Education Program had significantly better self-management behaviors than that of the group who received the usual care at a level of p < .001.
The results of this study indicated that a Self-Management Education Program can increase self-management behaviors among older persons with atrial fibrillation. Nurses should adopt this program to promote the self-management behavior of older persons.
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