The Effects of a Social Support Program on Adherence to Hypertension Control Behaviors and Clinical Outcomes Among Chronic Kidney Disease Patients Receiving Hemodialysis
Keywords:
Social support program, Hypertension, Clinical outcomes, Chronic Kidney Disease Patients Receiving HemodialysisAbstract
This quasi-experimental research aimed to determine the effects of a social support program on adherence to hypertension control behaviors and clinical outcomes in chronic kidney disease patients receiving hemodialysis. The sample for this study were 28 end-stage renal disease (ESRD) patients receiving hemodialysis at The 60th Anniversary HRH Princess Maha Chakri Sirindhorn Dialysis Center in Thammasat University Hospital from April to July 2021. The instruments for collecting data included 1) a personal data questionnaire, 2) an illness and hemodialysis data questionnaire, 3) a hypertension control behavioral assessment, and 4) a hypertension control knowledge assessment. The instruments were tested for validity and reliability. Data were analyzed using descriptive statistics, paired t-test, and Wilcoxon matched pairs signed rank test.
The findings showed that the mean score of knowledge in controlling hypertension was significantly greater than prior to attending the program (p < .05). The mean score of the adherence to hypertension control behaviors was significantly higher than the mean score before attending the program (p < .05), and the mean systolic blood pressure and diastolic blood pressure were significantly decreased after attending the program (p < .05).
This study showed that the social support program implemented by families and medical personnel improved patients’ adherence to hypertension controlling behaviors which resulted in reduction of systolic and diastolic blood pressure.
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