Effects of educative-supportive program on self-care behaviors and blood pressure levels among young adult patients with uncontrolled hypertension


  • Supalak Thongkao Rajavithi Hospital
  • Nipa Kimsungnoen School of Nursing, Rangsit University
  • Rachanee Namjuntra School of Nursing, Rangsit University


educative and supportive, line application, self-care behaviors, young adult patients with hypertension


This Quasi experimental research, the two group Pretest-Posttest Design aimed to study the effect of  educative and supportive Program with the Line Application  among young  adult patients with uncontrolled hypertension. The samples were 60 patients with uncontrolled hypertension in young adults, who received treatment at medical outpatient department.  They were randomly assigned into two groups: an experimental and a control group which consisted of 30 patients in each group. The experimental group received Educative and   Supportive  Program with the Line Application, which was developed based on the Orem’s concept. The control group received usual nursing care. The research instruments were Self-care Behaviors questionnaires and blood pressures measurement. The data were analyzed using descriptive statistics, independent t-test, and paired t-test.

The results of the study showed that after implementing the educative-supportive program, the experimental group had significantly higher self-care behavior than before receiving the program and higher than control group (p < .001). The systolic blood pressure of experimental group after receiving the program (MEAN = 137.50, S.D= 10.91) was lower than before receiving the program (MEAN = 149.30, S.D= 10.39) and the diastolic blood pressure of experimental group after receiving the program (MEAN = 85.03, S.D=9.59) was lower than before receiving the program (MEAN = 95.83, S.D= 8.62) (p < .05) and lower than control group (p < .001).

Conclusion and recommendations: According to the findings, the educative-supportive program using LINE application which is a communication technology accessible for every patient to develop self-care behaviors. In addition, this study could be provide a guideline of nursing practice in caring for young adult patients with uncontrolled hypertension to improved better self-care behaviors.


Download data is not yet available.


Chockalingam A, Campbell NR, Fodor JG. Worldwide epidemic of hypertension. Can J Cardiol. 2006; 22(7): 553-55

World Health Organization. A global brief on hypertension Silent killer, global public health crisis [Internet]. 2013 [September 15, 2019]. Retrieved from http://www.who.int/cardiovascular _diseases/ publications/global_brief_hypertension/en/

Gooding HC, McGinty S, Richmond TK, Gillman MW, Field AE. Hypertension awareness and control among young adults in the national longitudinal study of adolescent health. J. Gen. Intern. Med. 2014; 29(8): 1098-1104.

Department of Disease Control. 2018 World high blood pressure day campaign message issues [Internet]. 2017 [September 20, 2019]. Retrieved from http://www.Thaincd.com. (in Thai).

Akeparakarn W. Report of Thai public health survey by physical examination, 2014. 5thedition. Nonthaburi: Aksorn grphic and design publishing; 2016. (in Thai).

Srivanichakorn S. Morbidity and mortality situation of non-communicable diseases (diabetes type 2 and cardiovascular diseases) in Thailand during 2010-2014. Disease Control Journal. 2017; 43(4): 385-387. (in Thai)

Thai Hypertension Society. Guidelines in the Treatment of Hypertension. Bangkok: Trickthink; 2019. (in Thai)

Lomplang P, Oba N, Wannapornsiri C. Factors predicting blood pressure level among essential hypertensive patients age under 40 years, Uttaradit Province. Journal of Nursing and Health Sciences. 2011; 5(2): 12-22. (in Thai)

Pakdevong N, Binhosen V. Factor predicted blood pressure control in persons with hypertension in one community hospital. Journal of Nursing and Health Care. 2014; 32(1): 23-30. (in Thai)

Warren- Findlow J, Basalik DW, Dulin M, Tapp H, Kuhn L. Preliminary validation of the hypertension self‐care activity level effects (H‐SCALE) and clinical blood pressure among patients with hypertension. J. Clin. Hypertens. 2013; 15(9): 637-43.

Jariyasakulwong P, Charoenkitkarn V, Pinyopasakul W, Sriprasong S, Roubsanthisuk W. Factors influencing on health promoting behaviors in young adults with hypertension. Princess of Naradhiwas University Journal. 2015; 7(3): 26-36. (in Thai).

Karoonngamphan M, Suvaree S, Numfone N. Health behaviors and health status of workers: a case study of workplaces in Sathorn District, Bangkok Metropolitan. Songklanagarind Journal of Nursing. 2012; 32(3): 51-64. (in Thai).

Hanujalernkul, S. Nursing: science of practice. 2nd edition. Bangkok: VJ printing; 2001. (in Thai).

Wongsri P, Chintapanyakun T. Utilization of Orem’s theory with caring and advice for patients with Heart failure. Journal of the Police Nurse. 2018; 10(1): 209-215. (in Thai)

Orem DE. Nursing: Concept of practice. 5th edition. St. Louis, MO: Mosby Year Book; 2001

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. Pacific Rim International Journal of Nursing Research. 2016; 20(1): 5-17.

Yang SO, Jeong GH, Kim SJ, Lee SH. Correlates of self-care behaviors among low-income elderly women with hypertension in South Korea. J Obstet Gynecol Neonatal Nurs. 2014;43(1): 97-106.

Douglas BM, Howard EP. Predictors of self-management behaviors in older adults with hypertension. Douglas BM, Howard EP. Predictors of Self-Management Behaviors in Older Adults with Hypertension. Adv Prev Med. 2015;2015: 960263. doi:10.1155/2015/960263

Booncherd C. Follow-up for disabled, bedridden, cancer patients and primary pharmaceutical care by using the Line application in Kut Chum District, Yasothon Province. Journal of Health Science. 2018; 27(5): 921-26. (in Thai)

Jones KR, Lekhak N, Kaewluang N. Using mobile phones and short message service to deliver self‐management interventions for chronic conditions: A meta‐review. Worldviews on Evid Based Nurs. 2014; 11(2): 81-8.

Suthirit S, Pinchaleaw D, Keskomon T. The effectiveness of self-regulation program with line application among overweight health volunteers, Tharongchang district, Surat Thani province. Journal of the Police Nurse. 2018; 10(2): 330-39. (in Thai).

Worapongthon T. Principles of Research in Public Health. 4 edition. Bangkok: Chulalongkorn University. 2000. (in Thai).

Thamnamsin K, Amnadsusad K, Kerdmongkon P, Ardsontea J. Effects of self-care promoting program on self-care behavior among older adults with uncontrolled hypertension in Bangkok metropolitan. Journal of Public Health Nursing. 2015; 29(2): 43-54. (in Thai).

Phetcharat K, Ponglanga S, Kitisri C. Effects of supportive and educative nursing system program on self-care behaviors and blood pressure control among hypertensive patients. Nursing Journal. 2018; 45(1): 37-49. (in Thai).

Plaiyod J, Panpakdee O, Taikerd C. Effects of a promoting self-care participation program on perceived self-care ability, body weight, and blood pressure control in persons with hypertension. Rama Nurse J. 2012; 18(2): 223-36. (in Thai).

Wannakul T, Sopidpakdeepong C, Sukwong W. Effectiveness of health education program applying self-care theory in hypertension patient. Journal of Public Health Nursing. 2012; 26(3): 106-18. (in Thai)

Roengcharuphan P. Effectiveness of health education program applying self-care theory in hypertensive patients. Lanna Public Health Journal. 2015; 11(1): 40-47. (in Thai)

Phimmasone S, Oba N, Laksomya T. Effects of nursing program followed by supportive and educative system on self-care behaviors among patients with hypertension in Lao, PDR. Journal of Nursing and Health Sciences. 2016; 10(1): 1-15. (in Thai).

Hongsila O, Arpanantikul M, Malathum P. Effects of a self-care promoting programme on knowledge, self-care behaviours, and blood pressure in persons with essential hypertension. Thai Journal of Nursing Council. 2018; 33(2): 110-130. (in Thai).

Neter JE, Stam BE, Kok FJ., Grobbee DE, Geleijnse JM. Influence of weight reduction on blood pressure a meta-analysis of randomized controlled trials. Hypertension. 2003; 42(5): 878-84.

Wen H, Wang L. Reducing effect of aerobic exercise on blood pressure of essential hypertensive patients: A meta-analysis. Medicine. 2017; 96(11): 1-6.





Research Articles