@article{Jandeekaewsakul_Watthayu_Suwonnaroop_2018, title={Factors Predicting Self-Management Behavior among Patients with Uncontrolled Essential Hypertension}, volume={36}, url={https://he02.tci-thaijo.org/index.php/ns/article/view/145412}, abstractNote={<p><strong>          Purpose:</strong> To study self-management behavior and predictive power of age, gender, education level, health literacy, social support, and patient-provider communication on self-management behavior among patients with uncontrolled essential hypertension.<br><strong>          Design:</strong> Correlational predictive study.<br><strong>          Methods:</strong> The sample consisted of 84 patients with uncontrolled essential hypertension whose blood pressure was 140/90 mmHg or higher. The subjects were recruited from 3 public health centers, under Bangkok Health Department, Bangkok Metropolitan Administration. A convenience sampling was used to recruit 84 subjects. Data were collected using questionnaires including personal data and treatment, Multidimensional Scale of Perceived Social Support, Health Literacy assessment Scale, Patient-provider Communication Questionnaire, and Self-management Behavior Questionnaire. The reliability of the questionnaires were .88, .81, .84, and .90, respectively. Data were analyzed using descriptive statistics and multiple regressions with stepwise method.</p> <p>         <strong> Main findings:</strong> Self-management behavior of patients with uncontrolled essential hypertension was at a low level (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}"> = 2.00, SD = 1.09). Social support was the single best predictor (step 1), 15.10% of the variance was accounted and health literacy was the next best predictor, after social support was included in the model (step 2). Health literacy accounted for an additional 8.1% (R<sup>2</sup> change = .081) of the variability. Altogether, they could explain 23.20% of variability in self-management (R<sup>2</sup> = .232, F = 12.259, p < .001). Social support was the most important predictor of self-management behavior among patients with hypertension (β = .368, p < .001), followed by health literacy (β = .285, p = .005)</p> <p><strong>          Conclusion and recommendations:</strong> The study finding could be used as a guideline for<br>healthcare providers, in particular to nurses, for developing a self-management behavioral program for patients with hypertension by enhancing social support and promoting health literacy to practice self-management behavior effectively.</p>}, number={1}, journal={Nursing Science Journal of Thailand}, author={Jandeekaewsakul, Panida and Watthayu, Nantiya and Suwonnaroop, Nantawan}, year={2018}, month={Mar.}, pages={31–43} }