Effect of 5 A’s self-management support program on self-management behaviors in patients with uncontrolled hypertension

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Sirintra Duangsai
Tippamas Chinnawong


Objective: This quasi-experimental study aimed to evaluate the effect of 5 A’s self-management support program on self-management behaviors in patients with uncontrolled hypertension. Methods: Sixty six subjects were purposively selected from patients with uncontrolled hypertension who received service at the out patient clinic, Non-communication Disease Department, Phuket Provincial Administration Organization Hospital, during October 2017 to April 2018. The instruments were consisted of the 5 A’s self-management
support program, and tools for data collection were a personal information and health information the personal data record form, and self-management behaviors questionnaire which were validated by three experts and its reliability was examined using Cronbach’s alpha coefficient (alpha = .70). Results: The results showed that the mean score of self-management behaviors in the experimental group after receiving the selfmanagement support program was significantly higher than before (t = 4.61, p < .001). The mean score of
self-management behaviors in the experimental group after receiving the self-management support program was significantly higher than the control group (t = 4.30, p < .001). The mean score of behavior in the experimental group was higher than that of the three groups include eating behavior, mean score was 37.70 (SD = 4.13); exercise behavior, mean score was 28.63 (SD = 8.20), and drug used behavior, mean score was
35.36 (SD = 5). Conclusion: The self-management support program had effect on self-management behavior
score in the experimental group, which showed higher scores in every dimensions than in the control group.


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Duangsai, S. ., & Chinnawong, T. . (2021). Effect of 5 A’s self-management support program on self-management behaviors in patients with uncontrolled hypertension. Journal of Research in Nursing-Midwifery and Health Sciences, 41(4), 74–85. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/252530
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