Effectiveness of a Telehealth Self-management Support Program on Self-management Behavior and Blood Pressure among Essential Hypertension Patients in Sawankhalok District, Sukhothai Province
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Abstract
A two-group quasi-experimental pretest-posttest design was used to investigate the effectiveness of a telehealth self-management support program on self-management behavior and blood pressure among essential hypertension patients. The sample consisted of 70 patients who were serviced at the non-communicable disease clinic in Sawankhalok District, Sukhothai Province. These patients were sampled by purposive sampling based on inclusion criteria. The sample was divided into 2 groups: 35 patients were assigned to the experimental group and received the telehealth self-management support program over a period of 12 weeks, which was developed based on the concept of self-management by Creer. The comparison group consisted of 35 patients who received routine care. Data were collected using the hypertension self-management questionnaire and non-invasive mechanical sphygmomanometers with digital display, before and after the experiment. Data were analyzed with descriptive statistics, Chi-square test, Fisher’s exact test, independent t-test, and paired sample t-test. The study revealed that after the intervention, the experimental group had a mean score for self-management behavior that was significantly higher than before intervention group and also higher than the comparison group (p<.001). In addition, it was found that the mean diastolic and systolic blood pressure after the intervention were significantly lower in the experimental group than before the intervention and lower than in the comparison group. (p<.001). The results suggest that telehealth self-management support program was effective in improving self-management behavior and blood pressure control among patients with essential hypertension.
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บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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