Selected Factors Related to Patient Activation Among Older Buddhist Monks with Hypertension
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Abstract
Objectives: To examine patient activation among older Buddhist monks with hypertension and explore the relationships between depression, self-efficacy, illness perception, social support, secular education level, Dharma education level, and body mass index with patient activation.
Research Design: A descriptive correlational study.
Method: The sample included 84 hypertensive Buddhist monks aged 60 years and older who attended the medical outpatient department of a priest hospital in Bangkok, Thailand. The research instruments included a personal information form, the Thai Geriatric Depression Assessment Scale, a Self-Efficacy Perception Questionnaire, a Brief Illness Perception Questionnaire, a Social Support Questionnaire, and a Patient Activation Measure (PAM) Questionnaire. The Cronbach’s alpha coefficients for these instruments were .84, .81, .86, .87, and .88, respectively. Data were analyzed using means, standard deviations, Pearson’s correlation coefficients, and point-biserial correlation.
Results: Approximately one-third (38.1%) of the monks exhibited a high level of patient activation (level 4), characterized by successful behavior modification and maintenance even under pressure. Factors positively associated with patient activation were self-efficacy perception (r = .736), illness perception (r = .659), social support (r = .386), and secular education level (r = .295). Depression was negatively associated with patient activation (r = -.765), with all findings statistically significant at the .05 level.
Conclusion: Promoting patient activation among older Buddhist monks may benefit from addressing the identified factors. These findings can inform the development of programs aimed at enhancing patient activation among older Buddhist hypertensive monks.
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ลิขสิทธิ์ของบทความที่ตีพิมพ์เป็นของวารสารพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ทั้งฉบับตีพิมพ์เป็นรูปเล่มและเอกสารออนไลน์
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