The Effectiveness of Self-efficacy Program on Health Behaviors in Uncontrolled Hypertensive Patients, Koksong Hospital, Sa-kaeo Province.

Abstract

This quasi-experimental research studied the result of self-efficacy of patients with poorly-controlled hypertension of Kok-S0ng hospital, Sa-kaeo on their behavioral change towards the improvement of their blood pressure. Diet diary, behavior and acknowledgement questionnaire were given to 50 poorly-controlled hypertensive patients. Descriptive, Chi-square statistics, dependent T-test and independent T-test were used in this study. The result shows that after given the intervention, the experimental group have significantly higher self-efficacy (M=4.78, SD=.36)   than the controlled group (M=1.98, SD=.89) (p<.01). The experimental group has significantly higher control of their diet, exercise, and stress management (M=4.26, SD=.43)   than the controlled group (M=2.31, SD=.87) (p<.01). The systolic blood pressure of experimental group after given with the intervention (M=119.83, SD=10.21) was lower than before the intervention (M=149.80, SD=6.78) and the diastolic blood pressure of experimental group after given with the intervention (M=76.59, SD=6.53) was lower than before the intervention (M=92.92, SD=5.46) and lower the controlled group significantly (p<.01) This study shows that the self-efficacy program and frequent recall in patients with poorly-controlled hypertension affects their dietary control, resulting in the improvement of their blood pressure. Still, further following up is needed.