การพัฒนารูปแบบการสนับสนุนการจัดการตนเองของผู้ป่วยความดันโลหิตสูง  อำเภอแม่ลาน้อย จังหวัดแม่ฮ่องสอน

Praveeda Kamdaeng; Arunee Kanonthawornchot; Prachaya Kannika

Authors

Praveeda Kamdaeng Chiang Mai Rajabhat University
Arunee Kanonthawornchot Mae La Luang Subdistrict Health Promoting Hospital
Prachaya Kannika Mae La Luang Subdistrict Health Promoting Hospital

Keywords:

Hypertension, Self-management, Disease Literacy, Engagement

Abstract

This research and development study aimed to develop a self-management support model for patients with hypertension and to examine its effects. The study was conducted in two phases. Phase 1 involved the development of the model through a literature review and the integration of self-management concepts, based on the PDCA framework, the 7A’s disease literacy concept, and the five dimensions of patient engagement (5E). Phase 2 involved implementation of the developed model, from January to March 2025, among 60 patients with hypertension receiving care at several subdistrict health-promoting hospitals in Mae La Noi District of Mae Hong Son Province. Participants were assigned to an experimental group and a comparison group, with 30 participants in each group. Data were collected before and after implementation of the model and analyzed using descriptive statistics and independent T-Tests. Results were as follows.
1. The developed self-management support model, entitled “The PDCA-7A-5E Integrated Model for Hypertension Self-management Support”, was evaluated by experts, and found to be valid, appropriate, and feasible for implementation in remote community settings.
2. Results showed that patients in the experimental group had significantly higher overall self-management scores after implementation compared to baseline (p-value < .001) and significantly higher scores than the comparison group (p-value = .005). In addition, mean systolic and diastolic blood pressure levels in the experimental group decreased significantly (p-value < .05) compared to both pre-intervention values and the comparison group.

This developed model effectively enhanced self-management capacity among patients with hypertension. Therefore, it may be applied as an evidence-based approach to inform policies and proactive health service delivery strategies that promote continuous self-care and reduce long-term disease-related risks in rural areas of Thailand.

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