The Effects of an Empowerment Program on Stress Management and Hypertension among Elders with Hypertension
Keywords:
Empowerment program, Stress management, Elderly with hypertensionAbstract
Thailand has become a completely aged society. In Health Region 2, Phitsanulok Province has the third-largest older population, many of whom suffer from hypertension. The lifestyles of the older people involve health and other issues that lead to stress, affecting hypertension. This quasi-experimental research, a two-group pre-posttest study, aimed to examine the effects of an empowerment program on stress management and blood pressure levels in older people with hypertension. The sample consisted of older individuals with hypertension living in the Muang district who met the inclusion criteria. The sample was divided into two groups, the control group and the experimental group each comprising 30 participants. The control group maintained their usual lifestyle, while the experimental group engaged in the program consisting of six sessions which included: 1) discovering the truth, 2) critical reflection, 3) deciding on a suitable practice, and 4) maintaining effective practices. The data were collected using a stress management assessment form with a content validity index of 0.85 and a Cronbach's alpha coefficient of 0.79, and blood pressure recording form. The data were analyzed using descriptive statistics and t-value statistics.
The results showed that: 1) The mean score of stress management after the intervention in the experimental group was significantly higher than pre-intervention and differed from the control group(p<.05).
2) The average blood pressure post-intervention was lower than pre-intervention. Therefore, nurses caring for patients with chronic diseases should apply the program to take care of hypertension patients along with drug treatment to reduce stress and blood pressure levels in patients with hypertension.
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