Effects of a Supportive-Educative Nursing Program on Self-Care Behaviors, Activities of Daily Living, and Blood Pressure Levels among Persons with Stroke
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Abstract
This quasi-experimental study with a two-group pretest-posttest design aimed to examine the effects of a supportive-educative nursing program on self-care behaviors, activities of daily living, and blood pressure levels among stroke patients. The sample consisted of 60 stroke patients receiving care at primary healthcare units in Mueang Phetchabun District, divided into an experimental group (n=30) and a control group (n=30). The experimental group received a supportive-educative nursing program based on Orem’s Nursing Theory for 12 weeks. Data were collected using a self-care behavior questionnaire, an activities of daily living record form, and a blood pressure log, with a reliability coefficient (Cronbach’s alpha) of 0.83. Data were analyzed using mean, standard deviation, paired t-test, and independent t-test. Thise findings revealed that the experimental group had significantly higher self-care behavior scores and activities of daily living scores after the intervention compared to before the intervention and to the control group (p < .001). Additionally, systolic and diastolic blood pressure levels in the experimental group were significantly lower after the intervention (p < .001). The systolic blood pressure of the experimental group was significantly lower than that of the control group (p < .05), and the diastolic blood pressure of the experimental group was significantly lower than that of the control group (p < .01). Thus, the supportive-educative nursing program effectively improved self-care behaviors and activities of daily living among stroke patients and contributed to a significant reduction in systolic and diastolic blood pressure levels.
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