ผลของโปรแกรมการจัดการตนเองต่อพฤติกรรมการควบคุมความดันโลหิต ของผู้ป่วยโรคความดันโลหิตสูงที่ควบคุมไม่ได้

Teeranuch Chala-em; Nattanan Worasuk; Rungnapa Prayoonsirisak

Authors

Teeranuch Chala-em Faculty of Nursing, Shinawatra University
Nattanan Worasuk Faculty of Nursing, Shinawatra University
Rungnapa Prayoonsirisak Boromarajonani College of Nursing Udonthani, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

self - management, program, blood pressure control behavior, hypertension

Abstract

Introduction: Hypertension was chronic condition that requires self - care management. Implementing an appropriate self - management program can help patients reduce the risks of complications and improve their quality of life.

Research objective: This research study aimed to effect of a self - management program on blood pressure control behaviors among patients with uncontrolled hypertension.

Research methodology: This quasi - experimental study of uncontrolled hypertension, divided into an experimental group (30 patients) and a comparison group (30 patients). Participants were purposively sampled. The intervention was conducted over 8 weeks. Data were collected using questionnaires and health assessments before and after the intervention. Statistics frequency, percentage, and mean were used, including Paired Sample t - tests and Independent Sample t - tests to compare means within and between groups.

Results: The study revealed that after participating in the program, significant differences were observed between the experimental and comparison groups in behaviors related to sweet food, salty food, exercise, and stress management (p < .001). However, no significant differences were found between the groups in fat consumption behaviors or medication adherence after the intervention.
In the experimental group, systolic blood pressure showed significant differences before and after the intervention (p < .001), as did diastolic blood pressure (p < .05).

Conclusion: The self - management program effectively improved blood pressure control behaviors and reduced blood pressure levels among patients with uncontrolled hypertension.

Implication: The self - management program could also be implemented to suit individual contexts for more personalized and effective care.

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