Effects of antihypertensive medication self-management program among patients with end-stage renal disease undergoing hemodialysis
Keywords:
Self-management, Antihypertensive medication, End-stage renal disease patients, HemodialysisAbstract
The incidence of hypertension among patients with end-stage renal disease (ESRD) undergoing hemodialysis is dramatically increasing. Enhancing effective self-management for blood pressure control is necessary. This quasi-experimental study, employing a one-group pretest-posttest design, aimed to examine the effectiveness of a self-management program on antihypertensive medication adherence among ESRD patients undergoing hemodialysis. The study was conducted with 31 ESRD patients at Chiang Kham Hospital, Phayao Province. The instruments included an antihypertensive medication self-management program, a personal data form, adherence monitoring through pill counts, an assessment of knowledge of antihypertensive medication, an assessment of behavior related to antihypertensive medication-taking. The reliability of the two instruments was later assessed, with Cronbach's alpha coefficients of .97 and .91, respectively. The data was analyzed using descriptive statistics and paired t-test. The findings revealed that after completing the program, the mean score of knowledge of antihypertensive medication (t=12.93, p<.001), antihypertensive medication-taking behavior (t=9.55, p<.001), and adherence to antihypertensive medication (t=7.07, p<.001) were statistically significantly increasing. Furthermore, there was a statistically significant lowering in the mean score of systolic blood pressure (t=7.56, p<.001) and diastolic blood pressure (t=4.22, p<.001) levels. Therefore, this program could be integrated into caring for dialysis patients to promote self-management behavior for blood pressure control.
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