Development and Study of the Effectiveness of a Self-Health Management Skills Enhancement Model by Providing Tele-Nursing Services for the Hypertension Risk Group in Mueang Loei District, Loei Province

Abstract

This research and development study aimed to develop and examine the effectiveness of a telenursing self-management skills development model for individuals at risk for hypertension. The model comprised three components: (1) situation analysis, (2) model development, and (3) evaluation of model effectiveness. The sample consisted of 72 individuals at risk for hypertension residing in Kut Pong Subdistrict, Mueang District, Loei Province. Participants were divided into an experimental and a comparison group, with 36 individuals in each group. The sample was selected through purposive randomization and followed over a 24-week period. Research instruments included: (1) the telenursing self-management skills development model for individuals at risk for hypertension, (2) a manual and home-visit tracking form using the telenursing system, and (3) a questionnaire assessing knowledge and self-management behaviors among individuals at risk for hypertension. Data were analyzed using descriptive statistics, content analysis, and independent sample t-tests. The significance level was set at 0.05.

The results indicated that the telenursing service model for individuals at risk for hypertension was feasible for implementation. No statistically significant differences were found between the experimental and comparison groups in mean scores of self-management knowledge or self-management behaviors, although the experimental group demonstrated higher overall performance. Mean diastolic blood pressure levels were significantly different, but systolic blood pressure levels were not significantly different.