Effects on Self-Care Behavior Promotion Program Applying Self Efficacy Theory with Social Support Theory among Hypertension Patients of Hypertension Clinic in Kranuan Crown Prince Hospital, Khon Kaen

Abstract

This quasi-experimental research, pre test – post test two group design aimed to evaluate a self-care behavior promotion program applying self efficacy theory with social support theory of hypertension patients of hypertension clinic in Kranuan Crown Prince Hospital, KhonKaen. The subjects were divide into two groups. The first group of 35 patients were assigned as the experimental group who receiving self-care behavior promotion program applying self efficacy theory with social support theory and second group of 35 patients were assigned as the comparison group who receiving usual care. Data were collected using the questionnaire, , which was tested for content validity by 3 experts analysing by the index of item-objective congruence (IOC), who found that every item had an IOC of 0.67 -1.00 and its reliability was assessed using Cronbach's alpha, the self care practice yielding a score of 0. 0.742. The data were analysed using descriptive statistics, Paired t-test and Independent t-test at 0.05 level of significance.

                   The results showed that the participant characteristics, it was found that the experimental group, 71.4 % was female with the average age of 61.17 years old (S.D.= 9.95).  The average duration illness with hypertension was 5.88 years (S.D.= 3.76), and the comparison group, 62.9 % was female with the average age of 60.45 years old (S.D.= 9.33), and the average duration illness with hypertension was 5.60 years (S.D.= 4.25). After the treatment, the experiment and comparison group had scores in self care practices were 2.78 (S.D.= 0.15) and 2.56 (S.D.= 0.20) respectively, and the experiment and comparison groups had statistical difference of mean difference between after and before the experiment in scores in self care practices (0.22 points; 95%CI : 0.13 – 0.30), p-value <0.001). Recommendations are made for continued patients for improve self care practices of hypertension at the population level.