EFFECTS OF A CONTINUING CARE PROGRAM FOR OLDER ADULTS WITH UNCONTROLLED HYPERTENSION
Keywords:
Older Adults, Uncontrolled Hypertension, Self-Care Behavior, Continuing Care ProgramAbstract
Continuing care is a significant role of nurses in chronic disease management, particularly among community-dwelling older adults. This quasi-experimental two group pretest-posttest study was conducted to examine effects of a continuing care program for older adults with uncontrolled hypertension. Purposive sampling was used to select an experimental group (n=30) and a comparison group (n=30). The experimental group received a 6-week continuing care program using the Chronic Care Model (CCM) for self-management support and as a clinical information system of multiple activities. These included health education, enhancing motivation and practical skills for selfcare, continuing selfcare behavioral support, monitoring BP and follow-up from the data center, transfer of community health data to follow and to make appropriate self-care behavior adjustments, and support by telephone follow-up, consultation and feedback. The comparison group received regular care. From January to March 2018, data were collected by the researcher using questionnaires before and after the intervention. Analysis included independent and paired t-test.
Results show that the experimental group reported a significantly higher mean score of self-care behavior and lower blood pressure than the comparison group and after the program (p < 0.001).
Results suggest that a continuing care program can provide patients with skills training and expertise for health behavior practice. Family and community settings can give recognition to health problems and motivate action to support self-care behavior of hypertensive patients.
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บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)
