AN EFFECT OF THE SELF-MANAGEMENT PROGRAM ON HEALTH BEHAVIORS TO DECREASE THE CV RISK SCORE IN PATIENTS WITH HYPERTENSION

Authors

  • Nisarat Ruamwong Phrapokklao Nursing College, Chanthaburi
  • Orapan Boonlue Phrapokklao Nursing College, Chanthaburi
  • Saowapa Lekwong วิทยาลัยพยาบาลพระปกเกล้า จันทบุรี
  • Sutee Soontronchi Baan Tha-Chang Health Promoting Hospital, Sakaeo

Keywords:

self-management program, health-behavior, CV risk score, hypertension

Abstract

            This quasi-experimental research aimed to study the effect of a self-management program on health behaviors to decrease the CV risk score in patients with hypertension which based on the self-management model of Creer (Creer, 2000). Thirty-three hypertension patients were recruited and separated into 2 groups. The experimental group received the self-management program for   24 weeks. On the other hand, the control group was provided the usual care. The research instruments were composed of a self-management program for decreasing the CVD risk score, a patient manual for self-management to control diseases and decrease the CVD risk score, an assessment program for the Thai CVD risk score, and a self-management behavior questionnaire. The instruments were examined the content validity by experts. Cronbach’s alpha coefficient was .82. The data were analyzed using descriptive statistics and t–test.

            The research result showed that after enrolling in the program for 24 weeks, the experimental group had a significantly higher mean score of self-management behaviors than the control group at the level of .05. Moreover, the CV risk score of the experimental group was significantly lower than the one of the control group at the level of .05.

            This research suggested that health care providers should promote the self-management program to be a guideline for developing a model of care about chronic illness for clinical outcomes.

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References

Boontien, P., Saneha, C., Pinyopasakul, W, & Musikthong, J. (2017). The effect of a self-management support program on body mass index, behaviors in controlling metabolic syndrome and risks of cardiovascular disease among police personnel. Journal of The Royal Thai Army Nurse, 18(Supp), 346-356.

Brady, T. J., Murphy, L., O’Colmain, B, J., Beauchesne, D., Daniels, B., Greenberg, M. M., . . . Chervin, D. (2013). A meta-analysis of health status, health behaviors, and health care utilization outcomes of the chronic disease self-management program. Preventing Chronic Disease, 10. https://doi.org/10.5888/pcd10.120112.

Creer, T, L. (2000). Self-management of chronic illness. In Handbook of Self-regulation. California, CA: Academic.

Hanaraong, A., Toonsiri, C., & Rattanagreethakul, S. (2017). Factors affecting eating behaviors among hypertensive patients. The Journal of Faculty of Nursing Burapha University, 25(3), 52-64.

Janpen, J., Suwanno, J., & Samienphet, T. (2011). Risks of coronary heart disease in women with hypertension: A systematic review. Thai Journal of Cardio-Thoracic Nursing, 12(1), 14-27.

Khamchata, L., Wattana, C., & Harnirattisai, T. (2017). The Effects of a self-management program on self- management behaviors, waist circumference, blood sugar level, and cardiovascular disease risk among persons with metabolic syndrome, Nursing Journal, 44(3), 65-76.

Kongjarern, S., Wattana, C., & Harnirattisai, T. (2013). Effects of a self-regulation program for blood pressure control on self-regulation behaviors, blood pressure level and stroke risk among Thai Muslim with hypertension. Nursing Journal, 40(1), 23-33.

Norcross, J, C., Krebs, P, M., & Prochaska, J, O. (2011). Stage of change, Journal of clinical psychology, 67(2), 143-154.

Patel, P., Ordunez, P., Dipette, D., Escobar, M C., Hassell, T., . . . Angell, S. (2016). Improved blood pressure control to reduce cardiovascular disease morbidity and mortality: The standardized hypertension treatment and prevention project. The Journal of Clinical Hypertension, 18(12), 1284-1294.

Patnode, C, D., Evans, C, V., Senger, C, A., Redmond, N., & Lin, J, S. (2017). Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults without known cardiovascular disease risk factors updated evidence report and systematic review for the us preventive services task force. The Journal of the American Medical Association, 318(2). 175-193.

Phuaphae, J., Jitramontree, N., & Leelahakul, V. (2015). Factors predicting self-management behaviors among older persons with cardiovascular risks. Journal of Nursing Science, 33(2), 41-50.

Praphasil, O., Wattana, C., &Tharavanij, T. (2013). Effects of promoting self-efficacy in a self-management program on self-management behaviors, obesity, cardiovascular disease risk, and regression of metabolic syndrome among persons with metabolic syndrome. Nursing Journal, 40(1), 34-48.

Reamrimmadun, Y., & Sombutputhon, P. (2018). Factors related to drug compliance behaviors of hypertension patients in the community, Ban Pho district, Chachoengsao province. Nursing Public Health and Education Journal, 19(1), 132-143.

Rerkluenrit, J., & Pramuansup, R. (2016). The effects of a supportive educational program by an Interdisciplinary health care team on health promotion behavior to heart failure prevention among patients with coronary Artery disease and coexisting hypertension. Journal of Nursing and Health Care, 34(3), 40-47.

Srihadom, O., Pimpak, T., & Thani, T. (2019). Sodium quantity in food consumption of hypertension patients in the Ban Don Klang Tai, that district, Amphoe Warinchamrab, Ubon Ratchathan. Journal of Medicine and Public Health, Ubon Ratchathani University, 2(1), 34-43.

Sanee, A. (2014). Self-management program in chronic diseases. Journal of The Royal Thai Army Nurses, 15(2), 129-134.

Srivanichakorn, S. (2017). Morbidity and mortality situation of non-communicable diseases (diabetes type 2 and cardiovascular diseases) in Thailand during 2010-2014, Disease control journal, 43(4), 379-390.

Strategy and planning division. (2017). The rate of illness of patients with hypertension without cause. Retrieved from http://bps.moph.go.th/new_bps/sites/default/files/ill_2560_full.pdf.

Srisatidnarakul, B. (2010). The methodology in nursing research (5th ed). Bangkok: You and I intermedia.

Yu, E, Y, T., Wan, E, Y, F., Wong, C, K, H., Chan, A, K, H., Chan, K, H, Y., Ho, S., K., . . . Lam, C, L, K. (2017). Effect of risk assessment and management programme for hypertension on clinical outcomes and cardiovascular disease risks after 12 months: A population-based matched cohort study. Journal of Hypertension, 35(3), 627-635.

Vathesatogkit, P. (2016). Thai CV risk score application. Retrieved from https://med.mahidol.ac.th/cardio_vascular_risk/thai_cv_risk_score/

Wankham, P., Wattana, C., & Khampalikit, S. (2015). The effects of a self-management program on hypertension controlling behaviors and mean arterial pressure among persons with hypertension. Nursing Journal, 42(1), 49-60.

Wattana, C. (2015). Self-management support: Strategies for promoting disease control, Journal of Phrapokklao nursing college, 26(1), 117-124.

Wattana, C., Suprakitcharoen, C., Rugwongprayoon, N., & Raetong, P. (2015). Effects of self-efficacy for disease self-management promoting program on disease control behaviors, blood pressure level, and quality of life among people with hypertension: A Longitudinal Study, Journal of Phrapokklao nursing college, 26(1), 72-89.

World Health Organization. (2019). World hypertension day 2019. Retrieved from https://www.who.int/cardiovascular_diseases/world-hypertension-day-2019/en/.

Published

2020-06-30

How to Cite

Ruamwong น., Boonlue อ. ., Lekwong เ., & Soontronchi ส. . (2020). AN EFFECT OF THE SELF-MANAGEMENT PROGRAM ON HEALTH BEHAVIORS TO DECREASE THE CV RISK SCORE IN PATIENTS WITH HYPERTENSION. JOURNAL OF THE POLICE NURSES, 12(1), 128–137. Retrieved from https://he01.tci-thaijo.org/index.php/policenurse/article/view/241091

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Section

Research Articles