ผลของโปรแกรมการจัดการตนเองต่อพฤติกรรมสุขภาพในการลดโอกาสเสี่ยงต่อโรคหัวใจและหลอดเลือดในผู้ป่วยโรคความดันโลหิตสูง

Nisarat  Ruamwong; Orapan  Boonlue; Saowapa  Lekwong; Sutee Soontronchi

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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