Factors Predicting Self-Management among Older Persons with Hypertension
Keywords:
Self-Management, Factors Predicting Self-Management, Older Persons with HypertensionAbstract
This predictive correlational research aimed to study self-management, health literacy, perceived self-efficacy, and social support among older persons with hypertension, and to explore if any of these factors could predict self-management among older persons with hypertension. The participants were 196 older persons with hypertension who received treatment at four Health Promoting Hospitals in Kanchanadit District of Surat Thani. The participants were selected during April to June, 2021, using proportional random sampling. The research tools were an interview form on personal information, a questionnaire on self-management, an interview form on health literacy, a questionnaire on perceived self-efficacy, and a questionnaire on social support of older persons with hypertension. All the tools were examined for content validity and reliability. The data were analyzed using descriptive statistics and stepwise multiple regression analysis.
The results showed that the sample group had high levels of self-management, perceived self-efficacy, and social support. The sample group also had a medium level of health literacy. Health literacy, perceived self-efficacy, and social support, could together predict self-management for older persons with hypertension at 69.60%. The most predictive factor was social support (β =.516, p<.001), followed by perceived self-efficacy (β =.386, p<.001), and health literacy (β =.156, p=.003).
The results of this study can be used to develop activities to promote health literacy, perceived self-efficacy, and social support that might enhance self-management for older persons with hypertension then should be studies in different contexts or older persons with different characteristics, in particular, the elderly who live alone.
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