Effects of Self - Management Program on Health Behaviors and Blood Pressure among Pre Hypertension Group, Pak Huaioi Health Promoting Hospital, Phrae Province

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Pakkayanee Thananchai
Artitaya Wangwonsin


          This quasi-experimental research with two group pretest-posttest design aimed to examine the effect of self-management program on health behaviors and blood pressure level among pre hypertension group, Pak Huaioi health promoting hospital, Phrae province. The 52 samples were purposive sampling and divided into experimental group and comparison group. Duration of this program for 12 weeks. The instruments consist self-management program, self-management manual for pre hypertension group, health behaviors record, video media, picture poster, blood pressure monitor and questionnaires about health beliefs and health behaviors.  The data were analyzed using frequency, percentage, mean, standard deviation and the hypotheses were tested using t-test statistics. The statistical significance was .05 levels.

          Results showed that 1) after received self-management program the experimental group had a significantly average score level difference (p<.05) on, health behaviors higher than before receiving the program and blood pressure lower than before receiving the program. 2) that after received self-management program the experimental group with control group had a significantly average score level difference (p<.05) on, experimental group had health behaviors higher than control group and blood pressure lower than control group. This shows that the supporting with self-management process; goals setting, define activity process as self-monitoring, self-evaluation, self-reinforcement can be help pre-hypertension group change their behavior to reduce their health risks. 



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บทความวิจัย (Research articles)


1) Boonnuch, C.; et al. (2011). Sample size in Quantitative Research. Retrieved (2020, October 15) from http://www1.si.mahidol.ac.th/km/sites/default/files/ sample_size_0.pdf. (in Thai).

2) Bureau of Non-communicable Diseases, Department of Disease Control, Ministry of Public Health. (2015). News video and public relations. Retrieved (2020, October 15) from https://ddc.moph.go. th/newsvdo.php. (in Thai).

3) Coates, V. E. & Boore, J. R. (1995). Self-management of chronic illness implication for nursing. International Journal Nursing, 32,628-640.

4) Dongbo, F.; et al. (2003). Implementation and quantitative evaluation of chronic diseasself-management program in Shanghai. China: randomized controlled trial. Bull Word Health Organ, 81, 174-182.

5) Gunnasud, P. (1999). Statistics for behavioral science research (3rd ed.). Bangkok: Chulalongkorn University. (in Thai).

6) Health Education Division, Department of Health Service Support, Ministry of Public Health. (2013). Health behavior surveillance system for risk behavior changing of normal groups/risk groups/diabetes mellitus patients/hypertensive patients in Thailand: policy to practice for primary health care. Retrieved (2020, July 10) from www.hed.go.th (in Thai).

7) Jekel, J., Elmore, JG., Katz, DL., &Wild, D. (2007). Epidemiology, biostatistics and preventive medicine and public health. Philadelphia: Elsevier Health Science.

8) Kanfer, F. H., & Gaelick-Buys, L. (1991). Self-management methods. In F. Kanfer & A. Goldstein (Eds.). Helping
9) People Change: A Textbook of Methods (4th ed). New York: Pergamon Press.

10) Nunnally, J. C. (1978). Psychometric theory (3rd ed.). New York: McGraw-Hill.

11) Pak Huaioi Health Promoting Hospital. (2015). Database hosXP_PCU program. Phrae: N.P.

12) Polit, D.F. & Beck, C.T. (2008). Nursing research: generating and assign evidence for nursing practice. 8th ed. Philadelphia: Lippincott.

13) Pomchan, S. (2008). Health promoting behaviors among hypertension patients at the Phisalee hospitai, Nakhon Sawan Province. Chiangmai University, Chiangmai. (in Thai).

14) Riegel, B., Carlson, B., &Glaser, D. (2000). Development and testing of a clinical tool measuring self-management of heart failure. Heart & Lung, 29(1), 4-15.

15) Rongkwang Hospital. (2015). Medical records. Phrae: N.P. (in Thai).

16) Strategic and Planning Group, Office of the Permanent Secretary, Ministry of Public Health. (2011). Public health statistics 1998-2010. Retrieved (2020, October 15) from http://bps.moph.go.th (in Thai)

17) Strategic and Planning Group, Office of the Permanent Secretary, Ministry of Public Health. (2012). National health development plan during the eleventh national economic and Social Development Plan (2012 - 2016). Retrieved (2020, October 15) from http://bps.moph.go.th/ sites/default/ files/plan11_0.pdf (in Thai).

18) Strategic and Planning Group, Office of the Permanent Secretary, Ministry of Public Health. (2013). Number and rate of hypertensive patients. Retrieved (2020, October 15) from http://www.thaincd.com/2016/mission/documents.php?tid=32&gid=1-020 (in Thai)

19) Strategic and Planning Group, Office of the Permanent Secretary, Ministry of Public Health. (2013). Indicators strategy and data storage guidelines for Ministry of Public Health fiscal year 2013. Retrieved (2020, October 15) from http://www.kaset-hospital.org/ (in Thai)

20_ Thai hypertension society. (2015). Thai guidelines on the treatment of hypertension 2012 update 2015. Retrieved (2020, October 15) from http://www.thaihypertension.org/files/GL%20HT%202015.pdf (in Thai).

21) Thatsaeng, B. (2011). Effects of a self-management supporting program on self-management behaviors and blood pressure among elders with dyslipidemia. (PhD’s thesis). Chiangmai University, Chiangmai. (in Thai).

22) Wangwonsin, A., Phetphum, J. & Sangouam, S. (2018). Factors influenced with self management development behaviors among type 2 diabetes mellitus patients in one health region. Research and Health System Journal, 11(2), 397-405. (in Thai).

23) Wongpiriyayothar, A., Buitee, S., Chamusr, S., Meethien, N. & Pitaksanurak, V. (2005). The effect of educative supportive nursing on knowledge, self-Care behaviors and health condition among heart failure patients. (PhD’s thesis). MahasaraKham University, MahasaraKham (in Thai).

24) World Health Organization. (2008). World health statistics 2008. Retrieved (2015, October 15) from http://www.who.int/whosis/whostat/EN_WHS08_Full.pdf.

25) World Health Organization. (2012). New data highlight increases in hypertension, diabetes incidence. Retrieved (2015, October 15) from http://www.who.int/mediacentre/ news/releases/2012/world_health_statistics_ 20120516/en/.

26) Young, R. 2010. Knowledge management tools and techniques manual. Japan: Asian Productivity Organization.