Effects of a Self-Management Program on Blood Pressure Levels and Self-Management Behaviors among Elderly with Hypertension in Uttaradit Province
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Abstract
The purpose of this quasi-experimental research was to explore the effect of a self-management program on blood pressure level and self-management behaviors among elderly. Elderly aged 60 years old or older had hypertension and lived in Muang district, Uttaradit Province were recruited. A total of sixty elderly participants were divided into two groups with 30 participants in each group. The experimental group had received care using a self-management program of Lorig and Holman’s self-management concept. The control group received a standard care for 12 weeks. The instruments of research were a self-management program, a teaching plan, and a self-management behavior manual. The Index of Item-Objective Congruency (IOC) was validated yielding a value of .88, .80 and .83, respectively. The reliability of a self-management behavior questionnaire was tested using Cronbach’s Alpha Coefficient yielding a value of .921. Data were analyzed by descriptive statistics, Two-way repeated measurement ANOVA and multiple comparison. Results as follow:
1) The experimental group had significantly higher mean scores after the experiment using self-management behavior after week 7th and week 12th than before the experiment (p<.05). The experimental group had a significantly lower mean score of blood pressure level after week 7th and week 12th lower than before the experiment (p<.05)
2) Blood pressure level of the experimental group had significantly lower mean scores than the control group (p<.05). However, these analyses were not possible to compare a mean score of a self-management behavior
The findings revealed that the self-management program can improve the health status in elderly with hypertension to change their health behaviors contributing to reduction of blood pressure
Article Details
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
2 Danyuthasilpe, C. & Kalampakorn, S. (2011). Caring for elderly with chronic illness in the community. Journal Public Health, Special Issue, 99-108. (in Thai)
3 Faul, F., Erdfelder, E., Buchner, A., & Lang, A-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160.
4 Holman, H., & Lorig, K.R. (2004). Patient self-management: A key to effectiveness and efficiency in care of chronic disease. Public Health Report, 119, 239 – 243.
5 James, P., Oparil, S., Carter, B., Cushman, W., Dennison-Himmelfarb, C., Handler, J., Lackland, D., LeFevre, M., MacKenzie, T., Ogedegbe, O., Smith Jr, S., Svetkey, L., Taler, S., Townsend, R., Wright Jr, J., Narva, A., & Ortiz, E. (2015, March 7). Evidence-based guideline for the management of high blood pressure in adult: Report from the panel members appointed to the eighth Joint
National Committee (JNC8). Retrieved from http://csc.cma.org.cn/attachment/2014315/1394884955972.pdf
6 Kooariyakul, A.& Meesri, C. (2017). Knowledge and self-care behaviors of patients with hypertension at tambon Pasao health promoting Hospital, Amphur Mueang, Uttaradit Province. Boromarajonani College of Nursing Uttaradit Journal, 9(2), 28-40. (in Thai)
7 Lorig, K.R., Sobel, D., Ritter, P.L., Hobbs, M., & Laurent, D. (2001). Effect of a self-management program on patients with chronic disease. Retrieved from https://www.ncbi.nlm.nih.gov
8 Lorig, K.R., & Holman, H. (2003). Self-management education: History, definition, outcomes, and mechanism. The Society of Behavioral Medicine, 26(1), 1-7.
9 Lorig, K.R., Holman, H., Sobel, D., Laurent, D., Gonzalez, V., & Minor, M. (2012). Living a health life with chronic conditions: Self-management of heart disease, arthritis, diabetes, depression, asthma, bronchitis, emphysema and other physical and mental health conditions. Colorado: Bull Publishing Company.
10 Ministry of Public Health. (2017a, May 24) Report on the high prevalence of hypertension among population in Health Region 2, Uttaradit Province, 2014 - 2016. Retrieved from http://hdcservice.moph.go.th/hdc/repor (in Thai)
11 Ministry of Public Health. (2017b, March 22). Percentage of hypertensive patients controlled by pressure good blood health field 2 fiscal year 2016. Retrieved from http://hdcservice.moph.go.th/hdc/report (in Thai)
12 Ministry of Public Health. (2017c, March 24). Hypertensive patients with hypertension Uttaradit Province. Retrieved from http://hdcservice.moph.go.th/hdc/report (in Thai)
13 Sangwatanaroj, S. (2017, May 6). Stressful with high blood pressure. Retrieved from https://www.doctor.or.th/article/detail/1437 (in Thai)
14 Sabysook, N., Supametaporn, P.& Songthai, N. (2018). The effects of a self-management support program on health behaviors and glomerular filtration rates among type 2 diabetes mellitus patients with stage III chronic kidney disease. Boromarajonani College of Nursing Uttaradit Journal, (Supplement) 10, 137-150. (in Thai)
15 Seesawang, J., Thongtaeng, P., & Yodthong, D. (2014). Effectiveness of self- management supportive program among hypertensive older people. Ramathibodi Nursing Journal, 20(2), 179-192. (in Thai)
16 Songthai, N. (2014). Effects of peer-support, self-management program on self-management behavior and blood pressure of older adults with essential hypertension (Doctoral thesis). Burapha University, Chon Buri (in Thai)
17 Sootsukon, S. (2010). Factors relating hypertension protective health behavior of out patients seeking care at Bhumibol Adulyadej Hospital. (master’s thesis). Kasetsart University, Bangkok. (in Thai)
18 Strategic and Planning Group, Bureau of Non Communicable Disease Department of Disease Control, Ministry of Public Health. (2014). Annual report 2014. Bangkok: Wvo officer of printing mill. (in Thai)
19 Sukwinya, S. (2008). Effects of a self-management encouraging program on controlling health behaviors and blood pressure level among hypertensive patients (master’s thesis). Naresuan University, Phitsanulok. (in Thai)
20 Thatsaeng, B. (2011). Effects of a self-managment supporting program on self-management behaviors and blood pressure among elders with hypertension (master’s thesis). Chiang Mai University, Chiang Mai. (in Thai)
21 Thai Hypertension Society. (2015, July 3). Hypertension disease. Retrieved from http://www.thaihypertension.org/information.html (in Thai)
22 Thai Hypertension Society. (2015, March 7). Thai guidelines on the treatment of hypertension 2012 update 2015. Retrieved from http://www.thai hypertension.org/files/GL%20HT%202015.pdf (in Thai)
23 The Somdej Phra Sangharaj Nganasamvara Geriatric Department of Medicine, Ministry of Public Health. (2011). Self-care handbook on hypertension in the elderly. Chonburi: Beyond publishing. (in Thai)
24 Uttaradit Hospital. (2016). Report on the elderly patients admitted to Uttaradit Hospital in 2016. Retrieved 29/9/2017. (in Thai)
25 Uttaradit Provincial Public Health Office. (2016). Summary of elderly care operations Uttaradit Province in 2015. (in Thai)
26 Wattana, C. (2015). Self-management support: Strategies for promoting disease control. Journal of Phrapokklao Nursing College, 26(1), 117-127. (in Thai)
27 World Health Organization, South-East Asia Regional Office. (2015, March 7). Hypertension fact sheet. Retrieved from http://www.searo.who.Int/entity/noncommunicable_diseases/Medial/non_communic ble_disease_hypertension_fs.pdf.
