The Effect of Self-care Program for Hypertension Patients in Kanthararom District, Sisaket Province

Abstract

         This quasi-experimental, single-group, pre- and post-hoc design study aimed to 1) study the effectiveness of a self-care program for hypertensive patients and 2) examine the outcomes of self-care for hypertensive patients between November 2014 and February 2015, a total of 12 weeks. The sample consisted of 30 hypertensive patients in Muang Noi Subdistrict, Kanthararom District, Sisaket Province. Data were collected using questionnaires and analyzed using descriptive and comparative statistics.

          The results revealed that the majority of participants were female (76.7%), with a median age of 54.7%. They were married (60.0%), had a primary education level (46.7%), were engaged in agriculture (43.3%), and earned between 5,001 and 10,000 baht (50.0%). The duration of hypertension (6-10 years) was the highest (43.3%). In terms of knowledge, the highest score was high in knowledge about hypertension. After the program, the mean score was 19.6 points higher than before the program activities. After the program activities, the mean score was 35.0 points. After the program activities, the mean score of knowledge about hypertension was 4.35 points higher than before the program activities. The mean knowledge score increased by 4.35 points (95% CI = 3.63-4.48), a statistically significant difference at .01. Self-care scores after the program were higher than before the program activities, with an average behavior score of 45.3 points and an average self-care behavior score of 58.3 points. The mean behavior of hypertensive patients increased by 9.11 points (95% CI = 5.65-9.96), a statistically significant difference at .001.

          The self-management program positively impacted health behaviors and appropriate blood pressure control in hypertensive patients.