The Effects of brief counseling on self-management of the uncontrolled hypertensive patients in Nakhon Phanom hospital

ผลของการพยาบาลการให้คำปรึกษาแบบสั้นต่อการจัดการตนเองของผู้ป่วยความดันโลหิตสูงที่ควบคุมไม่ได้ โรงพยาบาลนครพนม

Abstract

This quasi-experimental research is one group pre-post test design. To compare the mean self-management scores of patients with uncontrolled high blood pressure. Nakhon Phanom Hospital before and after receiving the brief counseling program The sample group were 42  patients with uncontrolled high blood pressure who receive services in the high blood pressure clinic Nakhon Phanom Hospital between November 2023 and January 2024. The research experiment included 1) a brief counseling program 2) the questionnaire of a self-management behavior assessment were 50 questions, 6 domains . Confidence test using Cronbach's alpha coefficient. The reliability value was 0.93. The sample group will receive a short advice program using the  3As skills: 1) Affirmation 2) Ask 3) Advice, 3 times The data were analyzed to compare mean. Using t-test statistics. the results of the study found that

Patients with uncontrolled high blood pressure There was a higher mean overall self-management score after receiving brief counseling program than before receiving the program. (Mean self-management score before receiving the brief counseling program The overall level was at a moderate level = 3.24 SD = 0.32 and after receiving the short counseling program at the highest level  = 4.45 SD = 0.32), the difference was statistically significant (p=.024).

Suggestions Providing brief advice results in improved self-management of patients with uncontrolled blood pressure higher score Therefore, personnel working should be encouraged to use it. By continuously training knowledge and skills This is to help patients improve there self-management.