Effect of a goal attainment nursing program on self-management and blood pressure control in high-risk hypertensive patients in a primary care unit
© 2019 Faculty of Medicine Siriraj Hospital, Mahidol University. Objective: To determine the effects of goal attainment in nursing programs among hypertensive patients who are at high-risk to cardiovascular disease. Methods: A quasi-experimental study was conducted in a primary care unit setting. El...
Saved in:
Main Authors: | , , , , |
---|---|
Other Authors: | |
Format: | Article |
Published: |
2020
|
Subjects: | |
Online Access: | https://repository.li.mahidol.ac.th/handle/123456789/58232 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Institution: | Mahidol University |
id |
th-mahidol.58232 |
---|---|
record_format |
dspace |
spelling |
th-mahidol.582322020-08-25T18:07:58Z Effect of a goal attainment nursing program on self-management and blood pressure control in high-risk hypertensive patients in a primary care unit Chontida Ladee Sunee Lagampan Panan Pichayapinyo Korapat Mayurasakorn Chalita Lagampan Chonburi Regional Hospital Mahidol University Medicine © 2019 Faculty of Medicine Siriraj Hospital, Mahidol University. Objective: To determine the effects of goal attainment in nursing programs among hypertensive patients who are at high-risk to cardiovascular disease. Methods: A quasi-experimental study was conducted in a primary care unit setting. Eligible participants included hypertensive patients aged 35 years and above with poorly controlled blood pressure and accompanying risk factors for cardiovascular disease. Seventy-eight participants were divided evenly into two groups via simple random sampling. The experimental group participated in a 10-week program consisting of small group education/demonstration sessions focused on goal setting and self-management behavior. These participants also received a follow-up phone call and text messages that served as reminders/reinforcements. The control group received routine care only, which included appropriately consultation with health care providers. Results: The proportion of participants who achieved optimal blood pressure control (SBP < 140 mmHg) in the experimental group (80.6%) was greater than the control group (44.1%) (p-value < 0.05). In addition, the systolic blood pressure of the experimental group (x 131.33 mmHg, S.D. 12.09) was significantly lower than that of the control group (x 142.96 mmHg, S.D. 15.77) (p-value < 0.05). The mean scores for self-management behavior were significantly higher in the experimental group (x 106.14, S.D. 14.43) than the control group (x 83.21, S.D. 8.17) (p-value < 0.05). Conclusion: The goal attainment nursing program targeting behavior modification through empowerment was effective in improving self-management behavior among hypertensive patients at high risk for cardiovascular disease. Thus, this program can be applied to patients with uncontrolled chronic diseases. 2020-08-25T11:07:58Z 2020-08-25T11:07:58Z 2020-01-01 Article Siriraj Medical Journal. Vol.72, No.2 (2020), 140-150 10.33192/Smj.2020.19 22288082 2-s2.0-85088642449 https://repository.li.mahidol.ac.th/handle/123456789/58232 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85088642449&origin=inward |
institution |
Mahidol University |
building |
Mahidol University Library |
continent |
Asia |
country |
Thailand Thailand |
content_provider |
Mahidol University Library |
collection |
Mahidol University Institutional Repository |
topic |
Medicine |
spellingShingle |
Medicine Chontida Ladee Sunee Lagampan Panan Pichayapinyo Korapat Mayurasakorn Chalita Lagampan Effect of a goal attainment nursing program on self-management and blood pressure control in high-risk hypertensive patients in a primary care unit |
description |
© 2019 Faculty of Medicine Siriraj Hospital, Mahidol University. Objective: To determine the effects of goal attainment in nursing programs among hypertensive patients who are at high-risk to cardiovascular disease. Methods: A quasi-experimental study was conducted in a primary care unit setting. Eligible participants included hypertensive patients aged 35 years and above with poorly controlled blood pressure and accompanying risk factors for cardiovascular disease. Seventy-eight participants were divided evenly into two groups via simple random sampling. The experimental group participated in a 10-week program consisting of small group education/demonstration sessions focused on goal setting and self-management behavior. These participants also received a follow-up phone call and text messages that served as reminders/reinforcements. The control group received routine care only, which included appropriately consultation with health care providers. Results: The proportion of participants who achieved optimal blood pressure control (SBP < 140 mmHg) in the experimental group (80.6%) was greater than the control group (44.1%) (p-value < 0.05). In addition, the systolic blood pressure of the experimental group (x 131.33 mmHg, S.D. 12.09) was significantly lower than that of the control group (x 142.96 mmHg, S.D. 15.77) (p-value < 0.05). The mean scores for self-management behavior were significantly higher in the experimental group (x 106.14, S.D. 14.43) than the control group (x 83.21, S.D. 8.17) (p-value < 0.05). Conclusion: The goal attainment nursing program targeting behavior modification through empowerment was effective in improving self-management behavior among hypertensive patients at high risk for cardiovascular disease. Thus, this program can be applied to patients with uncontrolled chronic diseases. |
author2 |
Chonburi Regional Hospital |
author_facet |
Chonburi Regional Hospital Chontida Ladee Sunee Lagampan Panan Pichayapinyo Korapat Mayurasakorn Chalita Lagampan |
format |
Article |
author |
Chontida Ladee Sunee Lagampan Panan Pichayapinyo Korapat Mayurasakorn Chalita Lagampan |
author_sort |
Chontida Ladee |
title |
Effect of a goal attainment nursing program on self-management and blood pressure control in high-risk hypertensive patients in a primary care unit |
title_short |
Effect of a goal attainment nursing program on self-management and blood pressure control in high-risk hypertensive patients in a primary care unit |
title_full |
Effect of a goal attainment nursing program on self-management and blood pressure control in high-risk hypertensive patients in a primary care unit |
title_fullStr |
Effect of a goal attainment nursing program on self-management and blood pressure control in high-risk hypertensive patients in a primary care unit |
title_full_unstemmed |
Effect of a goal attainment nursing program on self-management and blood pressure control in high-risk hypertensive patients in a primary care unit |
title_sort |
effect of a goal attainment nursing program on self-management and blood pressure control in high-risk hypertensive patients in a primary care unit |
publishDate |
2020 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/58232 |
_version_ |
1763493013345009664 |