This study aims to examine the effects of a self-management program SMP on self-care behavior, blood pressure and quality of life among older adults with uncontrolled hypertension. A quasi-experimental design with repeated measures was conducted in two primary care units in Krabi, Thailand. One hundred and fifty-six older adults with uncontrolled hypertension were selected based on the inclusion criteria and divided into experimental and control groups with 78 participants in each.
The experimental group received the SMP, including the intervention related to the self-management process from the 1st to 4th weeks and a follow-up phase from the 5th to 16th weeks.
The control group received standard care. The outcomes were measured over time, including self-care behavior baseline, 4th and 16th weeks , blood pressure baseline, 4th, 8th, 12th and 16th weeks and quality of life baseline and 16th week. The SMP improved the self-care behavior, decreased blood pressure and improved the quality of life among older adults with uncontrolled hypertension. Registered nurses could administer this program for long-term benefits and help reduce the burden on primary care services.
Sukpattanasrikul, S. Published in Journal of Health Research. Published by Emerald Publishing Limited. Anyone may reproduce, distribute, translate and create derivative works of this article for both commercial and non-commercial purposes , subject to full attribution to the original publication and authors.
In Thailand, the prevalence rate of uncontrolled hypertension among older adults is nearly double the rates of younger adults [ 2 ].
