Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension.
10.4040/jkan.2015.45.4.576
- Author:
Myoungsuk KIM
1
;
Misoon SONG
Author Information
1. College of Nursing, Sungshin Women's University, Seoul, Korea. cellylife@gmail.com
- Publication Type:Controlled Clinical Trial ; English Abstract ; Original Article
- Keywords:
Meditation;
Hypertension;
Self-efficacy;
Self-esteem;
Self-management
- MeSH:
Aged;
Aged, 80 and over;
Antihypertensive Agents/therapeutic use;
Blood Pressure/*physiology;
Female;
Health Behavior;
Humans;
Hypertension/*prevention & control;
Male;
Patient Education as Topic;
*Program Evaluation;
*Self Care;
*Self Efficacy;
Surveys and Questionnaires
- From:Journal of Korean Academy of Nursing
2015;45(4):576-586
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacy theory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure. METHODS: The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65 and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients in the control group). The self-management program applying Dongsasub training consisted of eight sessions. After development was complete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-management behaviors measured by questionnaires, and blood pressure measured by electronic manometer. RESULTS: Self-efficacy (t=2.42, p =.021), self-esteem (t=2.57, p =.014) and self-management behaviors (t=2.21, p =.034) were significantly higher and systolic blood pressure (t=-2.14, p =.040) was significantly lower in the experimental group compared to the control group. However, diastolic blood pressure (t=-.85, p =.400) was not significantly different between the two groups. CONCLUSION: The results indicate that the self-management program applying Dongsasub training can be used as a nursing intervention in community settings for improving self-management behaviors for older adults with hypertension.