ผลของโปรแกรมสนับสนุนการจัดการตนเองต่อความสม่ำเสมอในการรับประทานยาและระดับความดันโลหิตของผู้สูงอายุที่ควบคุมความดันโลหิตไม่ได้

Abstract

This quasi-experimental research aimed to examine the effects of a self-management support program on medication adherence and blood pressure among older adults with uncontrolled hypertension. Sixty-two older adults with uncontrolled hypertension were purposively selected from the medical clinic of the super tertiary hospital in the south of Thailand. All 62 eligible subjects were randomly allocated into two groups with 31 cases per group. The control group received regular nursing care and the intervention group received regular nursing care and the self-management support program for 8 weeks. The results were evaluated by blood pressure measurement and assessment of medication adherence score using pill count with the medication adherence questionnaire (Cronbach's alpha coefficient 0.80). The personal information was analyzed using descriptive statistics and the hypotheses were tested using paired ttest and independent t-test. The results showed that after completion of the program, a mean score of medication adherence in the intervention group was statistically significantly higher than before the implementation and higher than the control group (p < .001), and mean systolic and diastolic blood pressure in the intervention group was statistically significantly lower than before the implementation and lower than the control group (p < .001). The findings suggest the benefits of the self-management support program on the improvement of medication adherence and better blood pressure control among older adults with uncontrolled hypertension. Therefore, this program should be employed in order to help older adults with uncontrolled hypertension and further promote safety from complications that may be caused by uncontrolled hypertension.