ผลของโปรแกรมการพยาบาลเพื่อส่งเสริมการบำบัดตนเองด้วยเรกิต่อความเครียดและความดันโลหิตในสตรีตั้งครรภ์ที่มีภาวะความดันโลหิตสูง

Abstract

This quasi experimental research aimed to study the effects of a nursing programme to promote self-Reiki healing on stress and blood pressure of pregnant women with hypertensive disorder. The sample comprised 50 pregnant women with hypertensive disorder receiving care from the antenatal clinic at Hat Yai Hospital, Songkhla province, during August 2015 - April 2016. Subjects who met the inclusion criteria were equally divided into an experimental group (25 subjects), who received the nursing promotion for self-Reiki healing program, and a control group (25 subjects), who received routine nursing care. The study instruments consisted of 2 parts. Part 1 was a questionnaire for demographic data and a stress assessment scale. Part 2 was the intervention program. The content validity of the program and all instruments were validated by three experts. Reliability of the stress questionnaire was tested and yielded a Cronbach's alpha coefficient of 86. Repeated measures ANOVA and independent t-test were used to analyze for hypothesis testing. The results revealed that: 1. The mean score of stress in the experimental group after receiving the nursing promotion for self-Reiki healing program was not statistically significantly lower than before receiving the program (F (151, 780) = 2.59, p>.05). 2. The mean score of stress in the experimental group after receiving the nursing promotion for self-Reiki healing program was not statistically significantly lower than of the control group (F .08 = 3.03, p> .05). 3. The mean score of systolic and diastolic blood pressure in the experimental group after receiving the nursing promotion for self-Reiki healing program were lower than before receiving the program (F 2,%) = 7.07, p < and and F (.30.8159) = p p<01 respectively).

4. The mean score of systolic and diastolic blood pressure in the experimental group after receiving the nursing promotion for self-Reiki healing program were significantly lower than that in the control group (F 04) 1433; p<.01, and F (,40 = 5.68; p < 05 respectively). The results of this study indicate that the nursing promotion for self-Reiki healing program cloud reduce blood pressure, even though without the effècts on reducing stress. Knowledge obtained from this study will be useful to promote reduction of blood pressure among pregnant women with hypertensive disorder.