J Korean Acad Nurs.  2015 Aug;45(4):576-586. 10.4040/jkan.2015.45.4.576.

Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension

• Kim M
• Song M

• KMID: 2164398
• DOI: http://doi.org/10.4040/jkan.2015.45.4.576

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.

Keyword

Meditation; Hypertension; Self-efficacy; Self-esteem; Self-management

MeSH Terms

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
Antihypertensive Agents

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