Effect of Self-Care Education Designed Based on Bandura’s Self-efficacy Model on Patients with Hypertension: A Randomized Clinical Trial

Q3 Medicine

Evidence Based Care Journal Pub Date : 2019-07-01 DOI:10.22038/EBCJ.2019.36466.1944

Fatemeh Farazian, Z. Moghadam, F. Nabavi, H. Vashani

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引用次数: 7

Abstract

Background: Self-care in patients with hypertension can be improved through education and implementation of learning theories. Aim: The present study aimed to determine the effect of educating self-care in patients with hypertension through the implementation of Banduraâ��s self-efficacy model. Method: A randomized controlled clinical trial was conducted on 60 patients with hypertension who visited a randomly selected group of health centers in Mashhad, Iran, during 2017. The intervention group participated in a self-efficacy training program designed based on the self-efficacy theory in the form of four 45-minute weekly sessions. The control group received the routine treatment provided by community health centers. Self-care was measured with the questionnaire of self-care in patients with hypertension at three stages of before the intervention, immediately after the intervention, and one month later. Data were analyzed in SPSS (version 16) software using repeated measures ANOVA. Results: The mean ages were reported at 62.0Â±6.9 and 59.3Â±9.2 in the intervention and control groups, respectively. The repeated measures ANOVA showed significant differences between the two groups after the intervention in terms of adherence to medication regimen (P=0.004), engagement in physical activity (P=0.002), adherence to weight management goals (P=0.006). Significant differences were observed between the two groups in terms of their total self-care score immediately after the intervention and one month later (P=0.002). Implications for Practice: The use of Banduraâ��s self-efficacy theory can improve the self-care in patients with hypertension. Therefore, it is recommended to conduct further studies to examine the long-term effects of training programs based on this theory on the self-care behaviors of patients with hypertension.Â

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基于Bandura自我效能模型设计的高血压患者自我保健教育的随机临床试验

背景:高血压患者的自我护理可以通过教育和学习理论的实施来改善。目的:本研究旨在通过实施bandura自我效能模型，探讨自我保健教育在高血压患者中的效果。方法:对2017年在伊朗马什哈德随机选取的健康中心就诊的60例高血压患者进行随机对照临床试验。干预组参加了基于自我效能理论设计的自我效能训练项目，每周4次，每次45分钟。对照组接受社区卫生中心常规治疗。采用高血压患者干预前、干预后、干预后1个月三个阶段的自我保健问卷对高血压患者的自我保健进行测量。数据采用SPSS (version 16)软件进行重复测量方差分析。结果:干预组和对照组的平均年龄分别为62.0Â±6.9岁和59.3Â±9.2岁。重复测量方差分析显示，干预后两组在药物治疗方案的依从性(P=0.004)、体育活动的参与(P=0.002)、体重管理目标的依从性(P=0.006)方面存在显著差异。两组患者干预后即刻及1个月自我护理总分比较，差异有统计学意义(P=0.002)。实践意义:运用bandura自我效能理论可以提高高血压患者的自我护理水平。因此，建议进一步研究基于该理论的培训项目对hypertension.Â患者自我护理行为的长期影响

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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.