EunJu Lee1, Euna Park2. 1. a College of Nursing , Keimyung University , Dalgubeol-daero, Dalseo-gu , 704-701 , Daegu , South Korea. 2. b Department of Nursing , Pukyong National University , 45, Yongso-ro, Namgu, Busan 608-737 , South Korea.
Abstract
BACKGROUND: Effective self-care behavior can help reduce hypertension complications, but the rate of engagement in self-care behavior is relatively low among elderly patients. OBJECTIVES: To examine levels of self-care and factors affecting self-care among elderly patients with uncontrolled hypertension compared with those with controlled hypertension. DESIGN: Cross-sectional survey. METHODS: A total of 255 elderly patients were selected to measure hypertensive patients' self-care behavior and self-efficacy, knowledge of hypertension management, family support, and perceived severity of hypertension as well as their depression levels. RESULTS: The uncontrolled hypertension group showed lower scores for self-care behavior and self-efficacy than the controlled hypertension group. Only self-efficacy significantly affected self-care behavior in the latter group, whereas self-efficacy, education level, and family support affected self-care behavior in the former group. CONCLUSIONS: The study results indicated that strategies for uncontrolled hypertension elderly patients should consider patients' educational, family support, and self-efficacy levels in order to improve their self-regulation.
BACKGROUND: Effective self-care behavior can help reduce hypertension complications, but the rate of engagement in self-care behavior is relatively low among elderly patients. OBJECTIVES: To examine levels of self-care and factors affecting self-care among elderly patients with uncontrolled hypertension compared with those with controlled hypertension. DESIGN: Cross-sectional survey. METHODS: A total of 255 elderly patients were selected to measure hypertensivepatients' self-care behavior and self-efficacy, knowledge of hypertension management, family support, and perceived severity of hypertension as well as their depression levels. RESULTS: The uncontrolled hypertension group showed lower scores for self-care behavior and self-efficacy than the controlled hypertension group. Only self-efficacy significantly affected self-care behavior in the latter group, whereas self-efficacy, education level, and family support affected self-care behavior in the former group. CONCLUSIONS: The study results indicated that strategies for uncontrolled hypertension elderly patients should consider patients' educational, family support, and self-efficacy levels in order to improve their self-regulation.
Authors: Eyuche L Ozoemena; Cylia N Iweama; Olaoluwa S Agbaje; Prince C I Umoke; Osmond C Ene; Perpetua C Ofili; Benedicta N Agu; Charity U Orisa; Michael Agu; Enejoh Anthony Journal: Arch Public Health Date: 2019-05-23