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Effects of a Self-regulation Program on Blood Pressure Control and Self-Care in Patient with Essential Hypertension

자기조절프로그램이 고혈압환자의 혈압 및 자가간호행위에 미치는 효과

  • Choo, Hyang Im (Community Health, Yangpyeong Public Health Center) ;
  • Kim, Gwang Suk (Department of Nursing Environments & Systems, Nursing Policy Research Institute, College of Nursing, Yonsei University)
  • 추향임 (보건진료원, 양평군보건소) ;
  • 김광숙 (연세대학교 간호대학, 간호정책연구소)
  • Received : 2011.04.09
  • Accepted : 2011.05.12
  • Published : 2011.06.30

Abstract

Purpose: This study was done to verify the effects of a self-regulation program for management of hypertension. Method: Thirty patients with hypertension registered in a community health center were selected as the experiment group, and control group were patients in another community health center, matched for age and gender. The self-regulation program included daily blood pressure checks, periodic counseling, and health education. A self-check digital device with instructions was provided for self-monitoring of blood pressure, and the participants were interviewed before they took part in the program. Results: The first hypothesis was supported: There will be a greater reduction in both systolic and diastolic blood pressure for patients with hypertension who participate in the self-regulation program compared to patients in the control group. The second hypothesis was also supported: Patients with hypertension who participate in the self-regulation program will perform self-care activities better than those in the control group. Conclusion: The findings indicate that a self-regulation program reduces systolic and diastolic blood pressure and improves self-care in patients with hypertension. It is recommended that this self-regulation program be used in community health clinics for management of hypertension and prevention of complications.