Predictors of Self-Management Behaviors in Older Adults with Hypertension

Douglas, Brenda; Howard, Elizabeth

doi:10.1155/2015/960263

Cited by 18 publications

(20 citation statements)

References 22 publications

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“…It also be reported that education benefits the understanding about the prevention and controlling of disease, thereby having better self-care [25]. Our finding implies that health professionals should focus more on education about the knowledge of hypertension for those without hypertension to increase their self-management behavior on prevention of hypertension [26].…”

Section: Discussionsupporting

confidence: 55%

Differences of Self-Management in Controlling Blood Pressure between Patients with Hypertension and Healthy People in Vietnam

Anh

Shih

Miao³

et al. 2017

POJ Nurs Prac Res

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To assess the differences in blood pressure self-management behavior between healthy people and patients with hypertension, and to suggest possible predictors of blood pressure self-management in Vietnam. Methods: A cross-sectional study design was conducted, in a sample of 362 patients with hypertension and 174 healthy people were recruited, using a questionnaire survey. Results: The scores of blood pressure self-management behavior were significantly higher among patients with hypertension compared to healthy people. The living area in rural (β =-2.32, P < 0.0001) and with more than six years duration of hypertension (β = 1.88, P<0.0001) were the predictors for the score of self-management behavior among patients with hypertension, while in healthy people, the score was significantly predicted by higher knowledge of hypertension (β = 0.35, P<0.0001) and education on prevention of hypertension (β = 0.86, P = 0.002). The major source for both patients with hypertension and healthy individuals to acquire health-or hypertension-related knowledge was television or radio program. Conclusion: Patients with hypertension presented with higher scores of self-management behavior. The Vietnamese government should provide more health education program in general population. The development of an credible media technology (e.g., television, radio, internet) is a recommendable stratrgy in disseminating information on the prevention and controlling of hypertension.

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Section: Discussionsupporting

confidence: 55%

Differences of Self-Management in Controlling Blood Pressure between Patients with Hypertension and Healthy People in Vietnam

Anh

Shih

Miao³

et al. 2017

POJ Nurs Prac Res

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“…Secondly, we included both healthy and unhealthy participants, and stratified the analyses by risk profile. To date, most studies into self-management have involved older adults with a chronic disorder or some other health condition [6][7][8]. Thirdly, the concepts of ability [17], behavior [18], and support [19] were assessed using comprehensive and psychometrically sound measurement instruments.…”

Section: Discussionmentioning

confidence: 99%

“…Enhancing self-management may be a relatively low-cost way of improving health outcomes in older adults and in patients with chronic conditions [3]. "Selfmanagement" is a term that is often used in connection with an individual's level of health (which has been shown to be associated with their level of self-management) [5][6][7][8]. However, selfmanagement is also essential for maintaining the well-being of older adults, regardless of their health status.…”

Section: Introductionmentioning

confidence: 99%

Self-management in older adults: how to delineate self-management ability, self-management behavior, and self-management support?

Wynia

Veldman

Spoorenberg

et al. 2020

Preprint

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4Background: Self-management is a key element in person-centered and integrated care. It involves 5 several related concepts, such as self-management ability, behavior, and support. These concepts are 6 poorly delineated. The aim of this study was to examine hypothesized associations between self-7 management ability, behavior, and support in older adults (taking their frailty and complexity of care 8 needs into account) and to examine underlying aspects of these concepts, if these hypotheses lack 9 support. 10 Methods: Cross-sectional data from the Embrace study, a stratified randomized controlled trial, 11 evaluating person-centered and integrated care in Dutch community-living older adults, were used. 12 Participants (n=537) were aged 75 and older, assigned to health-related risk profiles based on self-13 reported frailty and complexity of care needs. Ability was assessed with the Self-Management Ability 14 Scale, behavior with the Partner in Health Scale for Older Adults, and support with the Patient 15 Assessment of Integrated Elderly Care. 16Results: Ability and behavior were positively associated for participants with the risk profiles 17 "Robust" and "Complex care needs" (betas are 0.38 and 0.46). Coping (an aspect of behavior) turned 18 out to be a key element for participants with risk profiles "Robust" and "Complex care needs" (betas 19 ranging from 0.13 to 0.45). Support was associated with aspects of behavior, varying per risk profile. 20 Conclusion:We found no associations for self-management on the conceptual level, but the aspect 21 coping did appear to play a major role. Improving coping strategies of older adults may be a 22 promising way of enhancing self-management ability, and of reducing the need for self-management 23 support. 24 25 2 Keywords: Self-management ability, self-management behavior, self-management support, 26 older adults, person-centered care, integrated care. 27 3 BACKGROUND 28Self-management, a concept frequently used by policymakers and researchers, is a key element in 29 person-centered and integrated care [1,2]. Enhancing self-management may be a relatively low-cost 30 way of improving health outcomes in older adults and in patients with chronic conditions [3]. "Self-31 management" is a term that is often used in connection with an individual's level of health (which 32 has been shown to be associated with their level of self-management) [5][6][7][8]. However, self-33 management is also essential for maintaining the well-being of older adults, regardless of their health 34 status. This is in line with the theory of self-management of well-being [4]. The theory states that 35 successful aging can only be achieved through sustainable well-being, which is based on the use of 36 self-management abilities. 37Self-management involves concepts such as self-management ability (i.e. the ability to manage 38 one's internal and external key resources), self-management behavior (i.e. applying self-39 management abilities), and self-management support (i.e. the care and educati...

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“…This is associated with various factors such as age, body weight (obese), lower level of education, an unbalanced dietary pattern, regular drinking and non-comorbidities (Yang et al, 2017). Therefore, behavior management (Douglas and Howard. 2015) and self-efficacy (Sol et al, 2006) are needed for maintaining blood pressure and its factors among the elderly to keep the hypertension problem under control.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of hypertension and predictive factors of self-efficacy among elderly people with hypertension in institutional-based rehabilitation in Indonesia

Susanto¹,

Rasni²,

Susumaningrum³

et al. 2019

Kontakt

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Aim: Identification of hypertension factors among elderly people is expected to form appropriate nursing interventions to improve the self-efficacy of patients by modifying factors affecting the blood pressure of elderly people with hypertension. The aim of this study is to investigate the prevalence of hypertension and predictive factors of self-efficacy among elderly people with hypertension in institutionbased rehabilitation (IBR) in Indonesia. Methods: An IBR cross-sectional study was conducted, involving 64 elderly people selected through random sampling. Research data were collected using a structured questionnaire and standard protocol, employing a stethoscope and sphygmomanometer to measure blood pressure. The data were then analysed using descriptive and comparative statistics, as well as multivariate linear regression analyses. Results: The prevalence of systolic and diastolic hypertension among elderly people who lived in the IBR were 31.30% and 45.30%, respectively. The predictors of self-efficacy of the elderly with regard to systolic hypertension were spiritual activity, length of stay, education, the occupation of the elderly before entering the rehabilitation, and dementia; while daily activities, risk of falling, pain, and depression anxiety and stress become significant predictors of self-efficacy in elderly people with diastolic hypertension. Conclusion: This study provides new evidence that signifies the current burden of hypertension and the critical factors of self-efficacy for uncontrolled hypertension among the elderly in the IBR. The study suggests that health-promotion programs should be developed to modify factors of hypertension among elders of IBR in Indonesia.

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Predictors of Self-Management Behaviors in Older Adults with Hypertension

Cited by 18 publications

References 22 publications

Differences of Self-Management in Controlling Blood Pressure between Patients with Hypertension and Healthy People in Vietnam

Differences of Self-Management in Controlling Blood Pressure between Patients with Hypertension and Healthy People in Vietnam

Self-management in older adults: how to delineate self-management ability, self-management behavior, and self-management support?

Prevalence of hypertension and predictive factors of self-efficacy among elderly people with hypertension in institutional-based rehabilitation in Indonesia

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