تاثیر برنامه خود مدیریتی مدل 5 آ بر روش های مقابله ای سالمندان مرد مبتلا به پر فشاری خون

Background: Managing chronic diseases is related with the selection of appropriate coping methods. This study aimed to determine the effect of self-management program based on 5A model on coping strategies in the elderly men patients with hypertension. Materials and methods: This Clinical Trial study was performed in 60 elderly men clients with the age of 60-75 years Suffering from hypertension attending health centers to Ramsar city, Iran, in 2017. The subjects were randomly assigned into two groups of experimental (n= 30) and control (n= 30).  From Jalowiece Coping Questionnaire (problem-focused and emotion-focused) were used to measure the clients coping styles before and after intervention. The intervention of program based on 5A model consisted of group training and individual guidance. The clients were then followed up through phone call: within 12 weeks The data was analyzed using SPSS 19 and descriptive and analytical statistics. Results: The mean and standard deviation of age in the control and intervention groups were 67.55 ± 5.01 and 68.34 ± 5, respectively. Significant differences among experimental and control group regarding the rate of problem-focused coping strategies after the intervention (p=0/0001). In fact self-management program based on 5A model increased the client' rate of problem-focused coping strategies. Conclusion: Appropriate coping methods can be promoted with systematic educational planning, continuous follow-up, with encouragement and motivation, in chronic patients, especially the elderly.