تأثیر اجرای برنامه خودتدبیری در ارتقاء سطح خودکارآمدی بیماران مبتلا به هیپرتانسیون اولیه

Background and purpose: Hypertension is a common chronic and relapsing disease caused by extensive and long-term changes in behavior related to lifestyle and is considered as a challenging issue throughout the world. The aim of this study was to assess the effect of self-management program on self- efficacy among hypertensive patients. Materials and methods: This quasi-experimental study was performed in 150 patients with mild-to-moderate primary hypertension attending health centers affiliated to Tehran University of Medical Sciences. The subjects were randomly assigned into two groups of experimental (n= 75) and control (n= 75). The intervention consisted of a one-day workshop for four hours and the scenario project. The subjects were then followed up through phone call: within two months. The data was analyzed using SPSS-16 and descriptive and analytical statistics. Results: The results showed significant differences among experimental and control group regarding the rate of self-efficacy after the intervention (P=0.000). In fact self-management program increased the patients' level of self-efficacy. Conclusion: Self-management program which results in higher level of self-efficacy could motivate the patients to change their behaviors, adherence to diet, medication, exercise and physical activity. Blood pressure thereby would be controlled.