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Kim and Song: Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension
Original Article

Journal of Korean Academy of Nursing 2015; 45(4): 576-586.

Published online: 31 August 2015

DOI: https://doi.org/10.4040/jkan.2015.45.4.576

Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension

Myoungsuk Kim1, Misoon Song2

1College of Nursing, Sungshin Women's University, Seoul, Korea.

2College of Nursing, Seoul National University, Seoul, Korea.

Address reprint requests to: Kim, Myoungsuk. College of Nursing, Sungshin Women's University, Mia Woonjung Green Campus, 55 Dobong-ro 76ga-gil, Gangbuk-gu, Seoul 01133, Korea. Tel: +82-2-920-2712, Fax: +82-2-920-2092, cellylife@gmail.com

Received 15 January 2015       Revised 31 January 2015       Accepted 14 May 2015

© 2015 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacy theory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure.

Methods

The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65 and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients in the control group). The self-management program applying Dongsasub training consisted of eight sessions. After development was complete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-management behaviors measured by questionnaires, and blood pressure measured by electronic manometer.

Results

Self-efficacy (t=2.42, p =.021), self-esteem (t=2.57, p =.014) and self-management behaviors (t=2.21, p =.034) were significantly higher and systolic blood pressure (t=-2.14, p =.040) was significantly lower in the experimental group compared to the control group. However, diastolic blood pressure (t=-.85, p =.400) was not significantly different between the two groups.

Conclusion

The results indicate that the self-management program applying Dongsasub training can be used as a nursing intervention in community settings for improving self-management behaviors for older adults with hypertension.

Keywords: Meditation, Hypertension, Self-efficacy, Self-esteem, Self-management

Figures and Tables

Table 1

Self-management Program Applying Dongsasub for this Study

jkan-45-576-i001

VP=Verbal persuasion; PA=Performance attainment; VE=Vicarious experience; EA=Emotional arousal; SME=Self-management education; DT=Dongsasub training; BP=Blood pressure.

Table 2

Homogeneity Test of Characteristics

jkan-45-576-i002

*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; SMB=Self-management behavior; BP=Blood pressure.

Table 3

Changes in Effect of Dependent Variables between Experimental and Control Group

jkan-45-576-i003

Exp.=Experimental group; Cont.=Control group; SMB=Self-management behavior; BP=Blood pressure.

Notes

This manuscript is a condensed form of the first author's doctoral dissertation from Seoul National University.

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