Sage Journals: Discover world-class research

Abstract

In this non-equivalent control group, non-synchronized study, we assessed the effects of an education-counseling program for young prehypertensive adults. We included 40 and 47 prehypertensive individuals in the experimental and control groups, respectively. A structured questionnaire (pretest) was used to assess prehypertension-related knowledge, attitudes, health-promoting behavior, and self-efficacy. The experimental group underwent the 8-week program, while the control group received basic prehypertension and self-management education. Subsequently, blood pressure (BP) was measured, and prehypertension-related knowledge, attitudes, health-promoting behavior, and self-efficacy were evaluated using a questionnaire (posttest). There were significant intergroup differences in knowledge (t = 3.04, p = .003), attitudes (t = 6.41, p < .001), behavior (t = 11.60, p < .001), self-efficacy (t = 11.76, p < .001), and systolic BP (t = −5.49, p < .001); however, diastolic BP was not significantly different (t = −0.73, p = .473). Our findings demonstrated that the program is effective in improving knowledge, attitudes, behavior, self-efficacy, and systolic BP. Therefore, it can be used to prevent progression to hypertension.

Keywords

prehypertension hypertension education counseling preventive strategy

Get full access to this article

View all access options for this article.

References

Ahn

J. H.

Lee

M. H.

Yoo

K. S.

(2017). Relationships between hypertension knowledge, attitude and preventive activities among prehypertension adults. Korean Journal of Health Education and Promotion, 34(5), 51–59. https://doi.org/10.14367/kjhep.2017.34.5.51

Ahn

Y. H.

(2007). Compliance level with therapeutic regimen of medication and life style among patients with hypertension in rural communities. Journal of Korean Public Health Nursing, 21(2), 125–133.

Beeney

L. J.

Dunn

S. M.

(1990). Knowledge improvement and metabolic control in diabetes education: Approaching the limits? Patient Education and Counseling, 16(3), 217–229. https://doi.org/10.1016/0738-3991(90)90071-r

Chang

K. O.

(2016). The effects of hypertension health school program on hypertension-related knowledge, self-efficacy, self-care behavior and physiological parameters in hypertensive patients. Journal of Muscle and Joint Health, 23(1), 49–60. https://doi.org/10.5953/jmjh.2016.23.1.49

Cox

C. L.

(1982). An interaction model of client health behavior: Theoretical prescription for nursing. Advances in Nursing Science, 5(1), 41–56. https://doi.org/10.1097/00012272-198210000-00007

Kim

S. Y.

(2015). A predictive model on health promotion behavior of university students with prehypertension [Unpublished doctoral dissertation]. Kyung Hee University

Kim

S. Y.

Kim

M. Y.

(2017). Development and effectiveness of tailored education and counseling program for patients with coronary artery disease undergoing percutaneous coronary intervention. Korean Journal of Adult Nursing, 29(5), 547–559. https://doi.org/10.7475/kjan.2017.29.5.547

M. Y.

(2010). The effects of hypertension self-help program on hypertension-related knowledge, self-efficacy, self-management compliance and physiological parameters in workers [Unpublished doctoral dissertation]. Catholic University of Korea.

Kim

Y. M.

Shin

E. Y.

Lee

K. S.

(2006). Effects of the case management program for the elderly with hypertension. Korean Journal of Gerontology, 26, 477–492. https://doi.org/10.5977/jkasne.2014.20.2.321

10.

I. S.

Kim

G. S.

Lim

M. H.

Lee

K. J.

Lee

T. W.

Park

H. S.

Lee

Kim

E. Y.

Chung

S. K.

Choi

J. M.

(2007). Effects of health education on the knowledge and self-care of hypertension for visiting nursing clients. Journal of Korean Public Health Nursing, 21(2), 134–145. https://doi.org/10.5932/JKPHN.2018.32.1.5

11.

Korean Society of Hypertension. (2018). The Korean Society of Hypertension treatment guidelines for hypertension. http://www.koreanhypertension.org/reference/guide?mode=read&idno=4246

12.

Kwak

H. S.

(2005). Development and evaluation of health promotion program for the pre-hypertensive middle aged group [Unpublished doctoral dissertation]. Keimyung University.

13.

Lee

H. R.

(1985). A study of the effects of health contracting on compliance with health behaviors in clients with hypertension [Unpublished doctoral dissertation]. Yonsei University.

14.

Lee

H. Y.

(2018). New definition for hypertension. Journal of Korean Medical Association, 61(8), 485–492. https://doi.org/10.5124/jkma.2018.61.8.485

15.

Lee

Y. O.

Choi

Y. H.

(2013). Factors affecting the preventive behavior of cardiocerebrovascular disease in blue color workers. The Korean Journal of Rehabilitation Nursing, 16(1), 63–70. https://doi.org.10.7587/kjrehn.2013.63

16.

Lewington

Clarke

Qizilbash

Peto

Collins

; Prospective studies collaboration. (2002). Age-specific relevance of usual blood pressure to vascular mortality: A meta-analysis of individual data for one million adults in 61 prospective studies. Lancet, 360(9349), 1903–1913. https://doi.org/10.1016/s0140-6736(02)11911-8

17.

Min

E. S.

Hur

M. H.

(2012). Predictors of compliance in hypertensive patients. Journal of Korean Academy of Fundamentals of Nursing, 19(4), 474–482. https://doi.org/10.7739/jkafn.2012.19.4.474

18.

Oliveria

S. A.

Chen

R. S.

McCarthy

B. D.

Davis

C. C.

Hill

M. N.

(2005). Hypertension knowledge, awareness, and attitudes in a hypertensive population. Journal of General Internal Medicine, 20(3), 219–225. https://doi.org/10.1111/j.1525-1497.2005.30353.x

19.

Park

Y. I.

(1994). An effect of the self-regulation program for hypertensives: Synthesis and testing of Orem and Bandura’s theory [Unpublished dissertation]. Seoul National University.

20.

Rosendorff

Black

H. R.

Cannon

C. P.

Gersh

B. J.

Gore

Izzo

J. L.

Kaplan

N. M.

O’Connor

C. M.

O’Gara

P. T.

Oparil

(2007). Treatment of hypertension in the prevention and management of ischemic heart disease: A scientific statement from the American Heart Association Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention. Circulation, 115(21), 2761–2788. https://doi.org/10.1161/circulationaha.107.183885

21.

Seo

Y. M.

(2010). Factors influencing medication adherence in hypertensive patients. Journal of Korean Academy of Community Health Nursing, 21(1), 82–91. https://doi.org/10.12799/jkachn.2010.21.1.82

22.

A. Y.

Kim

Y. M.

Kim

E. Y.

Kim

C. Y.

Kim

C. H.

Kim

H. G.

Shin

E. Y.

Yoo

W. S.

G. M.

June

K. J

. (2008). Effects of community-based case management program for clients with hypertension. Journal of Korean Academy of Nursing, 38(6), 822–830. https://doi.org/10.4040/jkan.2008.38.6.822

23.

Statistics Korea. (2017). Annual report on the cause of death statistics. https://www.kostat.go.kr/portal/korea/kor_nw/1/6/2/index.board?bmode=read&bSeq=&aSeq=370710&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=

24.

Vasan

R. S.

Beiser

Seshadri

Larson

M. G.

Kannel

W. B.

D’Agostino

R. B.

Levy

(2002). Residual lifetime risk for developing hypertension in middle-aged women and men: The Framingham Heart Study. The Journal of the American Medical Association, 287(8), 1003–1010. https://doi.org/10.1001/jama.287.8.1003

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.10 MB

0.00 MB

An Education-Counseling Program for Young Prehypertensive Adults

Abstract

Keywords

Get full access to this article

References

Supplementary Material