Myoungsuk Kim; Misoon Song

doi:10.4040/jkan.2015.45.4.576

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Original Article
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 Kim, Misoon Song; Journal of Korean Academy of Nursing 2015;45(4):576-586.
DOI: https://doi.org/10.4040/jkan.2015.45.4.576
Published online: August 31, 2015

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: January 15, 2015 • Revised: January 31, 2015 • Accepted: May 14, 2015

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.

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Abstract
NOTES
REFERENCES

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

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

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Table 1

Self-management Program Applying Dongsasub for this Study

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

^*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

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

Figure & Data

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

J Korean Acad Nurs. 2015;45(4):576-586. Published online August 31, 2015

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

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

Table 1

Self-management Program Applying Dongsasub for this Study

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

^*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

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

Table 1 Self-management Program Applying Dongsasub for this Study

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

^*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

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