อิทธิพลของความแตกฉานด้านสุขภาพ การรับรู้สมรรถนะแห่งตน และการสื่อสารระหว่างผู้ป่วยกับบุคลากรสุขภาพ ต่อพฤติกรรมการดูแลตนเองของผู้ป่วยโรคความดันโลหิตสูงปฐมภูมิ

Abstract

Hypertensive patients require good self-care behaviors to control and prevent complications.
The purposes of this study were to examine self-care behaviors and influences of
health literacy, perceived self-efficacy and patient-health care provider communication on
self-care behaviors among patients with primary hypertension. A sample of 77 patients who
came for follow-up visit at hypertension clinic in Nongmuang Hospital, Lopburi Province,
Thailand was randomly selected to participate in the study. Self- reported questionnaires
were used to collect data which composed of the Demographic Data Questionnaire, Health
Literacy Questionnaire, Perceived Self-efficacy Questionnaire, Patient-Health Care Provider
Communication Questionnaire, and Hypertensive Self-care Behavior Questionnaire. Data
were analyzed using descriptive statistics and multiple regression.
The results showed that patients with primary hypertension had good self-care
behaviors (x = 113.83, SD = 12.67). Health literacy and perceived self-efficacy were significant
predictors and explained 39 percent of variance in self-care behaviors (R2 = .39, p <
.001). Perceived self-efficacy explained most of the variance in self-care behaviors ( = .487,
p < .001), followed by health literacy ( = .309, p < .01). However, there was no relationship
between patient-health care provider communication and self-care behaviors.
Enhancing self-efficacy and health literacy in nursing intervention to promote competency
for self-care behaviors of patients with primary hypertension are suggested by this
study.