การพัฒนาโปรแกรมสนับสนุนการจัดการตนเองร่วมกับแอปพลิเคชันบนโทรศัพท์มือถือ สำหรับผู้ป่วยโรคความดันโลหิตสูงที่ควบคุมไม่ได้

Aminee Saroeng; Aporntip Buapeth; Pimpisa Saksorngmuang

Authors

Aminee Saroeng Faculty of Nursing, Prince of Songkla University
Aporntip Buapeth Faculty of Nursing, Prince of Songkla University
Pimpisa Saksorngmuang Faculty of Nursing, Prince of Songkla University

Keywords:

Uncontrolled hypertension, Self-management support program with mobile application, Keywords: uncontrolled hypertension, self-management support program with mobile application, self-management

Abstract

Background and Objectives The World Health Organization (WHO) identifies cardiovascular disease as the leading cause of death worldwide, with hypertension being a major risk factor. In Thailand, the prevalence of hypertension has risen from 25.4% to 29.5%, escalating patients' risk of life-threatening complications, including stroke, ischemic heart disease, heart failure, chronic kidney disease, cognitive impairment, and dementia. Although lifestyle modification is a cornerstone of long-term management, Pattani Province consistently fails to meet hypertension control targets. This challenge is primarily driven by self-management support models and health policies that lack effective health data-recording systems to stimulate patient self-management behaviors actively. This study, therefore, aims to develop and evaluate the effectiveness of a mobile application-based self-management support program for patients with uncontrolled hypertension

Methods This research and development (R&D) study was conducted in two phases: Phase 1 focused on developing the program model, and Phase 2 involved quality validation and pilot testing. The sample consisted of 5 registered nurses from the outpatient chronic disease clinic and 25 purposively selected patients with hypertension. The research instruments included the newly developed self-management support program combined with a mobile application, a hypertension knowledge assessment, an appropriate health behaviors questionnaire, a perceived self-management self-efficacy scale, a feasibility evaluation form, and a user satisfaction questionnaire. Data were analyzed using descriptive statistics and paired t-tests.

Results The program consisted of three components: 1) a program implementation manual, 2) a self-management support activity plan, and 3) a mobile application user guide for logging health behavior modifications. Following the pilot testing with patients, the post-test mean scores for hypertension knowledge, appropriate health behaviors knowledge, and perceived self-management self-efficacy were significantly higher than the pre-test scores (p < .001). Regarding program feasibility, the registered nurses unanimously agreed that the program was user-friendly and practical. For the patient group, the post-test mean score for feasibility was at a moderate level (48%, M=41.44, SD=3.15), while their mean satisfaction score was at a high level (40 %, M = 21.16, S.D. = 2.15)

Conclusion and Recommendations The developed program effectively increased the mean scores for hypertension knowledge, appropriate health behaviors knowledge, and perceived self-management self-efficacy, with statistically significant improvements at the .001 level. Therefore, future studies should evaluate the effectiveness of the program using a quasi-experimental research design with a larger sample size.

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