Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Effect of a Self-Efficacy-Based Education Program on Blood Pressure Control in Patients with Hypertension

Document Type : Original Article (s)

Authors
Reza Rouzbahani 1
Parastoo Golshiri 1
Zahra Eskandari 2
1 Assistant Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Resident, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v37i525.11490
Abstract
Background: Regarding the high prevalence of hypertension and the significance of its control by patients, the present study aimed to specify the effect of a self-efficacy-based education program on blood pressure control in patients with hypertension.Methods: In a quasi-experimental clinical trial study, 80 patients with high blood pressure were divided into two equal groups of 40 patients. The self-efficacy strategies were trained in the intervention group while no intervention was offered in the control group. The patients filled out the Sherer General Self-Efficacy Scale (GSES) and the Cohen Perceived Stress Scale before and three months after the intervention. Moreover, the patients’ blood pressure was measured and compared before and three months after the intervention.Findings: In intervention group, the mean systolic blood pressure was 136.7 ± 15.9 and 124.3 ± 13.3 mmHg before and after the intervention, respectively, which significantly decreased (P = 0.001). In control group, the mean systolic blood pressure was 134.0 ± 8.18 and 134.8 ± 9.5 mmHg before and after the intervention, respectively, which showed no significant difference (P = 0.790). The changes in the self-efficacy score were significantly higher in the intervention group as compared with the control group (P < 0.001). Moreover, comparison of the stress score of two groups indicated a significant difference in this regard (P <0.001).Conclusion: Self-efficacy seems to be effective in controlling patients’ blood pressure, and be regarded as a pre-requisite for appropriate behavior. To put concisely, self-efficacy enhancement strategies can be employed to control blood pressure in patients with hypertension.
Keywords
Blood Pressure
Self efficacy
Physiological stress
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Journal of Isfahan Medical School
Volume 37, Issue 525 - Serial Number 525
March and April 2019
Pages 454-461

  • Receive Date 28 March 2019
  • Accept Date 06 April 2022