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Journal of Ratchathani Innovative Health Sciences : Vol.1 No.2 July-September 2017   29

                ลดลงกวากอนการทดลอง และลดลงกวากลุมเปรียบเทียบ อยางมีนัยสําคัญทางสถิติ ผลการวิจัย
                แสดงใหเห็นวา โปรมแกรมการสรางเสริมการรับรูความสามารถตนเองมีประสิทธิผล ทําใหเพิ่ม

                การรับรูความสามารถตนเอง สงผลใหพฤติกรรมการดูแลตนเองดีขึ้น ทําใหผูปวยสามารถควบคุม
                ความดันโลหิตใหอยูในเกณฑที่เหมาะสมได
                คําสําคัญ: การรับรูความสามารถตนเอง, พฤติกรรมการดูแลตนเอง, โรคความดันโลหิตสูง

                Abstract

                        This quasi-experimental research aimed to study the effect of self-efficacy
                program on self-care behaviors in hypertensive patients at Yo Health Promoting
                Hospital, Kham Khuean Kaeo District, Yasothon Province. The study was two group

                pre-post test design. The sample were totally 88 subjects, divided into experimental
                group consisted of 44 subjects and comparison group consisted of 44 subjects. The
                subjects in the experimental group attended 5 activities for 12 weeks in self-
                efficacy program. These 5 activities included 1) providing knowledge and direct

                experience to control  blood  pressure  2)   interpersonal relation practice  3)
                motivation 4) evaluation of physiological changes and 5) follow-up to a self-care
                practice alert. The comparison group got routine conventional health care services
                from  their Sub- district  Health  Promoting  Hospital.   Data  collected using  an

                interview. The data  was analyzed  by descriptive statistics,  percentage,  mean,
                standard deviation  and  analyzed  with  analytical  statistics,  paired  t– test  and
                independent’s t-tests.
                        The result was shown that after attending the program, the sampling group

                got higher average score for self-efficacy and was able to utilize self-care behaviors
                to prevent complications from hypertension better than before attending the
                program, with statistically significant difference, compared to the normal group.

                Consequently, the sampling group’s hypertension level had decreased compared
                to the level before they attended the program, and to the normal group with
                statistically significant difference. The results of the study showed that the self-
                efficacy  program  could  increase  the  perceived  self- efficacy,  led  to  an
                improvement  of  health, and then  affect  hypertensive patients to be  able to

                control the systolic and diastolic pressure in appropriate level.
                Keywords: Self-Efficacy, Self-Care Behavior, Hypertensive Patients
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