Effect of an Educational Program on Knowledge and Self-Efficacy of Patients with Essential Hypertension toward Therapeutic Regimen

Document Type : Original Article

Authors

1 Clinical instructor, Mansoura University

2 Faculty of nursing, zagazig university

3 Faculty of Medicine, Mansoura University

4 Faculty of Nursing, Port Said University

Abstract

Background: Essential hypertension forms a major public health problem in the world.
Education of hypertensive patients is critical and necessary in preventing hypertensive
complications whereas increase level of knowledge and improve their self-efficacy. Aim of
study was to evaluate effect of an educational program on knowledge and self-efficacy of
patients with essential hypertension about therapeutic regimen. Subjects and methods:
Research design: A quasi experimental research design was used in this study Setting: This
research was carried out in the outpatient clinic at Medical Specialized Hospital, Mansoura
University. Subjects: A purposive sample of 120 adult patients with essential hypertension
from both sex, aged 30-60 years and on antihypertensive treatment were recruited for the
current study. Tool of data collection: Data collected through; assessment of patients’
socio-demographic characteristics, Hypertension Knowledge Level Scale, Hypertensive Selfefficacy
Scale, andMedication Adherence Self-Efficacy Scale. Results; Improved patients'
knowledge, and their self-efficacy toward therapeutic regimen post implementing program
with highly statistically significant difference with P ≤ 0.001. As well; the findings showed a
highly positive correlation between patients' knowledge, and their self-efficacy. Conclusion
and recommendations: The educational program can be effective in the management of
hypertensive patients through improving their related knowledge, and their self-efficacy
toward therapeutic regimen. It is recommended to clarify the impact of educational program
and lifestyle guidelines on clinical practices and patient outcomes. As well provide standard
guidelines as practical work tools for nurses working in out-patient services.

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