title: [Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension].
abstract: OBJECTIVE
  The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacy theory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure.
  
  
  METHODS
  The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65 and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients in the control group). The self-management program applying Dongsasub training consisted of eight sessions. After development was complete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-management behaviors measured by questionnaires, and blood pressure measured by electronic manometer.
  
  
  RESULTS
  Self-efficacy (t=2.42, p=.021), self-esteem (t=2.57, p=.014) and self-management behaviors (t=2.21, p=.034) were significantly higher and systolic blood pressure (t=-2.14, p=.040) was significantly lower in the experimental group compared to the control group. However, diastolic blood pressure (t=-.85, p=.400) was not significantly different between the two groups.
  
  
  CONCLUSIONS
  The results indicate that the self-management program applying Dongsasub training can be used as a nursing intervention in community settings for improving self-management behaviors for older adults with hypertension.
authors.affiliation: College of Nursing, Sungshin Women's University, Seoul, Korea. cellylife@gmail.com.
authors.forename: Myoungsuk
authors.initials: M
authors.lastname: Kim
authors.affiliation: College of Nursing, Seoul National University, Seoul, Korea.
authors.forename: Misoon
authors.initials: M
authors.lastname: Song
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure / Q000502:physiology*; D005260:Female; D015438:Health Behavior; D006801:Humans; D006973:Hypertension / Q000517:prevention & control*; D008297:Male; D010353:Patient Education as Topic; D015397:Program Evaluation; D012648:Self Care; D020377:Self Efficacy; D011795:Surveys and Questionnaires
chemical_list: D000959:Antihypertensive Agents
keywords: Hypertension; Meditation; Self-efficacy; Self-esteem; Self-management