PERCEIVED SELF-EFFICACY, OUTCOME EXPECTATION AND SELF-CARE BEHAVIOR OF HYPERTENSION PATIENTS TREATED AT LANGKAO AND SAONOI HEALTH PROMOTING HOSPITALS, MUAKLEK DISTRICT, SARABURI PROVINCE, THAILAND

Abstract

The aim of this survey study is to investigate level, perception, and factors of perceived self-efficacy, outcome expectation, and self-care behavior in 3 categories (nutrition, physical exercise, and stress management) of hypertension patients who received treatment at Langkao and Saonoi Health Promoting Hospitals, Muaklek District, Saraburi Province.  Total of 62 samples with blood pressure controlled under 160/100 mmHg received normal treatment and program were randomly selected from both settings. Questionnaires evaluating perceived self-efficacy, outcome expectation and self-care behavior in these 3 categories were tabulated. Descriptive statistical analysis and independent t-test were performed for demographic data and comparing the level of variables being measured as a whole and between the two groups.  Stepwise Multiple Regression was used in predicting perceived self-efficacy and outcome expectation influencing self-care behavior. Results reveal that the majority was female, unemployed, elementary school graduate, and poor income. Almost all respondents’ perceived self-efficacy, outcome expectation, and self-care behavior in 3 categories are ranged from moderate to high level. The independent sample t-test demonstrates that self-efficacy in physical exercise aspect of patient at Langkao Hospital (Mean = 3.89) is significantly higher than that at Saonoi (Mean

 = 3.38) (p<0.05) and outcome expectation in nutrition aspect of patient at Saonoi Hospital (Mean = 4.41) is significantly  higher than that at Langkao (Mean = 4.03) (p<0.05). Moreover, Perceived self-efficacy and Outcome expectation in these 3 categories can significantly predict Self-care behavior alone for 95% (p <0.05). The best factor which can significantly predict Self-care behavior for 61.90% is Perceived self-efficacy in stress management aspect (p<0.05).