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Effect of a goal attainment nursing program on self-management and blood pressure control in high-risk hypertensive patients in a primary care unit

Effects of goal attainment grogram on self-management behavior for preventing cardiovascular disease in high-risk hypertensive patients at primary care unit, Siriraj Hospital

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
TCTR
Registry ID
TCTR20190402001
Enrollment
Unknown
Registered
2019-04-02
Start date
2018-05-01
Completion date
Unknown
Last updated
2026-03-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Some patients were prescribed changes in antihypertensive medications&#44

Interventions

We developed this program for this study. Participants underwent a 10&#45
week goal attainment nursing program to prevent cardiovascular diseases in hypertensive patients. This program emphasized goal attainment and promoting self&#45
management behavior. The initial process begins with interactions to identify obstacles and common health problems and inform CVD risk factors. The program then creates goals for the patients. These g
monitoring&#44
recording&#44
and evaluation of goals. The difficulties and physical outcomes were tracked and supported for 10 weeks via a telephone call. At the last session&#44
patients received feedback on changeable behaviors and evaluation on attainment of goals in a discussion group. All of these processes improve on the continued interaction between nurse and patients.
two follow&#45
up text message reminders&#44
and a telephone call. During the group education sessions&#44
activities were conducted in subgroups of 4&#45
6 patients. ,During the 10&#45
week session&#44
patients received routine nursing care as per the primary care unit. They obtained a self&#45
management guidebook to preventing cardiovascular disease in the first week for self&#45
study at home. At the end of the program&#44
patients received recommendations and five to ten minutes of individualized counseling on behavioral modification.
Experimental Behavioral,No Intervention Other
a goal attainment nursing program ,control group

Sponsors

Facualty of Public Health, Mahidol University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
35 Years to 0 Years

Inclusion criteria

Inclusion criteria: 1.diagnosis of hypertension at least six months prior to the study 2.SBP over 130 mmHg and/or DBP over 85 mmHg 3.prescribed at least one antihypertensive drug 4.has at least one additional cardiovascular risk factors: a) a history of CVD in family b) smoking c) diagnosed with DM d) hyperlipidemia (any of: total cholesterol > 200 mg/dL, triglyceride > 150 mg/dL, low-density lipoprotein > 130 mg/dL, high-density lipoprotein 25 kg/m2 or waist circumference 90 cm in male, > 80 cm in female). 5. own a mobile phone while being conversant and literate in the Thai language.

Exclusion criteria

Exclusion criteria: 1.patients with pre-existing cardiovascular complications 2.patients who are sent to receive special treatment and will not return to the primary care unit

Design outcomes

Primary

MeasureTime frame
blood pressure pretest at 1st week and posttest at 10th week BP by GE Carescape V100 Vital Signs Monitor Rolling Stand—

Secondary

MeasureTime frame
self-management behavior to prevent cardiovascular disease pretest at 1st week and posttest at 10th week questionare—

Contacts

Public ContactSunee Lagampan

Faculty of Public Health, Mahidol University

sunee.lag@mahidol.ac.th+66817799021

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Apr 4, 2026