The Effect of the 3-step Health Education and Tele-coaching Program for the Disabled People with Hypertension in Rural Regions

Abstract

Purpose: The purpose of this study was to evaluate the effectiveness of the 3-step health education and tele-coaching program for the disabilities with hypertension in rural regions. Method: The interrupted time series/quasi-experimental study of one group was conducted for 15 months at the rural community health center. The 3-step health education and telecoaching program was given to participants during 15months. Results: There were significant changes in self-management (F = 3.406, p < .01) and preferred salt concentration (F = 6.388, p < .001) between baseline assessment and other time points. No significant changes in systolic and diastolic blood pressure were found between each time point and these physiological indicators were within a normal range over time. Conclusion: The tailored program for disabled people with hypertension is very effective in improving healthrelated behaviors regarding salt restriction and self-management of hypertension.

Effectiveness of a self-management education program on hypertension control and contributing factors in older adults: an interventional trial

“…In study by Lee, self-care educational intervention was not successful in terms of BP control improvement among community-dwelling elderly subjects [34]. This is consistent with a previous study that was conducted in health care centers [35]. These two studies had similar design (quasi-experimental) as opposed to current study.…”

Impact of Cervical Stabilization Exercises and Breathing Retraining Impact on the Respiratory Function of Elderly Stroke Patients with Hemiplegia: a Randomized Control Trial

“…However, it is easy to overlook because the physical motor deficit caused by hemiplegia is prominent and the change in respiratory function that occurs after stroke may not cause acute respiration disease. Furthermore, stroke causes physical disorders accompanied by decreased flexibility and muscle weakness, and asymmetric breathing is caused by an increase in sensitivity to carbon dioxide and a decrease in voluntary breathing, which can change respiration control [19][20][21].Since respiration is one of the most important functions for human life, patients' functional ability must be assessed, to diagnose disease and to investigate the prognosis with cardiopulmonary function measurements.Aging can change sensorimotor processing, and the older neuromuscular system is weakened by 40% compared to normal healthy adults [22].Generally, stroke, which occurs in the middleaged and older population, is a neurological disorder and shows diverse symptoms such as decreased sensorimotor function, perception, cognition, verbal function, and psychological disorder. Moreover, many patients have permanent disability without the recovery of function [23].…”