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KMID : 0858820200370020099
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Journal of Korean Society for Health Education and Promotion
2020 Volume.37 No. 2 p.99 ~ p.113
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Patient-centered counseling program using health coaching to promote self-care among elderly hypertension patients in the rural area of South Korea
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Lee Hey-Jean
Kim Jung-Min
Moon Ji-Young
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Abstract
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Objectives: This study investigated the effects of a coaching program on lifestyle modification among hypertensive patients in a rural area in South Korea.
Methods: We implemented a patient-centered counseling program consisting of monthly face-to-face counseling and a weekly telephone check-up with patients having risk factors such as smoking, drinking alcohol lack of physical activity, or unbalanced diet for six months. We analyzed data of 489 patients who participated in the program from October 2013 to December 2016.
Results: The program showed positive effects on knowledge (7.32±1.96 to 9.03±1.87, p<.001), medication (6.61±1.05 to 6.93±0.58, p<.001), diet (4.59±1.24 to 5.07±0.84, p<.001), self efficacy (63.50±16.25 to 74.73±14.26, p<.001), and health status (65.30±18.20 to 75.50±15.67, p<.001). Lifestyle modification also reduced in smoking (9.0% to 6.1%, p=.009), and alcohol (39.5% to 35.2%, p=.022), and improved physical activity (63.2% to 84.0%, p<.001). Systolic blood pressure (132.9±13.99 to 125.70±11.10, p<.001) and diastolic blood pressure (78.10±9.71 to 74.70±9.33, p<.001) improved. In multilevel logistic regression, no practice of physical activity at the end (OR=0.333) and SBP control at the start (OR=3.460) were statistically significant for well-controlled SBP after adjusting the branch level.
Conclusion: These results suggest that a patient-centered counseling management program using coaching can be implemented through health care workers in the community.
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KEYWORD
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community health worke, counseling, hypertension, lifestyle modification, self-care
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