Integration of Service Plans for Screening and Reducing High Risk Groups of Cardiovascular Disease, Nakhon Ratchasima, 2017-2018

Abstract

This study was to integrate service plans for screening and reducing people with high risk of cardiovascular disease (CVD). Applied research focused on developing programs and investigating the effectiveness of such programs by quasi-experimental study. During January 2017 - June 2018, using the concept of Intervention Mapping (IM) to implement Triple T (Team building, Tool, Targeting) was conducted. The program included a self-care training workshop to prevent CVD in 123 volunteers who had CV risk score> 30%. Family care team did continuity care and home visit. Data were collected before and after 6, 12 months.Most of them were female with age of 70.27 + 6.88 years. At the 6th month, risk groups had more knowledge (P-value <0.001), significantly reduced sweetened consumption behavior (P-value <0.001) and significantly reduced fat consumption behavior (P-value <0.001). At the 12th month, 109 subjects were monitored. Forty three percent changed their higher risk to lower risklevels. In addition, blood cholesterol decreased statistically significant from 187.20 to 182.78 mg/dL (P-value 0.002). No incidence of cardiovascular complications was found.Therefore,we should establish policies to promote the use of this guidance for all people who had CV risk score > 30%.