Prevention of Stroke among Patients with Uncontrolled Hypertension: The Correlations between Health Beliefs and Self-Care Behaviors
Abstract
This descriptive correlational study aimed to examine the relationships between health beliefs and self-care behaviors in the prevention of stroke among patients with uncontrolled hypertension. The sample consisted of 351 patients from Napalai Hospital in Samut Songkhram. Data were collected by using a questionnaire created by the researcher. Content validity of the questionnaire was verified by the 3 experts and the CVI was 0.89. Reliability was tested using Cronbach’s alpha coefficient, obtaining values of 0.86 – 0.89. Data collection was carried out from December 2021 to February 2022. Descriptive statistics and Pearson’s Product Moment Correlation coefficient were used to analyze data.
The results revealed that overall self-care behavior in the prevention of stroke among patients with uncontrolled hypertension was at a moderate level (M= 3.55, S.D.= 0.55) Perceived susceptibility and disease severity were negatively and significantly correlated with self-care behavior in the prevention of stroke (r= -0.68, p < 0.01). Perceived benefits and preventive behavior, as well as perceived barriers to their implementation and health motivation, were positively and significantly correlated to their self-care behavior in the prevention of stroke (r= 0.58, 0.45, 0.76, 0.51, and 0.56, respectively, p < 0.01).
Per the findings, the health behavior modification program for patients with uncontrolled hypertension to prevent stroke should be run by increasing perceived benefits and reducing perceived barriers to disease prevention and mutually finding ways to prevent the disease.
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