ผลของโปรแกรมพัฒนาพฤติกรรมต่อพฤติกรรมป้องกันโรคหลอดเลือดสมองและความดันโลหิตของผู้ป่วยโรคความดันโลหิตสูง อำเภอสูงเนิน จังหวัดนครราชสีมา

Anucha  Soipao; Warinee  Iemsawasdikul; Vilaiwan   Thongcharoen

Authors

Anucha Soipao School of Nursing, Sukhothai Thammathirat Open University
Warinee Iemsawasdikul School of Nursing, Sukhothai Thammathirat Open University
Vilaiwan Thongcharoen Princess Agrarajakumari Faculty of Nursing, Chulabhorn Royal Academy

Keywords:

Program, Stroke preventive behaviors, Hypertension

Abstract

The objectives of this quasi-experimental research were to compare stroke preventing behaviors and blood pressure of the experimental group between before and after the experiment, and between the experimental group and the comparison group after the experiment. The sample consisted of primary hypertensive patients with low and moderate risk for stroke, who had blood pressure ≥ 140/90 mm.Hg. Patients who had characteristics within the inclusion criteria were selected by simple random sampling to be an experimental group, and patients with similar age and systolic blood pressure were selected to be a comparison group, with 28 persons in each group. The experimental tools were 1) the Behavioral Development Program based on the PRECEDE-PROCEED model, and 2) an eating and exercise behaviors recording form.The data collection tools were 1) a digital sphygmomanometer, and 2) a questionnaire with 3 parts - (1) personal data, (2) health data, and (3) stroke preventing behaviors, including eating and exercise behaviors. The CVIs of part 2 of the questionnaire were equal at 1, and the Cronbach’s alpha coefficients were .86, and .80. The data were analyzed by descriptive statistics, t-test, and Mann-Whitney U test. The results found as follows:

After the experiment, the stroke preventing behaviors, including eating and exercise behaviors, of the experimental group were significantly higher than before the experiment and the comparison group, and average blood pressure of the experimental group was significantly lower than before the experiment and the comparison group. (p < .05).

References

Aunpromme, S., & Aunpromme, S. (2013). Health promotion theory: A summary of key Concepts. Thana Press. (in Thai)

Bonwell, C. C. & Eison, J. A. (1991). Acitve learning: Creating excitement in the classroom. https://files.eric.ed.gov/fulltext/ ED336049.pdf

Buranakitcharoen, P. (2024). Primary hypertension. Mor Chao Baan. (in Thai)

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.

Department of Disease Control, Ministry of Public Health. (2016). Health behavior modification curriculum for nurse case managers in chronic disease care. The War Veterans Organization of Thailand Printing Office. (in Thai)

Green, L. W., & Kreuter, M. W. (2005). Health program planning: An educational and ecological approach (4th ed.). McGraw-Hill.

Health Education Division, Department of Health Service Support, Ministry of Public Health. (2024). Guidelines for the Implementation of health behavior modification at the Provincial Level. Ministry of Public Health. (in Thai)

Klampakorn, S. (2018). Application of concepts and theories in health promotion and disease prevention in the community. In health promotion and disease prevention in the community: Applying concepts and theories to practice (pp. 41–92). MN Compute Offset. (in Thai)

Kongwiwat, K., Iemsawatdikul, W., & Nuisir, M. (2017). Effects of a program to improve stroke prevention behaviors among at-risk patients in Kanchanaburi province. Journal of Nursing and Therapeutic Care, 35(3), 129-137. (in Thai)

Non-Communicable Disease Clinic, Sung Noen Hospital. (2023). Annual report of the non-communicable disease clinic, 2023. (in Thai)

Maneesriwongkul, W. (2021). Behavioral science theories related to community nurse practitioner practice. in course materials on health policy and systems, leadership, nursing concepts and theories, and the role of community nurse practitioners (Unit 12, pp. 12-1–12-63). Nursing program, Sukhothai Thammathirat Open University. (in Thai)

Manosoonthorn, S. (2009). Hypertension forecast report. http://www.interfetpthailand.net/forecast/files/report_2012/report_2012_11_no01.pdf. (in Thai)

Nakhon Ratchasima Provincial Public Health Office. (2023). Nakhon Ratchasima Provincial Health situation report, 2023. (in Thai)

Strategy and Planning Division, Office of the Permanent Secretary, Ministry of Public Health. (2018). Public health statistics 2018. Samcharoen Panit. (in Thai)

Sung Noen District Public Health Office. (2023). Health status of major non-communicable diseases, fiscal year 2023. Nakhonratchasima: Sung Noen District Public Health Office. (in Thai)

Thai Hypertension Society. (2015). Guidelines for the treatment of hypertension in general practice, 2015. Huanam Printing. (in Thai)

Thongaun, T. (2011). Cardiovascular system physiology. Khonkaen: Klangnana Wittaya. (in Thai)

Yosda, P., Iemsaiwatdikul, W., & Nuisri, M. (2019). Effects of a program to improve stroke prevention behaviors among patients with hypertension in Borabue District, Maha Sarakham Province. Journal of Nursing, 68(4), 39-48. (in Thai)