The Effect of a Health Literacy Promotion Program on Cardiovascular Disease Preventive Behaviors Among Persons with a High Risk of Cardiovascular Disease
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Abstract
Abstract: The objective of this quasi-experimental research was to investigate the effect of a health literacy promotion program on cardiovascular disease prevention behaviors among persons with high risk of cardiovascular disease. The sample consisted of 62 high-risk persons with cardiovascular disease, divided into a control group and an experimental group, each of 31 participants selected by purposive sampling. The experimental group received usual nursing care and the health literacy promotion program for eight weeks and the control group received only usual nursing care. The health literacy promotion program was developed using Nutbeam’s health literacy concept. The tools used for data collection were the Personal Information Questionnaire, the Cardiovascular
Prevention Behavior Questionnaire, and the Health Literacy Questionnaire. Data were analyzed using descriptive statistics, paired t-test, and independent t-test. The results revealed that after the experiment, the mean scores of cardiovascular disease preventive behaviors among the experimental group were significantly higher than before receiving the program and significantly higher than those in the control group. The results of this study demonstrated that the health literacy promotion program resulted in the improvement of cardiovascular disease preventive behaviors. The program can be used as a guideline for nursing practice to prevent cardiovascular disease in persons with a high risk of cardiovascular disease in the future.
Keywords: Cardiovascular disease preventive behaviors, Health literacy, High risk of cardiovascular disease
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
References
American Heart Association. 2022 Heart disease&Stroke statistical update fact sheet global burden of disease. [cited 2023 January 6]. Available from: https://professional.heart.org/-/media/PHD-Files-2/ScienceNews/2/2022-Heart-and-Stroke-Stat-Update/2022-
Stat-Update-factsheet-GIobal-Burden-of-Disease.pdf
Bureau of Non-Communicable Diseases, Department of Disease Control,Ministry of Public Health.Coronary heart disease situation.[cited 2023 January 6].Available from:http://www.thaincd.com /2016/mission/documentsdetail.php?id=14480&tid=32&gid=1-020
Strategy and planning division, Office of the Permanent Secretary, Ministry of Public Health. Mortality rate of coronary heart disease patients. [cited 2023 January 6]Available from: http://healthkpi.moph.go.th/kpi/kpilist/view/?id=45
Ministry of Public Health. Health Data Center (HDC).[cited 2020 October 25]. Available from: https:// hdcservice.moph.go.th/hdc/main/index.php
Bureau of Non-Communicable Diseases. Department of Disease Control, Ministry ofPublic Health. World heart day campaign messages. [cited 2020May 22].Available from: http://thaincd.com/document/file/download/knowledge/WorldHeartDaycampaignmessages_61.pdf
American Heart Association. 2019ACC/AHA guideline on the primary prevention of cardiovascular disease. [cited 2020 June 2]. Available from https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2019/03/07/16/00/2019-acc-aha-guideline-on-primary-prevention-gl-prevention
Chaiwong N,BonkhonthodP.Predicting factors preventive behaviors for coronary heart disease among persons at risk to disease. Journal of Nursing and Health Care.2019;37(2):6-15. (in Thai)
Bureau of Non-Communicable Diseases. Department of Disease Control, Ministry of Public Health. Risk assessment and management guide to cardiovascular disease. Bangkok: Agricultural Cooperative Association of Thailand; 2014.
Bureau of Non-Communicable Diseases. Department of Disease Control, Ministry of Public Health. Non-communicable disease division annual report fiscal year 2020. [cited 2023 January 6]. Available from https://www.iccp portal.org/system/files/plans/Thailand%20 National%20NCD%20plan% 202017-2021.pdf
World Health Organization. Health literacy. [cited 2020 June 10].Availablefrom: https://iris.who.int/bitstream/ handle/10665/364206/9789240055391-eng.pdf?sequence=1
Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International. 2000;15:259-67.
Cho YI, Lee,SY, Arozullah, AM, Crittenden K. Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med. 2008;66:1809-16.
WanprasertS,MoolsartS,Jantacumma N.The effectiveness of a health literacy developmental program in a pre-hypertension group with overweight. Journal of Nursing,Public Health, and Education. 2019;20(2):92-104.(in Thai)
Bureau of Non-Communicable Diseases, Department of Disease Control,Ministry of PublicHealth.Guidelines for
assessment of cardiovascular risk. [cited 2020 May 22].Available from: https://www.ahajournals.org/doi/ full/10.1161/01.cir.0000437741.48606.98
Arahung R. The effects of health literacy enhancement program on hypertensive prevention behavior of pre-hypertension risk group at a community in Nakhon Pathom province [thesis]. Nakhon Pathom: Christian University;2018. (in Thai)
Intarakamhang A. Creating and developing of Thailand health literacy scales. [cited 2023October 21].Available from:http://bsris.swu.ac.th/upload/268335.pdf
Punyathanachaikhul K. The effectiveness of a health literacy developmental program in hypertension patients risking to chronic kidney disease. Nursing Public Health and Education Journal. 2020;21(1):41-54. (in Thai)
Kanejima Y,Shimogai T, KitamuraM, Ishihara K, Izawa K. Impact of health literacy in patients with cardiovascular diseases: a systematic review and meta-analysis.Patient Educ Couns. 2022;105(7):1793-800.
Tangdomrongsin N,PowwattanaA,Auemaneekul N. The effect of motivation formation program with mobile technology for health to prevent cardiovascular disease in high risk group. Journal of Health and Nursing Research.2020;36(2):122-39. (in Thai)
LinS,ChenI,YuW,LeeS,TsaiT.Effect of a community-based participatory health literacy program on health behaviors and health empowerment among community-dwelling older adults:a quasi experimental study. Geriatr Nurs. 2019;40(5):494-501.