Development Guidelines for Caring of Uncontrolled Hypertension Patient at Muang Phai Community Health Center, Banphai District, Khon Kaen Province

Abstract

Action research to develop guidelines for hypertensive patient care with community participation in the area under the responsibility of Muang Phai Community Health Center, Ban Phai District, Khon Kaen Province, using the concept of Kemmis & McTaggart (1988) consisting of 4 steps: planning, action, observation, and evaluation, to develop guidelines for hypertensive patient care for 25 hypertensive patients who could not control their blood pressure, 25 caregivers, 6 community leaders, 6 village health volunteer leaders, and 3 community health center officers, totaling 65 people, selected by purposive sampling. The study period was 16 weeks, using general data, health status data, and health behavior assessment forms. Data were analyzed using the mean and percentage before and after participating in the research. For the data obtained from the interviews, content analysis was performed by transcribing the data.

The results of the study found that after participating in the research, hypertensive patients whose blood pressure levels were not controlled had very good health behaviors, did not read the nutrition label before consuming food, did not exercise at all, and did not forget to take medicine, which increased significantly from before participating in the research (p-value < 0.001) and was significantly higher than the group that did not participate in the research                (p-value < 0.001). They had significantly fewer inappropriate health behaviors than the group that did not participate in the research at a statistical level of 0.05. In conclusion, the development of this guideline for caring for hypertensive patients helped hypertensive patients to change their health behaviors effectively and efficiently. There should be long-term support measures to make these changes last and reduce the risk of complications.