An Action Research to Develop a Model of Promoting Knowledge and Behavioral Adjustment of Hypertensive Patients

Main Article Content

Onuma Kaewkerd
Yuttachai Chaiyasit
Sompong Pamulila
Nongkaluk Wongphanarat
Natawan Hunpayon
Nantaya ์Nonlaopon
Phensiri Dumrongpakapakorn


OBJECTIVES: This research aimed to develop a model of promoting knowledge and behavioral adjustment of hypertensive patients.

MATERIALS AND METHODS: This action research was based on the concept of Kemmis and Mc Taggart (1988). The sample of 34 people consisted of 24 hypertensive patients and 10 community health volunteers. The research instruments were divided into the following two parts: 1) a general information questionnaire for older adults; 2) a qualitative data collection instrument consisting of semi-structured interviews, focus group discussions, and observations. The study was conducted between 30 November 2021-10 March 2022. Quantitative data were statistically analyzed by using frequency, percentage, mean and standard deviation. Qualitative data analysis used thematic analysis.

RESULTS: A model of promoting knowledge and behavior adjustment was developed for hypertensive patients through community participation. Both cycles found that there were 4 development activities: 1) educating knowledge to hypertensive patients; 2) education about behavior modification; 3) providing models to transfer knowledge; 4) exchanging knowledge and using learning materials. Knowledge increased considerably, averaging from 14.87 ± 5.21 to 17.37 ± 4.65 (t = -2.882, p = 0.010, 95%CI -4.368 to -0.685). Hypertension complications prevention behavior of hypertensive patients was a high score, with diet control of 87.50 %, exercise at 91.70%. After the second round, hypertension patients were satisfied to develop a model of promoting knowledge and behavioral adjustment, at an higher number and percentage after developing a model from 18 (75.00%) to 21 (87.50%). After developing a model, and having completed the second round, community health volunteers classified the satisfaction of hypertension patients. This showed an increased satisfaction to develop a model of promoting knowledge and behavioral adjustment of hypertensive patients from 8 (80.00%) to 10 (100%).

CONCLUSION: Nurses and healthcare workers should focus on educating and promoting the participation of patients and community health volunteers in encouraging hypertension patients to engage in self-care.

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How to Cite
Kaewkerd O, Chaiyasit Y, Pamulila S, Wongphanarat N, Hunpayon N, ์Nonlaopon N, Dumrongpakapakorn P. An Action Research to Develop a Model of Promoting Knowledge and Behavioral Adjustment of Hypertensive Patients. BKK Med J [Internet]. 2023 Feb. 28 [cited 2024 Apr. 21];19(1):49. Available from:
Original Article


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