Effects of Hypertension Prevention Program on Practical Behaviors and Blood Pressure Levels among High risk of Hypertensive Persons


  • วงค์ชญพจณ์ พรหมศิลา Graduate student, Faculty of Nursing, Naresuan University
  • สุภาพร แนวบุตร Assistant Professor, Faculty of Nursing, Naresuan University
  • ประทุมา ฤทธิ์โพธิ์ Assistant Professor, Faculty of Nursing, Naresuan University


High risk of hypertensive persons, Hypertension prevention program, Practical behaviors, Blood pressure, Neuman System Model


Hypertension is a silent killer and is a major cause of increased morbidity and mortality. Prevention of illness by encouraging practical behaviors is important to reduce risks, decrease the cost of treatment and prevent the complications that will occur. The purpose of this quasi-experimental research was to determine the effects of a hypertension prevention program on practical behaviors and blood pressure levels. The study included a purposive sample of sixty high-risk hypertensive subjects living in Nam Ang suburb, Tron district, Uttaradit province. The sample was selected using the inclusion criteria of persons between the ages of 35 and 59 years of age, with systolic blood pressure between 130 and 139 and/or diastolic blood pressure between 85 and 89, that had never been diagnosed as hypertensive, could speak and write in Thai, and were not pregnant. Subjects were divided into experimental and control groups with 30 people per group. The Neuman System Model guided the intervention for the experimental group and included participation in an eight-week hypertension prevention program. The control group received regular care. Research tools consisted of a reliable and valid. Content validity was more than .50, confirmed by IOC. The Alpha Cronbach’s reliability was .92. A Practical Behaviors Questionnaire (PBQ) and a blood pressure recording form were utilized in BP monitoring. Data analysis used descriptive statistics such as mean, percentage, standard deviation, paired t-test and independent t-test.

            The results found that the mean score on diet, exercise, emotion and stress management on the PBQ were significantly different post-intervention in the experimental group. The difference between the experimental and control group was significant and set at the p-value <.05. Blood pressure mean scores were significantly different post-intervention as well.


Download data is not yet available.


Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155- 159. doi:10.1037/0033- 2909.112.1.155

Department of Disease Control, Ministry of Public Health. (2016). Annual Report 2016.
Bangkok, BK: The War Veterans Organization of Thailand under Royal. (In Thai)

Gupta, K. A., McGlone, M., Greenway, L. F., & Johnson, D. W. (2010, June). Prehypertension in disease-free adult: a marker for and adverse cardiometabolic risk profile.
Hypertension Research, 33, 905–910.

Huang, Y., Su, L., Cai, X., Mai, W., Wang, S., Hu, Y., & Xu, D. (2014). Association of all-cause and cardiovascular mortality with Prehypertension: A meta-analysis.
American Heart Journal, 167(2), 160–168.e1. doi:0.1016/j.ahj.2013.10.023

Kantawang, S. (2008). Neuman System Theory: Utilization and Application. Chiang Mai,
CM: Chiang Mai University. (In Thai)

Kimsungnoen, N., Jamkrajang, W., Singto, T., Wainipitapong, S., Jeenpracha, Y., Khumngern, S., & Phuegphong, K. (2013). Effects of Using Program based on Neuman Systems Model towards Therapeutic Behaviors among Club Drugs. Journal of Nursing and
Health Care, 31(1), 90-100. (In Thai)

Merhasuwapath, N., Danpradit, P., & Sirilak, S. (2009). Effects of Using Program based on
Neuman Systems Model towards Self-care Behaviors and Asthmatic Attack of Adult
Patients with Asthma. Journal of Nursing and Health Science, 3(3), 57-65. (In Thai)

Nam Ang Health Promoting Hospital. (2017). Annual summary 2017. Uttaradit, UT: Nam Ang Health Promoting Hospital. (In Thai)

Neuman, B. (2002).The Neuman Systems Model. In B.Neuman & J. Facett (Eds.),
The Neuman Systems Model (4thed., pp. 3-33). New Jersey, NJ: Pearson education.

Parvan, K., Zamanzadeh, V., Lakdizaji, S., & Shabestari, M. M. (2012). Nurse’s Perception of Stressors Associated with Coronary Artery Bypass Surgery: Journal of Caring Sciences, 1(4), 237-243. doi:10.5681/jcs.2012.033

Region Health 2. (2017). Health Status. Retrieved from http://www.rh2.go.th/www/about. php?MsID=27 (In Thai)

Sitthikhungaew, M., Chintanadilok, N., Sangperm, P., & Pornchaikate A. A. (2012). Relationship between Perceived Stressors and Depressive Symptoms in Adolescents with Thalassemia. Journal of Nursing Science, 30(3), 25-35. (In Thai)

Thatsaeng, B., Lasuka, D., & Khampolsiri, T. (2012). Effects of a self-management supporting program on self-management behaviors and blood pressure among elders with hypertension. Nursing Journal, 39(4), 124-137. (In Thai)

World Health Organization. (2013). Non-communicable disease country profile 2011.
Retrieved from http://www.who..Nt/nmh/publications/ncd_profiles2011/en

Zhang, W., & Li N. (2011). Prevalence, Risk Factors, and Management of Prehypertension. International Journal of Hypertension, 2011(1), 1–6. doi:10.4061/2011/605359