ปัจจัยที่เกี่ยวข้องกับพฤติกรรมสุขภาพของผู้ที่เป็นโรคหลอดเลือดสมองขาดเลือดมาเลี้ยงชั่วคราว

Authors

  • Natthawut Bunsonti Graduate Student, Faculty of Nursing, Chiang Mai University
  • Pratum Soivong Assistant Professor, Faculty of Nursing, Chiang Mai University
  • Chiraporn Tachaudomdach Assistant Professor, Faculty of Nursing, Chiang Mai University

Keywords:

Factors Related, Health behavior, Persons with transient ischemic attack

Abstract


Persons with transient ischemic attack (TIA) are more likely to experience a severe stroke. Therefore, these people with TIA should follow an appropriate healthy behavior. This descriptive correlational study aimed to explore the relationship between factors, which included perceived susceptibility to stroke, perceived seriousness to stroke, perceived benefits of performing health behavior, perceived barriers of performing health behavior, and health behavior among persons with TIA. The sample included eighty-six persons with TIA attending the outpatient clinic at Maharaj Nakorn Chiang Mai Hospital and Saraburi Hospital from July to September 2016. Research instruments consisted of: 1) The Health Behaviors Among Persons with Transient Ischemic Attack Questionnaire, 2) the Perceived Susceptibility to Stroke Questionnaire, 3) the Perceived Seriousness to Stroke Questionnaire, 4) the Perceived Benefits of Performing Health Behavior Questionnaire, and 5) the Perceived Barriers of Performing Health Behavior Questionnaire. All instruments were developed by researcher. Content validity of instruments was approved by experts in the field and reliability was tested prior to collecting data. Data were analyzed using descriptive statistics and Spearman’s Rank Correlation.
Results revealed that:
1. The health behaviors of samples were at a moderate level (40.70%), low level (37.21%), and high level (22.09 %).
2. Health behavior was statistically significant low negative associated with perceived susceptibility to stroke (rs = - 0.25, p < .05); significant moderate positive associated with perceived benefits of performing health behavior (rs = 0.36, p < .01); significant moderate negative associated with perceived barriers of performing health behavior (rs = - 0.36, p < .01). However, there was no association between health behaviors and perceived seriousness to stroke.
The results of this study confirm the relationships between health behavior and factors based on a framework proposed by Becker (1974) in recognition of the perceived benefits of performing health behaviors and perceived barriers of performing health behaviors, but was inconsistent in perceived susceptibility to stroke and perceived seriousness to stroke. Further study should develop a care model for persons with TIA by reducing barriers of performing health behavior in order to perform an appropriate and consistent health behavior. These activities should be adapted to the lifestyles of persons with TIA.

References

Anurak, Y. (1999). Health Education Process and Health Behavior Development “Forward the year 2000”. Bangkok: Sigma Design Graphic.

Becker, M. H. (1974). The health belief model and personal health behavior. Thorofare: Slack.

Brewer, N. T., Weinstein, N. D., Cutite, C. L., & Herrington, J. E. (2004). Risk perceptions and theirrelation to risk behavior. Annals of Behavioral Medicine Journal, 27 (125), doi:10.1207/s15324796abm2702_7

Chiangtong, K. (2011). Relationships between the health belief model, warning signs p erception and management of stroke behavior in the risk group of stroke, Doi Saket District, Chiang Mai Province (Master’s thesis, Chiangmai University). (In Thai)

Duangkaew, N. (2008). Health belief and preventive of risk group diabetes mellitus in Ko Kha District, Lumpang Province (Master’s thesis, Chiangmai University). (In Thai)

Easton, J. D., Saver, J. L., Albers, G. W., Alberts, M. J., Chaturvedi, S., Feldmann, E., … Sacco, R. L.(2009). Definition and evaluation of transient ischemic attack. Stroke, 40 (2), 276–293.

Evci, E. D., Ergin, F., Saruhan, G., Benli, C., Beser, E., Okur, O., & Okyay, P. (2012). Prevalence and predictors of burden among family caregivers of the elderly in a Western City in Turkey: A community-based, cross-sectional study. Journal of Medicine and Medical Sciences, 3 (9), 569-577.

Hankey, G. J. (2003). Long-Term Outcome after Ischemic Stroke/Transient ischemic Attack.Cerebrovasc Diseases, 16 (1), 14–19. doi:10.1159/000069936

Heron, M., Hoyert, D. L., Murphy, S. L., Xu, J., Kochanek, K. D., & Tejada-Vera, B. (2009). Deaths: Final data for 2006. National Vital Statistics Reports, 57 (14), 1-135.

Hwasoo, G., Seungmi, R., & Lijuan, X. (2015). A structural mod el of health behaviors modification among patients with cardiovascular disease. Applied Nursing Research, 29 (2016), 70-75. doi:10.1016./j.apnr.2015.06.005.

Kernan, W. N., Ovbiagele, C. B., Black, H. R., Bravata, D. M., Chimowitz, M. I., Ezekowitz, M. D., …Wilson, J. A. (2014). Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack. Stroke, 48 (1), 1-96. doi:10.1161/STR.0000000000000024

Kunyodying, T. (2015). Dependency of the elderly with stroke, caregiver burden, social support and quality of life among older caregivers (Master’s thesis, Chiangmai University). (In Thai)

Laothiang, A. (2007). Health Belief and Health Behaviors Among Persons with Diabetes Mellitus,Hod Hospital, Chiang Mai Province (Master’s thesis’ Chiangmai University). (In Thai)

Lee, H. R., Ham, O. K., Lee, Y. W., Cho, I., Oh, H. S., & Rha, J. H. (2014). Knowledge, health-promoting behaviors, and biological risks of recurrent stroke among stroke patients in Korea. Japan Journal of Nursing Science, 11(2), 112-120. doi:10.1111/jjns.12013

Linton, A. D. (2000). Introductory nursing care of adult. Philadephia: W.B. Saunders.

Mackay, J., & Mensah, G. A. (2004). The atlas of heart disease and stroke. Retrieved from www.who.int/cardiovascular_diseases/resources/atlas/en.htm

Masri, L. (2011). Health behavior modification for prevent stroke in risk group using empowerment process at Banlan Sub-District, Banphai District, Khon Kaen Pro vince (Master’s thesis, Khon Kaen University). (In Thai)

O’Donnell, M. J., Denis, X., & Liu, L. (2010) Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries: A case control. The Lancet, 376 (9735), 112-123.

Phuritatkul, C. (2004). Health belief and health behaviors among coronary artery disease patients with dyslipidemia (Master’s thesis, Chiangmai University). (In Thai)

Polit, D. F., & Hunger, B. P. (2010). Nursing research: Principles and methods (6th ed.). Philadelphia: Lippincott.

Prasat Neurological Institute. (2009). Educational Report for Development of Tertiary MedicalSystem and Beyond in the area of Stroke. Bangkok: Ministry of Public Health. (In Thai)

Riounin, R. (2007). Health Beliefs and Disease Control Behaviors Among Persons with Hypertension in Primary Care Unit of Li Hospital, Lamphun Provi nce (Master’s thesis, Chiangmai University). (In Thai)

Sam-anggoon, S. (2004). Personality Psychology Millennium. Chiangmai: Chiangmai University. (In Thai)

Sullivan, K. A., White, K. M., Young, R. M., Chang, A., Roos, C., & Scott, C. (2008). Predicting behaviour to reduce stroke risk in at-risk populations: The rol e of beliefs. International Journal of Therapy and Rehabilitation, 53 (4), 505-512.

Tafti, A., Mazloomy, S. S., Morowatisharifabad, M. A., Ardakani, M., Rezaeipandari, H., & Lotfi, M. H. (2015). Determinants of self-care in diabetic patients based on health belief model. Global Journal of Health Science, 7 (5), 33-42. doi:10.5539/gjhs.v7n5p33

Tansakul, T., & Tiamkao, S. (2010). Practice Guidelines for Hemorrhagic Stroke. North-Eastern Thai Journal of Neuroscience, 5(4), 36-39. (In Thai)

Vazini, H., & Barati, M. (2014). The Health Belief Model and Self-Care Behaviors among Type 2 Diabetic Patients. Iranian Journal of Diabetes & Obesity, 6(3), 107-113.

World Stroke Organization. (2015). Types of stroke. Retrieved from http://strokeassociation.org/

Yasser, M. A., Pharm, D., Kavookjian, J., Ekong, G., Pharm, B., Meshari, M., ... Alrayees, M. S. (2015).the association between heath beliefs and medieation adherence among patients with type 2 diabetes. Research in Social and Administrative Pharmacy, 12 (2015), 1-12. doi:10.1016/j.sapharn

Zhang, C., Zhao, X., Wang, C., Liu, L., Ding, Y., Akbary, F., & Null, N. (2015). Prediction factors ofrecurrent ischemic events in one year after minor stroke. The public library of science, 10 (3), 1-12. doi:10.1371/journal.pone.0120105

Downloads

Published

2020-05-14

How to Cite

Bunsonti , N., Soivong, P. ., & Tachaudomdach, C. . (2020). ปัจจัยที่เกี่ยวข้องกับพฤติกรรมสุขภาพของผู้ที่เป็นโรคหลอดเลือดสมองขาดเลือดมาเลี้ยงชั่วคราว. Nursing Journal CMU, 47(2), 262–273. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/241818

Issue

Section

Research Article