ปัจจัยที่มีความสัมพันธ์กับพฤติกรรมการควบคุมความดันโลหิตของเกษตรกรสวนยางพารา ในผู้ที่เป็นโรคความดันโลหิตสูงที่ควบคุมไม่ได้

Siripa Tunyapolparakorn; Wanalada Thongbai; Pregamol Rutchanagul

Authors

Siripa Tunyapolparakorn Faculty of Nursing, Thammasat University
Wanalada Thongbai Faculty of Nursing, Thammasat University
Pregamol Rutchanagul Faculty of Nursing, Thammasat University

Keywords:

Blood pressure control behavior, Uncontrolled hypertension, Rubber farmers

Abstract

Blood pressure control among rubber farmers is quite difficult due to their lifestyle, which primarily involves working at night. Working at night is a significant factor affecting blood pressure control because insufficient rest makes blood pressure control difficult. The objective of this descriptive correlational research design was to examine the factors related to blood pressure control behavior among rubber farmers with uncontrolled hypertension in Nan province, Thailand. The PRECEDE framework was applied as the conceptual framework for this study. A total of 136 rubber farmers with uncontrolled hypertension were recruited using multi-stage cluster sampling. Data was collected using a 7-part questionnaire on the following: 1) demographic characteristics; 2) knowledge about hypertension; 3) attitude towards blood pressure control; 4) perception towards blood pressure control; 5) access to health services; 6) social support; and 7) blood pressure control behavior. It was validated by three experts, achieving a CVI of .96. Cronbach’s alpha coefficient was used to test reliability, yielding a value of .88. Data was analyzed using descriptive statistics, Spearman’s rank correlation, and point biserial correlation.

The results revealed that the average score of blood pressure control behavior amongst the participants was at a good level (M = 62.94, SD = 4.65). The following factors related to blood pressure control behavior among the participants demonstrated statistical significance: gender (r_pb = 0.290, p-value = .001); knowledge about hypertension (r_s = 0.381, p-value = .001); attitude towards blood pressure control (r_s = 0.414, p-value = .001); perception towards blood pressure control (r_s= 0.523, p-value = .001); access to health services (r_s = 0.302, p-value = .001); and social support (r_s = -0.186, p-value = .037).

The study recommends that changing the blood pressure control behavior of rubber plantation farmers should focus on promoting awareness of their ability to control blood pressure, along with changing attitudes towards disease management, and providing comprehensive knowledge about the condition.

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