Health promotion behaviors of persons with hypertension: comparison between controlled and uncontrolled blood pressure

Authors

  • ปราณี ทัดศรี Nursing Instructor, Faculty of Nursing, Rangsit University
  • ยุภาพร นาคกลิ้ง Nursing Instructor, Faculty of Nursing, Rangsit University

Keywords:

hypertension, health promotion behaviors, Pender health promotion model

Abstract

            This descriptive and comparative study aimed to examine health promotion behaviors of patients with hypertension between controlled and uncontrolled blood pressure group. This study was conducted with 226 patients from 4 health promoting hospitals (HPH): Lak-Hok1, Lak-Hok2, Bangpoon1, and Bangpoon2. Samples were equally divided into two groups: patients with controlled hypertension and those with uncontrolled hypertension. Research instruments included the Demographic Data Questionnaire and Health Promotion Behaviors. The questionnaire was developed based on Pender’s Health Promotion Model. The data were analyzed using descriptive statistics and independent t-test.

            The result revealed that mean scores on overall health promotion behavior of both groups were at a moderate level.  Results on six aspects of health behavior of the controlled group showed that 1) patients with controlled blood pressure group, three aspects of health behavior; interpersonal relations, spiritual growth, and stress management were at good level; and the aspect of health responsibility, physical activity, and nutrition were at moderate level.  2) Among those who were in the uncontrolled group, two aspects of health behaviors; spiritual growth, and stress management were at good level and the rest, health responsibility, physical activity, nutrition, and interpersonal relations were at moderate level.  It is worth noting that the mean score on overall health promotion behavior, health responsibility, and interpersonal relation of the patients with controlled hypertension were significantly higher than uncontrolled hypertension group (p<0.05).

             The results are useful for developing health behavior assessment guideline for patients with hypertension in order to enhance required health behaviors to control their blood pressure effectively.

References

1. Tonghongs A, Tepsittha K, Jongpiriyaanane P. Chronic disease surveillance report 2012, Weekly epidemiological surveillance Thailand. 2013; 44(51): 801-8. (in Thai).

2. Srivanichakorn S. Chronic disease management in community the discussion forum on “Collaborating the community health system” seventh meeting; March 27 (2012), National Health Building, Ministry of Public Health; 2013. (in Thai).

3. Strategy and Planning Division, Office of the Permanent Secretary. Annual epidemiological surveillance report 2012; 2013 [cited 2014 July 18]. Available from: http://www.boe.moph.go.th (in Thai).

4. Pender NJ. Health promotion in nursing practice. Norwalk: Appleton & Lange; 1996.

5. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 4th ed. New Jersey: Pearson Education; 2002.

6. Nawsuwan K, Singhasem P, Yimyearn Y. Relationship and the predictive power of social support on the practice of hypertensive patients. Boromarajonani College of Nursing, Uttaradit Journal. 2016; 8(1):1-13. (in Thai).

7.Ho Nga Thi, Pathumarak N, Hengudomsub P. Factors influencing health-promoting behaviors of Vietnamese patients with hypertension. Journal of Science, Technology, and Humanities. 2012; 10(1):65-71. (in Thai).

8. Wungthanakorn S, Phatidumrongkul C, Khomchan P. Factors affecting medication taking behaviors of hypertensive patients. Songkhla Med J. 2008; 26(6):539-47. (in Thai).

9. Wongpalee S. Health behaviors among controlled and uncontrolled hypertensive patients at Maetang Hospital, Chiangmai Province. [Master Thesis of Nursing Science]. Chiangmai: Chiangmai University; 2007. (in Thai).

10. Plaendi W. Comparison of self-care behaviors between hypertension patients with controllable blood pressure level and those with uncontrollable blood pressure level. [Master Thesis of Nursing Science]. Mahasarakham: Mahasarakham University; 2007. (in Thai).

11. Vorapamol A. Behaviors related to blood pressure control of hypertension patients Banpho hospital Chachoengsao. [Master Thesis of Adult Nursing]. Burapha: Burapha University; 2011. (in Thai).

12. Promsena Y. Self-care behavior among hypertension patients at hypertension clinic Nakornping hospital Chiangmai province. [Master Thesis of Public Health]. Chiangmai: Chiangmai University; 2007. (in Thai).

13. Bureau of Communicable Disease. Number and morbidity rate of NCD year 2012. [Internet]. 2016 [cited 2019 Jan 7]. Available from: http://www.thaincd.com/2016/mission/documents. php?tid=32&gid=1-020. (in Thai).

14. Ponpaipal S. Factors related to health promotion behaviors in persons with hypertension in community hospital. [Master Thesis of Nursing Science]. Pathumtani: Rangsit University; 2013. (in Thai).

15. Pomchan S. Health promoting behaviors among hypertensive patients at the Phisalee hospital, Nakhonsawan Province. [Master Thesis of Nursing Science]. Chiangmai Mai: Chiang Mai University; 2008. (in Thai).

16. Khrutmuang W. Factors predicting health promoting behaviors among the elderly with hypertension. [Master Thesis of Nursing Science]. Chiangmai Mai: Chiangmai University; 2004. (in Thai).

17. Yang S, Jeong GH, Kim S, Lee, SH. Correlates of self-care behaviors among low-income elderly women with hypertension in South Korea. JOGNN. 2013; 43, 97-106; 2014. DOI: 10.1111/1552-6909.12265 http://jognn
18. Li SX, Zhang L. Health behavior of hypertensive elderly patients and influencing factors. Aging Clin Exp Res. Jun 2013; 25(3) :275-81. Doi 10.1007/s40520-013-0051-8. Epub

19. Jaiyungyuen U. Factors influencing health promoting behaviors of patients with hypertension. Journal of Nursing and Education. 2009; 2(1), 39-47. (in Thai).

20. Pakdevong N, Binhosen V. Factor predicted blood pressure control in patients with hypertension in one community hospital. Journal of Nursing and Health Care. 2014; 32(1) 23-30. (in Thai).

21. Tuntikrittaya T. Perception of self-efficacy influences and interpersonal influences towards health promotion behaviors in the elderly with hypertension. [Master Thesis of Nursing Science]. Bangkok: Christian University; 2005. (in Thai).

22. Pender N, Murdaugh C, Parsons MA. Health promotion in nursing practice. 6th ed. Upper Saddle River: Pearson; 2011.

23. Khodaveisi M, Omidi A, Farokhi S, Soltanian AR. The effect of Pender’s health promotion model in improving the nutritional behavior of overweight and obese women. Int J Community Based Nurs Midwifery. 2017; 5(2), 165–74.

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Published

2018-12-31

How to Cite

1.
ทัดศรี ป, นาคกลิ้ง ย. Health promotion behaviors of persons with hypertension: comparison between controlled and uncontrolled blood pressure. Thai J Cardio-Thorac Nurs. [Internet]. 2018 Dec. 31 [cited 2024 Nov. 22];29(2):157-69. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/175848

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Research Articles