Knowledge, cardiovascular risk and health behaviors among patients with diabetes and hypertension in Mueang Chiangrai district
Keywords:
knowledge, cardiovascular risk, health behaviorsAbstract
This descriptive research aimed to study knowledge, cardiovascular risk and health behaviors among patients with diabetes and hypertension in Mueang Chiangrai district, Chiangrai province. Five Tambon Health Promoting Hospitals in Mueang Chiangrai district were random sampling and 380 samples were recruited by purposive sampling. The instruments composed of personal data form, the Guidelines for Assessment of Cardiovascular Risk, Knowledge questionnaire, and hearth behaviors for preventing acute coronary syndrome (ACS) questionnaires. Statistical analysis was performed using descriptive statistics, Chi-square test and Spearman’s rank correlation coefficient.
The result revealed that samples were female (61.7%) and mean aged 61.15 years old (SD=8.77). Almost samples were hypertension patients (91.6%) and had cardiovascular risk in low risk group (91.3%). Most of the samples had knowledge regarding risk factors at a moderate level, whereas the knowledge regarding signs and symptoms and symptoms management were at low levels. Moreover, health behaviors for preventing of ACS was at a good level. Cardiovascular risk was not significantly relationship between knowledge and health behaviors for preventing ACS. However, cardiovascular risk was significantly relationship between knowledge and health behaviors for preventing ACS (p<.05).
This study suggested that nurses should provide capacity building for patients with diabetes mellitus and hypertension for knowledge of signs and symptoms including health behaviors for preventing ACS.
References
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10. Katanyutanon T, Chanpanya W, Pabao S, Baochanhan S, Noiprem T, Pale S, Saeng Khan J. Self-care behaviors of diabetic and hypertensive patients at a public health center in Bangmuang Subdistrict, Samutprakarn Province. APHEIT Journals. 2017; 6(2): 53-62. (in Thai).
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12. Orksuk L, Ruisungnoen W. Perception of symptoms and decision to seek treatment in patients with acute coronary syndrome. Journal of Nurses Association of Thailand, North-Eastern Division. 2012; 30(2): 89-97. (in Thai).
13. Porras LP, Whitehead DL, Strike PC, Steptoe A. Pre-hospital delay in patients with acute coronary syndrome: factors associated with patient decision time and home-to-hospital delay. Eur J Cardiovasc Nur. 2009 [cited 2018 Oct 10]; 8(1): 26-33. Available from https://www.ncbi. nlm.nih.gov/pmc/articles/PMC2652658/?report=printable.
14. Siripakkulwat C, Bhuddee C, Rungjang N. The empowerment of Ban Dong Community network for the surveillance of emergency cardiovascular disease. National Institute for Emergency Medicine. 2016 [cited 2018 Sep 21]. Available from http://www.niems.go.th/th/ View/Knowledge Base.aspx?CateId=3185. (in Thai).
15. Wetayawong L, Rongmuang D, Thongdee J, Nakchattri C, Rakchart P, Ratanaprom A. The effects of advocacy communication on knowledge and symptom management of Acute Coronary Syndrome (ACS) among people living in community. The Southern College Network Journal of Nursing and Public Health. 2017; 4(1): 89-101. (in Thai).
16. Ibanez B, James S, Agewall S, Antunes MJ, Ducci CB, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39(2):119-177. doi: 10.1093/eurheartj/ehx393
17. Health Data Center - HDC. Mortality rate: Acute Coronary Syndrome. Year 2016-2018. Ministry of Public Health. 2018. [cited 2018 October 4]. Available from https://hdcservice.moph.go.th /hdc/ main/index_pk.php. (in Thai).
18. Health Data Center - HDC. New Incidence rate: hypertension disease and diabetes disease. Year 2016-2018. Ministry of Public Health. [cited 2018 October 4]. Available from https:// hdcservice. moph. go.th/hdc/main/indexpk.php. (in Thai).
19. Ministry of Public Health. Bureau of Non Communicable Diseases. Guideline for assessment of cardiovascular risk. Bangkok: WVO officer of printing mill; 2014. (in Thai).
20. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th Edition. New Jersey: Pearson Education, Inc.; 2006.
21. Danyuthasilpe C. Pender’s health promotion model and its applications in nursing practice. Songklanagarind Journal of Nursing. 2018:132-141. (in Thai).
22. Buapum P., Kulrattanawiroj P. Health promoting behaviors of patients with chronic illness in Chainat Province. Thaksin University Journal; 14(3): 199-205. (in Thai).
23. Mukthong P, Thongkote W and Ungpansattawong S. Population sample parameter statistic by Yamane. [cited 2017 September 21]. Available from https://sc2. kku.ac.th/stat/statweb/images/Eventpic/60/Seminar/01_9_Yamane.pdf. (in Thai).
24. Bloom B, Engelhart MD, Furst E, Hill WH, Krathwohl D. Taxonomia de objetivos educacionais. 7th Ed. Porto Alegre: Editora Globo; 1979.
25. Siripakkulwat V, Bhuddee C, Rungjang. The empowerment of Ban Dong community network for the surveillance of emergency cardiovascular disease [document on the Internet]. National Institute for Emergency Medicine: Institute; 2016 [updated 2017 November 9; cited 2018 September 25] Available from http://www.niems. go.th/th/View/ KnowledgeBase.aspx?CateId=3185. (in Thai).
26. Choi S, Rankin S, Stewart A, Oka R. Perceptions of coronary heart disease risk in Korean immigrants with type 2 diabetes. Diabetes Educ. 2008;34(3):484-92. doi:10.1177/01457217083169 49
27.McSweeney JC, Cody M, O'Sullivan P, Elberson K, Moser DK, Garvin BJ. Women's early warning symptoms of acute myocardial infarction. Circulation. 2003;108(21):2619-23. doi: 10.1161/01.CIR.0000 097116.29625.7C
28. Punset K, Klinthuesin S, Kingkaew A, Wongmaneeroj. Cardiovascular risk among staffs working at the central of ministry of public health using risk assessment of Rama - EGAT Heart Score. Nursing journal of the ministry of public health. 2015: 57-70. (in Thai).
29. Kumloypha K. Health behaviors of diabetic patients in the diabetes mellitus clinic of Kangsanamnang Hospital, Nakhonrachasima Province. The journal of Boromarajonani College of Nursing, Nakhonrachasima. 2011; 17(1): 17-30. (in Thai).
30. Songteh J. Health behaviors contributing to risks of coronary heart disease among Thai Muslim in the Meesuwan 3 community. [Master Independent Study of Public Health]. Bangkok: Thammasat University; 2011. (in Thai).
31. Juntanon N, Singchai B, Worawong W. Self care behavior of hypertension patients who live in Muang district, Chumphon Province. KKU Research Journal. 2011; 16(6): 749-58. (in Thai).
32. Chuenwatana W, Sornpakdee N. Self-care behaviors of diabetic patients. Patumthani University Academic Journal. 6(3); 163-70. (in Thai).
2. Ministry of Public Health. Bureau of Non Communicable Diseases. Annual report 2016. Bangkok: WVO officer of printing mill; 2016. (in Thai).
3. Ministry of Public Health. Bureau of Non Communicable Diseases. Annual report 2017. Bangkok: Bureau of Non Communicable Diseases; 2017. (in Thai).
4. Punmung N, Chaiyawan H, Saengsuwanto N. World heart day: a motto 2016. Bangkok: Bureau of Non Communicable Diseases; 2016. (in Thai).
5. Lewis SL, Bucher L, Heitkemper MM, Harding MM. Medical-Surgical nursing: assessment and management of clinical problems. 10th Ed. St. Louis, Missouri: Elsevier; 2017.
6. Malakul W. Physiological role of the renin-angiotensin system in atherosclerosis. Naresuan Phayao Journal; 2011 [updated 2015 February 20; cited 2019 July 16]. Available from:http://journal.up.ac.th/files/journal_issue_list/ 1141_34.pdf. (in Thai).
7. American Heart Association. Acute Coronary Syndrome. 2018. [updated 2015 Jul 31; cited 2018 Oct 10] Available from https://www.heart. org/en/health-topics/heart-attack/about-heart-attacks/acute-coronary-syndrome.
8. World Health Organization. World Health Statistics 2018. [updated 2018 October 13; cited 2018 Oct 10] from http://apps.who.int/iris/ bitstream/handle/10665/272596/9789241565585-eng.pdf?ua=1.
9. Haisog S, Jumneansuk A, Trakulpong W, Srikhatkhow W, Sangnoi S. Health factors and self-care among patients with chronic disease in Dong Khi Lek Health Promoting Hospital, Muang District, Prachinburi Province. in: Faculty of Public Health Mahidol University, Thammasat University, National Health Commission Office, editors. The 1th National community health system conference: community health system driven: pathways to health equity and sustainability; 2017 July 17; Ambassador Hotel Bangkok. Nakhon Pathom: Sun Packaging 2014 Co.,LTD; 2017. p. 33-34. (in Thai).
10. Katanyutanon T, Chanpanya W, Pabao S, Baochanhan S, Noiprem T, Pale S, Saeng Khan J. Self-care behaviors of diabetic and hypertensive patients at a public health center in Bangmuang Subdistrict, Samutprakarn Province. APHEIT Journals. 2017; 6(2): 53-62. (in Thai).
11. Overbaugh KJ. Acute Coronary Syndrome: even nurses outside the ED should recognize its signs and symptoms. AJN. 2009 [cited 2018 Sep 25]; 109:5. Available from http://www. ucdenver.edu/academics/colleges/nursing/Documents/PDF/coronary-syndrome.pdf.
12. Orksuk L, Ruisungnoen W. Perception of symptoms and decision to seek treatment in patients with acute coronary syndrome. Journal of Nurses Association of Thailand, North-Eastern Division. 2012; 30(2): 89-97. (in Thai).
13. Porras LP, Whitehead DL, Strike PC, Steptoe A. Pre-hospital delay in patients with acute coronary syndrome: factors associated with patient decision time and home-to-hospital delay. Eur J Cardiovasc Nur. 2009 [cited 2018 Oct 10]; 8(1): 26-33. Available from https://www.ncbi. nlm.nih.gov/pmc/articles/PMC2652658/?report=printable.
14. Siripakkulwat C, Bhuddee C, Rungjang N. The empowerment of Ban Dong Community network for the surveillance of emergency cardiovascular disease. National Institute for Emergency Medicine. 2016 [cited 2018 Sep 21]. Available from http://www.niems.go.th/th/ View/Knowledge Base.aspx?CateId=3185. (in Thai).
15. Wetayawong L, Rongmuang D, Thongdee J, Nakchattri C, Rakchart P, Ratanaprom A. The effects of advocacy communication on knowledge and symptom management of Acute Coronary Syndrome (ACS) among people living in community. The Southern College Network Journal of Nursing and Public Health. 2017; 4(1): 89-101. (in Thai).
16. Ibanez B, James S, Agewall S, Antunes MJ, Ducci CB, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39(2):119-177. doi: 10.1093/eurheartj/ehx393
17. Health Data Center - HDC. Mortality rate: Acute Coronary Syndrome. Year 2016-2018. Ministry of Public Health. 2018. [cited 2018 October 4]. Available from https://hdcservice.moph.go.th /hdc/ main/index_pk.php. (in Thai).
18. Health Data Center - HDC. New Incidence rate: hypertension disease and diabetes disease. Year 2016-2018. Ministry of Public Health. [cited 2018 October 4]. Available from https:// hdcservice. moph. go.th/hdc/main/indexpk.php. (in Thai).
19. Ministry of Public Health. Bureau of Non Communicable Diseases. Guideline for assessment of cardiovascular risk. Bangkok: WVO officer of printing mill; 2014. (in Thai).
20. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th Edition. New Jersey: Pearson Education, Inc.; 2006.
21. Danyuthasilpe C. Pender’s health promotion model and its applications in nursing practice. Songklanagarind Journal of Nursing. 2018:132-141. (in Thai).
22. Buapum P., Kulrattanawiroj P. Health promoting behaviors of patients with chronic illness in Chainat Province. Thaksin University Journal; 14(3): 199-205. (in Thai).
23. Mukthong P, Thongkote W and Ungpansattawong S. Population sample parameter statistic by Yamane. [cited 2017 September 21]. Available from https://sc2. kku.ac.th/stat/statweb/images/Eventpic/60/Seminar/01_9_Yamane.pdf. (in Thai).
24. Bloom B, Engelhart MD, Furst E, Hill WH, Krathwohl D. Taxonomia de objetivos educacionais. 7th Ed. Porto Alegre: Editora Globo; 1979.
25. Siripakkulwat V, Bhuddee C, Rungjang. The empowerment of Ban Dong community network for the surveillance of emergency cardiovascular disease [document on the Internet]. National Institute for Emergency Medicine: Institute; 2016 [updated 2017 November 9; cited 2018 September 25] Available from http://www.niems. go.th/th/View/ KnowledgeBase.aspx?CateId=3185. (in Thai).
26. Choi S, Rankin S, Stewart A, Oka R. Perceptions of coronary heart disease risk in Korean immigrants with type 2 diabetes. Diabetes Educ. 2008;34(3):484-92. doi:10.1177/01457217083169 49
27.McSweeney JC, Cody M, O'Sullivan P, Elberson K, Moser DK, Garvin BJ. Women's early warning symptoms of acute myocardial infarction. Circulation. 2003;108(21):2619-23. doi: 10.1161/01.CIR.0000 097116.29625.7C
28. Punset K, Klinthuesin S, Kingkaew A, Wongmaneeroj. Cardiovascular risk among staffs working at the central of ministry of public health using risk assessment of Rama - EGAT Heart Score. Nursing journal of the ministry of public health. 2015: 57-70. (in Thai).
29. Kumloypha K. Health behaviors of diabetic patients in the diabetes mellitus clinic of Kangsanamnang Hospital, Nakhonrachasima Province. The journal of Boromarajonani College of Nursing, Nakhonrachasima. 2011; 17(1): 17-30. (in Thai).
30. Songteh J. Health behaviors contributing to risks of coronary heart disease among Thai Muslim in the Meesuwan 3 community. [Master Independent Study of Public Health]. Bangkok: Thammasat University; 2011. (in Thai).
31. Juntanon N, Singchai B, Worawong W. Self care behavior of hypertension patients who live in Muang district, Chumphon Province. KKU Research Journal. 2011; 16(6): 749-58. (in Thai).
32. Chuenwatana W, Sornpakdee N. Self-care behaviors of diabetic patients. Patumthani University Academic Journal. 6(3); 163-70. (in Thai).
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Published
2020-08-09
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Korakotkamjon P, Namjuntra R, Tangkawanich T. Knowledge, cardiovascular risk and health behaviors among patients with diabetes and hypertension in Mueang Chiangrai district. Thai J Cardio-Thorac Nurs. [Internet]. 2020 Aug. 9 [cited 2024 Nov. 21];31(1):46-61. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/243979
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