Factors influencing preventive behaviors for coronary heart disease among patients with hypertension

Authors

  • Passamon Khatthamat Master of Nursing Science (Adult and Gerontological Nursing), Faculty of Nursing, Mahidol University
  • Chongjit Saneha Faculty of Nursing, Mahidol University
  • Wimolrat Puwarawuttipanit Faculty of Nursing, Mahidol University

Keywords:

patients with hypertension, preventive behaviours for coronary heart disease, perceived health status, knowledge, patient-provider communication

Abstract

        This predictive correlational study aimed at studying influence of perceived susceptibility of coronary heart disease, perceived health status, knowledge about coronary heart disease and patient-provider communication on preventive behaviors for coronary heart disease among patients with hypertension. The samples were 126 patients with hypertension who came to be treated at a public hospital in Bangkok. Data were collected using the following instruments: the demographic data questionnaire, the perceived susceptibility of coronary heart disease questionnaire, the perceived health status questionnaire, the knowledge about coronary heart disease questionnaire, the patient-provider communication questionnaire and the questionnaire on preventive behaviours for coronary heart disease among patients with hypertension. Data were analysed using descriptive statistics and multiple regression analysis.

        According to the findings, most of the samples had high preventive behaviours for coronary heart disease. According to multiple regression analysis, all of the independent variables were able to explain variances of preventive behaviours for coronary heart disease among the samples at 11 percent with statistical significance (Adjusted R2 = .11, p < .01). Only perceived health status (β = .23, p = .01), knowledge about coronary heart disease (β = .17, p = .04) and patient-provider communication (β = .17, p = .04) were found to be able to predict preventive behaviours for coronary heart disease among patients with hypertension with statistical significance.

         Recommended from the findings, health personnel should assess and monitor patients’ perceived health status, provide knowledge about coronary heart disease and develop effective patient-provider communication in order to promote preventive behaviours for coronary heart disease among patients with hypertension.

References

1. World Health Organization. Cardiovascular diseases [Internet]. 2017. [cited 2018 Dec 20]. Available from: http://ish-world.com/dowload/pdf/ global_brief_hypertension.pdf

2. Forouzanfar MH, Liu P, Roth GA, Ng M, Biryukov S, Marczak L, et al. Global burden of hypertension and systolic blood pressure of at least 110 to 115 mmHg 1990-2015. JAMA. 2017; 317: 165-82.

3. Ekpalakorn W, Puckcharern H, Thaikla K, Satheannoppakao W. Report of the Thai public health examination by the 5th physical examination 2014. 1st edition. Nonthaburi: Health Systems Research Institute; 2016. (in Thai).

4. Information and Communication Technology Centre, Office of the Permanent Secretary, Ministry of Public Health. Standard report group important non communicable disease [Internet]. 2018. [cited 2018 Sep 12]. Available from: https://hdcservice.moph.go.th/hdc/main/index_k.php (in Thai).

5. Bureau of Policy and Strategy, Office of the Permanent Secretary Ministry of Public Health. Public health statistics 2015. Bangkok: Samcharoen Panich; 2015. (in Thai).

6. William B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. ESC/ESH guideline for the management of arterial hypertension. Eur Heart J. 2018; 39: 3021-104.
7. Thai Hypertension Society. Thai guidelines on the treatment of hypertension [Internet]. 2015. [cited 2018 JUN 13]. Available from: www.thai hypertension.org/ iles/GL%20HT%202015.pdf (in Thai).

8. Sutthipatthanangkoon C, Thato R. Factors predicting preventive behaviors for coronary artery disease among autonomous university staff in Bangkok University. Thai Journal of Cardio-Thoracic Nursing. 2017; 28: 111-25. (in Thai).

9. Sirikangwankun W, Thato R, Polsook R. Factors predicting preventive behaviors for coronary artery disease among the royal thai army personnel. Journal of Nursing Science Chulalongkorn University. 2017; 29: 99-111. (in Thai).

10. Khotchakhote J, Jirapongsuwan A, Kerdmongkol P, Amnatsatsue K, Kaewboonchoo O. Atherosclerosis prevention behaviors among Kasikorn bank employees in Bangkok. Kuakarun Journal of Nursing. 2012; 19: 71-86. (in Thai).

11. Zinat Motlagh SF, Chaman R, Sadeghi E, Eslami AA. Self-care behaviors and related factors in hypertensive patients. Iran Red Crescent Med J. 2016; 10;18(6):e35805. doi: 10.5812/ircmj.35805. PMID: 27621938; PMCID: PMC5004506.

12. Jandeekaewsakul P, Watthayu N, Suwonnaroop N. Factors predicting self-management behaviour among patients with uncontrolled essential hypertension. Journal of Nursing Science. 2018; 36: 31-43. (in Thai).

13. Jariyasakulwong P, Charoenkitkarn V, Pinyopasakul W, Sriprasong S, Roubsanthisuk W. Factors influencing on health promotion behaviors in young adults with hypertension. Princess of Naradhiwas University Journal. 2015; 7: 26-36. (in Thai).

14. The Heart Foundation of Thailand under The Royal Patronage. DASH Diet [Internet]. 2017 [cited 2019 Jul 14]. Available from: http://www. thaiheartfound.org/category/details/food/272

15. Stretcher VJ, Rosenstock IM. The health belief model. In Glanz K, Lewis FM, editors. Health behavior and health education theory research and practice. 2 nd edition. San Francisco: Jossey-bass; 1997.

16. Ammouri AA, Neuberger G. The perception of risk of heart disease scale: development and psychometric analysis. J Nurs Meas. 2008; 16(2):83-97. doi:10.1891/1061-3749.16.2.83
17. Ma C. An investigation of factors influencing self-care behaviors in young and middle-aged adults with hypertension based on a health belief model. Heart Lung. 2018;47(2):136-41. doi:10.1016/ j.hrtlng.2017.12.001

18. Chuenwattana W, Sonpakdee N. Self-care behaviours of diabetic patients at Bangmeanang Tambon Bang Yai Nonthaburi Province. Pathumthani University Academic Journal. 2014; 6: 163-70. (in Thai).

19. Lee GK, Wang HH, Liu KQ, Cheung Y, Morisky DE, Wong MC. Determinants of medication adherence to antihypertensive medications among a Chinese population using Morisky Medication Adherence Scale. PLoS One. 2013; 8(4):e62775. doi:10.1371/journal. pone.0062775

20. Kraisai P, Promla W. Factors influencing to self-care behaviours of patients diabetes mellitus at Pathumthani Province. Mahamakut Graduate School Journal. 2017; 15: 101-10. (in Thai).

21. Bureau of Non Communicable Disease, Ministry of Public Health. Guidelines for assessment of cardiovascular risk. Nonthaburi: The War Veterans Organization of Thailand under Royal Patronage of His Majesty the King; 2017. (in Thai).

22. Schillinger D, Bindman A, Wang F, Stewart A, Piette J. Functional health literacy and the quality of physician-patient communication among diabetes patients. Patient Educ Couns. 2004; 52(3): 315-23. doi:10.1016/S0738-3991(03) 00107-1

23. Schoenthaler A, Allegrante JP, Chaplin W, Ogedegbe G. The effect of patient-provider communication on medication adherence in hypertensive black patients: does race concordance matter?. Ann Behav Med. 2012; 43(3):372-82. doi:10.1007/s12160-011-9342-5

24. Phetarvut S, Watthayu N, Suwonnaroop N. Factors predicting diabetes self-management behavior among patients with diabetes mellitus type 2. Journal of Nursing Science. 2011; 29: 18-26. (in Thai).

25. Srihamartra W, Buatee S, Sittipakorn S. The relationship between health belief perception and health behaviors in patients with hypertension crisis. The journal of Boromarajonani College of nursing Nakhonratchasima. 2015; 21: 27-40. (in Thai).

26. Cohen J. A power primer. Psychol Bull. 1992; 112(1):155-59. doi:10.1037//0033-2909.112.1.155

27. Poomsrikaew O. Risk factors and perception of coronary heart disease risk among Thai patients with type 2 diabetes. The journal of Boromarajonani College of Nursing Nakhonratchasima. 2012; 18: 34-47. (in Thai).

28. Lawton MP, Moss M, Fulcomer M, Kleban MH. A research and service oriented multilevel assessment instrument. J Gerontol. 1982; 37(1):91-99. doi:10.1093/geronj/37.1.91

29. Sriyuktasuth A, Tosuksri W, Paitong P, Koolvisoot A. Utility of Pender’s model in describing health-promoting behaviors in rheumatoid arthritis patients. Journal Nursing Science. 2005;23(3):43-54. (in Thai).

30. Kanbuala W, Samartkit N, Keeratiyutawong P. Factors related to decision time for seeking treatment in patients with myocardial infarction. Nursing Journal of the Ministry of Public Health. 2014; 24: 21-36. (in Thai).

31. Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 10th edition. Philadelphia: Wolters Kluwer; 2017.

32. Luenam A, Ngamkham N, Sangsawang D, Pengpanich W, Rattanasuwannachai K, Sengla W, et al. Predictive factors of self-care behavior for prevention of hypertention among population group at risk. Huachiew Chalermprakiet University Journal of Health Science. 2019; 23: 93-106. (in Thai).

33. Urairat P, Puwarawuttipanit W, Sriyuktasuth A, Teerapornlertratt T. Factors influencing relapse behaviors in lupus nephitis patients. Journal of Nursing Science. 2012; 30: 55-63. (in Thai).

34. Saleema L, Panpakdee O, Arpanantikul M, Chai-Aroon T. The influence of basic conditioning factors and self-care agency on self-care behaviors in Thais with hypertension.PRIJNR 2016; 20(1):5-17.

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Published

2020-08-09

How to Cite

1.
Khatthamat P, Saneha C, Puwarawuttipanit W. Factors influencing preventive behaviors for coronary heart disease among patients with hypertension. Thai J Cardio-Thorac Nurs. [Internet]. 2020 Aug. 9 [cited 2024 Dec. 4];31(1):62-77. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/243980

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Research Articles