Effectiveness of Knowledge Management on Knowledge and Management of Hypertension in Elderly
Main Article Content
Abstract
Purpose: This study aimed to evaluate the effects of theknowledge management on knowledge and management ofhypertension, and to synthesize good practices in managing bloodpressure of the hypertensive elderly patients.
Designs: Participatory action research.
Methods: A purposive sampling of 30 elders who hadhypertension and were able to control BP ≤ 140/90 mm Hg was recruited. The measurements included knowledge and behavior onhypertensive management questionnaires, and the interviewguides for the focus group and in-depth interviews. Theparticipants attended the meeting for community of practice inthe knowledge management process once a month for six months.
Main findings: The results showed that knowledge managementprocesses effect on health problem management of elders withcontrolled hypertension in both knowledge and behavioralpractices especially in diet, observation of symptoms andproblem-solving and overall behaviors (p < .05). The guidelines ofgood practice to control participants’ blood pressure were adheredto, including basic exercise principles, avoidance of sugar, fat, andsalt in their diet, eating more fruit and vegetables, stressmanagement, taking medication, living in a good environmentwithout air pollution, and observation of symptoms.
Conclusion and recommendations: The findings recommendedthat the Community of Practice for these elders with hypertensionbe developed and maintained their activities to sustainablymanage their hypertensive problems.
Article Details
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References
Institute for Population and Social Research. Population of Thailand, 2011. Mahidol Population Gazette [online] 2011 January [cited 2011 May 16]: (Vol.20): Available from: URL: http://www.ipsr.mahidol.ac.th/ipsr-th/PublicationGazette.htm. (in Thai).
Foundation of Thai Gerontological Research and Development. Thailand elderly situation report 2007. 1st ed. Bangkok: TQP; 2551. (in Thai).
Izzo JL. Black HR. Eds. Hypertension primer: The Essential of high blood pressure. 3rd ed. Philadelphia, Pa; Lippincott Williams & Wilkins; 2003.
Tresukosol D, Sahasakul Y, Thamlikitkul V, Sriyudhasak O, Phothisawang R, Meesap Y. Treatment for hypertension in aging patients : Health research program for the elderly. Faculty of Medicine, Siriraj Hospital, Mahidol University; 2002. (in Thai).
Riensavapak S, Maneewattana S, Lovichit T, Sanguanroongvong J, Chieowanit K, Kobkuwattana T. Knowledge management. Bangkok: K Pon Co; 2005. (in Thai).
Rungchang W. Survey of nursing research about hypertension in Thailand (Thesis). Bangkok, Mahidol University; 2001. 71 p.
Srikan P. Effect of goal-setting and selfmonitoring
on exercise behavior among the elderly with hypertension. (Thesis). Chiangmai, Chiangmai University; 2546. 86 p.
Park Y, Song M, Cho B, Lim J, Song W, Kim S. The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: A randomized controlled trial. Patient Educ Couns. 2011;82:133-7.
Luksamijarulkul P, Jongsuwat R, Paowatana A. Knowledge management in theory and practice: Health promotion in Faculty of Public Health, Mahidol University. Bangkok: Charoendee Munkong Printing; 2007.
Sriyanaluk T, Boonyasopun U, Srikaew M. Complementary care practice among patients with hypertension. Princess Naradhiwas University J. 2011;3(1):61-73.
Appel LJ, Champagne CM, Harsha DW, et al. Effect of comprehensive lifestyle modification on blood pressure control: Main results of PREMIER clinical trial. JAMA.
;289(16):2083-93.
Kamsrichan W, Nitkote R, Chantawongse K. Thongkam N. Learning process of Community: Thinking based learning and process of participatory health promotion drive program. In: Srivanichakorn S, Hongkrailert N, editors. Participatory learning process of Community. Nakhonpathom: ASEAN Institute for Health Development, Mahidol University, 2011. P. 22. (in Thai)