Health Behavior Modification with Family Participation among Overweight Psychiatric Patients with Diabetes Mellitus or Hypertension

Authors

  • Mayuree Lakkanasirorat Huaiyot Hospital, Trang
  • Supreeya Tirapat Huaiyot Hospital, Trang

Keywords:

Health behavior modification, Over nutrition, Psychiatric patients, Family participation

Abstract

This action research study aimed to examine health behavior change (over nutrition and diabetes or hypertension) and family involvement among psychiatric patients. Method: We conducted a focus group with 12 comorbid psychiatric patients and 12 care givers who visited Psychiatric Unit at Huaiyot hospital from October 2016 to July 2019. The research tools were a health behavior modification program, which focused on food, exercise, and emotional control. There were 5 sessions for 15 weeks. Data were collected using an interviewing form, a health behavior evaluating form and a health condition recording form. We analyzed data with descriptive statistics, Wilcoxon signed rank test, and paired sample t-test.

       We found statistically significant differences between family participation score (P<0.05) and health behavior score of the group after the intervention (P<0.05). However, we found no difference in mood management (P>0.05). Conclusion: The health behavior modification program affected family participation and improved the health behaviors of psychiatric patients regarding diet and exercise.

 

 

References

Khamchata, L., Dumrongpakapakorn, P. & Theeranut, A. (2018). Metabolic

Syndrome : Dangerous signs required management. Srinagarind Medical Journal, 33(4): 386-95. Retrived April 5, 2019 from file:///C:/Users/WIN-7/Downloads/130307-Article%20Text-342997-1- 10-20180624%20(5).pdf. (In Thai)

Ittasakul, P. (2012). Risk of overweight and obesity in psychiatric patients, Rama Medical Journal, 35(2): 67-69. Retrived August 16, 2018 from

http://www.ramamedj.com/form2/RamaMedJ%2035%20No%202%

-%201.pdf. (In Thai)

Newcomer, J.W. (2004). Metabolic risk during antipsychotic treatment. Clin

Ther. 26(12):1936-46. doi: 10.1016/j.clinthera.2004.12.003.

PMID: 15823759. Retrived August 16, 2018 from

https://pubmed.ncbi.nlm.nih.gov/15823759/.

Wei Xin Chong, J., Hsien-Jie Tan, E., Chong, C.E., Ng, Y., Wijesinghe, R. (2016).

Atypical antipsychotics: A review on the prevalence, monitoring, and

management of their metabolic and cardiovascular side effects.

Ment Health Clin, 6(4):178-184. doi: 10.9740/mhc.2016.07.178.

PMID: 29955467; PMCID: PMC6007719. Retrived July 10, 2018 from

https://pubmed.ncbi.nlm.nih.gov/29955467/.

Wongpakaran, R., Boonlue, T. (2015). Psychotopic drugs induce weight gain.

Srinagarind Med J, 30(3): 313-318. (In Thai)

Young, A.S., Cohen, A.N., Goldberg, R., Hellemann, G., Kreyenbual, j., Niv, N.,

Nowlin-Finch, N., Oberman, R., Whelan, F. (2017). Improving weight

in people with serious mental illness: the effectiveness of

computerized services with peer coaches. Published online March,

: S48-S55. Retrived July 12, 2018 from

https://link.springer.com/content/pdf/10.1007/s11606-016-3963-0.pdf.

Allison, D.B., Mackull, T.A. & Mc Donell, D. (2003). The impact of weight of gain on quality of life among persons with schizophrenia. Psychiatric Services, 54(4): 565-7. Retrived July 12, 2018 from https://ps.psychiatryonline.org/doi/pdf/10.1176/appi.ps.54.4.565.

World Health Organization. (2018). Noncommunicable disease country profile

Retrived April 5, 2019 from https://apps.who.int/iris/rest

/bitstreams/1151362/retrieve.

Uthaipattanacheep, W., Khumthong, T., Amphairit, P., Ranoi, T. & Hirasatsunthorn, S. (2013).Community-basedhealth behavior modification. Bangkok: Health Education Division. Retrived January 18,2019fromfile:///C:/Users/WIN-7/Downloads/080420151827426585

_linkhed%20(1).pdf. (In Thai)

Lakkanasirorat, M., Ongpalakorn, C., Lukkanawiwat, J., Negkaphat, P.,

Wongyongsil,S. (2018). The prevalence diabetes mellitus and

hypertension in psychiatric patiens. The 6th Seoul International

Congress of Endocrinology and Metabolism. SICEM, April, 2018.

SICEM2018-P-038. (In Thai)

Quality improvement center for workforce development. (2009). Clinical

Nursing Practice Guidline for management in relapsed psychiatric patients. Huaiyot Hospital, Trang, Thialand. (in Thai).

Thongtub, S. (2017). Reduce belly disease manual. Bangkok: Health Learning

Center Building; Retrived Janualy 12, 2018 from http://detudomhospital.org/hospital-detudom/web/index.php?r

=upload-general%2Fdownload&id=153. (In Thai)

Saetew, P. & Waichompu, N. (2017). Success with Three Main Concepts.

Journal of The Royal Thai Army Nurses. 18 (Supplement) : 9-16.

Young, A.S., Cohen, A.N., Goldberg, R., Hellemann, G., Zreyenbuhl, J., Niv, N. & et al. (2016). Improving Weight in People with Serious Mental Illness: The Effectiveness of Computerized Services with Peer Coaches. Journal of General Internal Medicine, 32(1): 48–55. Retrived Faburary 12, 2020 from https://www.ncbi.nlm.nih.gov/pmc/articles/

PMC5359157/pdf/11606 2016 Article 3963.pdf.

Rachadara, P. (2009).Learning Outcomes of Family Paticipation on Self-Care Behavior On Type II Diabetic Patients at Home. [M.Sc. Thesis in Community Nurse Practitioner]. Bankok: Faculty of Graduate studies, Chistain Univesity, Retrived August 14, 2018 from http://library.christian.ac.th/thesis/document/T027991.pdf. (In Thai)

Charoen, R., Pakdevong, N. & Namvongprom. (2010). A. Effects of a Knowledge Development and Family Participation Program on Health Behaviors and Glycemic Control in Older Persons with Type 2 Diabetes, Thailand. Ramathibodi Nurse Journal, 16(2): 279-292, Retrived March 26, 2018 from https://med.mahidol.ac.th/nursing /sites/default/files/public/journal/2553/ issue_02/08.pdf. (In Thai)

Kanfer, F. H. & Gaelick-Buys, L. (1991). SeIf- management methods. In Kanfer, F. H. & Goldstein, A. P. (Eds), SeIf-management methods in helping people changes: A Textbook of methods. New York: Pergamon Press, 4: 305-360.

Sebern, M. D. (2005) Shared Care elder and family member skills used to manage burden. Journal of Advanced Nursing, 52(2): 170-179.

Kemmis, S. & McTaggart, R. (1988). The Action Research Planer. Victoria: Deakin University. 3. Retrived June 12, 2018 from https://www.slideshare.net/YeeBeeChoo/tsl3133-topic-5-action- research-concepts-and-models

Baiya, N., Chasang, C., Pachaiyapoom, N. & Tangsangwornthamma C. (2013).

The effects of family nursing intervention program based on the

illness belief model on the health behaviors of the Hypertensive

patients and health care behaviors of their family. Princess Maha

Chakri Sirindhorn Medical Center, Faculty of medicines,

Srinakharinwirot Univesity. Retrived March 26, 2018 from http://ir.swu.ac.th/xmlui/bitstream/handle/123456789/

/Nongyao_B_R440211.pdf?sequence=1. (In Thai)

Syed, I. (2020). Diet, physical activity, and emotional health: what works, what

doesn’t, and why we need integrated solutions for total worker

health. BMC Public Health. 20(152) : 1-9. Retrived June, 2020 from

https://bmcpublichealth.biomedcentral.com/articles/10.1186/

s12889-020-8288-6.

Downloads

Published

2021-08-22

How to Cite

Lakkanasirorat, M. ., & Tirapat, S. . (2021). Health Behavior Modification with Family Participation among Overweight Psychiatric Patients with Diabetes Mellitus or Hypertension. Thai Journal of Public Health and Health Sciences, 4(2), 67–82. retrieved from https://he02.tci-thaijo.org/index.php/tjph/article/view/247375

Issue

Section

Research Articles