The Development of a Model for the Prevention of Hypertension in Risk Group in a Rural Isan Community through Community Participation
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Abstract
The objectives of this action research were to study the situation and needs in the prevention of hypertension in the community and to develop guidelines for the prevention of hypertension in the risk group in the community through community participation. The target group consisted of 32 people in the hypertension risk group, two officials from the Tambon health promoting hospital and six village health volunteers. The duration of the study was 1 year and 4 months. Descriptive statistics and paired sample t-tests were used to analyze quantitative data and content analysis was employed to analyze qualitative data. The study results revealed: 1. The situation analysis of the risk group included low knowledge of hypertension and self-efficacy and inappropriate eating habits, exercise and stress management. 2. The brainstorming session was held for planning the development of a practice guideline for the prevention of hypertension risk group in the community through community participation. The objectives were as follows: 1) To improve knowledge of hypertension, 2) improve self-efficacy, 3) organize activities to improve health behaviors 4) conduct home visits and follow-up through the social network, 5) create learning materials to prevent hypertension in the community, by encouraging community participation through the arts, culture and local knowledge 3. The result: the risk group’s knowledge of hypertension was improved at a low level of statistical significance (p < .01). The self-efficacy of the risk group before the development was at a moderate level. However, after development, it was increased to a high level of significance (p< .01). In conclusion, the risk group had behaviors before the development at an inappropriate level, but after development, the mean increased significantly (p-value<.01). The blood pressure levels of all people in the vulnerable group decreased. An effective model for the prevention of hypertension risk groups in community was developed.
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บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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