การพัฒนาแนวทางการดูแลผู้ป่วยความดันโลหิตสูงที่ควบคุมไม่ได้ ในอำเภอเมืองสิงห์บุรี จังหวัดสิงห์บุรี

บทคัดย่อ

There are many uncontrolled hypertension patients. This research and development had aimed to study the  self-care behavior, relevant factors of the uncontrolled hypertension patients and developed guidelines for  health care of them. The sample consisted of 146 uncontrolled hypertension patients in Muang Singburi  District, Singburi Province by multi-stage sampling. The instruments were the questionnaires, in-depth  interview, focus group, sphygmomanometer and the self-record form of blood pressure. The data were  analyzed by using number, percentage, mean, standard deviation and t-test. The results showed that, the  uncontrolled hypertension patients were female 82.2 %, age over 60 years old 45.9%, primary education  57.5%, housewives or not working 48.6% and income less than 5,000 baht/month 63.0%. The social support  was high level. Attitude and self-care behavior and access to health care services were moderate level.  Knowledge of hypertension was fair. The result of self-monitoring blood pressure at home showed that the  mean blood pressure, both systolic and diastolic blood pressure were decreased (p < 0.001). Thus, a guideline of development for uncontrolled hypertension patients makes the patients well-controlled their blood  pressure