The Effectiveness of Health Literacy Program on Self-Care Behavior among Hypertensive Patients, Tambon Aranyik Health Promotion Hospital, Mueang District, Phitsanulok Province
Keywords:hypertensive patients, health literacy, self-care behavior
This quasi-experimental research aimed to study the effectiveness of health literacy programs on self-care behaviour among hypertensive patients at Tambon Aranyik Health Promotion Hospital, Mueang District, Phitsanulok Province. The total of 60 hypertensive patients who attended the Tambon Aranyik Health Promotion Hospital were two-stage sampling divided into two groups including 30 cases each; experimental and control group. The research instruments were the health literacy program and a self-care behaviour questionnaire. Data were analyzed by using descriptive statistics; frequency, percentage, mean and standard deviation and inferential statistics; Paired sample t-test and independent sample t-test. The results revealed that after receiving the health literacy program, the experimental group had average overall self-care behaviour scores significantly higher than that before the program and the control group (p<.05). The health literacy program improved self-care behaviour among hypertensive patients. The program should be applied to other groups of the hypertensive patient.
Centers for Disease Control and Prevention (CDC). 2021). Hypertension cascade: Hypertension prevalence, treatment and control estimates among US Adults; Key findings. Retrieved from https://millionhearts.hhs.gov/data-reports/hypertension-prevalence.html
Chonsin, P., Kaveevivitchai, C., Neelapaichit, N., & Piaseu, N. (2016). Impact of a blood pressure regulating programme on health beliefs, health behaviour, amount of Sodium intake and hypertension levels in community members with hypertension. Thai Journal of Nursing Council, 31(4), 63-75. (in Thai)
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2rd ed.). New Jersey: Lawrence Erlbaum.
Creer, L. T. (2000). Self-management of chronic illness. In M. Boekaerts, P. R. Printrich, & M. Zeidner, (Eds.). Handbookofself-regulation. San Diego, CA: Academic Press.
Department of health, Ministry of Public Health. (2020). Health literacy school. Bangkok: The Printing Office to Assist Veterans Organization. (in Thai)
Department of disease control, Ministry of Public Health. (2020). Mortality rate of disease B.E. 2559-2562. Retrieved from http://www.thaincd.com/2016/mission/documents-detail.php?id=13893&tid=32&gid=1-020. (in Thai).
Global Burden of Disease Risk Factor Collaborators. (2018). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392(10159), 1923–1994. https://doi.org/10.1016/S0140-6736(18)32225-6
Health Data Center, Ministry of Public Health. (2021). Morbidity rate of hypertension. Retrieved from https://hdcservice.moph.go.th/hdc/reports/page.php?cat_id=6a1fdf282fd28180eed7d1cfe0155e11. (in Thai).
McNaughton, C. D., Jacobson, T. A., & Kripalani, S. (2014). Low literacy is associated with uncontrolled blood pressure in primary care patients with hypertension and heart disease. Patient Education and Counseling, 96(2), 165–170. https://doi.org/10.1016/j.pec.2014.05.007
Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews. Nephrology, 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2
Nutbeam, D. (2000). Health Literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259
Office of the Permanent secretary of MOPH, Ministry of Public Health. (2016). Twenty-Year National Strategic Plan for Public Health (B.E. 2561-2580). Retrieved from http://doh.hpc.go.th/data/HL/healthStrategy20year.pdf. (in Thai).
Rodjakpai, Y. (2018). Health promotion and health literacy. Chonburi: Get Good Creation Company Limited. (in Thai)
Samruayruen, K., & Kitreerawutiwong, N. (2018). Understanding on assessing health literacy. EAU Heritage Journal Science and Technology, 12(3), 1-18. (in Thai)
Samruayruen, K., & Sribenchamas, N. (2019). Effectiveness of medication using literacy program on medication use behaviors among hypertensive patients in Pho Sai Ngam health promoting hospital, Bueng Na Rang district, Phichit province. EAU Heritage Journal Science and Technology, 13(2), 297-302. (in Thai)
Sanee, A. (2014). Self management program in chronic diseases. Journal of The Royal Thai Army Nurses, 15(2), 129-134. (in Thai)
Shi, D., Li, J., Wang, Y., Wang, S., Liu, K., Shi, R., Zhang, Q., & Chen, X. (2017). Association between health literacy and hypertension management in a Chinese community: A retrospective cohort study. Internal and Emergency Medicine, 12(6), 765–776. https://doi.org/10.1007/s11739-017-1651-7
Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H., & Consortium Health Literacy Project European (HLS-EU). (2012). Health literacy and public health: A systematic review and integration of definitions and models. BioMedCentral public health, 12, 80. https://doi.org/10.1186/1471-2458-12-80
Suksampan, P., Limprasutr, P., & Othaganont, P. (2008). The effect of supportive educative nursing system on self-care behaviors of hypertensive risk group. Journal of Nursing Science Naresuan University, 2(Supplement), 52-64. (in Thai)
Thai Hypertension Society. (2019). 2019 Thai guidelines on the treatment of hypertension. Chiang Mai: Trickthink. (in Thai)
Thatsaeng, B., Lasuka, D., & Khampolsiri, T. (2012). Effects of a self-management supporting program on self-management behaviors and blood pressure among elders with hypertension. Nursing Journal, 39(4), 124–137. (in Thai)
Wagner, E. H., Glasgow, R. E., Davis, C., Bonomi, A. E., Provost, L., McCulloch, D., Carver, P., & Sixta, C. (2001). Quality improvement in chronic illness care: A collaborative approach. The Joint Commission Journal on Quality Improvement, 27(2), 63–80. https://doi.org/10.1016/s1070-3241(01)27007-2
Wattana, C. (2015). Self-management support: Strategies for promoting disease control. Journal of Phrapokklao Nursing College, 26(suppl.1), 117-127. (in Thai)
World Health Organization. (2021). Hypertension. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hypertension 2021.