Effects of Applying Health Belief Model on Blood Pressure Levels in Hypertensive Patients in Ban Phanasawan Sub-district Health Promoting Hospital, Mae Poen District, Nakhon Sawan Province

Main Article Content

Siripak Makkhawan
Watchara Chankrachang
Suchada Thongchai

Abstract

This research is a quasi-experimental research with a one-group pretest-posttest design. Its objective is to examine the effects of applying health belief model on blood pressure levels in hypertensive patients in Ban Phanasawan Sub-district health promoting hospital, Mae Poen district, Nakhon Sawan province. The sample consisted of 30 hypertensive patients who were uncontrolled their blood pressure within the normal range. The research tool included a health belief model application program and data collection tools, such as questionnaires. These questionnaires gathered general information, health belief model data, and self-care behavior practices. The research tool was Program for applying health belief patterns. The data collection tool was a questionnaire consisting of 1) general information, 2) a health belief pattern questionnaire, and 3) a self-care behavior. Check content consistency the consistency index (IOC) ranged between 0.80-1.00, and the overall reliability scores were 0.76 and 0.86, respectively. Statistics used for data analysis were frequency distribution, percentage, mean and standard deviation, and Paired Samples t – test.


The results indicated that after participating in the program, the sample group had significantly higher average health belief model scores compared to before participating in the program (p=0.032). The average self-care behavior scores of hypertensive patients were significantly higher after participating in the program compared to before (p<0.001). The systolic blood pressure values were significantly lower after participating in the program compared to before (p<0.001). Recommendation: This program can be adapted for hypertensive patients who are uncontrolled their blood pressure, helping them manage their own health to prevent complications, which may reduce the severity of the disease.

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1.
Makkhawan S, Chankrachang W, Thongchai S. Effects of Applying Health Belief Model on Blood Pressure Levels in Hypertensive Patients in Ban Phanasawan Sub-district Health Promoting Hospital, Mae Poen District, Nakhon Sawan Province. JDPC3 [internet]. 2024 Dec. 27 [cited 2025 Mar. 15];18(3):240-54. available from: https://he01.tci-thaijo.org/index.php/JDPC3/article/view/271343
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References

World Health Organization . A global brief on hypertension silent killer, Global public

health crisis 2013 [Internet]. [cited2023 December 3]. Available from https://www.who.Cardiovascular_diseases/publications/global_ brief_ hypertension/

Benjamas Suksatit. . Medical Nursing. Chiang Mai: N.P.T.Printing; 2021. (in Thai)

World Health Organization. Noncommunicable diseases 2018 [Internet]. [cited 2023 December 3]. Available from https://www.who.int/news-room/

Bancha Satirapoj et al. Hypertension Nephrologist View: Clinical Practice in Medicine. Bangkok: Nam Aksorn Printing; 2017. (in Thai)

Division of Non-Communicable Diseases. Country Cooperation Strategy 2017-2021[Internet]. Nonthaburi: Ministry of Public Health; 2019[cited 2023 December 3].Available from: http://www.thaincd.com/document/file/download/WHO_CCS_Thailand_2017-2021_thai.pdf (in Thai)

Thai Hypertension Society. 2019 Thai Guidelines on The Treatment of Hypertension [Internet]. Chiang Mai: Trick think; 2019 [cited 2023 December 3]. Available from: https://www.thaihypertension.org/files/442.HT%20guideline%202019.with%20watermark.pdf (in Thai)

Ban Phanasawan Sub-district Health Promoting Hospital. Annual Report 2023 Ban Phanasawan Sub-district Health Promoting Hospital. Nakhonsawan: Ban Phanasawan Sub-district Health Promoting Hospital, 2023. (in Thai)

Pender, N.J., Murdaugh, C.L., Parsons, M.A. Health promotion in nursing practice. Boston: Julie Levin Alexander; 2006.

Rakchanoke Junpen. The effectiveness of the health promotion program for patients with hypertension in hypertension clinic Damnoen Saduak Hospital, RatchaburiProvince. Journal of Research for Health Improvement and Quality of Life. 2021;1(2):20-29. (in Thai)

Sakhorn Sernthaisong. Effects of the Dietary Education Program in Conjunction with the Salt Meter on Reducing Sodium Intake, Blood Pressure Levels, and Glomerular Filtration Rate Among Uncontrolled Hypertension Patients. J. Nurs. Public. Health. Res. [Internet]. 2024 Feb. 21 [cited 2024 May 26];4(1):e264377. Available from: https://he02.tci-thaijo.org/index.php/jnphr/article/view/264377 (in Thai)

Mente A, O'Donnell M, Rangarajan S, McQueen M, Dagenais G, Wielgosz A, Lear S, Ah STL, Wei L, Diaz R, Avezum A, Lopez-Jaramillo P, Lanas F, Mony P, Szuba A, Iqbal R, Yusuf R, Mohammadifard N, Khatib R, Yusoff K, Ismail N, Gulec S, Rosengren A, Yusufali A, Kruger L, Tsolekile LP, Chifamba J, Dans A, Alhabib KF, Yeates K, Teo K, Yusuf S. Urinary sodium excretion, blood pressure, cardiovascular disease, and mortality: a community-level prospective epidemiological cohort study. Lancet. 2018 Aug 11;392(10146):496-506. doi: 10.1016/S01406736(18)31376-X. Epub 2018 Aug 9. PMID: 30129465.

Cohen, J. Statistical power analysis for the behavioral sciences. Second Edition. Hillsdale, NJ : Lawrence Erlbaum Associates, Publishers; 1988.

Wichan Mekruerod. Effect of Health Promotion Program to Health Behavior, Body Mass Index and Blood Pressure Among Khirimat District Health Personnel, Sukhothai Province. Phichit public health research and academic Journal. 2020;1(1):70-71. (in Thai)

Boonchom Srisa-ard. Research for Problem Solving and Learner Development. Bangkok:

Suviriyasarn; 2006. (in Thai)

Best, J. W. Research in Education. 4th ed. New Jersey: Prentice Hall; 1981. p.124.

Best, J. W. Research in Education. 3rd ed. New Jersey: Prentice Hall; 1977.

Chuleekorn Danyuthasilpe. Pender’s Health Promotion Model and Its Applicationsin Nursing Practice. Songklanagarind Journal of Nursing. 2018;38(2):132-141. (in Thai)

Pornpoj Boonyasit. The Development of Health Promotion Program in older persons with

Hypertension at Khok Kho Thao Sub-District, Mueang District, Suphanburi Province. The Journal of Boromarjonani College of Nursing, Suphanburi. 2021;4(2):111-130. (in Thai)

Pimlada Piamsukwilai. The Effect of Belief Modification of Reducing Sodium Consumption on Blood Pressure Level among Persons with Uncontrolled Hypertension. (2022). Chulalongkorn University Theses and Dissertations (Chula ETD). 6184. https://digital.car.chula.ac.th/chulaetd/6184 (in Thai)

Wanwisa Buasai. The effectiveness of the health care behavior promotion program on health behaviors and blood pressure levels of patients with uncontrolled ypertensionPhonsawan Hospital Nakhon Phanom Province. Journal of Health and Environmental Eucation. 2024;9(1):693-720. (in Thai)

Tanaporn Patatayo, Warinee Iemsawasdikul, Mukda Nuysri. Effects of a health behaviors developing program for the elderly with hypertension at Phlapphla Chai District, Buri Ram Province. TJN [Internet]. 2020 Aug. 26 [cited 2024 Jul. 5];69(3):1-10. Available from: https://he02.tci-thaijo.org/index.php/TJN/article/view/244779 (in Thai)