Effects of a transaction remote home visit program on blood pressure levels of working-age patients with uncontrolled hypertension at workplace in Bangkok
Article Sidebar
Main Article Content
Abstract
Background: Uncontrolled hypertension is one of the main cause of premature mortality. Implementing a transaction remote home visit program is one approach to controlling blood pressure in patients.
Objectives: To investigate the effects of a transaction remote home visit program on blood pressure levels of working-age patients with uncontrolled hypertension in workplaces in Bangkok.
Methods: This experimental study used a randomized controlled trial design with pre- and post-program assessments. The study applied King's theory in conjunction with remote home visits. A total of 66 participants were recruited, divided into an experimental group and a control group of 33 participants each. The program was conducted over 12 weeks. Data were collected using questionnaires and analyzed using a Chi-square test, a Paired t-test, and an independent t-test.
Results: After the intervention, the experimental group showed a statistically significant reduction in mean systolic blood pressure compared to the control group at a significance level of .05. The mean systolic blood pressure decreased from 151.33 mmHg to 133.79 mmHg. The mean difference between pre- and post-intervention systolic blood pressure in the experimental group was also statistically significant at a .05 level of significance, with a mean reduction of 17.45 mmHg (X̄=-17.45).
Conclusions: The transaction remote home visit program effectively lowered systolic blood pressure in working-age patients with uncontrolled hypertension in workplace settings.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
World Health Organization. Hypertension. [Internet]. 2023 [cited 2023 Oct 18]; Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension.
World Health Organization. The World Health Organization presents its first report on the devastating effects of high blood pressure and how to stop it. [Internet]. 2023 [cited 2023 Oct 18]; Available from: https://www.who.int/thailand/th/news/detail/19-09-2566-first-who-report-details-devastating-impact-of-hypertension-and-ways-to-stop-it. (in Thai).
Ekpalakorn W. Report on the 6th national health examination survey 2019-2020. Bangkok: Aksorn Graphic and Design Publishing House; 2021. (in Thai).
Public Health and Environmental Strategy Division, Office of Strategy and Evaluation. Report summarizing results. Evaluation of operations according to the Bangkok Metropolitan Administration operational plan for the year 2020 (end of fiscal year) health dimension. Bangkok: Bangkok Metropolitan Administration; 2020. (in Thai).
Department of Disease Control, Ministry of Public Health. Report on the situation of NCDs: diabetes, hypertension, and related factors for the year 2019. Bangkok: Graphic and Design Company; 2020. (in Thai).
Thai Hypertension Society. 2019 Thai guidelines on the treatment of hypertension. [Internet]. 2019 [cited 2023 Jan 1]; Available from: https://www.thai hypertension.org/hypertensiondetail.php?n_id=442. (in Thai).
Nursing Council. Announcement of the Nursing and Midwifery Council on guidelines for tele-nursing (Tele-nursing). Royal Gazette. 2021;138(33):49-51. (in Thai).
Amphol S, Puanfai S, Thaisawat S, Mitta P. Effects of an intermediate care in stroke patients by home health care, Chiang Mai Neurological Hospital. Lanna Public Health Journal. 2023;19(2):44-57. (in Thai).
King IM. A theory of nursing: systems, concepts, process. New York: John Wiley & Sons; 1981.
Chaikul C. Effects of self-management and family particpation enhancing program on health behavior and blood pressure among elderly with hypertension [Thesis]. Songkhla: Prince of Songkla University; 2014. (in Thai).
Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-60. doi: 10.3758/BRM.41.4.1149.
Thongkhao S, Kimsungnoen N, Namjuntra R. Effects of educative-supportive program on self-care behaviors and blood pressure levels among young adult patients with uncontrolled hypertension. Thai Journal of Cardio-Thorac Nursing. 2021;32(2):73-88. (in Thai).
Polit DE, Beck CT. Essentials of nursing research: methods, appraisal, and utilization. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2006.
Choeisuwan W, Potisa S, Wongsang Y. The effects of home visit based on participation program on health behaviors and blood pressure of persons with hypertension in selected community in Bukkhalo, Thonburi. Royal Thai Navy Medical Journal. 2020;47(3):525-43. (in Thai).
Donsai M, Thiphom S. The effect of participation and perceived self-efficacy program on health behavior and hypertension of pre-hypertension group in Suan Miang Health Promoting Hospital. EAU Heritage Journal Science and Technology. 2019;13(1):65-75. (in Thai).
Thanaseth R. Effects of self-management promotion program and family participation on health behaviors and blood pressure of working adults group. Journal of Disease Prevention and Control 9. 2018;24(2):100-11. (in Thai).
