Development of a health literacy building model to promote self-management behaviors and Health outcomes among adult patients with uncontrolled hypertension
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Abstract
This action research aimed to development of a health literacy building model to promote self – management behaviors and health outcomes among adult patients with uncontrolled hypertension. the study was conducted in 3 phases: 1. Study the situation 2. development of a health literacy 3. evaluate the effectiveness of the development of a health literacy. The study period is from September 2020 – March 2023. The population is adult patients with uncontrolled hypertension. the instruments consisted of 1) a health literacy promotion program 2) questionnaires for knowledge and self-management behaviors 3) health literacy series on non – communicable diseases division of non-communicable diseases, department of disease control 4) satisfaction questionnaire for participating in activities. 5) guidelines for reasonable adjustment of drugs of Pak Thong Chai hospital model. data were analyzed using descriptive statistics, paired t-test and independent samples t-test, and content analysis. After implementing the program. the results of the comparative study between the experimental group and the control group before the experiment, it was found that average scores on health literacy and self – management behavior There is a statistically significant difference (p < 0.05), but the mean systolic and diastolic blood pressures are not statistically significantly different (p < 0.05). after the experiment, it was found that average scores on health literacy and self-management behavior average blood pressure as the heart contracts and relaxes statistically significantly different (p < 0.001). and health results from continuous follow-up until 1 year by reporting the results of weight, waist circumference, and blood pressure measurement by yourself at home or at a health station in the community via Line group every week as information for doctors to adjust medications. the study also found that 70% of the patients had been reduced medicine and terminations of medical use in 26.67 %. increasing health knowledge skills in self-management with principles of 4ORs.2P is one strategy that can control disease well. the medication was reduced according to Pak Thong Chai's guidelines for adjusting medication. enter a state of remission and help reduce the government budget for treating patients with chronic non-communicable diseases. health teams can use this model for developing health literacy and apply the behavior modification model according to the principles of 4ORs.2P. to managing other chronic non – communicable diseases. including applying the guidelines for adjusting drug use of the Pak Thong Chai model and expanding them in other areas.
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