The effectiveness of the program applying the health promotion model on self-care behavior among patients with uncontrolled hypertension in Phakkwang Sub-district, Thongseankhan District, Uttaradit Province
Keywords:
Self-care, Health promotion, HypertensionAbstract
The purposes of this quasi-experimental research were to study the effectiveness of the program by applying health Promotion model on self-care behavior among patients with uncontrolled hypertension by applying Pender's Health-promotion Model and Protection Motivation Theory. The sample consisted of 60 patients with uncontrolled hypertension, divided into experimental group and control group, 30 people each. The experimental group received health promotion program for 8 weeks and follow-up period at the 10th week. The controlled group received regular service. The data were collected by interview forms from May to July 2019. The data were analyzed using descriptive statistics including frequency, percentage, mean and standard deviation, and inferential statistics using Independent t-test, Paired t-test, One-Way Repeated ANOVA and Analysis of Covariance (ANCOVA). The statistical significance level was set at 0.05.
The results showed that after the experiment, the trial group had mean perceived scores including perceived benefit of practice, perceived barriers to practice, perceived self-efficacy, perceived severity of disease, and perceived risk exposure disease, and the mean behavioral scores were statistically significantly higher than before the trial (p-value < 0.05). The mean systolic blood pressure of the experimental group after the trial and follow-up period, there was a statistically significant decrease from before the trial (p-value < 0.05). After the experiment, the experimental group had a mean perceived score, mean behavior score and mean blood pressure significantly higher than the control group (p-value < 0.05). Therefore, the health promotion program affects the self-care behavior among patients with uncontrolled hypertension.
References
Aekplakorn, W. (2020). Report of the 6th Thai people's health report by crossed meditation 2019-2020. Bangkok: Mahidol University publishing house. (in Thai)
Boongun, N., & Dungsong, R. (2013). Effects of health education programs by application of the protection motivation theory and social support to prevent kidney disease among hypertensive patients. Srinagarind Medical Journal, 27(4), 366-372. (in Thai)
Chue-iam, S. (2011). The effect of a food consumption promotion program on consumption behavior disease-specific diet and blood pressure levels in elderly people with idiopathic hypertension. Thesis of Master of Nursing, Burapha University, Chonburi. (in Thai)
Junpen, R. (2021). The effectiveness of the health promotion program for patients with hypertension in hypertension clinic Damnoen Saduak Hospital, Ratchaburi Province. Journal of research for health improvement and quality of life, 1(2), 20-30. (in Thai)
Jirojanakul, P., Nipathatapon, S., Leesukon, N., Pipatsomba, P., Rowsathien, N., & Kuanyeun, R. (2017). Effectiveness of the management enhancement program self of a person with hypertension. Journal of Cardiovascular and Thoracic Nurses, 28(1),19-24. (in Thai)
Kotchompoo, S., Mahaweerawat, U., & Dejthai, T. (2011). Improving blood pressure control behavior among essential hypertension patients at Amphoe Klong Luang, Chawat Pathum Thani, KKU Journal for Public Health Research, 4(1), 47-60. (in Thai)
Maklamdam, P. (2015). The effects of a program to promote self-care behaviors of the elderly sick with hypertention, Thesis of Master of science, Rajabhat Rajanagarindra University, Chachoengsao. (in Thai)
Ministry of Public Health. (2021, October 15). Percentage of hypertension patients with good blood pressure control, 2021. Retrieved October 20, 2021, from https://utt.hdc.moph.go.th/hdc/main/index.php. (in Thai)
Nakgling, Y. (2017). The effect of the self-efficacy enhancing program on healthy behavior of the elderly with hypertension whose blood pressure level cannot be controlled. Journal of the Association of Private Higher
Education Institutions of Thailand under the Patronage of Her Royal Highness Princess Mahachakri Sirindhorn, 6(1), 27-35. (in Thai)
Pender, N. J., Murdaugh, C. L., & Parsons, M.A. (2011). Health promotion in nursing practice (6th ed.). Boston: Pearson.
Phakkwang Sub-district Health Promoting Hospital (2021). Chronic disease case report of Phakkwang Sub-district Health Promoting Hospital 2021. Uttaradit Province: Phakkwang Tambon Health Promoting Hospital. (in Thai)
Pijanjan, J. (2012). Effects of health promotion programs on consumption behaviour diet and quality of life of hypertensive patients at Phen Hospital, Phen District, Udon Thani Province. Thesis of Master of Nursing, Khon Kaen University, Khon Kaen. (in Thai)
Plotnikoff, R. C. & Higginbotham, N. (2002). Protection motivation theory and exercise behavior change for the prevention of coronary heart disease in a high-risk, Australian representative community sample of adult psychology, Health & Medicine, 7(1), 87-98.
Saothong, T. (2020). Effects of behavior change on glycemic control in type 2 diabetes patients with uncontrolled blood sugar. Journal of Health and Nursing Research. 36(3), 19-30. (in Thai)
Srimongkol, T. (2015). Dietary behavior modification program in high risk groups for hypertension, Tajan Sub-district, Kong District, Nakhon Ratchasima Province. Journal of Boromarajonani College of Nursing, Bangkok, 33(1), 86-88. (in Thai)
Suntorn, S. (2019). Concepts and paradigms of sample size determination with G*Power. Journal of Interdisciplinary Research, 8(1), 29-39. (in Thai)
Thongbu, P., Potisupsuk, C., & Nontasawatsri, S. (2019). Effects of a self-health promotion program for elderly patients with uncontrolled hypertension in Tambon Laoluang, Kasetwisai District, Roi-Et Province. Journal of Nursing, 68(4), 1-10. (in Thai)
Ministry of Public Health. (2021). Percentage of hypertension patients with good blood pressure control, 2021. Retrieved October 20, 2021, from https://utt.hdc.moph.go.th/hdc/main/index.php. (in Thai)
Wattanametee, R. (2016). Effect of behavior modification program on blood pressure control blood of patients with high blood pressure outpatient department Irrigation Hospital. Journal of the Southern College of Nursing and Public Health Network, 4(3), 12-19. (in Thai)
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