A new normal model for hypertensive patients during the COVID-19 outbreak through a community participation process
Keywords:
Community participation, Health behavior, New normal model, Hypertension COVID-19 outbreak situationAbstract
This participatory action research aimed to develop a new normal model for hypertensive patients during the COVID-19 outbreak through a community participation process. The study subjects were 30 hypertensive patients, 3 health personnel working at sub-district health promoting-hospital, and 5 village health volunteers using a 4-steps community participation process: 1) plan 2) act 3) observe and 4) reflect on the results. The study comprised four phases: firstly, understanding the current situation and analyzing associated problems; secondly, devising a comprehensive model; thirdly, implementing and monitoring the new model; and finally, evaluating the outcomes and disseminating the findings to the community. The program spanned six months. This program was implemented for 6 months. Data were collected with a personal information questionnaire, health status assessment form, self-care behavior, and health behavior questionnaires, using the concept of 3S 3E 1N Data was analyzed by descriptive statistics and repeated measure MANOVA.
The results found that the new model of 3S (Suatmon: praying, Samadhi: meditation, Studying Dharma: reading) 3E (Eating, Exercise: Maniwet, Emotional management) and 1N (Normal life clock). Monitoring was utilized in the first 3 months to enhance participants' healthy behavior by using the 3S 3E 1N There was encouragement and follow-up during the first 3 months, encouraging the sample to have health behaviors according to the principles of 3S 3E 1N The average scores of behaviorsregarding 3S 3E 1N was significantly different at the 0.05 level. However, the average scores of general behaviors among patients with hypertension did not differ significantly between the period before the program initiation and six months after its completion. The study indicated the importance of regular supervision and follow-up, preferably at least once a month, to promote consistent behavior.
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