The Relationship Between the Quality of Services Provided and the Level of Blood Pressure in Hypertensive Patients in Bangkok Metropolitan
Keywords:
Quality of care, Hypertension patients, Blood pressure levelsAbstract
This research was a descriptive correlational study of quality variables of care service process and blood pressure levels of hypertensive patients in Bangkok. To study the relationship of the quality of receiving care services that consist of health promotion. prevention of complications and continuation of care with health outcomes, including blood pressure levels Using Donabedian’s quality of care concept, the samples were patients with hypertension in Bangkok. Both males and females, aged 18 years and over, not limited to blood pressure levels, who have been admitted to the public health center for at least 1 year in 12 communities, totaling 137 cases using a simple random sampling method. Data were collected between March 2022 and August 2022 using questionnaires, namely the general information questionnaire and the quality of receiving care services for hypertension. Data were analyzed using descriptive statistics and correlation was analyzed by Pearson’s correlation coefficient.
The results showed that receiving health promotion care services complication prevention and continuous care care was significantly negatively associated with systolic and diastolic blood pressure levels (r = -.536, -.402 and -.464 , p < .01 respectively) (r = -.289, -.221 and -.321, p < .01 respectively) can be used as basic information to develop guidelines for improving the quality of service provision in the care of hypertension patients for better efficiency and effectiveness.
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References
Sinsap N. & Chuwattanapakorn T. Effects of a Tang Wai dance and exercise program on blood
pressure levels in elderly people with high blood pressure. Kuekarun Journal 2016; 23(1):73-86.
Donabedian A. An Introduction to quality assurance in health care (3ed). New York: Oxford university press; 2005.
Office of Policy and Strategy Office of the Permanent Secretary, Ministry of Public Health. Public health statistics 2019. Bangkok: Sam Charoen Phanit Printing (Bangkok) Co., Ltd.; 2019.
Ekkaphakorn W. Report on the 6th survey of Thai people’s health by physical examination, 2019-2020. Nonthaburi: Aksorn Graphic and Design Publishing House; 2021.
Tangjitkamon S, Thamroj N, & Phaloprakan C. Preliminary report on health information for people in Bangkok. Bangkok: I Printing Color (Thailand) Co., Ltd.; 2016.
Pathamawongsa W, Rujakornkarn D, & Wongpiriyayotha A. relationship between knowledge Self-care behavior and blood pressure of patients with idiopathic hypertension receiving services at Xiangkhouang Provincial Hospital, Lao People’s Democratic Republic. Journal of Nursing and Health Sciences 2018; 38(2): 43-53.
Li H, Wei X, & Wong MCS. Changes of the perceived quality of care for older patients with hypertension by community health centers in shanghai. BioMed Central family practice. 2017;18(1):1-7
Sittisart V, Meethip S, & InJeen J. The Effectiveness of a Health Promoting Behavior Program for Elderly with High Blood Pressure at Banklong Sub District Health Promoting Hospital, Phitsanulok. Nursing Journal of The Ministry of Public Health. 2019;29(1):153-65. (in Thai).
Charoenpong C, Nititham A, Teravechcharoenchai S, & Chaleoykitti S. A Development of Health Behavior Promotion Program of Primary Hypertensive Patients. Journal of The Royal Thai Army Nurses. 2019;20(1):157-64. (in Thai).
Ngonsamrong C, & Salawonglak T. The potential development of self-care in Elderly with hypertension to prevent complication in Thongchainau Sub-District, Pakthongchai District, Nakhon Ratchasima Province. Rajapruek Journal. 2019;17(1):102-10. (in Thai).
Waenkaew N, Burilert O, & Chuesathuchon C. Effectiveness and results of a health behavior change program based on the 3 Self principles combined with social support on health behavior of patients with high blood pressure. 50th Anniversary Mahavajiralongkorn Hospital. Journal of Public Health Research Ubon Ratchathani Rajabhat University 2019; 8(2): 98-110.
Tepsuriyanont S. Medication adherence behavior among hypertensive adult patients. Journal of The Royal Thai Army Nurses. 2017;18(3): 115-22. (in Thai).
Sawekwan J, Amnatsatsue K, & Kerdmongkol P. Effects of a continuing care program for older adults with concontrolled hypertension. Journal of Public Health Nursing. 2020;33(1): 152-70. (in Thai).
Terathongkum S, Prasatkaew N, & Maneesriwongul W. Effects of a home visiting program combined with telephone follow-up on health behavior and health status of people with uncontrolled high blood pressure. Ramathibodi Nursing Journal. 2014; 20(3): 356-71. (in Thai).
Akaratanapol P, Deenan A, & Srisuriyawate R. The Effectiveness of The Integrated Home-Based Program on Blood Pressure, Body Fat Percentage And Eating Behavior among Uncontrolled Hypertensive Patients. Journal of The Royal Thai Army Nurses. 2019;19 (Supplement):39-49. (in Thai).
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