Development of Care Service Model for Uncontrolled Hypertensive Patients

Abstract

This research aimed to develop care service model for hypertensive patients with uncontrolled blood pressure. It was conducted in two phrases at a Bang RakamHospital. Phase 1, uncontrolled blood pressurerates and causes of high blood pressure among patients were investigated by analysis of patient record data base and 2 focus group discussionsof stakeholders including 12 uncontrolled hypertension patients and 13 health care providers.Phase2, developing service modelwere used focus group discussions with thirteen participants. Research instruments were patient record collecting data formduring 2013-2017 and focus group guidelines provided for 3 sections including patients, health care providers, and patients and health care providers sections, and tape recorder. All instrumentswere approved by three experts, and the data were analyzed by percentage, content analysis, and content synthesis. The data revealed that the causes of uncontrolled hypertensionwere non adherence medication intake,salty food consumption and stress. The care service model for uncontrolled hypertension patients presented 5 components; 1) goal of care service model wereuncontrolled hypertensive patients had BP <140/90 mmHg, no hypertensive urgency, and stroke, 2) the model resources required multidisciplinary team care, 3) model intervention period is 4 months, 4) care services process such as blood pressure self monitoring, medical adherence follower, Thai traditional medicine and meditation therapy, and 5) the model outcomeswere the fulfillment of service goals.