Factors Predicting Behaviors to Control and Prevent Essential Hypertension among Patients with Uncrontrolled Blood Pressure in Phrae Province
Keywords:Behaviors to control and prevent hypertension, Hypertension, Patients with uncontrolled blood pressure
This descriptive research studied the predicting factors of behaviors to control and prevent hypertension among patients with uncontrolled blood pressure in Phrae province. The sample were patients diagnosed with essential hypertension by a doctor and who are unable to control their blood pressure after receiving medical treatment in the community hospital and health promoting hospitals in Phrae province. A total of 297 participants were selected using Three- stages cluster sampling method. The research tool was comprised of questionnaire of knowledge, questionnaire of reinforcing factor and enabling factor, and the questionnaires for the control behaviors and prevention of hypertension. The validity of all questionnaires was tested using an index of item objective congruence, which ranges between 0.6-1.0. The questionnaire of knowledge was tested using the KR-20, which showed a result of 0.95 reliability. The Cronbach’s alpha coefficient scores of reinforcing factor, enabling factors, and control behaviors and prevention of hypertension questionnaire were 0.76, 0.86, and 0.72, respectively. Data were analyzed using frequency, percentage, mean, standard deviation and Stepwise Multiple regression analysis with stepwise selection method). The results revealed that factors that significantly predicted the control behaviors and prevention of hypertension at p < 0.001 were knowledge about hypertension and number of associated health problems which accounted for 6.8 % of variance. The equation of prediction in the raw score was
= 99.725 + 0.937 (knowledge about hypertension) - 0.516 (number of associated health problems)
Aramwirot, M. (2017). Factors related to self-care behavior of the elderly with hypertension in Thakonglek 9, Ubon Ratchathani province. In academic conferences and presenting national research results The2nd, Academic Year (933-934), Ratchathani University. Ubon Ratchathani. [In Thai].
Bell, K. D., Twiggs, J., Bernie, K., & Olin, B. R. (2015). Up dated JNC-8 guideline recommendations. Retrieved 10 November 2017 from http://www.aparx.org.
Deenan, A., Rattanagreethakul, S., Thanee, S., Sumonwong, W., & Wattanakul, C. (2014). Risk reduction and quality of life improvement for people with essential hypertension (Phase 2) (Research report). Burapha University, Chon Buri. [In Thai].
Department of Disease Control. (2017). Issue of campaign for hypertension day 2015. Retrieved 10 November 2017 from http:// www.thaincd.com/2016/news/hot-news-detail.php?id=125548&gid=18/. [In Thai].
Green, L. W., & Kreuter, M. W. (2005). Health program planning: an educational and ecological approach (4th ed.). New York: McGraw Hill.
Health Data Center, Ministry of Public Health. (2016). Prevalence rate of hypertension with a total population of 12 health districts, 76 provinces. Retrieved 21 March 2017 from https://hdcservice.moph.go.th/hdc/reports/report.php?source=formated/ncd.php&cat_id=6a1fdf282fd28180eed7d1cfe0155e11&id=b9af46d0cc1830d3bd34589c1081c68 [In Thai].
Health Data Center, Ministry of Public Health. (2016 b). Percentage of patients with hypertension who control blood pressure well, Health zone 1. Retrieved 21 March 2017 from https://hdcservice.moph.go.th/hdc/reports/report.php?source=pformated/format1.php&cat_id=b2b59e64c4e6c92d4b1ec16a599d882b&id=2e3813337b6b5377c2f68affe247d5f9 [In Thai].
Health Data Center, Ministry of Public Health. (2016 c). Prevalence rate of hypertension on the population of the health zone 1. Retrieved 21 March 2017 from https://hdcservice.moph.go.th/hdc/reports/ report.php?source=formated/ncd.php &cat_id=6a1fdf282fd28180eed7d1cfe0155e11&id=6b9af46d0cc1830d3bd3458 [In Thai].
Health Data Center, Ministry of Public Health. (2016d). Case fatality rate with hypertension disease, health zone 1. Retrieved 22 March 2017 from https://hdcservice.moph.go.th/hdc/reports/report.php? source=formated / ncd_dea th_age.php&cat_id=6a1fdf282fd28180eed7d1cfe0155e11&id=e46c73b57c9eeb2f07759a9e9bc50fb3 [In Thai].
Imsombati, M. (2007). Factors affecting blood pressure in patients with hypertension in the Chang District, Sing Buri Province. Journal of Health Systems Research, 1(2), 119 -128. [In Thai].
Leelasamran, W., & Permsirivanich, W. (Editor). (2004). Exercise for health in various diseases. Songkhla: Chan Mueang printing. [In Thai].
Lijutipoom, S. (2001). Factors associated with blood pressure control in essential hypertensive patients at Thawung Hospital, Lopburi Province. Master Thesis (Epidemiology, Science), Mahidol University, Bankok. [In Thai].
Morakot, P. (2010). Nursing care for adults and older people with problems. Bangkok: I Group press. [In Thai].
Nangnoi, S., & Narirat, C. (2014). Factors related to the control of blood pressure levels of hypertensive patients, Krasae Sin District, Songkhla Province. Primary Health Care Divisio Journal, 11(3), 25-31. [In Thai].
Neelasri, A. (2015). Factors affecting blood pressure control in patients with hypertension Health Promoting Hospital Tambon Wang Nam Khieo, Kamphaeng Saen District, Nakhon Pathom Province. Region 4-5 Medical Journal, 35(2), 77-88. [In Thai].
Nookong, W. (1999). Socio-cultural aspects of salt consumption risk behavior and hypertension among workers in Saraburi province. Master Thesis (Medical and Health Social Sciences), Mahidol University, Bankok. [In Thai].
Pakdevong, N., & Varin, B. (2014). Factors predicted blood pressure control in persons with hypertension in one. Journal of Nursing and Health Care, 32(1), 23 -30. [In Thai].
Panthonglang, W., Namphonkrang, P., & Duangsanjan, W. (2017). Factors influencing the health behavior of uncontrolled hypertension patients. Songklanagarind Journal of Nursing, 38(4), 152-165. [In Thai].
Pathi, K. (2003). The Associated of drinking alcohol and essential hypertension in Nan Province. Master thesis, Mahidol University, Nakhon Pathom. [In Thai].
Phangjunan, T., & Nittaya, P. (2015). Issue of campaign for hypertension day 2015. Retrieved 10 November 2017 from http://odpc9.ddc.moph.go.th/PR/58-Hypertension.pdf.
Phrae Hospital. (2017). Practice guidelines for the care of diabetes and hypertension in Phrae Province. Phrae: Phrae Hospital. [In Thai].
Rujiwichit, M. (2013). Stress management for promotion mental health. (2nd ed, revised edition). Bangkok: Thammasat University. [In Thai].
Samran, w., & Permsiriwichan, W. (Editor). (2004). Exercise for health in various diseases. Songkhla: Suburban printing.
Satiprasert, W., Leelukkanaveera, Y., & Homsin, P. (2015). Effects of coaching on health behaviors and blood pressure of patients with uncontrolled essential hypertension. Journal of Nursing and Education, 8(3), 33-51. [In Thai].
Sereewiwatana, P. (2010). The Medicine nursing l textbook of the Faculty of Nursing Mahidol University. Bangkok: NP Press. [In Thai].
Sootsukon, S. (2010). Factors relating hypertension protective health behavior of out patients seeking care at Bhumibol Adulyadej Hospital. Master Thesis (Health Education), Kasetsart University, Bangkok. [In Thai]. Srisathidnarakul, B. (2010). Research methods in nursing (5th ed.). Bangkok: You and I Inter Media Company. [In Thai].
Srisawat, A. (2001). Selected factors related to blood pressure among bus drivers in bus operation Bangkok Mass Transit Authority. Master Thesis (Public Health Nursing), Mahidol University, Bangkok. [In Thai].
Sukwinya, S. (2007). Effects of self-management encouraging program on Controlling health behaviors and blood pressure level among hypertensive patients. Master Thesis (Community Nurse Practitioner), Naresuan University, Phitsanulok. [In Thai].
Tansuwat, R. (2014). Factors predicting blood pressure level among patients with hypertension in Nakhon Sawan Province. Journal of Nursing Science and Health, 10(2), 34-46. [In Thai].
Thanonnoi, S., & Narirat, C. (2014). Factors related to the control of blood pressure levels in patients with hypertension Krasae Sin District Songkhla Province. Primary Health Care Division Journal, 11(3), 25-31. [In Thai].