ผลของโปรแกรมการป้องกันโรคหลอดเลือดสมองในผู้ป่วยกลุ่มเสี่ยง

เพ็ญศรี เขียวเขว้า; วีณา เที่ยงธรรม; เพลินพิศ บุณยมาลิก

Authors

เพ็ญศรี เขียวเขว้า
วีณา เที่ยงธรรม
เพลินพิศ บุณยมาลิก

Keywords:

patient’s stroke risk, protection motivation theory, social support

Abstract

The purpose of this quasi-experimental study using a two-group pretest, post-test, and follow up design was to evaluate the effectiveness of the cerebral vascular prevention program in high risk group. This study was guided by Protection-Motivation theory and social support concept. The sample was composed of 58 hypertensive diabetic patients drawn from a District Health Promotion Hospital of Nong Bua Rawe, Chaiyaphum Province. To be eligible for this study, the participants had to meet the following criteria: (a) being a hypertensive diabetic patient, (b) 50 to 70 years of age, and (c) being identified at middle and high risk by Color Chart Cardiovascular Risk. Then, 29 participants were assigned to an experimental group and 29 to a comparison group. The study was conducted over a period of 7 weeks. Interviews were conducted for the pre-test, post-test (week 4), and the follow-up (week 7) periods. Data were analyzed using descriptive statistics and inferential statistics (percentage, mean, standard deviation, Chi-square, Independent t-test, and Repeated Measure ANOVA)

The results showed that significant improvements by experimental group participants between pretest and follow-up were found on preventive behavior for eating behavior, medication adherence behavior, exercise behavior, and the examination according to the doctor appointment (p< .05). Moreover, at follow-up, between group significant differences of preventive behavior for eating behavior, medication adherence behavior, exercise behavior, and the examination according to the doctor appointment (p< .05). The mean of blood pressure and the fasting blood sugar of the experimental group significantly decreased after intervention and was lower than those in the comparison group (p< .05).

The findings of this study suggest that the cerebral vascular disease prevention program in high risk group was effective. Therefore, it should be implemented as the means to decrease blood pressure and fasting blood sugar. This program might be applied to other similar groups of chronic disease populations.

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