ความรอบรู้ด้านสุขภาพ และพฤติกรรมสุขภาพตาม 3อ.2ส. ของผู้ป่วยโรคเบาหวานร่วมกับโรคความดันโลหิตสูง อำเภอบางพลี จังหวัดสมุทรปราการ

Siriporn  Chunchai; Nopphanath  Chumpathat; Kamontip  Khungtumneum; Rachanee  Namjuntra; Apirat  Amphamani

Authors

Siriporn Chunchai Faculty of Nursing,Huachiew Cholemprakiet University
Nopphanath Chumpathat Faculty of Nursing,Huachiew Cholemprakiet University
Kamontip Khungtumneum Faculty of Nursing,Huachiew Cholemprakiet University
Rachanee Namjuntra Faculty of Nursing,Rang sit University
Apirat Amphamani Bang Chalong Sub-district Health Promoting Hospital

Keywords:

health literacy, health behavior, Diabetes with hypertension

Abstract

Introduction: Among patients with Diabetes and Hypertension, there are risks of complications, especially cardiovascular disease. One important approach to manage the risks is health literacy and health behavior 3E. 2S. which will help prevent the risk of complications.

Research objectives: This correlational descriptive study aimed to investigate health literacy, and health behavior (3E. 2S.) among patients with diabetes and hypertension in Bang Phi district, Samut Prakan Province.

Research methodology: A cluster sampling method was used to recruite 150 patients with diabetes and hypertension treated at Bang Chalong Sub-district Health Promoting Hospital, Bang Phi District, Samut Prakan Province. Instruments consisted of the Thai CV risk score program assessing cardiovascular risk, and the 3E.2S. health literacy, and healthy behaviors questionnaire with a reliability range of .72-.87. Data were analyzed using percentage, mean, standard deviation, Spearman’s Rho correlation.

Results: The overall 3E.2S. health literacy was at a good level (56% 3E.2S.). Regarding each skill of health literacy, it was found that cognition level was at the most accurate (45.3%). Accurate to information and health services, self-management, media literacy, decisions-making to take the right action skill were at a very good level (65.3%, 70.7%, and 78.0%, respectively), while health communication skill was at a fair level (56%). There were statistically significantly positive relationships between the overall 3E.2S. health literacy, access to information and health service, health communication, self-management, and decision-making to take the right action skill and the 3E.2S.health behavior (r =.263, p = .001; r =.227, p = .005; r =.233, p = .004; r =.242, p = .003; r =.292, p< .001; respectively). Knowledge and understanding of health, and media literacy were not statistically significantly correlated to the 3E.2S.health behavior (r =.158, p = .054; r =-.060, p = .464; respectively).

Conclusions: Results of this study can be used as preliminary data for developing implementation of health behavior modification programs or interventions to facilitate behavioral change using health literacy, particularly in access to information and health services, communication skills, self-management, and decision-making skills.

Implications: Healthcare providers should help patients with diabetic and hypertension to have venues to health information and health services, health communication, self-management, and decision-making to take the right action leading to better health behavior.

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References

Division of Non-Communicable Disease, Department of Disease Control, Ministry of Public Health. World Diabetes Day 2019 [Internet]. 2019 [cited 2021 Feb 17] Available from: https://drive.google.com/file/d/17Au73KLx1tukhJ6. (in Thai)

Phanmung N, Yuloetlop A, Latthi S. World Hypertension Day 2019 [Internet]. 2019 [cited 2021 Feb 14] Available from: http://110.164.147.155/kmhealth_new/Documment/blood/knowlage/ 14.pdf (in Thai)

Sowers JR. Diabetes mellitus and vascular disease. Hypertension. 2013; 61(5):943-947. DOI: 10.1161/HYPERTENSION AHA.111.00612.

Tsimihodimos V, Gonzalez-Villapando C, Meirs JB, Ferrannini E. Hypertension and Diabetes mellitus: Copredication and time trajectories. Hypertension. 2018; 71(3):422-8.DOI:10.1161/HYPERTENSION AHA.117.10546

Tiptaradol S, Aekplakron W. Prevalence, awareness, treatment and control of coexistence of diabetes and hypertension in Thai population. Int J Hypertens. 2012; 2012:386-453. DOI:10.1155/2012/386453

Petrie JR, Guzik TJ, Touyz RM. Diabetes, Hypertension, and cardiovascular disease: Clinical insights and vascular mechanisms. Can J Cardiol. 2018; 34(5):575-584. DOI:10.1016/j.cjca.2017.12.005

Shah A, Afzal M. Prevalence of diabetes and hypertension and association with various risk factors among different Muslim populations of Manipur, India. J Diabetes Metab Disord.2013;12(52):1-10. DOIi:10.1186/2251-6581-12-52

Health Education Division, Department of health service support, Ministry of Public Health. Enhancing and assessing health literacy and health behaviors Children and youth aged 7-14 years and people aged 15 years and over, updated version 2018 [Internet]. 2018 [cited 2021 Feb 14] Available from: https://www.govesite.com/uploads/20190315161535CpzInTs/store/202011121106257gyZ8MR.pdf. (in Thai)

Division of Non-Communicable Disease, Department of Disease Control, Ministry of Public Health. Assessment of cardiovascular risk among patients with diabetes and hypertension [Internet]. 2018 [cited 2021 Feb 14] Available from: http://e-lib.ddc.moph.go.th /pdf/material%20224/material%20224.pdf (in Thai)

Deepae P, Khungtumneam K, Chumpathat N. Factors related to health-promoting behaviors for cardiovascular disease prevention among diabetes with hypertension patients in Muang District, Chachoengsao Province. Journal of Health and Nursing Research 2019 Dec.2;35(3):46-59. (in Thai)

Bawornthip P, Aungwattana S. Situation of health literacy among the working people in YangNeeng Subdistrict, Saraphi District, Chiang Mai Province. Journal of Health and NursingResearch 2021 Aug.13; 37(2):170-81. (in Thai)

Samutprakarn Provincial Public Health Office. Annual report 2019 [Internet]. 2019 [cited 2021 Feb 18] Available from: https://drive.google.com/drive/folders/14Ah6X-bTJAa40oNR8t9aGAA- GCHn_jk0a (in Thai)

Akoglu H. User’s guide to correlation coefficients. Turk J Emerg Med. 2018; 18 (3):91-93. DOI: 10.1016/j.tjem.2018.08.001

Suka M, Odajima T, Okamoto M, et al. Relationship between health literacy, health infor mation access, health behavior, and health status in Japanese people. Patient Educ Couns. 2015; 98(5):660-668. DOI:10.1016/j.pec.2015.02.013

Norasing M. Health literacy and health behavior in patients with uncontrolled blood sugar level or blood pressure: A case study of Nakornping Hospital, Chang Mai. Journal of Nakornping Hospital 2019 Apr.9; 10(1):35-50. (in Thai)

Chumpathat N, Kangchai W, Rattanajarana S.Factors related to preventive behaviors regarding coronary artery disease among elderly with metabolic syndrome. HCU Journal of Health Science 2018 Dec.21; 22(43-44):114-29. (in Thai)

Paibulsiri P. Health literacy and health behaviors 3E 2S of public sector executives, Phra Nakhon Si Ayutthaya province. Journal of Preventive Medicine Association of Thailand 2018 Jun.1; 8(1):97-107. (in Thai)

Koson N, Ubonkan P, Limvijitwong C, Sirikaew N. The working-age group’s health literacy and health behavior 3E 2S for health management village: A case study of Baan Wanghin, Thungyai District, Nakhon Si Thammarat Province [Internet]. 2019 [cited 2021 Feb 19] Available from: http://ird.skru.ac.th/RMS/file/AYDFH.pdf (in Thai)