ผลของโปรแกรมพหุองค์ประกอบแบบบูรณาการด้านเทคโนโลยีสารสนเทศ ต่อความรู้ พฤติกรรมการดูแลตนเอง และระดับความดันโลหิตของผู้สูงอายุ ที่มีภาวะความดันโลหิตสูงที่ไม่สามารถควบคุมได้

Worarat  Magteppong; Urai Nirotnun; Napapat  Thongkamwong

Authors

Worarat Magteppong Faculty of Nursing, Rajamangala University of Technology Thanyaburi
Urai Nirotnun Faculty of Nursing, Rajamangala University of Technology Thanyaburi
Napapat Thongkamwong Faculty of Nursing, Rajamangala University of Technology Thanyaburi

Keywords:

self-care, elderly, uncontrolled hypertension, information technology

Abstract

Introduction: The prevalence of hypertension increases with age. Uncontrolled hypertension among elderly people may lead to various complications in the brain, heart, kidneys, and eyes. Therefore, it is important to help elderly people to take care of themselves to control their blood pressure level.

Research objectives: To examine the effects of an information technology- integrated multicomponent program on knowledge, self-care behavior, and blood pressure level in the elderly with uncontrolled hypertension.

Research methodology: This quasi-experimental study used a two-group pretest and posttest design, 35 participants were randomly assigned to an experimental group and 33 to a control group. For the eight-week period, the experimental group received the information technology integrated multicomponent program guided by Orem self-care nursing theory via the Line application. Research instruments were information technology integrated multicomponent program, knowledge assessment form, self-care behavior assessment form, and blood pressure record form. Data were analyzed using percentage, mean, standard deviation, and t-test.

Result: Findings indicated that at follow up, mean scores of knowledge, and self-care behavior of the experimental group were statistically significantly higher than at baseline (p<.05). Moreover, mean scores of knowledge, and self-care behavior of the experimental group were statistically significantly different from the control group (p<.05). Compared to the control group, mean scores of systolic and diastolic blood pressure values of the experimental group significantly differently decreased (p< .05).

Conclusion: Results of the study showed that an information technology integrated multicomponent program could improve knowledge and self-care behavior, and lower blood pressure level of the elderly with uncontrolled hypertension.

Implications: Healthcare providers should adopt the information technology integrated multicomponent program to use among the elderly with uncontrolled hypertension to continuously control their blood pressure levels.

Downloads

Download data is not yet available.

References

Foundation of Thai Gerontology Research and Development Institute. Situation of the Thai elderly 2019. Nakorn Pathom; 2020. (in Thai).

Aekplakorn W. The National Health Examination Survey in Thailand 2019-2020. Nonthaburi: Health Systems Research Institute; 2021. (in Thai).

The number and rate of death from NCD2559-2563 [Internet]. 2020 [cited 30 July 2022]. Available from: http://www.thaincd.com/.

Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension. 2020;75(6):1334-57.

Thai Hypertension Society. 2019 Thai guidelines on the treatment of hypertension. Chiang Mai: Trickthink; 2020. (in Thai).

Hanjaroenpipat P. Factors effecting to blood pressure level controlling among hypertension patients at Sirattana Hospital, Sisaket Province. Medical Journal of Srisaket Surin Buriram Hospitals. 2020;35(3):651-63.

Thungkam S, Danyuthasilpe C, Siripornpibul T. Factors predicting behaviors to control and prevent essential hypertension among patients with uncontrolled blood pressure in Phrae Province. Journal of Nursing and Health Sciences. 2019;13(3):1-15. (in Thai).

Hanjaroenpipat P. Factors effecting to blood pressure level controlling among hypertension patients at Sirattana Hospital, Srisaket Province. Medical Journal of Srisaket Surin Buriram Hospitals. 2020;35(3):651-63. (in Thai).

Hongsila O, Arpanantikul M, Malathum P. Effects of a self-care promoting programme on knowledge, self-care behaviours, and blood pressure in persons with essential hypertension. Thai Journal of Nursing Council. 2018;33(2):110-30. (in Thai).

Phetcharat K, Ponglanga S, Kitisri C. Effects of supportive and educative nursing system program on self-care behaviors and blood pressure control among hypertensive patients. Nursing Journal Volume. 2018;45(1):37-49. (in Thai).

Pimlak R, Chutchavarn W, Amporn J. Utilization of Orem’s self care theory for caring in prevention of foot ulcer among diabetic patients. EAU Heritage Journal. 2018;12(3):89-100. (in Thai).

Silapavitayatorn B, Chitpakdee B. The use of health information technology in nursing for patient safety. Journal of Nursing and Health Care. 2020;38(2):6-14. (in Thai).

Electronic Transactions Development Agency, Ministry of Digital Economy and Society. Thailand Internet user behavior 2020. Available from: www.edta.or.th. (in Thai).

Tirakoat S, Polnigongit W. Internet usage behaviors, literacy, and attitude towards utilization of wellness content on the internet among Thai elderly. Journal of Nursing and Health Care. 2018;36(1):72-80. (in Thai).

Electronic Transactions Development Agency. Thailand Internet User Profile 2017. Bangkok: EDTA; 2017. (in Thai).

Thongkao S, Kimsungnoen N, Namjuntra R. Effects of educative-supportive program on self-care behaviors and blood pressure levels among young adult patients with uncontrolled hypertension. Thai Journal of Cardio-Thoracic Nursing. 2021;32(2):73-88. (in Thai).

Chaodamrongsakul C. Development of the self-care promoting model for diabetes mellitus patients at Sida Hospital. Regional Health Promotion Center 9 Journal. 2020;14(35):314-29. (in Thai).

Makkaew A, Moolsart S, Boonreungset M. Effectiveness of a motivational enhancing program via electronic communication for hypertension prevention in high-risk persons. Journal of Public Health Nursing. 2018;32(3):133-50. (in Thai).

Grillo A, Salvi L, Coruzzi P, Salvi P, Parati G. Sodium intake and hypertension. Nutrients. 2019;11(9):1970.

Sinsap N, Jankra J, Jaiman B. Hypertension in elderly: Silence killer should be aware. Journal of Phrapokklao Nursing College. 2017;28(1):100-11. (in Thai).