ประสิทธิผลของโปรแกรมปรับเปลี่ยนวิถีชีวิตในการป้องกันโรคหลอดเลือดสมอง สำหรับผู้สูงอายุโรคความดันโลหิตสูงที่มีดัชนีมวลกายเกินในจังหวัดสมุทรสาคร

Satreerat Samphetjaroan; Sutteeporn Moolsart; Kitsanaporn Tipkanjanaraykha

Authors

Satreerat Samphetjaroan School of Nursing, Sukhothai Thammathirat Open University
Sutteeporn Moolsart School of Nursing, Sukhothai Thammathirat Open University
Kitsanaporn Tipkanjanaraykha Faculty of Nursing, Kasetsart University

Keywords:

older adult, hypertension, prevention lifestyle modification, body mass index, stroke

Abstract

Introduction: Hypertension is a chronic disease that causes stroke. Consequently, a lifestyle modification program for patients with hypertension at risk of stroke is essential.

Research objectives: The study aimed to examine the effects of a lifestyle modification program to prevent strokes among older adults with hypertension and assess the impact of over body mass index on self-efficacy, stroke prevention lifestyle, body mass index, mean arterial pressure, and cardiovascular disease risk.

Research methodology: The research utilized a quasi-experimental design with two groups pre-and post-test. The sample was divided into experimental and comparison groups, with 35 in each. The research instruments included 1) the lifestyle modification program for stroke prevention among older adults with hypertension and over body mass index based on Pender’s Health Promotion Model. The content validity index were 1.00, 2) a handbook concerning lifestyle modification for stroke prevention, and 3) a questionnaire consisting of (1) general information (2) self-efficacy (3) lifestyle modification for stroke prevention, and
(4) clinical information. The content validity index for the 2nd and 3rd questionnaire sections were .99 and 1.00. Cronbach alpha coefficients were .90 and .92 respectively.

Results: After enrolling in the program, self-efficacy and stroke prevention lifestyles among the experimental group were better than before enrolling in the program and better than the comparison group at a significance level of .05. Mean arterial pressure and cardiovascular disease risk were lower than before enrolling in the program and lower than the comparison group at a significance level of .05.
The body mass index was significantly lower than before enrolling in the program, but was not significantly different from the comparison group at .05

Conclusion: Lifestyle modification for stroke prevention affects older adults with hypertension and over body mass index to be able to implement health promotion and reduce the risk of stroke.

Implications: The results of this study could be used to develop lifestyle modifications for stroke prevention among older adults with hypertension.

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