ผลของโปรแกรมการป้องกันโรคหลอดเลือดสมองในผู้ป่วยที่มีโรคร่วม ความดันโลหิตสูง โรคเบาหวาน และภาวะระดับไขมันในเลือดสูงโดยประยุกต์ใช้ทฤษฎีแรงจูงใจเพื่อป้องกันโรคร่วมกับการติดตามทางโทรศัพท์

Donlaporn  Tunthanongsakkul; Weena Thiangtham; Panan  Pichayapinyo

Authors

Donlaporn Tunthanongsakkul Faculty of Public Health, Mahidol University
Weena Thiangtham Faculty of Public Health, Mahidol University
Panan Pichayapinyo Faculty of Public Health, Mahidol University

Keywords:

stroke prevention program, protection motivation theory, telephone follow-up

Abstract

Introduction: Cerebrovascular disease or stroke is a major public health concern in Thailand. In particular, patients with comorbidities of hypertension, diabetes mellitus, and hyperlipidemia are at a greater risk of developing stroke given its impacts on the vessels.

Research objective: To examine the effects of a stroke prevention program on patients with comorbidities of hypertension, diabetes mellitus, and hyperlipidemia.

Research methodology: This study employed a quasi-experimental study, consisting of two groups: the experimental group and the comparison group with 32 participants in each group. Data collection consisted of three phases: pre-test, post-test at 4^th week and follow-up test at 8^th week. Data were analysed using descriptive statistics, Chi-square test, Repeated-measure ANOVA, Independent t-test, and Paired t-test.

Results: At 4^th week post-test, and 8^th week follow-up, the experimental group reported that the average score of stroke preventive behaviors was significantly higher than the pre-test phase, and that of the comparison group (p< .001). Moreover, the experimental group reported that at 4^th week post-test, and 8^th week follow-up, their blood pressure level, blood sugar level, and LDL-C level were significantly lower than the pre-test phase, and that of comparison group (p< .05).

Conclusion: The stroke prevention program has shown significant impact on the stroke preventive behaviors, blood pressure level, blood sugar level, and LDL-C level, particularly among patients with commodities, including hypertension, diabetes mellitus, and hyperlipidemia.

Implications: These findings could be used as a preventive guideline for healthcare providers to improve the quality of care for patients with multiple chronic health conditions, including hypertension, diabetes mellitus, and hyperlipidemia, to prevent stroke and other chronic diseases such as coronary artery disease, and renal failure.

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