Application of Integrated Health Behavior Modification in Hyperlipidemia Reduction in Hypertensive Patients, Si Mueang Chum Health Promoting Hospital, Mae Sai District
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Abstract
Background
The number of hypertensive patients who visit Si Mueang Chum Health Promoting Hospital and have low-density lipoprotein (LDL) more than 160 mg/dl is increasing. From the study, 88.4% of them have unsuitable behavior especially in diet and lack of exercise. The authors who have the responsibilities to take care of these patients; therefore, are interested in finding the prevention and reduction of hyperlipidemia in these patients.
Objective
Study the efficiency of hyperlipidemia reduction program that applies from integrated health behavior modification theory in hypertensive patients who have dyslipidemia condition.
Methodology
This study is quasi-experimental research in hypertensive patients who have dyslipidemia condition and visit Si Mueang Chum Health Promoting Hospital. Samples are separated into 2 groups and compared before and after the application of hyperlipidemia reduction program that applies from the integrated health behavior modification theory for 6 months. The comparison is based on Paired t-test where the significant level is p<= 0.05.
Result
The experimental group has an increasing behavior to reduce dyslipidemia after the application and more than the control group significantly where P value <.001. They have lower cholesterol and LDL but higher HDL after the experiment and the control group where p-value <..001.
Conclusion and Suggestion
The hyperlipidemia reduction program that applies from the integrated health behavior modification theory can change the behavior of the samples and result in reducing hyperlipidemia significantly.
Keywords: Hypertensive Patients, Hyperlipidemia, Health Behavior Modification
Article Details
References
Prasith-thimet T. Development promotion model of eating behavior modification in reducing too sweet, fatty and salty food. Saraburi: Saraburi Primary Health Center 2; 2008.
Fukui M, Tanaka M, Toda H, Senmaru T, Sakabe K, Ushigome E, et al. Risk factors for development of diabetes mellitus, hypertension and dyslipidemia. Diabetes Res Clin Pract. 2011;94(1):e15-8
Grundy SM, Pasternak R, Greenland P, Smith S Jr, Fuster V. Assessment of cardiovascular risk by use of multiple-risk-factor assessment equations: a statement for healthcare professionals from the American Heart Association and the American College of Cardiology. Circulation. 1999 ;100(13):1481-92.
Department of Mental Health MoPH. Chronic illness patients are more at risk of getting major depressive disorder [Internet]. Bangkok: ThaiHealth Promotion Foundation; 2014 [updated November 14; cited 2021 July 29]. Available from: https://www.thaihealth.or.th/health content/26480.
Hanujarearnkul S. Chronic illnesses: challenging in nurse's professional. In: Jitjarern A, editor. Under his graciousness: Ramathibodi for health of the people. Bangkok: Beyond Enterprise; 2007. p. 106-9
Grundy SM, Cleeman JI, Merz CN, Brewer HB Jr, Clark LT, Hunninghake DB, et al. Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation. 2004;110(2):227-39.
Ngamumoso P, Koanantakul B, Srithara P, Hengrussamee K, Phanthumchinda K, Nitinant S, et al. Guidelines for management of dyslipidemia. Royal College Bulletin. 2015;19(6)15-33.
Gau GT, Wright RS. Pathophysiology, diagnosis, and management of dyslipidemia. Curr Probl Cardiol. 2006;31(7):445-86.
Pensirinapa N. Empowerment for Changing Cardiovascular Risk Behavior, Concepts and Practice. 3rd ed. Bangkok: Charansanitwong Printing; 2011.
Summary of Elderly Health Information in 2019 [Internet]. Srimuangchum Sub-District Health Promoting Hospital; 2019 [Cited 2019 September 30]. Available from: https://cri.hdc.moph.go.th/hdc/reports/report.php?source=pformated/format1.php&cat_id=6966b0664b8980.
Resnicow K, McMaster F, Bocian A, Harris D, Zhou Y, Snetselaar L, et al. Motivational interviewing and dietary counseling for obesity in primary care: an RCT. Pediatrics. 2015;135(4):649-57.
Srisa-ard B. Thesis control scheme, project of research institute and development in teaching and learning. Mahasarakham: Srinakharinwirot; 2008.
Chantavanich S. Qualitative Data Analysis. Bangkok: Chulalongkorn University Press; 2013
Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977 ;84(2):191-215.
Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th ed. Jurong: Pearson; 2006.
Manual for UCS Fund Management for Fiscal Year 2002 Vol. 4. Bangkok: National Health Security Office; 2002.
