Knowledge, Attitude and Selfcare Behavior of The Monks With Hypertension in Bangkruay District, Nonthaburi Province. A Phenomenological Study

Abstract

Background: From a survey on the health of monks in Thailand, it was found that 45.23% of monks suffer from hypertension due to limitations in knowledge, monastic practices, physical activity, and dietary patterns.

Objectives: To investigate knowledge about hypertension, attitudes towards the disease and its treatment, and self-care behaviors among monks with hypertension.

Method: This qualitative research employed a hermeneutic phenomenological approach using structured in-depth interviews conducted by the researcher. The sample comprised 12 monks with hypertension from seven temples in Bangkruay District, Nonthaburi Province, selected through purposive sampling. Data were analyzed using inductive analysis and verified through triangulation methods.

Results: Regarding knowledge, monks understood they should limit salty foods but were unaware of specific sodium quantities. Concerning treatment, they recognized the importance of continuous medical follow-up and strict medication adherence. For exercise, they merely understood regular physical activity was necessary. Regarding self-care practices, monks had limited food choices, strictly followed prescribed medications and medical appointments, and engaged in physical activity through daily routines and alms rounds. Concerning attitudes, monks believed hypertension was incurable and could easily lead to complications, but they did not consider it frightening.

Conclusion: This research highlights opportunities to support monks with hypertension by providing education on appropriate dietary practices, recommending exercises compatible with monastic disciplines, and educating laypeople about offering suitable food to monks.