Journal of the Office of Disease Prevention and Control, 7 Khon Kaen

Model for Nursing Service Provision for Type 2 Diabetes Patients with Participation from a Health Network of a University in Maha Sarakham Province

Sat, 30 Aug 2025 00:00:00 +0700

This study is participatory action research. The objectives are to study the diabetes situation, create and evaluate the nursing service model for diabetic patients with the participation of health network partners. The research process is divided into 3 phases: (1) situation analysis, (2) implementation phase, and (3) evaluation phase. The sample group consists of 40 type 2 diabetic patients, public health personnel, network partners, and 30 student leaders. Quantitative and qualitative data were collected. Data were analyzed using descriptive statistics, percentages, means, and standard deviations. The mean values before and after development were analyzed using Paired t-test and content analysis.

The results of the study found that the majority of the target group were female, 57.17 percent, with an average age of 23.22 years (S.D. = 4.72). The average duration of diabetes was 3.12 years. The results of the development of the nursing service model for diabetic patients with the participation of health network partners are: (1) There is a diabetes control model in the community, promoting diabetes control principles according to the nursing process guidelines for care and community participation, consisting of 9 activities. (2) A health network and a diabetes control committee in the university were established to develop the quality of life of patients. (3) Patients were developed knowledge and skills in self-care for diabetes. Receiving health services from medical personnel that are consistent with the patient's lifestyle, the average before and after the model development found that blood sugar levels and stress levels were significantly reduced (p-value <0.001). Public health personnel, multidisciplinary professionals, and health network partners emphasized the application of nursing process principles in patient care, using conversation to create motivation and help patients find inspiration to control their blood pressure levels, and allowing the community and family to participate in patient care.

Outbreak of Common Cold Caused by Rhinovirus A in an Elementary School Suwannaphum District, Roi Et Province, 26 May-30 June 2024

Budsaba Buaphan, Kittisak Panompong — Sat, 30 Aug 2025 00:00:00 +0700

On June 18, 2024, the Situation awareness team from the Roi Et provincial public health office received a report from the epidemiology unit of Suwannaphum hospital regarding a cluster of 20 students exhibiting influenza-like symptoms. An outbreak investigation was conducted from May 26 to June 30, 2024, aiming to confirm the diagnosis and outbreak, identify the cause and risk factors, and implement disease control measures. A retrospective cohort study was employed, using multiple logistic regression analysis. The study population included 1,670 students and school personnel. A total of 338 cases met the case definition, with an attack rate of 20.23%. The majority were female (n=200, 48.09%), aged 9–12 years (mean age = 10). The highest attack rate occurred in the fourth-grade classroom (95.65%). Common symptoms included nasal discharge (76.63%), cough (73.08%), and sore throat (28.11%). The initial onset was on June 1, 2024, with the outbreak peaking from June 11–20, 2024. Environmental assessment revealed 12 school buildings with both air-conditioned and fan-cooled rooms, shared water dispensers in cafeterias, and separate male and female restrooms. Laboratory testing of 13 samples confirmed 4 cases of rhinovirus (RV34) and 1 case of influenza A (H1N1). Significant risk factors included close contact with infected individuals (OR adj. = 6.85, 95% CI: 3.17–14.78), drinking water from classroom dispensers (OR adj. = 6.32, 95% CI: 3.56–11.23) and cafeteria dispensers (OR adj. = 10.04, 95% CI: 5.27–19.14), sharing personal items (OR adj. = 8.66, 95% CI: 2.99–25.01), having pre-existing conditions (OR adj. = 9.06, 95% CI: 0.41–17.97), not wearing face masks (OR adj. = 2.79, 95% CI: 1.63–4.78), and sharing drinking glasses (OR adj. = 2.02, 95% CI: 1.26–3.23). A protective factor was drinking from personal bottled water (OR adj. = 0.38, 95% CI: 0.32–0.45). Recommendations include reducing close contact, consistent mask usage particularly among those with chronic conditions such as asthma avoiding shared personal items, and promoting the use of personal bottled water to prevent influenza transmission.

Development of a Prototype Area for Reducing Sodium Consumption under the District Health Board (DHB) Mechanism: A Case Study of Village No. 1, Khuan Don Subdistrict, Khuan Don District, Satun Province

Sat, 30 Aug 2025 00:00:00 +0700

The objective of this action research was to study the sodium consumption situation, develop and evaluate the prototype area for reducing sodium consumption under District Health Board (DHB) mechanism in Village No. 1, Khuan Don Subdistrict, Khuan Don District, Satun Province. By comparing sodium content consumption between the average sodium content survey in fiscal year 2023 and the post-study survey in fiscal year 2024. Data were collected using a salt meter via the Thai Salt Survey application and a survey of sodium levels in 160 food samples. An online sodium consumption awareness assessment from the Department of Disease Control's website was utilized to analyze data from 303 individuals. The descriptive statistics included percentages, averages, and content analysis.

The findings revealed that the average sodium chloride levels from mildly salty to very salty decreased after participation in the study. The mildly salty level decreased from 0.8 grams to 0.7 grams per 100 milliliters of food. The very salty level decreased from 1.6 grams to 1.3 grams. Home cooked foods showed the highest increase in safe sodium chloride levels. However, the researcher also realized foods with very high salt levels, which were coconut milk curry without spices, non-coconut milk curry with spices, and Som Tam. The assessment of sodium consumption awareness after participation in the study revealed that 94.4% of the population was aware, which increased from 38.6% in the fiscal year 2023. Thus, the findings could be utilized as a guideline to promote sodium consumption reduction policies under the mechanism of the District Health Board (DHB) at the national level. A population centered approach should be prioritized, and there should be a focus on developing accurate and easily accessible data-tracking methods to prevent new patient cases and reduce complications of patients with non-communicable diseases.

Problems and Needs of Elderly Patients with Type 2 Diabetes at Ban Ped Subdistrict, Mueang District, Khon Kaen Province

Sat, 30 Aug 2025 00:00:00 +0700

This qualitative research aimed to explore the problems and needs of elderly patients with type 2 diabetes in Ban Ped Subdistrict, Mueang District, Khon Kaen Province. Data were collected through in-depth interviews and focus group discussions with 55 cases, including key informants 14 elderly diabetic patients, 12 family caregivers, 13 village health volunteers, 2 healthcare professionals, 8 representatives from community organizations and 6 general informants. The instruments were content validated by three experts and content analysis was used to analyze data.

The findings found that the problems of the participants had 3 main dimensions: Firstly, health problems and complications from diabetes, which affect both physical and mental health. These problems were primarily attributed to unhealthy behaviors, such as poor dietary habits and medication non-compliance, as well as non-accessibility. Secondly, the social dimension highlights that most elderly patients live alone or with an elderly spouse, leading to limited participation in social activities. Finally, economic burdens, particularly for families facing frequent hospital visits. The study highlighted the need for comprehensive care, including self-care support, family involvement, caregivers, and integrated government intervention from healthcare units and local administrative organizations to integrate interdisciplinary care for the complex cases. These insights may contribute to developing a culturally appropriate elderly care model for diabetes management in this region.

Development of a Total Worker Health Model for Employees in Large-Scale Enterprises in Health Region 7: A Case Study of a Meat Processing Factory

Paweena Jungphukiaw, Kangsadal Suwannarong, Thamolwan Junte — Sat, 30 Aug 2025 00:00:00 +0700

The research aimed to study the health care context, behavioral problems and health risks of employees in large-scale workplaces as well as develop a holistic health care model for workers. This study employed an action research approach with 4 steps: 1) planning 2) action 3) observation 4) reflection. The sample included 309 employees from a meat processing factory. The instruments consisted of working-age health behavior screening form, in-depth interview guidelines, and focus group discussion guidelines. The research was conducted from October 2022 to September 2023. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation. Qualitative data were analyzed using content analysis.

Results 1) Health status, behaviors, and risks, the findings revealed that 50.81% of employees had a body mass index (BMI) in the overweight range. There were 54.86% had higher than normal levels of bad fat. More than half had high-risk fatty food consumption behaviors. while 55.60% and 50.30% exhibited moderate risk in sugar and salty food consumption, respectively. A majority (67.9%) consumed alcoholic beverages, and 49.2% did not engage in physical exercise. 2) The holistic health care model of employees in the workplace found that the establishments implemented a holistic health care model comprising seven processes: 1) policy and appointment of a working group, 2) communication and public relations, 3) program planning 4) planning and determining the health care model 5) establishing a working-age health center 6) organizing health promotion activities according to risks and reflecting health information 7) results evaluation. The model emphasized the principle of participation at every stage, involving both executives and employees in the workplace.

The development process of a new workplace health care model in Health Region 7, There was a strong emphasis on health risk assessment through participatory collaboration among executives and stakeholders. This process involved jointly designing the health care model, workflows reviews, problems-solving, addressing limitations, process improvements, and outcomes evaluation. The holistic health care model developed for workers in industrial establishments showed strong potential for implementation in large-scale enterprises. A key strength of this development is the individualized health risk feedback workers, which enhances their awareness and enables enterprises to align health care planning with actual needs. This, in turn, clearly contributes to reducing negative impacts on productivity and business performance. Enterprises with similar contexts may also consider adapting this development model to suit their specific conditions.

Developing a Model of Promoting Behavior in Preventing Electronic Cigarette Consumption among Youth in Bangkok Metropolitan

Parinya Darasuwon, Nutthakritta Sirisopon — Sat, 30 Aug 2025 00:00:00 +0700

This action research aims to develop and evaluate the quality of a model for promoting behavior in preventing electronic cigarette consumption among youth in Bangkok metropolitan consisted of two stages: 1) the development of a model for promoting behavior in preventing electronic cigarette consumption among youth in Bangkok metropolitan area, based on the theory of planned behavior and media literacy, combined with the application of the intervention mapping process to guide the model development, and 2) an evaluation of the quality of the model by 7 experts, selected through purposive sampling. Data analysis was conducted using means and standard deviations. The research findings revealed that the model for promoting behavior in preventing electronic cigarette consumption among youth in Bangkok metropolitan comprised 7 components: 1) principles and significance of the model, 2) objectives of the model, 3) users of the model, 4) target group of the model, 5) the process of for promoting behavior in preventing electronic cigarette consumption among youth, 6) evaluation of model implementation, and 7) conditions and recommendations for model use. The model's quality was rated as excellent. Thus, the study recommends applying the developed model to instill attitudes against electronic cigarette consumption, enhance the perceived behavioral control in preventing electronic cigarette consumption, promote media literacy regarding electronic cigarette advertisements, and foster intentions to engage in preventive behaviors, ultimately leading to actual preventing electronic cigarette consumption.

Lead Poisoning in Informal Labor: Development of a Community-Integrated Intervention Model in Khon Kaen, Thailand

Pilailak Polpila, Pirawan Wangupadcha, Thamolwan Jante — Sat, 30 Aug 2025 00:00:00 +0700

This study aimed to develop an integrated approach to the prevention and mitigation of lead poisoning among fishing net weight makers in Khon Kaen Province. The research was conducted as an action research project between October 2023 and September 2024. It was implemented in three phases: studying the current situation, jointly developing operational guidelines, and piloting and evaluating the outcomes of the proposed approach. The study population consisted of 89 participants, including fishing net weight makers in Ban Lao Kwian Hak community, Ban Thum Subdistrict, and relevant personnel from governmental agencies in Mueang District, Khon Kaen Province. Research instruments included questionnaires, opinion evaluation forms, and in-depth interviews. Data were analyzed using descriptive and inferential statistics, including means, standard deviations, and chi-square tests.

The findings revealed that the integrated approach involved a clearly defined operational structure, with specified roles for stakeholders at various levels—health region, province, district, and subdistrict. The activities covered health surveillance, lead poisoning screening, proactive and reactive occupational health services, referral systems, and legal enforcement for home-based workers. Participants’ overall opinions toward the approach were rated highly. The evaluation of implementation showed that satisfaction levels did not significantly differ by gender, age, or educational background. However, prior training on lead hazards, use of personal protective equipment, and satisfaction with quality of life were significantly associated with satisfaction toward the integrated approach (p-value < 0.05). The study recommends that responsible agencies support the development of role models among informal workers who can manage their own occupational health and safety, along with context-appropriate health education programs tailored to the needs of the local community.

Efficacy of Endophytic Fungi Extracts on Aedes aegypti and Aedes albopictus Larvae

Sat, 30 Aug 2025 00:00:00 +0700

Chemical substances are commonly used to eliminate mosquito larvae and adult mosquitoes. However, their widespread use has led to the development of resistance in mosquito populations and poses risks to human health and the environment. This study aims to discover natural extracts from endophytic fungi that are effective in killing Aedes aegypti and Aedes albopictus larvae. A total of 300 plant samples were collected from rubber, palm, and fruit plantations. From these, 45 endophytic fungal species were isolated based on colony morphology, mycelial characteristics, and nucleotide sequencing of the ITS region. The fungi were cultured to prepare both cell culture and cell extracts at a concentration of 500 ppm. These extracts were tested for larvicidal activity using the larvicidal selective bioassay method. Results showed that five fungal species, including Arcopilus cupreus, Endomelanconiopsis endophytica, Nemania primolutea, Penicillium citrinum, and Trichoderma reesei were effective against Aedes aegyti larvae. Meanwhile, ten species were effective against Aedes albopictus larvae, including Neopestalotiopsis sp., Nodulisporium sp., Endomelanconiopsis endophytica, Neodeightonia phoenicum, Penicillium steckii, Phyllosticta capitalensis, Pseudopithomyces maydicus, Fusarium sp., Talaromyces aurantiacus and Colletotrichum sp. Further larvicidal bioassay dose testing at 100 ppm revealed that Nemania primolutea and Arcopilus cupreus, isolated from palm and mangosteen trees, achieved mortality rates of 80 and 77% against Aedes aegypti larvae, respectively. For Aedes albopictus, Neopestalotiopsis sp. and Neodeightonia phoenicum (from palm and rubber plantations) showed high efficacy with mortality rates of 92 and 73%. These findings highlight the potential of endophytic fungal extracts as eco-friendly alternatives to chemical larvicides. The identified extracts can be further developed into powder or spray formulations for mosquito-borne disease control programs.

Factors Affecting Road Accidents among Food Delivery Riders in Mueang District, Khon Kean Province

Sat, 30 Aug 2025 00:00:00 +0700

This cross-sectional analytical study was conducted among 202 food delivery motorcycle riders in Mueang District, Khon Kaen Province, between January 1, 2023, and May 31, 2024. The aim was to investigate the factors associated with the occurrence and prevalence of road traffic accidents during work. Descriptive statistics were used to present frequency distributions, percentages, means, and medians. Inferential statistics included univariate and multivariate analyses. The results were reported as crude odds ratios, adjusted odds ratios, 95% confidence intervals (95% CI), and p-values, with a significance level set at < 0.05.

The results revealed that the prevalence of road traffic accidents was 30.2% (n = 61; 95% CI =24.22 to 36.94). Factors that were statistically significantly associated with road traffic accidents included average motorcycle speed (p-value < 0.05), riding behavior (p-value < 0.05), and motorcycle usage duration (p-value < 0.05). Riders who drove at an average speed of ≥ 80 km/h were 2.04 times more likely to be involved in an accident compared to those who drove < 80 km/h (OR_Adj = 2.04; 95% CI = 1.03 to 4.05). Those with inappropriate riding behavior had 2.48 times higher odds of accidents than those with appropriate behavior (OR_Adj = 2.48; 95% CI [1.04, 5.92]). Riders who had used their motorcycles for ≤ 5 years had 1.92 times greater odds of being involved in accidents compared to those with more than 6 years of usage (OR_Adj = 1.92; 95% CI =1.03 to 4.05). Recommendations: It is recommended to strengthen road safety measures by promoting safe riding behavior, strict adherence to traffic laws, and raising awareness through education and road safety campaigns. Regular motorcycle maintenance according to service intervals should be encouraged. Furthermore, strict enforcement of legal speed limits is essential to reduce accident risk among food delivery riders.

Factors Associated with the Survival of Patients with Melioidosis at Buriram Hospital, Buriram Province

Pimamporn Kampromma, Supot Kamsa-ard, Worrayot Darasawang — Sat, 30 Aug 2025 00:00:00 +0700

This retrospective cohort study aimed to investigate factors associated with the survival of melioidosis patients after diagnosis and treatment at Buriram Hospital, Buriram Province, from 2019-2023. A total of 631 patients diagnosed with melioidosis confirmed by culture between January 1, 2019, and December 31, 2023, were included. Patients were followed up until their final status was ascertained on December 31, 2024. Survival rates were analyzed using the Kaplan-Meier method with 95% confidence intervals (CI). Group comparisons were performed using the Log-rank test with reported p-values. Cox proportional hazards regression was conducted to identify factors associated with survival, presenting adjusted HR with 95% CI and p-values from the partial likelihood ratio test. The research finding 1, 3, and 5-year survival rates were 91.32% (95% CI: 88.67 - 93.38), 90.81% (95% CI: 88.06 - 92.96), and 90.38% (95% CI: 87.47 - 92.64), respectively. Acute respiratory failure was found to be significantly associated with survival (p < 0.05). After adjusting for age, diabetes, type of infection, and creatinine levels, patients with acute respiratory failure had a 4.68-fold higher risk of death compared to those without this complication (adjusted HR = 4.68, 95% CI: 2.49 - 8.78).

These findings indicate that acute respiratory failure is a critical factor affecting the survival of melioidosis patients treated at Buriram Hospital. This complication often occurs after the onset of symptoms. Close monitoring and assessment of complications can reduce disease severity, prevent critical conditions, and effectively improve patient survival.

The Effectiveness of a Health Literacy Enhancement Program on Food Consumption to Control Blood Pressure among Elderly with Uncontrolled Hypertension at Khao Hin Son Sub-District, Phanom Sarakham District, Chachoengsao Province

Wiraya Thupcharoen, Sarunya Benjakul, Malinee Sompopcharoen — Sat, 30 Aug 2025 00:00:00 +0700

This quasi-experimental research examined the effects of a health literacy program on food consumption to control blood pressure. The sample was elderly people with uncontrolled hypertension in Khao Hin Son sub-district, Phanom Sarakham district, Chachoengsao province. The sample comprised 68 participants, divided into an experimental group (34 participants) and a comparison group (34 participants). The experimental group participated in an 8-week intervention program. Data were collected through a questionnaire conducted during pre-and post-intervention. Data were analyzed using descriptive statistics and the results of the program were compared using inferential statistics, the independent t-test for comparisons between groups, and the Paired Samples t-test for comparisons within groups. The significance level was set at α = 0.05.

The findings revealed that the experimental group had a mean health literacy score related to food consumption for blood pressure control that was 30.7 points higher than the pre-intervention score and 29.2 points higher than the comparison group. Additionally, the experimental group demonstrated a mean food consumption behavior score for blood pressure that was 11.5 points better than the pre-intervention score and 3.9 points better than the comparison group, with statistical significance (p<0.001). Blood pressure levels in the experimental group decreased by 2.7 mmHg compared to pre-intervention (p=0.034) and decreased by 4.7 mmHg compared to the comparison group (p=0.044). This program can be applied to target populations in similar contexts and can be integrated into the routine services of sub-district health promoting hospitals to enhance health literacy among target groups.

Development of a Model for Opisthorchis viverrini Screening Using the OV-RDT (OV-Rapid Diagnosis Test) in Health Region 7

Sumalee Chantaluk, Rujira Somparn, Wanida Intarasangkha — Sat, 30 Aug 2025 00:00:00 +0700

Opisthorchiasis, a liver fluke infection, remains a major public health challenge in northeastern Thailand. Conventional screening using the Modified Kato-Katz stool examination technique is limited by low sensitivity, time constraints, and logistical issues in sample collection especially as infection intensities have declined in recent years. These limitations contribute to false-negative results, underdiagnosis, and ineffective disease control. This action research aimed to develop and evaluate a screening model for opisthorchiasis using a rapid urine diagnostic test (OV-rapid diagnosis test, OV-RDT) as an alternative to stool examination. The study was conducted in three phases: 1) Situation analysis: Identification of local context, problems, and barriers; 2) Model development: Implementation of a four-step PAOR cycle plan, act, observe, and reflect to develop and refine the screening model; and 3) Evaluation: Outcome assessment and model validation. The program was conducted across 57 districts in health region 7, targeting 65,095 individuals aged 15 years and above with risk behaviors, from June 2022 to April 2023. Data collection methods included structured questionnaires, interviews, field observation, and a mobile application for testing result documentation. Descriptive statistics and qualitative content analysis were used for data analysis. The intervention led to the development of a context-specific, community-based screening model, including training, field deployment of the OV-RDT, data quality monitoring, and participatory feedback sessions. Urine-based screening results revealed an overall opisthorchiasis prevalence of 35.97% across Health Region 7. The highest prevalence was observed in Maha Sarakham province (48.24%), with infection rates exceeding 50% in 8 districts. In Maha Sarakham 5 districts, in Kalasin 2 districts and in Roi Et 1 district. Conclusion, the OV-RDT-based screening model, developed through the PAOR process, demonstrated effectiveness and suitability for local implementation when compared to conventional stool examination. The model received positive feedback from all stakeholder levels and shows strong potential for expansion into other high-risk areas. This supports Thailand’s national strategy for sustainably reducing human opisthorchiasis and cholangiocarcinoma-related mortality.

The Role of the Office of Disease Prevention and Control, Region 7 Following the Transfer of After Transferring Tambon Health Promoting Hospitals to Provincial Administrative Organization : A Case Study of Khon Kaen Province

Pranita Kaewpikul, Phitthaya Srimuang — Sat, 30 Aug 2025 00:00:00 +0700

This qualitative case study aimed to explore the role of the Office of Disease Prevention and Control, Region 7 Khon Kaen (ODPC7) in disease prevention and control following the transfer of Tambon Health Promoting Hospitals (THPHs) to Provincial Administrative Organizations (PAOs) in Khon Kaen province, Thailand. In-depth interviews and focus group discussions were conducted with 33 key informants from relevant agencies, including ODPC7, Provincial Public Health Offices, District Public Health Offices, hospitals, THPHs, and PAOs. Thematic analysis was employed to analyze the data.

The findings revealed that after the mission transfer, ODPC 7 adjusted its role to focus on academic support, knowledge development, and personnel training, while reducing its direct field operations. Coordination between agencies became more complex, particularly with Tambon Health Promoting Hospitals, as communication now had to be routed through Provincial Administrative Organizations, leading to occasional delays. Local agencies continued to need ODPC 7's support for academic guidance, personnel capacity building, and disease investigation assistance during major disease outbreaks.

Based on the research findings, the following recommendations are proposed: ODPC 7 and related agencies should improve their inter-agency coordination and communication systems, establish clear delineation of roles and responsibilities, enhance ODPC 7's capacity in developing contemporary disease control knowledge and technologies, implement an integrated cross-agency database system, and strengthen ODPC 7's proactive field operations.

Effects of a Hypertensive Complication Prevention Behaviors Developing Program in Non Narai District, Surin Province

Panida Jiujan, Warinee Iemsawasdikul, Chuenjit Potisubsuk — Sat, 30 Aug 2025 00:00:00 +0700

Hypertension is a non-communicable disease and the leading cause of death in Thailand. Its prevalence continues to rise, primarily due to unhealthy lifestyle habits. The objectives of this quasi-experimental research were to compare hypertensive complication prevention behaviors and health status, including blood pressure, body mass index, and waist circumference, of the experimental group between before and after the experiment, and between the experimental group and the comparison group after the experiment. The sample consisted of essential hypertensive patients, aged 35–69 years, who had uncontrolled blood pressure. Patients from Non Narai Hospital who met the inclusion criteria were selected by simple random sampling to form the experimental group. Patients from Rattanaburi Hospital with similar age and systolic blood pressure were selected to form the comparison group, with 30 persons in each group. The program was conducted over 4 weeks. The experimental tools were a hypertensive complication prevention behaviors developing program based on the PRECEDE-PROCEED model, hypertensive complication prevention behaviors including eating behaviors and medicine behaviors, both parts of which had CVI of 1.00, and Cronbach’s alpha coefficients of 0.71 and 0.86, respectively. The data were analyzed by descriptive statistics, t-test, and ANCOVA.

The results found as follows: after the experiment, the scores for eating behaviors and medicine behaviors of the experimental group were significantly higher than before the experiment and the comparison group; and systolic blood pressure of the experimental group was significantly lower than before the experiment and the comparison group. Also, diastolic blood pressure of the experimental group was significantly lower than before the experiment, and average waist measurement of the experimental group was significantly higher than the comparison group (p 0< 0.05). These findings underscore the potential benefits of health literacy programs in supporting behavior change among individuals at risk of hypertension. Health literacy should be promoted among patients with chronic diseases, as it influences self-care behaviors and may help reduce disease complications.

Effects of a Behavioral Development Program for Preventing Hypertension among High-risk Groups at Nang Rong District, Buriram Province

Siripansa Wasumongkonpoj, Warinee Iemsawasdikul, Chuenjit Potisubsuk — Sat, 30 Aug 2025 00:00:00 +0700

The objectives of this quasi-experimental research were to compare perceived risk of hypertension and severity of hypertension, perceived benefits and barriers of hypertensive preventive behaviors, perceived self-efficacy in hypertensive preventive behaviors, hypertensive preventive behaviors, and blood pressure of the experimental group between before and after the experiment, and between the experimental group and the comparison group after the experiment. The sample consisted of hypertensive high-risk groups, aged 35–59 years, who had blood pressure 120-139/80-89 mmHg. The sample from Ban Kan Lueang sub-district health promoting hospital, which had characteristics within the inclusion criteria, was selected by simple random sampling to be an experimental group, and from Ban Sing Sub-district health promoting hospital to be a comparison group, with similar sex, systolic blood pressure, and age, 30 persons in each group. The experimental tools were 1) the behavioral development program for preventing hypertension among high-risk groups based on the health belief model, 2) a record form, and 3) an application line. The data collection tools were a questionnaire with 4 parts: 1) general data, 2) health data, 3) perception about hypertension with 5 subsets, and 4) hypertensive preventive behaviors, including eating and exercise behaviors. The questionnaire part 3-4 had a content validity index of 0.90-1, and Cronbach’s alpha coefficient of 0.80-0.89. The data were analyzed by descriptive statistics, t-test, Wilcoxon matched pairs signed rank test, and Mann-Whitney U test.

The results founded as follows: after experiment, perceived the severity of hypertension of the experimental group were significantly higher than before experiment and the comparison group, perceived risks of hypertension of the experimental group was significantly higher than before experiment, perceived benefits of hypertensive preventive behaviors was significantly higher than the comparison group, eating behaviors of the experimental group were significantly higher than before experiment and increasing more than the comparison group, exercise behaviors of the experimental group were significantly higher than before experiment and the comparison group, and systolic and diastolic blood pressure of the experimental group were significantly lower than before experiment and the comparison group (p-value < 0.05).

Conclusion and recommendation, the behavioral development program for preventing hypertension among high-risk groups leads to effectiveness. It should be used at the district health-promoting hospital in Nang Rong district, Buriram Province.