Main Article Content
The objective of this action research is to analyze the situation and to develop the guidelines for stroke prevention in uncontrolled hypertension patients. There are purposive sampling participants including 4 registered nurses, 20 patients, 20 caregivers, 10 Village Health Volunteers (VHVs), and 2 community leaders. The study result shows that; 1) A total of 20 patients are categorized into 4 levels; 2 patients of very high-risk, 4 patients of high-risk, 9 patients of moderate-risk and 5 patients of low-risk. The use of tools to collect research data consists of semi-structured interviews, focus group interview, and participation observation method. The quantitative data are presented in frequency and percentage whereas the qualitative data are presented in content analysis. The content analysis found at-risk patients had inappropriate self-care behavior and developing of self-care skills guidelines for patients are not conform to risk level. Besides, there is no patient information transfer to VHVs and lack of community leaders or networks for stroke surveillance and prevention. 2) Development of stroke prevention guidelines for uncontrolled hypertension patients are; first, at risk patient database will be prepared separately for each village categorized in the risk level and forwarded to the certain VHVs. Second, enhancing patient self-care, the patients will be educated and developed their skills on stroke information according to their risk levels. The last development plan is community potential enhancement including; at-risk patients prescreening skill for VHVs and VHVs manual for at-risk patient’s self-care behavior. The result of the development shows that;10 patients can be controlled diet, 2 patients have increased their physical activity and found that patients who smoke have a reduced cylinder volume. In addition, 70 percent of patients have lower blood pressure levels. In which 4 patients have blood pressure levels that can be controlled and found that the risk level of stroke of patients has changed. With 1 patients of high-risk having a reduced risk level at a moderate and there is 1 patients of moderate risk, level with a reduced risk level being at a low risk level.