Effects of Stroke Prevention Behavior Promotion Program among Patients with Hypertension Unable to Control Blood Pressure by Applying the Protection Motivation Theory and Social Support

Abstract

Stroke is the cause of death. and long-term disability that can occur in both females and males, especially among patients with high blood pressure and an inability to control blood pressure, which is a risk factor that causes stroke. The objective of this study was to study the effects of a stroke prevention behavior promotion program on uncontrolled hypertension patients by applying the protection motivation theory and social support. It was quasi-experimental research, consisting of 60 people divided into two groups: an experimental group of 30 people and a comparison group of 30 people. The experimental group received a behavior promotion program organized by the researcher. It consisted of lectures to educate about stroke. Noxiousness, perceived probability, response efficacy, self-efficacy, and practices to prevent stroke assemble video media and use a role model’s demonstration of exercise, meditation, and choosing healthy food. In addition, we use heart innovation-three colors to indicate health. The comparison group received treatment as usual. The duration of the research was 10 weeks. Data was collected using questionnaires. The data were analyzed using a paired t-test and an independent t-test. The statistical significance level was set at 0.05.         

            The results showed that after the experiment, the experimental group had the highest mean scores for knowledge of stroke. recognizing the severity of nervousness, perceived probability, response efficacy, self-efficacy, and practices to prevent stroke more than the comparison group and more than before the experiment, statistically significant at p<0.05. In addition, it was found that after the experiment, the experimental group had a lower mean systolic blood pressure (SBP) than the comparison group, statistically significant (Mean diff = -16.83, 95%CI = -20.81 to -12.84, P-value <0.001), and after the experiment, the mean systolic blood pressure (DBP) was lower than the comparison group, statistically significant (Mean diff = -8.17, 95%CI = -12.14 to -4.19, P-value = 0.001). Therefore, this behavior promotion program can be used to promote stroke prevention behaviors in patients with hypertension.