Factors predicting stroke prevention behaviors of hypertensive patients in Saingam District, Kamphaeng Phet Province

Authors

  • Sukhid Wongwian Saingam Hospital, Kamphaeng Phet Province
  • Ansuree Sirisophon Baromarajonani College of Nursing Sawanpacharak Nokornsawan

Keywords:

hypertensive patient, prevention behavior, stroke

Abstract

The purposes of this research were to investigate stroke prevention behaviors and study factors predicting stroke prevention behavior of hypertensive patients im Saingam District, Kamphaeng Phet Province. The sample included 383 hypertension patients aged 35 and over who were registered for treatment at Sai Ngam Hospital and lived in the Sai Ngam district of Kamphaeng Phet province. Stratified random sampling was used to recruit the sample. A questionnaire was used as the research tool which comprised five sections: 1) demographic data, 2) stroke knowledge, 3) stroke perception based on the health belief model, 4) perceived social support, and 5) stroke prevention behaviors. Data were analyzed using descriptive statistics and stepwise multiple regression.

The findings revealed that 1) the majority of hypertension patients had a high degree of stroke knowledge, and 2) stroke perception based on the health belief model at moderate. They had a low level of perceived social support, while stroke prevention behavior was moderate. Factors predicting hypertensive patients' stroke prevention behaviors included stroke knowledge, perceived barriers to prevention behavior, perceived media social support, perceived family social support, and neighbors' social support. The factors accounted for 23.9% of the variance of stroke prevention behavior (p<0.01).

Recommendations from this research suggest that health promotion agencies should integrate perceived social support and health belief model to develop programs or activities for families or neighbors in community to support education and create awareness of disease prevention behaviors for hypertensive patients and the general public.

 

References

World Stroke Organization. The WSO annual report for 2021 [Internet]. Geneva: WSO; 2021 [cited 2022 Sep 2]. Available from: https://www.world-stroke.org/news-and-blog/news/wso-annual-report-for-2021

Division of Non Communicable Diseases. Annual report 2021. Bangkok: Aksorn Graphic and Design Publishing; 2021.

Division of Non Communicable Diseases. Annual report 2021. Bangkok: Aksorn Graphic and Design Publishing; 2020.

KPHO. Health data center (HDC) [Internet]. Kamphaeng Phet: KPHO; 2022. [cited 2022 Jul 12]. Available from: https://kpt.hdc.moph.go.th/hdc/reports/page.php?cat_id=b2b59e64cb2b59e 64c4e6c92d4b1ec16a599d882b

Limbu YB, Gautam RK. How well the constructs of health belief model predict vaccination intention: A systematic review on COVID-19 primary series and booster vaccines. MPDI 2023;11(816):1-21.

Zhang L, Shu Y, Han C, Liu J. Correlation between family functioning and health beliefs in patients with stroke in beijing, China. Journal of Multidisciplinary Healthcare 2023;16:1067-74.

Yamanie N, Lamuri A, Felistia Y, Soedirham O, Purnomo W, Sjaaf AC, et al. Importance of social support for Indonesian stroke patients with depression. F1000 Research 2022;11:1484.

Daniel WW. Biostatistics: A foundation for analysis in the health sciences. 9th ed. NJ: John Wily & Sons; 2010.

Muanmee W. Factors influencing preventive behaviors for cerebrovascular disease among people with chronic disease in Chon Buri [Thesis]. Phitsanulok: Naresuan University; 2012.

Watcharanurak P, Klubklay A. Factors influencing preventive behavior among stoke-risk patients in Songkhla province. SCNJ 2017;4(1):217-33. (in Thai)

Rex BK. Principles and practice of structural equation modeling. 3rded. New York: Guilford Publications; 2011.

Watboonleang W. Factors predicting self-card behaviors of hypertension patients in Phayuha Khiri district, Nakhon Sawan province [Thesis]. Phitsanulok: Naresuan University; 2020. (in Thai)

Klinsakorn C, Saetan S. Factors related to self-protective behavior of stroke with controlled hypertension patients who live in Danchang district, Suphanburi province. JCCPH 2020;2(2):62-77. (in Thai)

Palakheaw P, Yanachai J, Phanphop S. Effects of stroke prevention program among hypertension patients Ban Donkhaew sub district health promotion hospital Thoen district, Lampang province. Journal of Hospital and Community Health Research 2023;1(1):15-25. (in Thai)

Korjedee P, Kittiboonthawal P, Namdej N, Namdej J. Predictive factors of knowledge about stroke risk factors and warning signs of people in Saraburi community. NJPH 2022;32(2):65-77. (in Thai)

Phikhao S, Jitpanya C, Preechawong S, Relationships among coping, social support, perceived self-efficacy and health related-quality of life in first-time stroke patients. HCU Journal 2019;21(41):123-36. (in Thai)

Promsukhan S, Nanthamongkolchai S, Yodmai K, Munsawaengsub C, Taechaboonsemsak P. The effect of the family-supported stroke prevention program among high risk stroke elderly in community. JHNR 2021;13(1):77-87. (in Thai)

Ruangchaithaweesuk K, Wongpiriyayothar A, Wongpanarak N. Factors predicting stroke prevention behaviors in patients at risk of stroke. TRC Nurs J 2021;14(1):213-25. (in Thai)

Nawsuwan K, Singhasem P, Yimyearn Y. Relationship and the predictive power of social support on the practice of hypertensive patients. BCNUT J Nurs 2021;8(1):1-13. (in Thai)

Ruchirawat S, Loengubol J, Wannaprapan B. Application of health belief model with social support for health behavior modi cation to stroke prevention in elderly patients with hypertension in Nongkatum sub-district health promotion hospital, Juntuk sub-district, Pakchong district, Nakhon Ratchasima province. DPC 9 J 2017;23(2):55-63. (in Thai)

Homkaenchan S, Numkham L. Factors related to stroke prevention behaviors in people with hypertension in Kluaymoung public health service center, Khelang Nakhon municipality, Lampang province. JPHRI 2021;1(2):14-24. (in Thai)

Lalun A, Vutiso P. Factors predicting stroke preventive behaviors of hypertensive patients at Na Fai sub-district health promoting hospital in Chang Wat Chaiyaphum. TJN 2021;70(2): 27-36. (in Thai)

Downloads

Published

2024-02-01

How to Cite

1.
Wongwian S, Sirisophon A. Factors predicting stroke prevention behaviors of hypertensive patients in Saingam District, Kamphaeng Phet Province. JNSH [Internet]. 2024 Feb. 1 [cited 2024 Apr. 27];47(1):82-94. Available from: https://he01.tci-thaijo.org/index.php/nah/article/view/266516

Issue

Section

Research Article