The Effect of Health Behavior Modification Program on the Blood Pressure of Older Persons after Percutaneous Transluminal Coronary Intervention

Main Article Content

Jintana Nantasang
Chanokporn Jitpanya
Sakuntala Anuruang


            This quasi-experimental research aimed to examine the effect of health behavior modification program on the blood pressure of older persons after percutaneous transluminal coronary intervention by applying the protection motivation theory. The sample was 48 older persons after percutaneous transluminal coronary intervention (PCI) with systolic blood pressure (SBP) greater than 130 mmHg or with diastolic blood pressure (DBP) more than 80 mmHg. in cardiac care unit at the Rajavithi hospital. They were divided into the experimental and the control group of 24 persons. The participants were paired-match by age, gender, and type of antihypertensive drug received. The experimental group underwent the program designed by the researcher for 6 weeks. The experimental instrument was health behavior modification program. Data was collected using blood pressure record form. Data were analyzed using descriptive and t-test analysis.
            The results revealed that after participating the health behavior modification program, the experimental group had significantly lower mean systolic and diastolic BP than before joining the program (p < .05). The experimental group had significantly lower mean systolic and diastolic BP than those in the control group (p < .05). The results of this research indicated that the program could produce good clinical outcomes resulting in blood pressure control among older persons after percutaneous transluminal coronary intervention.


Download data is not yet available.

Article Details

Research Article


World Health Organization. A global brief on hypertension silent killer, global public health crisis. [Internet]. [cited 2018 June 17]. Available from :

Strategy and Planning Division Ministry of Public Health. Public health statistics Thailand 2019. [Internet]. Nonthaburi: Sri Muang Publication; 2019. [cited 2018 June 17]. Available from: (in Thai).

Akpalakorn W. Survey of Thai people's health by physical examination. 5th ed. Nonthaburi: Aksorn Graphic and Design; 2016. (in Thai).

Yamapai I, Budbawalai T, Pilasan T. Research report on appropriate guidelines for purchasing and supply of coronary vascular catheters with balloon and stents for the National Health Security Fund. Nonthaburi: Department of Health, Ministry of Public Health; 2016. (in Thai).

Cohen DJ, Van Hout B, Serruys PW, Mohr FW, Macaya C, Den Heijer P, et al. Quality of life after PCI with drug-eluting stents or coronary-artery bypass surgery. N Engl J Med 2011;364(11):1016-26.

Thanapatsorn N, ThoTheerakul N, Sujirarat D, Suwanpong N, Kahasukchereon W. Incidence and factors associated with stenosis restensis in coronary heart disease patients at the Thoracic Institute Nonthaburi Province. In: Rangsit University National Academic Conference; April 24, 2015. Rangsit University, Bangkok; 2015. p. 201-9.

Rajavithi Hospital. Cardiovascular patient statistics report 2013-2017. Bangkok: Rajavithi Hospital; 2018. (in Thai).

Wan YF, Ma XL, Yuan C, Fei L, Yang J, Zhang J. Impact of daily lifestyle on coronary heart disease. Exp Ther Med 2015;10(3):1115-20.

Naowapanich S. Nursing practice manual caring for acute coronary syndrome patients with percutaneous coronary intervention. Bangkok: Nursing Department Siriraj Hospital Faculty of Medicine Siriraj Hospital; 2009. (in Thai).

Saisongkro W, Kunaprasert K, Tangkiatkamjai M. Characteristics of patients with recurrent acute coronary syndrome. Thai Pharmacy and Health Sciences Journal 2010;5(2):103-6. (in Thai).

Rosendorff C, Lackland DT, Allison M, Aronow WS, Black HR, Blumenthal RS, et al. Treatment of hypertension in patients with coronary artery disease: a scientific statement from the American Heart Association, American College of Cardiology, and American Society of Hypertension. Circulation 2015;131(19):e435-70.

Chachomporn P. Perception and in-stent restenosis prevention behaviors in patients who had undergone stent implantation. [Master’s Thesis, Faculty of Nursing]. Prince of Songkla University; 2011. (in Thai).

Tanaka Y, Takeshita S, Takahashi S, Matsumi J, Mizuno S, Yamanaka F, et al. Comparison of short-and long-term outcomes of percutaneous coronary intervention for chronic total occlusions between patients aged ≥ 75 years and those aged < 75 years. Am J Cardiol 2013;112(6):761-6.

Undara W. The study of health status and health behaviors of people living in Baan Aur-arthorn community (Klong thanon). Royal Thai Navy Medical Journal 2018;45(1):121-38. (in Thai).

Onsrinoi N, Leelukkanaveera Y, Toonsiri Ch. Predictive factors of hypertension preventive behaviors among people with pre-hypertension. Songklanagarind Journal of Nursing 2017;37(1):63-74. (in Thai).

Chester JG, Rudolph JL. Vital signs in older patients: age-related changes. J Am Med Dir Assoc 2011;12(5):337-43.

Cohen L, Curhan GC, Forman JP. Influence of age on the association between lifestyle factors and risk of hypertension. J Am Soc Hypertens 2012;6(4):284-90.

Imsombuti M. Factors affecting blood pressure in patients with hypertension in Tha Chang district, Sing Buri province. Journal of Health Systems Research 2007;2(Suppl 1):119-28. (in Thai).

Jaiyungyuen U. Factors influencing health promoting behavior of patients with hypertension. Journal of Nursing and Education 2009;2(1):39-47.

Sinsap N, Jankra J, Jaiman B. Hypertension in elderly: silence killer should be aware. Journal of Phrapokklao Nursing College 2017;8(4):78-93. (in Thai).

Namwong A. Relationships between selected factors and adherence to therapeutic regimens among older adults with Hypertension. Journal of Nursing and Education 2015;8(4):78-93.

Thongtang T, Seesawang J. Lived experience among hypertensive older people. Nursing Journal 2014;41(Suppl November):2-10.

Dusing R. Overcoming barriers to effective blood pressure control in patients with hypertension. Curr Med Res Opin 2006;22(8):1545-53.

Purath J, Keck A, Fitzgerald CE. Motivational interviewing for older adults in primary care: a systematic review. Geriatric Nursing 2014;35(3):219-24.

Kahkonen O, Kankkunen P, Saaranen T, Miettinen H, Kyngas H, Lamidi ML. Motivation is a crucial factor for adherence to a healthy lifestyle among people with coronary heart disease after percutaneous coronary intervention. J Adv Nurs 2015;71(10):2364-73.

Sanprasan P, Wattradul D, Suthipong N. Discharge planning of patients treated with percutaneous coronary intervention (PCI): perspective of elderly patients with ischemic heart disease and caregivers. Thai Journal of Cardio-Thoracic Nursing 2017;28(1):142-53. (in Thai).

Rogers RW. Cognitive and psychological processes in fear appeals and attitude change: a revised theory of protection motivation. In: Caciopppo J, Petty R, editors. Social psychophysiology. New York: Gilford Press, 1983. p. 153-76.

Makpasook W. The effect of the protection motivation program on self care behavior in preventing complications among high risk hypertensive elderly. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2008. (in Thai).

Wattanameatee R, Hoyrat P. The effect of a behavior change program on controlling blood pressure level among hypertensive patients in outpatient department of outpatient, Chonprathan hospital. The Southern College Network Journal of Nursing and Public Health 2017;4(3):189-202. (in Thai).

Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2008.

Burns N, Grove SK. The practice of nursing research: appraisal. synthesis and generation of evidence. 6th ed. St Louis: Saunders Elsevier; 2009.

Pungpothong S, Tangwongkit T, Nunlaong O, Boontad M, Kanasuriyapat N. Effectiveness of health behavior modification program (food, exercise, emotion, smoking, and alcohol cessation: 3E 2S) older adults with hypertension in Sankhaburi district, Chainat province. Royal Thai Navy Medical Journal 2019;46(3):81-91. (in Thai).