Effects of Nutrition Education Program through Line Application on Dietary Behaviors in Patients with Primary Hypertension

Main Article Content

Natrapee Siriboonyarit
Doungrut Wattanakitkrileart
Warunee Phligbua

Abstract

            This randomized controlled trial aimed to study the effects of Nutrition Education Program through Line Application on dietary behaviors in patients with primary hypertension. This study comprised of 58 patients with primary hypertension, aged 18 years and above who received medical treatment at the General Medicine Clinic in a tertiary hospital. Simple random assignment was used to assign into the experimental (n = 29) and control groups (n = 29). Data collection was performed using Demographic and Medical Information Questionnaires, Dietary Approaches to Stop Hypertension Questionnaire, Hypertension Knowledge Questionnaire, and Nutritional Education Program through Line Application. The content validity of this program was evaluated by 5 specialists. The researchers evaluated the reliability of Dietary Approaches to Stop Hypertension Questionnaire and Hypertension Knowledge Questionnaire by Cronbach’s alpha coefficient and KR-20 were 0.74 and 0.83, respectively. Data were analyzed using descriptive statistics and t-test.
            The results revealed that after receiving the program, the dietary behaviors according to the Dietary Approaches to Stop Hypertension scores in the experimental group were significantly higher than before receiving the program (t = -9.16, p < .01) and significantly higher than the control group (t = -2.75, p < .01). Based on this findings, Nutrition Education Program through Line Application could help patients with primary hypertension to improve their dietary behaviors. Therefore, nurses should apply this program to educate and promote appropriate dietary behaviors in patients with primary hypertension.

Article Details

Section
Research Article

References

Thai hypertension society. 2019 Thai guidelines on the treatment of hypertension. Chiang Mai: Trick Think; 2019. (in Thai).

Wahl L, Tubb RS. A review of the clinical anatomy of hypertension. Clin Anat 2019;32(5):678-81.

World Health Organization. Hypertension. [Internet]. [cited 2021 November 12]. Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension.

Division of Non Communicable Disease. World hypertension day. [Internet]. [cited 2022 August 31]. Available from: http://www.thaincd.com/2016/news/hot-news-detail.php?id=14345&gid=18. (in Thai).

Sacks F M, Campos H. Dietary therapy in hypertension. N Engl J Med 2010;362(22):2102-12.

Suri S, Kumar V, Kumar S, Goyal A, Tanwar B, Kaur J, et al. DASH dietary pattern: a treatment for non-communicable diseases. Curr Hypertens Rev 2020;16(2):108-14.

Department of Health, Ministry of Public Health. Dietary principle to prevent high blood pressure. [Internet]. [cited 2021 November 23]. Available from: https://multimedia.anamai.moph.go.th/ebooks/dash-diet-book/. (in Thai).

Whelton MPK, Carey RM, Aronow WS, Casey DE, Collins KJ, Himmelfarb CD, et al. 2017 ACC/AHA/ AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. Hypertension 2018;71:13-115.

Aburto NJ, Hanson S, Gutierrez H, Hooper L, Elliott P, et al. Effect of increased potassium intake on cardiovascular risk factor and disease: systematic review and meta-analyses. BMJ 2013;346:f1378.

Kostov K, Halacheva L. Role of magnesium deficiency in promoting atherosclerosis, endothelial dysfunction, and arterial stiffening as risk factors for hypertension. Int J Mol Sci 2018;19(6):1724-46.

Tomaschitz A, Ritz E, Pieske B, Rus-Machan J, Kienreich K, Verheyen N, et al. Aldosterone and parathyroid hormone interaction as mediators of metabolic and cardiovascular disease. Metabolism 2014;63(1):20-31.

Rathod KS, Velmurugan S, Ahluwalia A. A 'green' diet-based approach to cardiovascular health? Is inorganic nitrate the answer? Mol Nutr Food Res 2016;60(1):185-202.

Rippe JM, Angelopoulos TJ. Fructose-containing sugars and cardiovascular disease. Adv Nutr 2015;6(4):430-9.

Thungkam S, Danyuthasilpe C, Siripornpibul T. Factors predicting behaviors to control and prevent essential hypertension among patients with uncontrolled blood pressure in Phrae province. Journal of Nursing and Health Sciences 2019;13(3):65-79. (in Thai).

Budda D, Aungwattana S, Boonchieng. Development of eating pattern for people with uncontrolled hypertension using family participation approach. Nursing Journal 2019;46(Suppl December):36-48. (in Thai).

Tiparat W, Saraluk P, Lertwanawattana J, Pratum S. The effect of the self-efficacy and social support program enhancing to low-salt dietary behavior and the level of blood pressure in elderly patients with hypertension. Thai Journal of Cardio-Thoracic Nursing 2014;25(1):70-84. (in Thai).

Moonsarnand S, Sumpowthong K. Effects of dietary behavior modification program guideline of the DASH with self-efficacy theory and social support on reducing the risk of hypertension among pre-hypertensive patients. The Public Health Journal of Burapha University 2016;11(1):87-98. (in Thai).

Kitrungrote T, Komjakraphan P, Isaramalai S. The effect of a nutritional education support program on dietary behaviors and blood pressure level in elderly club members with uncontrolled hypertension. The Southern College Network Journal of Nursing and Public Health 2018;5(1):179-94. (in Thai).

Nantasang J, Jitpanya C, Anuruang S. The effect of health behavior modification program on the blood pressure of older person after percutaneous transluminal coronary intervention. Royal Thai Navy Medical Journal 2021;48(3):516-33. (in Thai).

Thanaseth R. Effects of self-management promotion and family participation on health behaviors and blood pressure in working adults group. DPC9 Journal 2018;24(2):100-11. (in Thai).

Charoenwongsa K, Wirojratana V, Wattanakitkrileart D. The effect of medication adherence promotion program through the line application on older persons with essential hypertension. Nursing Journal CMU 2022;49(2):313-25. (in Thai).

Fisher JD, Fisher WA. Changing AIDS-risk behavior. Psychol Bull 1992;111(3):455-74.

Chaikidturajai P. Active participation programs for adjusting health behavior of patients with hypertension in Sawangha hospital, Sawangha district, Ang Thong province. Journal of Preventive Medicine Association of Thailand 2016;6(2):131-9. (in Thai).

Glass GV. Primary, secondary, and meta-analysis of research. Educational Researcher 1976;5(10):3-8.

Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of Mini-Cog, a brief cognitive screening test. Geriatr Gerontol Int 2015;15:594-600.

Khuneepong A. The effectiveness of health promotion program on preventive behaviors affecting complications of hypertensive patients, Pathum Thani province. VRU Research and Development Journal Science and Technology 2017;12(3):55-65. (in Thai).

Mahaviriyotai K, Wattanakitkrileart D, Poungkaew A. The effect of information provision, motivation, and self-monitoring skill program through LINE application on self-care behavior in patients with heart failure. Nursing Science Journal of Thailand 2021;39(1):47-63. (in Thai).

Jeon E, Park HA. Experiences of patients with a diabetes self-care app developed based on the information-motivation-behavioral skills model: before-and-after study. JMIR Diabetes 2019;4(2):e11590.

Choeisuwan V, Potisa S, Wongsang Y. The effects of home visit based on participation program on health behaviors and blood pressure of persons with hypertension in selected community in Bukkhalo, Thonburi. Royal Thai Navy Medical Journal 2020;47(3):525-43. (in Thai).