The Effect of a Program to Promote Blood Pressure Control among 35 to 59 - Years-old Patients with Uncontrolled Hypertension
Keywords:Hypertension Control, Knowledge/Motivation, Self-efficacy, Behavior Change
Hypertension is a major cause of premature death. Patient in the 35-59 year-old group with uncontrolled blood pressure can have damage to their arteries and vascular complications of the brain, heart and kidney. This quasi-experimental research aimed to investigate the effect of promoting blood pressure control by applying the theory of the information-motivation-behavioral skill model among hypertensive patients aged 35-59 years with uncontrolled blood pressure. The study was conducted at the Hypertension Clinic, KlongLan Hospital, Klonglan District, Kamphaengphet Province. The experimental and comparison groups included 26 participants each. The experimental group received information about the effects of blood pressure complications and blood pressure control, positive internal and external motivation for intentional blood pressure control, self-efficacy and behavioral skills development for 3 weeks, and post intervention monitoring for 7 weeks. Data were characterized using frequency percentage, paired t-test, independent t-test and repeated-measures ANOVA. Results showed that the experimental group had higher average post-test scores on knowledge, motivation and self-efficacy than the pre-test average score, and a higher average score than those in the comparison group at statistical significance (p<0.05). Additionally, at the follow-up, the experimental group had a higher average score on behavioral control of blood pressure and blood pressure levels than the pre-test average score before the experiment and then the control group at statistical significance (p <0.05). The results of this study supports the theoretical framework of the information-motivation-behavioral skill model in promoting blood pressure control by patients with uncontrolled hypertension. Public health nurse practitioners can apply this model as a means to encourage hypertensive patients to control their blood pressure and prevent complications.
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บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)