PREDICTING FACTORS OF THE TARGETED BLOOD PRESSURE CONTROL AMONG PATIENTS WITH POST-ACUTE ISCHEMIC STROKE AT A GENERAL HOSPITAL, SICHON DISTRICT, NAKHON SI THAMMARAT

Authors

  • Nannapus Saramad School of Nursing, Walailak University, Nakhon si Thammarat
  • Rewwadee Petsirasan School of Nursing, Walailak University, Nakhon si Thammarat
  • Jom Sowanno School of Nursing, Walailak University, Nakhon si Thammarat
  • Kiattisak Ratborirak School of Nursing, Walailak University, Nakhon si Thammarat

Keywords:

recurrence stroke risk, blood pressure, medication adherence, acute ischemic stroke

Abstract

             This retro-prospective study aimed to describe the targeted blood pressure control rate and determine predicting factors of post-stroke blood pressure control among 192 eligible patients with post-acute ischemic strokes at a General Hospital, Sichon District, Nakhon Si Thammarat province discharging from 2017 to 2018. Secondary data analysis from hospital health profile with the patient or caregiver interviewing was employed using seven questionnaires including  1) a Sociodemographic questionnaire, 2) health condition and illness records, 3) the Essen stroke risk score, 4) a risk assessment for recurrent stroke, 5) blood pressure record 6) a modified medication adherence scale (CVI = .87, α = .90), and 7) a medication use questionnaire. Descriptive statistics and multiple logistic regression analysis were applied to calculate the crude OR value at a 95% CI.

             Most of the patients in this study were men (61.6%) who had an average age of 65.4±14.8 years. The results of the targeted blood pressure control analysis found that the group under the age of 60 (25%), the group older than 60 years (36.3%, and the group with diabetes (27.9%) had achieved less blood pressure control than 140/90 mm Hg. Receiving Calcium Chanel Blockers (OR= 2.94, p = .027), medication adherence of Antihypertensive (OR = 9.43, p = .024), medication adherence of Antiplatelet (OR = 4.06, p= .020), and medication behavior (OR = 3.43, p = .010) were statistically significant predictors of targeted blood pressure control with19.4% of explained variance (p < .05). From the findings, nurse and health care provider should promote medication adherence of Antiplatelet and Antihypertensive among the patients to improve their blood pressure control and lower rate of recurrent stroke, especially in the elderly.

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Published

2020-06-30

How to Cite

Saramad น. ., Petsirasan เ. ., Sowanno จ. ., & Ratborirak เ. (2020). PREDICTING FACTORS OF THE TARGETED BLOOD PRESSURE CONTROL AMONG PATIENTS WITH POST-ACUTE ISCHEMIC STROKE AT A GENERAL HOSPITAL, SICHON DISTRICT, NAKHON SI THAMMARAT. JOURNAL OF THE POLICE NURSES, 12(1), 100–113. Retrieved from https://he01.tci-thaijo.org/index.php/policenurse/article/view/242334

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Research Articles