The ผลของโปรแกรมการส่งเสริมพฤติกรรมสุขภาพโดยการมีส่วนร่วมของครอบครัวต่อความรู้ พฤติกรรมสุขภาพ และความดันโลหิตของผู้ป่วยโรคความดันโลหิตสูง ตำบลนาฝาย อำเภอเมือง จังหวัดชัยภูมิ

Yuwadee  Boonnao; Jiratchaya Laokhompruttajarn

Authors

Yuwadee Boonnao Faculty of Nursing, Chaiyaphum Rajabhat University
Jiratchaya Laokhompruttajarn Faculty of Nursing, Chaiyaphum Rajabhat University

Keywords:

knowledge, health promotion, family participation, hypertension patients

Abstract

This study was a two-group pretest-posttest quasi-experimental design. The objective of this research was to compare scores on health knowledge and behaviors, and blood pressure of patients with hypertension. The sample included 60 patients with hypertension aged 60 - 75 years old in Tambon Na Fai, Muang District, Chaiyaphum. Data were collected through questionnaires on personal information, knowledge, and health behavior which were analyzed for content validity and reliability. The KR-20of the test of hypertension knowledge was .82 and a Cronbach's alpha coefficient of health behavior questionnaire was .84. Data were analyzed with frequency, percentage, mean, standard deviation, Chi-square test, t-test, repeated measures ANOVA, and pairwise difference analysis by the Scheffe method.

The findings revealed that 1) the experimental group had higher mean scores on health knowledge and behavior than the control group with a shift in health knowledge and behavior after 12 weeks and 24 weeks. It was improved more than before the experiment with a statistical significance of .05. 2) The experimental group had mean systolic and diastolic blood pressure lower than the control group with a shift in systolic and diastolic blood pressure after 12 weeks and 24 weeks. It was improved more than before the experiment with a statistical significance of .05.

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Author Biography

Jiratchaya Laokhompruttajarn, Faculty of Nursing, Chaiyaphum Rajabhat University

์ีnursing lecturer

References

Benjamin, S., & Bloom, B. S. (1976). Human characteristics and school learning. New York, NY: McGraw-Hill Book Company.

Best, J. W. (1981). Research in education. New Jersey, NJ: Prentice–Hall.

Chaiyaphum Hospital. (2021). Statistics of patients with hypertension. Chaiyaphum: Medical records of patients, Chaiyaphum Hospital.

Cohen, J. (1977). Statistical power analysis for the behavioral sciences. New York, NY: Academic Press.

Gamage, D. G., Riddell, M. A., Joshi, R., Thankappan, K. R., Chow, C. K., & Oldenburg, B. (2020). Effectiveness of a scalable group-based education and monitoring program, delivered by health workers, to improve control of hypertension in rural India: A cluster randomized controlled trial. PLOS Medicine, 17(1), e1002997.

Khanal, M. K., Bhandari, P., Dhungana, R. R., Bhandari, P., Rawal, L. B., Gurung, Y., . . . Courten, B. D. (2021). Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial. PloS one, 16(10), e0258406.

Kleebpratoom, P., Suthiphongkiart, B., Sumthong, P., & Oadpakdee, W. (2018). Effects of health promotion program for blood pressure control among hypertension patients at Internal medicine clinic, Angthong hospital, Angthong province. Journal of the department of medical services, 43(5), 60-66.

Kongpetch, C. (2019). Exercise for the elderly. Thai Journal of Nursing, 68(4), 64-71.

Kummak, S. (2018). Self-care behaviors among hypertension patients in Tambon Nanglao Health Promoting Hospital, Amphur Satingpha, Songkhla province. The Southern College Network Journal of Nursing and Public Health, 3(3), 153-169.

Laochai, W., Pipatsombat, P., & Jiraprapapong, N. (2021). Effects of self-management program on health behaviors among buddhist monks with hypertension disease. Journal of the police nurse, 13(2), 326-335.

Liu, L., Qian, X., Chen, Z., & He, T. (2020). Health literacy and its effect on chronic disease prevention: Evidence from China’s data. BMC Public Health, 20(1), 690.

Lorig, K. R., & Holman, H. (2003). Self-management education: History, definition, outcomes, and mechanism. Society of Behavior Medicine, 26(1), 1-7.

Na Fai Health Promoting Hospital. (2021). Statistics of patients with hypertension. Chaiyaphum: Registration and statistics.

Noradechanunt, C., Worsley, A., & Groeller, H. (2017). Thai yoga improves physical function and well-being in older adults: A randomized controlled trial. Journal of science and medicine in sport, 20(5), 494-501.

Ozoemena, E. L., Iweama, C. N., Agbaje, O. S., Umoke, P. C. I., Ene, O. C., & Ofili, P. C. (2019). Effects of a health education intervention on hypertension -related knowledge, prevention and self-care practices in Nigerian retirees: A quasi-experimental study. Archives of Public Health, 77(1), 23.

Park, J., Noh, O., & Jung, S. (2019). Coping with symptoms after education for self-management of chronic diseases. International Journal of Advanced Culture Technology, 7(1), 89-95.

Polit, D. F., & Hungler, B. P. (1995). Nursing research: Principle and methods (4th ed.). Philadelphia, PA: J. B. Lippincott.

Poolsawat, B., Benjakul, S., Kengganpanich, M., & Kengganpanich, T. (2021). The effects of a program to reduce sugar consumption by applying the self-efficacy theory with social support in overweight women. Journal of The Police nurses, 13(2), 277-289.

Sanlah, N. (2022). The effect of a self-management program on blood pressure control behavior of hypertensive patients. Journal of Nursing and Public Health Research, 1(1), 27-39.

Schepp, K. (1995). Psychometric assessment of the preferred participation scale for parent of hospitalized children. Unpublished manuscript University of Washington, School of Nursing, Seattle, WA.

Shen, Y., Wang, T. T., Gao, M., Hu, K., Zhu, X. R., & Zhang, X. (2020). Effectiveness evaluation of health belief model-based health education intervention for patients with hypertension in community settings. Chinese journal of preventive medicine, 54(2), 155–159.

Stergiou, G. S., Palatini, P., Modesti, P. A., Asayama, K., Asmar, R., Bilo, G., . . . Parati, G. (2020). Seasonal variation in blood pressure: Evidence, consensus and recommendations for clinical practice: Consensus statement by the European society of hypertension working group on blood pressure monitoring and cardiovascular variability. Journal of hypertension, 38(7), 1235-1243.

Strategy and Planning Division Office of Permanent Secretary. (2021). Hypertension disease report in Thailand. Fiscal year 2021.

Suaetoo, N., Jirapongsuwan, A., Rawiworrakul, T., & Tipayamongkholgul, M. (2018). The effect of a program to promote blood pressure control among 35 to 59-years-old patients with uncontrolled hypertension. Journal of Public Health Nursing, 32(2), 95-115.

Tam, H. L., Wong, E. M. L., & Cheung, K. (2020). Effectiveness of educational interventions on adherence to life style modifications among hypertensive patients: An integrative review. International Journal of Environmental Research and Public Health, 17(7), 2513.

The International Society of Hypertension (ISH). (2020). Background information on high blood pressure (hypertension). Retrieved from http://ish-world.com/public/backgroundinfo.html

World Health Organization. (2021). Prevention of cardiovascular diseases: Pocket guidelines for assessment and management of cardiovascular risk. Geneva: World Health Organization.

Wutthitham, N., Chontong, R., & Sompradit, C. (2019). The effects of self-efficacy enhancement on blood pressure level controlled among hypertension risk group. Journal of The Royal Thai Army Nurses, 21(1), 309-318.