Health Literacy and Health Behavior of Hypertensive Patients with Controllable and Uncontrollable Blood Pressure Level
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Abstract
This descriptive comparative research aimed to compare the level of health literacy and health behavior of hypertensive patients with controllable and uncontrollable blood pressure level. The sample group included 92 hypertensive patients by simple random sampling. The sample were divided into the controllable blood pressure level group and the uncontrollable blood pressure level group, 46 person per group, who were treated at the Sub-district Health Promoting Hospital in Phayao Province. The instruments for collecting data were questionnaires of health literacy and behaviors of hypertensive patient checklist that have Cronbach’s alpha values .92 and .87 respectively. Data were analyzed by descriptive and Independent t-test.
The results showed that the subjects with controlled blood pressure had high levels of both health literacy and behaviors (𝑥̅= 108.07 SD=12.15 and 𝑥̅ = 43.87 SD=2.75 respectively), while participants with uncontrolled blood pressure had low levels of health literacy (𝑥̅ = 90.11, SD=12.36) and moderate levels of health behaviors (𝑥̅ = 33.32 SD=4.96). Comparing the differences in health literacy and health behaviors of the two groups, it was found that there were statistically significant differences in health literacy and health behaviors (t=7.03, p≤.000 and t=12.61, p≤.000, respectively).
Suggestions from the research found that the health care providers should promote health literacy and health behavior programs for hypertensive patients in order to maintain appropriate blood pressure control.
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References
Akbarpour, S., Khalili, D., Zeraati, H., Mansournia, M. A., Ramezankhani, A. & Fotouhi, A. (2018). Healthy lifestyle behaviors and control of hypertension among adult hypertensive patients. Scientific reports, 8(1), 8508. https://doi.org/10.1038/s41598-018-26823-5
Division of Non-Communicable Disease, Department of disease Control, Ministry of Public Health. (2020). Non-communicable disease information. Retrieved from
http://www.thaincd.com/2016/mission/documents.php?tid=32&gid=1-020 (in Thai).
Fuchs, F. D. & Whelton, P. K. (2020). High blood pressure and cardiovascular disease. Hypertension, 75(2), 285-292.
Gaffari-Fam, S., Babazadeh, T., Oliaei, S., Behboodi, L. & Daemi, A. (2020). Adherence to a health literacy and healthy lifestyle with improved blood pressure control in Iran. Patient preference and adherence, 14, 499-506. https://doi.org/10.2147/PPA.S244820
Health Education Division, Department of Health service Support, Ministry of Public Health.
(2017). Health literacy and health behavior assessment from according to 3aor 2sor of the people aged 15 years or more, revised version 2018. Retrieved from http://www.hed.go.th/linkHed/333 (in Thai).
Meelab, S., Bunupuradah, I., Suttiruang, J., Sakulrojanawong, S., Thongkua, N., Chantawiboonchai, C., ... & Sakboonyarat, B. (2019). Prevalence and associated factors of uncontrolled blood pressure among hypertensive patients in the rural communities in the central areas in Thailand: a cross-sectional study. PloS one, 14(2), e0212572.
Modey Amoah, E., Esinam Okai, D., Manu, A., Laar, A., Akamah, J. & Torpey, K. (2020). The role of lifestyle factors in controlling blood pressure among hypertensive patients in two health facilities in urban Ghana: a cross-sectional study. International Journal of Hypertension, 2020. https://doi.org/10.1155/2020/9379128
Mohd Isa, D., Shahar, S., He, F. J. & Majid, H. A. (2021). Associations of health literacy with blood pressure and dietary salt intake among adults: A systematic review. Nutrients, 13(12), 4534. https://doi.org/10.3390/nu13124534
Nutbeam, D. (2008). The evolving concept of health literacy. Social science & medicine, 67(12), 2072-2078.
Padphai, I., Meelun, N., Chotchai, T., Sripromsa, W., Ekathat, T. & Chotklang, D. (2022). The relationship between health literacy for stroke prevention and optimal blood pressure in hypertensive patients in Health Region 7. Nursing Journal of The Ministry of Public Health, 32(3), 149-162. (in Thai).
Puengsema, R. (2022). Hypertension: the important role of nurses. Thai Red Cross Nursing Journal, 15(1), 40-49. (in Thai).
Sarrafzadegan, N., Mansourian, M., Alikhassi, H., Sherafat, A., Khosravi, A., Eghbali, M., … & Barghi, M. (2021). Self-care behaviours and determinants associated with hypertension control in elderly patients. Journal of Patient Care, 7(3), 1-8.
Selcuk, K. T., Mercan, Y., & Aydın, T. (2018). Uncontrolled blood pressure in patients with hypertension and associated factors: the role of low health literacy. Erciyes Medical Journal, 40(4), 222-227.
Shi, D., Li, J., Wang, Y., Wang, S., Liu, K., Shi, R., ... & Chen, X. (2017). Association between health literacy and hypertension management in a Chinese community: a retrospective cohort study. Internal and Emergency Medicine, 12, 765-776. https://doi.org/10.1007/s11739-017-1651-7
Sisay, Y., Abera, H., Biratu, T. D. & Legesse, T. G. (2022). Uncontrolled hypertension and behavioral risk factors among adult hypertensive patients at Saint Paul’s hospital, Millennium Medical College, Addis Ababa, Ethiopia. Advances in Public Health, 1-7. https://doi.org/10.1155/2022/7518860
Thai Hypertension Society. (2019). 2019 Thai guidelines on the treatment of hypertension. Retrieved from
http://www.thaiheart.org/images/column_1563846428/Thai%20HT%20Guideline%202019.pdf (in Thai).
Thonglad, J. (2021). Factors relationship between health literacy and personal factors with health behavior among risk rroup with hypertension in Talad sub-district, Muang district, Nakhon Ratchasima province. Primary Health Care Journal (Northeastern Edition), 36(2), 82-90. (in Thai).
Thongma, P. (2020). Health literacy and health outcomes in hypertensive patients. Thai Red Cross Nursing Journal, 13(1), 50-62. (in Thai).
Tudsri, P. & Nakkling, Y. (2018). Health promotion behaviors of persons with hypertension: comparison between controlled and uncontrolled blood pressure. Thai Journal of Cardio-Thoracic Nursing, 29(2), 157-169. (in Thai).
Wannasirikul, P., Termsirikulchai, L., Sujirarat, D., Benjakul, S. & Tanasugarn, C. (2016). Health literacy, medication adherence, and blood pressure level among hypertension older adults treated at primary health care centers. The Southeast Asian Journal of Tropical Medicine and Public Health, 47(1), 109-20.
World Health Organization. (2021). More than 700 million people with untreated hypertension. Retrieved from https://www.who.int/news/item/25-08-2021-more-than-700-million-people-with-untreated-hypertension
