Effects of Behavioral Development Program for Stroke Prevention among Hypertensive Patients In Chumpuang Hospital, Chumpuang District, Nakhon Ratchasima Province

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Chontira Kawthaisong
Rujira Dungsong

Abstract

Background and objective : Hypertension and cerebrovascular disease are the fourth most common causes of death in Thai people.  Stroke or cerebrovascular disease is a complication of hypertension. Hypertensive patients need to engage in self-care to prevent the occurrence of this complication. The aim of this quasi-experimental study was to assess the effectiveness of a behavioral development programme for stroke prevention among hypertensive patients. 
Methods : It was Quasi-experimental research. The participants were 60 hypertensive patients, who were divided in equal numbers into an experimental group(n=30) and a comparative group(n=30). The experimental group received a behavioral development programme, which involved various different activities, including lectures with videos, demonstrations, and home visits by the researcher. They were all also given a handbook and a brochure regarding self-care practices. Meanwhile, the comparison group acquired normal care. The data were collected by questionnaire and were analysed using descriptive statistics, such as percentages, means, standard deviations and maximum/minimum values.  Within and between group differences were analysed using paired or independent sample t-tests, and statistical significance was set at setting at p<0.05.          
Results : The end of the study, the experiment group showed statistically significant improvements in the mean scores for knowledge, perceived susceptibility, perceived severity, perceived self-efficacy, perceived benefits of stroke prevention, intention to prevent stroke, cholesterol and triglyceride level, blood pressure and reported practice of preventative behaviour.  The mean scores on all these outcome variables were also significantly better than those for the comparison group (p < 0.05).

Conclusion: A behavioral development programme for stroke prevention among hypertensive patients could decreased blood pressure, cholesterol and triglyceride level comparing with normal care group

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