ความสัมพันธ์ระหว่างความรอบรู้ด้านสุขภาพกับพฤติกรรมการรับประทานยาและการมาตรวจตามนัดของผู้ป่วยโรคเบาหวานและโรคความดันโลหิตสูงในจังหวัดลำพูน
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ธ.ค. 29, 2019
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ความรอบรู้ด้านสุขภาพ พฤติกรรมการรับประทานยา การมาตรวจตามนัด โรคเรื้อรัง เบาหวาน ความดันโลหิตสูง
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บทคัดย่อ
พฤติกรรมการรับประทานยาและการมาตรวจตามนัดมีความสำคัญต่อการควบคุมโรคเบาหวานและโรคความดันโลหิตสูง การวิจัยแบบตัดขวาง (cross-sectional study) มีวัตถุประสงค์เพื่อศึกษาความสัมพันธ์ระหว่างปัจจัยส่วนบุคคลและความรอบรู้ด้านสุขภาพกับพฤติกรรมการรับประทานยาและการมาตรวจตามนัดของผู้ป่วยโรคเบาหวานและโรคความดันโลหิตสูงในจังหวัดลำพูน โดยเก็บข้อมูลจำนวน 138 คน ในช่วงเดือนพฤษภาคม พ.ศ. 2561 ด้วยแบบประเมินความรอบรู้ด้านสุขภาพและแบบสอบถามพฤติกรรมกินยาและมาตรวจตามนัด มีค่าครอนบาคอัลฟา 0.93 และ 0.81 ตามลำดับ วิเคราะห์ข้อมูลโดยใช้สถิติพรรณา สถิติไคว์สแคว์ และการทดสอบของฟิสเซอร์ ผลการศึกษาพบว่าอาชีพ ความต้องการความช่วยเหลือด้านข้อมูลสุขภาพ การแสวงหาข้อมูลสุขภาพ และความรู้ความเข้าใจมีความสัมพันธ์กับพฤติกรรมการรับประทานยาอย่างมีนัยสำคัญทางสถิติ (p-value < 0.05) และพบว่าความต้องการความช่วยเหลือด้านข้อมูลสุขภาพ การแสวงหาข้อมูลสุขภาพ และความรู้ความเข้าใจมีความสัมพันธ์กับพฤติกรรมการมาตรวจตามนัดอย่างมีนัยสำคัญทางสถิติ (p-value < 0.05) อย่างไรก็ตาม ยังพบว่า ส่วนใหญ่มีการแสวงหาข้อมูลสุขภาพอยู่ในระดับความรู้แจ้งต่ำ (ร้อยละ 51.45) ดังนั้นหน่วยบริการด้านสุขภาพควรเผยแพร่ข้อมูลและความรู้ความเข้าใจสู่ชุมชน โดยเน้นการเข้าถึงและเข้าใจได้ง่ายเพื่อนำไปสู่พฤติกรรมการรับประทานยาและการมาตรวจตามนัดที่เหมาะสมต่อไป
Article Details
ประเภทบทความ
Medical Sciences
เอกสารอ้างอิง
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[15] Kaedumkoeng, K. and Trepetchsriurai, N., 2013, Health Literacy, 3th Ed., The Agricultural Co-operative Federation of Thailand., Ltd., Bangkok, 74 p. (in Thai)
[16] Petprayoon, S., Wattanakitkrileart, D., Pongthavornkamol, K. and Peerapatdit, T., 2014, The influence of perceived severity, health literacy, and family support on self-care behavior of patients with, J. Nurs. Sci. Chulalongkorn Univ. 26(1): 38-51. (in Thai)
[17] Ginggeaw, S. and Prasertsri, N., 2015, The relationship between health literacy and health behaviors among older adults who have multi-morbidity, Nurs. J. Minist. Publ. Health 25(3): 43-54. (in Thai)
[18] Hongkrajok, H., 2016, Influences of Health Literacy, Perceived Self-efficacy, and Patient-health Care Provider Communica tion on Self-care Behaviors among Patients, Burapha University, Chonburi, 93 p. (in Thai)
[19] Faul, F., Erdfelder, E., Lang, AG. And Buchner, A., 2007, G*Power3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences, Behav. Res. Methods 39: 175-191.
[20] Wirutchai, N., 2012, The Correct Method and Modern for Sample Size Criteria, Documentation for The Lecture, National Research Council of Thailand (NRCT), Bangkok, 10 p. (in Thai)
[21] Cheypho, K., 2016, A Study of The Factors Influencing Metabolic Syndrome Preventive Behaviors Applying the Theory of Planned Behavior Among Working Adults 21-35 Years of Age in Bangkok, Thailand, Thammasat University, Pathum Thani, 102 p. (in Thai)
[22] Tanasugarn, C. and Neelapaichit, N., 2015, The Development of Health Literacy Assessment Tools for Patient Diabetes mellitus and Hypertensio, Department of Health Service Support, Nonthaburi, 52 p. (in Thai)
[23] Sangkhawan, P., 2012, Factors Affecting Medication Taking Behaviors in Hypertensive Patients at Maenawang Subdistrict, Maeai District, Chiangmai Province, University of Phayao, Phayao, 80 p. (in Thai)
[24] Sangprasert, P. and Wiroj, J., 2015, The predictive factors of health promotion behaviors among a population living in The Urban Community of Metropolitan Bangkok, Thai Sci. Technol. J. 23(1): 113-126. (in Thai)
[25] Bains, S.S. and Egede, L.E., 2011, Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic cntrol in a low income population with type 2 diabetes, Diabetes Technol. Ther. 13: 335-41.
[26] Lee, Y.M., Yu, H.Y., You, M.A. and Son, Y.J., 2017, Impact of health literacy on medication adherence in older people with chronic diseases, Collegian 24: 11-18.
[27] Wallace, A.S., Carlson, J.R., Malone, R.M., Joyner, J. and Dewalt, D.A., 2010, The influence of literacy on patient-reported experiences of diabetes self-management support, Nurs. Res. 59: 356-63.
[28] Chen, A.M., Yehel, K.S., Plake, K.S., Murawski, M.M. and Mason, H.L., 2011, Health literacy and self-care of patients with heart failure, J. Cardiovasc. Nurs. 26: 446-451.
[29] Riangkam, C., Wattanakitkrileart, D., Ketcham, A. and Sriwijitkamol, A., 2015, Health literacy, self-efficacy, age and visual acuity predicting on self-care behaviors in patients with type 2 diabetes, J. Nurs. Sci. 3(4): 35-46. (in Thai)
[30] Ngasangsai, P., Sornseeyon, P. and Phattarabenjapol, S., 2014, A case study of health literacy of village health volunteers, Isan J. Pharm. Sci. 9(suppl.): 82-87. (in Thai)
[2] Group Health Information, 2016, Public Health Statistics 2016, Strategy and Planning Division, Ministry of Public Health, Nonthaburi, 148 p. (in Thai)
[3] Information and Communication Technology Center Ministry of Public Health, Health Data Center (HDC), Available Source: https://hdcservice.moph.go.th/hdc/reports/page.php?cat_id=b2b59e64c4e6c92d4b1ec16a599d882b, December 29, 2017. (in Thai)
[4] District Information Service Center, Mueang Lamphun District Lamphun Province, Available Source: https://www.amphoe.com/menu.php, October 7, 2017. (in Thai)
[5] Mongkolchaipak, T., Pichayapaiboon, S. and Sangviroon, A., 2015, Factors affecting medication adherence of diabetic patients at Police General Hospital, Thai J. Pharm. Pract. 7(1): 47-59. (in Thai)
[6] Wungthanakorn, S., Phatidumrongkul, C. and Pranee, K., 2008, Factors affecting medication-taking behaviors of patients with hypertension, Songkla Med. J. 26(6): 539-547. (in Thai)
[7] Health Education Division, Report Situation Health Behavior among Population Age 15 Year Old Up Overview All Over Thailand, Available Source: https://drive.google.com/file/d/0B8pMAXl7oz8sNHl6NE1zMldTckk/view, December 12, 2017. (in Thai)
[8] Numkham, L., Piaseu, N., Panpakdee, O., Cunningham, S.L. and Chansatitporn N., 2015, Predictors of health outcomes in community dwellers with hypertension, Pacific Rim Int. J. Nurs. Res. 19: 135-149.
[9] Kompilo, N., 2017, Knowledge, Attitude and Risk Behaviors of Stoke among People with Hypertension in Maeta Hospital Maeta Districe, Lampang Province, Thammasat University, Lampang, 102 p. (in Thai)
[10] Vibhavadi Hospital. Hypertension in Patients with Diabetes Mellitus, Available Source: https://www.vibhavadi.com/medi apop.php?id=87, December 14, 2017. (in Thai)
[11] Khlaihong, W., 2016, Factors Predicting Medication Adherence Behaviors among Older Adults with Type 2 Diabetes, Mahidol University, Bangkok, 134 p. (in Thai)
[12] Lhakhaiw, A., 2014, Health Literacy and Factors Related to Medication among Patients with Hypertension Ban Piang Luang Subdistrict Health Promoting Hospital, Chiang Mai Province, University of Phayao, Phayao, 62 p. (in Thai)
[13] Kansomwan, A., 2014, Health Literacy and Factors Predicting Medication Refill Adherence Among Essential Hypertensive Out-Patients Fort Khunchueangthammik karat Hospital, Phayao Province, University of Phayao, Phayao, 61 p. (in Thai)
[14] Laloon, P., 2011, Self-care Behavior of Hypertensive Patients at Out Patient Department of HRH Princess MahaChakri Sirindhorn Medical Center, Srinakharinwi rot University, Bangkok, 143 p. (in Thai)
[15] Kaedumkoeng, K. and Trepetchsriurai, N., 2013, Health Literacy, 3th Ed., The Agricultural Co-operative Federation of Thailand., Ltd., Bangkok, 74 p. (in Thai)
[16] Petprayoon, S., Wattanakitkrileart, D., Pongthavornkamol, K. and Peerapatdit, T., 2014, The influence of perceived severity, health literacy, and family support on self-care behavior of patients with, J. Nurs. Sci. Chulalongkorn Univ. 26(1): 38-51. (in Thai)
[17] Ginggeaw, S. and Prasertsri, N., 2015, The relationship between health literacy and health behaviors among older adults who have multi-morbidity, Nurs. J. Minist. Publ. Health 25(3): 43-54. (in Thai)
[18] Hongkrajok, H., 2016, Influences of Health Literacy, Perceived Self-efficacy, and Patient-health Care Provider Communica tion on Self-care Behaviors among Patients, Burapha University, Chonburi, 93 p. (in Thai)
[19] Faul, F., Erdfelder, E., Lang, AG. And Buchner, A., 2007, G*Power3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences, Behav. Res. Methods 39: 175-191.
[20] Wirutchai, N., 2012, The Correct Method and Modern for Sample Size Criteria, Documentation for The Lecture, National Research Council of Thailand (NRCT), Bangkok, 10 p. (in Thai)
[21] Cheypho, K., 2016, A Study of The Factors Influencing Metabolic Syndrome Preventive Behaviors Applying the Theory of Planned Behavior Among Working Adults 21-35 Years of Age in Bangkok, Thailand, Thammasat University, Pathum Thani, 102 p. (in Thai)
[22] Tanasugarn, C. and Neelapaichit, N., 2015, The Development of Health Literacy Assessment Tools for Patient Diabetes mellitus and Hypertensio, Department of Health Service Support, Nonthaburi, 52 p. (in Thai)
[23] Sangkhawan, P., 2012, Factors Affecting Medication Taking Behaviors in Hypertensive Patients at Maenawang Subdistrict, Maeai District, Chiangmai Province, University of Phayao, Phayao, 80 p. (in Thai)
[24] Sangprasert, P. and Wiroj, J., 2015, The predictive factors of health promotion behaviors among a population living in The Urban Community of Metropolitan Bangkok, Thai Sci. Technol. J. 23(1): 113-126. (in Thai)
[25] Bains, S.S. and Egede, L.E., 2011, Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic cntrol in a low income population with type 2 diabetes, Diabetes Technol. Ther. 13: 335-41.
[26] Lee, Y.M., Yu, H.Y., You, M.A. and Son, Y.J., 2017, Impact of health literacy on medication adherence in older people with chronic diseases, Collegian 24: 11-18.
[27] Wallace, A.S., Carlson, J.R., Malone, R.M., Joyner, J. and Dewalt, D.A., 2010, The influence of literacy on patient-reported experiences of diabetes self-management support, Nurs. Res. 59: 356-63.
[28] Chen, A.M., Yehel, K.S., Plake, K.S., Murawski, M.M. and Mason, H.L., 2011, Health literacy and self-care of patients with heart failure, J. Cardiovasc. Nurs. 26: 446-451.
[29] Riangkam, C., Wattanakitkrileart, D., Ketcham, A. and Sriwijitkamol, A., 2015, Health literacy, self-efficacy, age and visual acuity predicting on self-care behaviors in patients with type 2 diabetes, J. Nurs. Sci. 3(4): 35-46. (in Thai)
[30] Ngasangsai, P., Sornseeyon, P. and Phattarabenjapol, S., 2014, A case study of health literacy of village health volunteers, Isan J. Pharm. Sci. 9(suppl.): 82-87. (in Thai)
