Effectiveness of the Home Ward Model for Hypertensive Patient Care in Phayakkhaphumphisai District, Mahasarakham Province
Abstract
Abstract
This quasi-experimental research aimed to examine the effectiveness of a Home Ward care model for hypertensive patients and to compare outcomes between the Home Ward group and a standard care group in Phayakkhaphumphisai District, Mahasarakham Province. A total of 60 hypertensive patients were recruited through purposive sampling and allocated equally into an experimental group receiving Home Ward care (n = 30) and a control group receiving standard care (n = 30). The study period spanned 6 months. Data collection instruments included a general information questionnaire,
a self-care behavior assessment scale, a medication adherence record, and a standardized digital blood pressure monitor. Data were analyzed using descriptive statistics, Paired Samples t-test, and Independent Samples t-test.
Results revealed that the experimental group demonstrated statistically significant reductions in systolic blood pressure (mean decrease : 15.88 mmHg) and diastolic blood pressure (mean decrease : 9.10 mmHg) compared to baseline (p < .001). Moreover, 73.3% of the experimental group achieved target blood pressure control (BP < 140/90 mmHg), significantly higher than the control group (p < .001). Medication adherence scores were markedly superior in the experimental group (5.00 vs. 3.97; p < .001). Self-care behavior scores improved significantly across all four domains: dietary control, physical activity, sleep and rest, and stress management, shifting from a moderate to a good level (p < .001), while the control group showed no significant changes in any domain.
These findings provide empirical evidence supporting the expansion of the Home Ward model as a sustainable community-based strategy for chronic disease management in rural Thailand.
Keywords : Home Ward, hypertension, self-care behavior, medication adherence, Orem's Self-Care Deficit Theory
