Effectiveness of Perception and Prevention Program with Five Bases on Stroke in the Life of Hypertensive Patients in Sub-district Health Promoting Hospital, Phuket Province

Abstract

This quasi-experimental research aimed to study the effects of perception and prevention program on stroke in hypertensive patients. The subjects were 72 hypertensive patients with blood pressure of 140/90 mmHg and above who attending at sub-district health promoting hospitals in Thalang District, Phuket Province. They were divided into two groups, 36 for experimental group and 36 for comparison group. The patients in the experimental group participated in the 5-base life program for the awareness and prevention which included (1) self awareness, (2) self-warning on stroke, (3) body and mind stroke resistance, (4) happy life, and (5) medicine assessment. Both groups were assess and evaluated on the perception of stroke risk factors, warning symptoms and self-care behavior after six-week experiment. Data were collected by questionnaires which were tested for reliability with the Cronbach alpha coefficient of 0.95. The results showed that the experimental group had the score of warning symptoms from 2.44 to 3.91 score, self-care behavior for prevention stroke from 3.31 to 3.83 score and perception of stroke risk factors from 2.68 to 3.72 score. When testing the difference by paired t-test, the perception of stroke risk factors, warning symptoms and self-care behavior were significantly higher than before the experiment (t=-5.19, p=0.00); (t=-6.04, p=0.00); and (t=-2.71, p=0.01, respectively). When testing the difference between the 2 groups by independence sample t-test, it was found that after experiment the perception of stroke risk factors, warning symptoms and self-care behavior mean were significantly higher in the experimental than those of the comparison group (p<0.05), mean=8.50 (95%CI=5.49- 11.51), 7.08 (95%CI=4.29-9.88) และ 10.78 (95%CI=6.40-15.15 respectively).