Effectiveness of Stroke Prevention Program for High Risk Group at Hoiybong Sub-district, Muang District, Chaiyaphum Province. : ผลของโปรแกรมการป้องกันโรคหลอดเลือดสมองในกลุ่มเสี่ยงสูง ตำบลห้วยบงอำเภอเมือง จังหวัดชัยภูมิ

บทคัดย่อ

ABSTRACT

          This quasi-experimental research aimed tostudy the effectiveness of Stroke Prevention Program for high risk group living in Hoiybong sub-district, Muang district, Chaiyaphum province. The program was developed using the Health Belief Model of Becker and social support concept as a conceptual framework. The samples were patients with diabetes mellitus and or hypertension, who had high risk to cardiovascular disease. They were divided into an experimental group and control group which consisted of 15 patients in each group. The experimental group participated in the Stroke Prevention Program while the control group received regular services. The program was conducted for10 weeks, which consisted of 1) create the perception of risks and severity of stroke  2) create the perception of benefits and barriers in practicing health behaviors 3) review and find out the practice guideline for stroke prevention 4) monitor the stroke preventive behaviors and review the outcome and 5) evaluate the stroke preventive behaviors. The data were collected using interviewing form and then analyzed by descriptive statistics, Paired t-test and Independent t-test.

          The findings revealed that the experimental group had a significant higher mean score of stroke knowledge, perception of stroke risk, perception ofbenefits and barriers in practice and stroke preventive behaviors than those before experiment and in the control group (p < .001). According to the results, this stroke preventive program along with social support from family member and other people who have the same disease would provide the positive changes in stroke preventive behaviors. Therefore, the program could be used as a guideline for behavior modification for stroke prevention amongpatients with diabetes mellitus and hypertension in Muang district, Chaiyaphum province and applied to other population with similar chronic diseases.

          Keyword : Stroke Prevention Program, DiabetesMellitus,Hypertension,Health Believe Model,Social Support