The effect of health behavior modification program to health perception , health behavior hypertension controlling and Blood pressure level among patients Uncontrolled Blood pressure level in Health promoting hospital , Health promotion center 2 Phitsanulok province

Abstract

This quasi-experimental research aims to 1) compare the mean scores of perceived severity, perceived risk, and outcome expectations 2) compare the mean scores of health behaviors and 3) compare the systolic and diastolic blood pressure levels of patients before and after participating in the health behavior modification program within the same group and between groups.The sample consisted of 62 hypertensive patients with uncontrolled blood pressure receiving services at the outpatient department of the Health Promotion Hospital, Health Center 2 Phitsanulok. The experimental group participated in a 12-week health behavior modification program, while the control group received standard nursing care. Data were collected using a general patient information interview form, an assessment of perceived severity, perceived risk, and outcome expectations regarding self- management behaviors among hypertensive patients with uncontrolled blood pressure, an assessment of health behaviors, and blood pressure measurements before and after the experiment for both groups. Data were analyzed using descriptive statistics, Chi- square, Paired sample t-test, and Independent t-test.The results showed that after the experiment, the experimental group had significantly higher mean scores of perceived severity, perceived risk, and outcome expectations regarding self-management behaviors compared to before the experiment and compared to the control group (p<0.001). The mean scores of health behaviors were also significantly higher than before the experiment and higher than the control group (p<0.001). Additionally, the experimental group was able to control blood pressure to acceptable levels significantly better than before the experiment (p<0.001).