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Development of health management model for Thai-Melayu elderly with hypertension based on community participation in Southern Thai culture

วิไล อุดมพิทยาสรรพ์; จงกรม ทองจันทร์; นุศรา ดาวโรจน์; นูรซาฮีดา เจ๊ะมามะ; นฤมล โต๊ะหลัง; ปรินา ณ พัทลุง; วรรัตน์ สุขคุ้ม; Wilai Udompittayason; Jongkrom Thongjan; Nutsara Dowrote; Nursaheeda Chamama; Naremol Tholung; Parina Na Phatthalung; Worarat sukkum;
Date: 2560
Abstract
This research and development aims to study current situations and associated factors of health management and needs for model development in health management among the Thai-Melayu elderly living in the South of Thailand. The participation action research (PAR) was conducted using qualitative and quantitative research. The sample of 149 participants recruited into the study were 33 elderly people being diagnosed with hypertension, 33 care givers of those elderly, and those who involved in the care for those elderly including 2 health public officers taking care of the patients with hypertension, 3 health public offices working for the Sub-district Administration Organization (SAO), 3 political members of SAO, 20 religious leaders, 10 village leaders, and 45 village health volunteers. The interviews and focus groups were used for collecting. The content analysis was used to analyze the qualitative data. Finding revealed that the needs and community participation in health management in Thai- Melayu elderly with hypertension included; 1) religious leaders providing health education for the elderly people, 2) visiting home by the religious leaders to encourage the elderly patients, 3) health education for the community to reduce sweet, salty, and fatty foods 4) providing the place for exercise, 5) setting-up the home visit system by village health volunteers , and 6) having a village leader to carry-on the activities for elderly in the community. Based on the qualitative data, the researchers developed the guideline to promote health management among the elderly having hypertension and found that post intervention, the average score of health management, at higher level, (X = 4.30 S.D = 1.08) was higher than that of pre-intervention (X = 3.87 S.D = 1.21), at the same higher level. However, it also discovered that the lowest average scores were found in the following dimensions: reducing high fat diet, and deep-fried foods or stir-fried meals X= 2.4 S.D= 1.29, X= 3.26 S.D = 1.46, respectively. The results showed that after receiving health management the systolic blood pressure (SBP) and diastolic blood pressure (DBP) were also significant lower than pre-receiving the health management at the level of P< 0.001 and P< 0.05 respectively but there was no significant difference in body weight, waistline, and body mass index (BMI).
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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