ผลของรูปแบบการปรับเปลี่ยนพฤติกรรมโดยการมีส่วนร่วมของชุมชน ต่อระดับความดันโลหิตและความเสี่ยงต่อการเกิดโรคหลอดเลือดสมองและหัวใจ ในผู้สูงอายุโรคความดันโลหิตสูง ตำบลห้วยทราย อำเภอแม่ริม จังหวัดเชียงใหม่
Year: 2025
Type: article
Study design: Clinical Trial
Abstract: Background: Thailand is currently transitioning into an aging society, resulting in an increased number of elderly individuals at risk for chronic diseases, particularly cerebrovascular and cardiovascular diseases, which are predominantly caused by hypertension. These conditions can be prevented through health behavior modification and community participation. Therefore, it is essential to develop appropriate and effective health promotion approaches for the elderly population. Objective: To study the effects of a behavior modification model through community participation on blood pressure levels and the risk of cerebrovascular and cardiovascular diseases among elderly residents in Huai Sai Subdistrict, Mae Rim District, Chiang Mai Province. Methodology: This study employed a quasi-experimental design with a single-group pretest-posttest approach. The participants comprised 34 elderly individuals with hypertension. The elderly participants received activities following a behavior modification protocol with community participation, based on the transtheoretical model of behavior change and community participation concepts, over a 12-week period. Data were collected using personal information questionnaires, blood pressure recording forms, and cardiovascular risk assessment tools, which demonstrated content validity of 1.0 and reliability coefficient of .88. Data analysis was conducted using descriptive statistics and paired t-tests. Results: Following the intervention, elderly participants with hypertension showed statistically significant reductions in mean differences of systolic blood pressure, diastolic blood pressure, and risk of cerebrovascular and cardiovascular diseases compared to pre-intervention levels (p < .001). Conclusion: The behavior modification model through community participation can effectively reduce blood pressure levels and the risk of cerebrovascular and cardiovascular diseases among elderly individuals with hypertension.
Authors: Jansiri, Utthawit, Kunsong, Suttira
Institutions: Payap University, Nakornping Hospital
Language: Thai
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7219340273