ปัจจัยที่มีความสัมพันธ์กับความร่วมมือในการรักษาและพฤติกรรมสุขภาพแบบผสมผสานในผู้สูงอายุโรคความดันโลหิตสูง

Abstract

Hypertension is a common problem in the elderly. This descriptive research aimed to identify factors related to treatment adherence and complementary health behaviors in older persons with hypertension. The sample were 197 older persons with hypertension who received treatment at the Outpatient Clinic, Maharaj Nakhon Si Thammarat Hospital, from February to May 2017. Data were collected by interview. Research instruments used for data collection were questionnaires consisting of 6 parts: 1) Personal information, 2) Health information and access to health service, 3) Social support, 4) Perceived severity and risk of complication from hypertension, 5) Treatment adherence to hypertension, and 6) Complementary health behaviors. The reliability of instruments part two to six were tested using Cronbach's alpha coefficient, showed 0.81, 0.82, 0.85, 0.85 and 0.75 respectively. The statistics used for data analysis were frequency, percentage, mean, standard deviation, Chi-Square and Pearson's product moment correlation coefficient. The test statistics were statistically significant at the .05 level. Results revealed the following: 1. Treatment adherence to hypertension of older persons was at a high level (M = 1.63, SD = .29). 2. Complementary health behaviors of older persons with hypertension was at a low level (M = .22, SD = .12). 3. Occupation, marital status and social support were related to treatment adherence in older persons with hypertension, and significant at .05 and .01, respectively (x2 = 4.77, p < .05, x2 = 5.34, p < .05 and r = .27, p < .01) and occupation was related to complementary health behaviors, and significant at .05 (x2 = 8.31, p < .05). The results of this study can be used as a basis data for encouraging older persons with hypertension to maintain treatment adherence.