The Caring System Development for Hypertensive Patients with Missed an Appointment

Abstract

     This research and development aims to develop a care system for hypertension patients by default in community hospitals. Uttaradit Province and to study the effectiveness of the defaulted hypertension care system and the satisfaction with the developed hypertension care system. The sample consisted of 80 patients with hypertension who defaulted and were willing to cooperate in the research. The experimental group, 40 people, received care according to

the developed care system. The control group, 40 people, received treatment. and advice according to the patient's condition, such as taking medication Make an appointment to check The instrument used in this study was a care system for patients with hypertension. Questionnaires before and after the experiment medical record form and blood pressure results. Data were analyzed by content analysis and t–test statistics at the significance level .05. The study found that:

1. The default care system for hypertension patients consisted of follow-up of patients for appointments by telephone and line application through patients' relatives together with providing knowledge and self-care behaviors. by nurses responsible for chronic non-communicable diseases and follow-up home visits with staff of Tambon Health Promoting Hospital (Public Health Hospital), public health volunteers to analyze causes of default.
2. Efficiency of care system for patients with hypertension who defaulted. Self-care behavior was better than before the experiment (p < .05), systolic and diastolic blood pressure levels were significantly reduced (p < .05), and knowledge about hypertension. Self-care behavior was better than the control group (p < .05), systolic and diastolic blood pressure levels were significantly lower than the control group (p < .05). Patients with hypertension were satisfied of receiving medical services at a high level at 80.0 %.