PERCEIVED WARNING SIGNS OF CEREBROVASCULAR DISEASE AND SELF - MANAGEMENT BEHAVIORS AMONG OLDER ADULTS WITH UNCONTROLLED HYPERTENSION DISEASE IN SRINARONG HOSPITAL, SRINARONG DISTRICT, SURIN PROVINCE

Abstract

The purpose of descriptive research aimed to study perceived warning signs of cerebrovascular disease and self - management behaviors among older adults with uncontrolled hypertension disease in Srinarong Hospital, Srinarong District, Surin Province. The sample group consisted of 90 older adults with uncontrolled hypertension disease were randomly selected by simple random sampling without replacement. The collecting of data had been done during October 2016 to December 2016. The research tool included 1) The perceived warning signs of cerebrovascular disease interview form 2) The self - management behaviors for older adults with uncontrolled Hypertension disease questionnaire and tested for reliability using Cronbach’s alpha coefficient was 0.81 and 0.80 respectively. Descriptive statistics were used for data analysis including frequency, percentage, mean and standard deviation.

The results of the study showed that: 1) Overall perceived warning signs of cerebrovascular disease among older adults with uncontrolled hypertension disease were at the high level (M = 1.57, S.D. = 0.68) 2) Overall self - management behaviors among older adults with uncontrolled hypertension disease were at the high level (M = 3.56, S.D. = 0.59) and self – management behaviors in each aspect were at the high level included 2.1) roles management behavior (M = 3.73, S.D. = 0.57) 2.2) medical management behavior (M = 3.47, S.D. = 0.65) and 2.3) emotion management behavior (M = 3.47, S.D. = 0.55).

The finding of the study suggests the health care providers should follow up the older adults with hypertension disease who had perceived warning signs of cerebrovascular disease of the sample was at the moderate level because they were the group of high risk to cerebrovascular disease. There should be the activities to exchange the experience and learning together between the patients who had a moderate and high level of self-management behaviors. Proactive services to develop the health promotion self–management behaviors consistent with the lifestyle of the older adult.