พฤติกรรมการใช้ยาและปัจจัยที่เกี่ยวข้องของผู้ป่วยภาวะความดันโลหิตสูงในโรงพยาบาลส่งเสริมสุขภาพ ตำบลกองแขก อำเภอแม่แจ่ม จังหวัดเชียงใหม่

Abstract

The study aimed to compare the behavior of hypertension patients using medications that can control blood pressure and cannot control blood pressure and factors associated to control blood pressure in Kongkhaek health promotion hospital Maechaem district, Chiang Mai province. The subject was 117 participants. The study tools used the record of Out Patient Department card and questionnaires. Data was corrected between January to February 2015. Data analyzed using descriptive statistics. The results were summarized as follows: All controlled hypertensive patients prescribed medication on doctor recommendation and did not buy anti-hypertensive drugs from the drugstore (100%). Followed by non- stop taking medication when blood pressure decreased (92%), never borrowed medications from other patients or family member (86%), not taking other drugs or supplements (84%), and taking medication immediately after recalled of forgetfulness in the same dose (76%) respectively. While uncontrolled hypertensive patients were (86%) of taking anti-hypertensive drugs from the other and family member, (28.36%) of the patients have taken the other kind of drugs and the dietary supplements and (11.94%) of the patients have stopped taking medication after blood pressure reduction. The related factors in the controlled hypertensive patients was found most of male patients had a waist circumference of less than 90 cm (90%) and nearly half of female hypertensive patients with waist circumference less than 80 cm (46.00%), more than half of patients had co-morbid (56%), non-smoker (57.14%). While most of patients whom did not drink alcohol (76.19%). For those who drank found that most of them never drank alcohol with a meal (50%), with the addition of intergradient before use infrequently (64%), one in three had a light exercise by regularly (34%). Patients had no trouble sleeping with (40%). Most patients had no symptoms, irritability/ anxiety (68%), not feel sick or bore (92%). The related factors in the uncontrolled patients were male patients a waist circumference of less than 90 cm (21.74%) and more than half of female patients with waist circumference of less than 80 cm (56.82%), smoking (100%), alcoholic drinking in the last 12 months (100%), alcoholic drinking in the last 30 days (75%), ate salty food every meals (43.28%), ate food seasoning (62.69%), non-exercise behavior (58.21%), having sleep problem (26.87%), and irritability/ anxiety and unstable mind (29.85%).