Effects of the Village Health Volunteer Program in Promoting and Preventing NCDs on Self-Care of Patients with Hypertension at Ta Piang Health Promoting Hospital, Samrong Prasat Subdistrict, Prang Ku District, Sisaket Province

Abstract

          Research on the results of the program for developing the potential of village health volunteers in the area of prevention and control of non-communicable diseases on the self-care behavior of patients with high blood pressure, Ban Ta Piang Subdistrict Health Promoting Hospital, Samrong Prasat Subdistrict, Prang Ku District, Sisaket Province. The objectives are 1) to study the results of developing the potential of village health volunteers to be able to care for hypertensive patients in the community and 2) to study the results of caring for hypertensive patients by village health volunteers, including knowledge, self-care of high blood pressure patients, and blood pressure values. 3) To study the effectiveness of developing the potential of village health volunteers (E1/E2). This research is quasi-experimental and is divided into research steps as follows: Step 1 Development: Design and development is to develop the potential of village health volunteers to be able to care for patients with high blood pressure. Step 2: Research: Implementation Put research results into practice. Village health volunteers are matched with patients with high blood pressure using Deming's PDCA method (The Deming Cycle). Step 3: Development: Evaluation. Evaluate the effectiveness of developing the potential of village health volunteers, including the knowledge scores of the sample group. Become a temple village health volunteer after training and measured after the end of the research, calculating the E1/E2 values. The population is village health volunteers in the area of Ban Ta Piang Subdistrict Health Promoting Hospital. Samrong Prasat Subdistrict Prang Ku District Sisaket Province, 139 people, a sample group of village health volunteers, equal to the number of hypertensive patients in matching care in step 2, 86 people.
          The research results found that developing the potential of village health volunteers is the average score of knowledge about high blood pressure among village health volunteers. Comparing before and at the end of the training using paired t-test statistics, it was found that the average knowledge of village health volunteers. increased by 4.06 points (95%CI=3.63-4.48), a statistically significant difference of.01; the mean knowledge of patients with high blood pressure increased by 4.40 points (95%CI=3.89-4.89) is significantly different at.01; compare the average behavioral scores before and after pairing care with pair t-test statistics: after development is higher than before development. The mean behavior of patients with high blood pressure increased by 8.30 points (95%CI = 7.65-8.96), a statistically significant difference of.01. Blood pressure values compared before and at the end of care for hypertensive patients by village health volunteers decreased. Upper blood pressure value 11.73 (95% CI=9.54-13.93), lower blood pressure value.52 (95% CI=.64-1.96) Effectiveness of village health volunteers' capacity development is the knowledge score of village health volunteers after capacity development is set to be E1 and when village health volunteers are paired to care for diabetic patients. Re-evaluate the knowledge of village health volunteers and set it to be E2, which sets E1/E2 equal to 80/80, with results 78.72/-81.37, a discrepancy of 2.65 percent, not more than 5 percent, under the stated objectives.