The Effect of Self-Care Enhancement Program on Post-Bariatric Surgery Self-Care Behaviors among Morbid Obese Patients

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Sipaphan Lavasut
Rungrawee Navicharern

Abstract

Purpose: 1) To study the self-care behaviors post-bariatric surgery among morbid obese patients who received the self-care enhancement program. 2) To compared the self-care behaviors post-bariatric surgery among the control group and the experimental group.


Design: Quasi-experimental research.


Methods: The 30 patients were male and female with morbid obese patients, aged between 18–59 years old, receiving post-bariatric surgery at King Chulalongkorn Memorial Hospital. They were hospitalized and assigned to the control and the experimental group (15 persons in each group), and matched pair by gender, age and type of operation. The experimental group received the self-care enhancement program based on Orem’s self-care, consisted of 2 phases;1st) Educative-Supportive program in the hospital and 2nd) Supportive program with telephone called post discharge, while the control group received conventional care. The data were collected at 8th weeks by using 1) The demographic data form, and 2) Self-care behaviors post-bariatric surgery questionnaire. The instruments were tested for content validity and cronbach’s alpha coefficient was .81. Descriptive statistics and Independent t-test were used for the data analysis.


Results: 1) The self-care behaviors post-bariatric surgery among morbid obese patients who received the self-care enhancement program had a good level (Mean = 4.13). 2) The self-care behaviors post-bariatric surgery among the experimental group receiving the self-care enhancement program (Mean = 4.13 ± SD. = 0.25) were significantly better than the control group receiving the conventional care (Mean = 3.68 ± SD. = 0.31) (p<.05). 


Conclusion: This program can be used to enhance self-care behaviors among morbid obese patients on post-bariatric surgery.

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