ผลของโปรแกรมการส่งเสริมความสามารถในการดูแลตนเองต่อพฤติกรรมการดูแลตนเองภายหลังการผ่าตัดเพื่อลดน้ำหนักของผู้ป่วยโรคอ้วน

Sipaphan Lavasut

Authors

Sipaphan Lavasut Faculty of Nurse Chulalongkorn University

Keywords:

Morbid obesity, Bariatric surgery, Self-care agency enhancement program, Self-care behaviors

Abstract

Purpose: 1) To study the effect of self-care agency enhancement program on postoperative bariatric surgery self-care behaviors among morbid obesity patients.

2) To compare the self-care behaviors after bariatric surgery among control group and experimental group.

Design: Quasi-experimental research.

Methods: The sample were male and female with morbid obesity patients, aged between 18 – 59 years old, undergone bariatric surgery at King Chulalongkorn Memorial Hospital. 30 patients were assigned to control and experimental group (15 persons in each group). They were matched pair by gender, age and type of operation. The experimental group received self-care agency program based on Orem’s self-care, which consisted of 1) Estimative operations, 2) Transitional operations, 3) Production operations, while the control group received conventional care. Data was collected 8 weeks by 1) the demographic data form, 2) Self-care behaviors after bariatric surgery questionnaire. The instruments were tested for content validity and cronbach’s alpha coefficient was .81. Descriptive statistics and T-test were used for the data analysis.

Results: 1) After bariatric surgery, morbid obesity patients who received the self-care agency enhancement program had a good level of self-care behaviors (Mean = 4.13, SD = 0.25).

2) The mean score of self-care behaviors in morbid obesity patients who undergoing bariatric surgery after received the self-care enhancement program (Mean = 4.13, SD = 0.25) were significantly higher than the control group (Mean = 3.68, SD = 0.31) (p<.05)

Conclusion: This program can be used to enhance self-care behaviors among morbid obesity patients at postoperative bariatric surgery.

Keywords: Morbid obesity / Bariatric surgery / Self-care agency enhancement program / Self-care behaviors

References

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