Effectiveness of self-care promotion program on self-efficacy, expectations for the treatment outcomes and self-care behaviors of pulmonary tuberculosis patients in Mukdahan Province
DOI:
https://doi.org/10.14456/dcj.2024.38Keywords:
self-care promotion program, self-efficacy, expectation for the treatment outcomes, self-care behaviors of pulmonary tuberculosis patientsAbstract
This quasi-pre-post experiment and control research was conducted to evaluate the effectiveness of a self-care promotion program on self-efficacy, expectations for treatment outcomes, and self-care behaviors of pulmonary tuberculosis patients. Data were collected using a questionnaire from a total of 74 patients newly diagnosed with all types of pulmonary tuberculosis undergoing treatment at a hospital in Mukdahan Province. Patients were divided into an experimental group of 37 people and a comparison group of 37 people. The experimental group participated in activities according to the self-care promotion program for a period of 8 weeks, divided into 3 phases with 5 activities: Phase 1, the process of creating awareness of “Health Consciousness” consisting of 2 activities; Phase 2: knowledge exchange process and motivation “Toward Golden Health” consisting of 2 activities; and Phase 3: Monitoring and evaluation of effectiveness consisting of 1 activity. Data were collected using questionnaires. Intra-group comparison was made for self-efficacy perception, expectations for treatment outcomes, and self-care behaviors using the paired sample t-test and inter-group comparison was made using the independent sample t-test at the significance level of 0.05. The research results found that after the study the experimental group had a better changes of the average scores from baseline of self-efficacy, expectations for the treatment outcomes, and self-care behaviors than the comparison group (p-value<0,001) . Therefore, TB clinic staff is suggested to apply the self-care promotion program for TB patients to encourage patients on awareness the importance of receiving continuous treatment and to develop expectations for treatment results so that the patients could have better self-care behaviors.
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