Effects of using nursing diagnosis on health promoting behaviour among patients with tuberculosis

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เบญจวรรณ สังข์ทอง
สุนันท์ สินซื่อสัตย์กุล


Tuberculosis is a highly contagious infection that can quickly spread. The Ministry of Public Health has targeted to increase recovery rates by at least 90.00 percent. This quasi-experimental research aimed to investigate the effects of using nursing process and routine treatment programs to evaluate the health promoting behaviors (HPB) of tuberculosis patients. Simple random sampling was conducted. Forty participants who received routine treatment from Nopparat Hospital were divided into the experimental group (20 persons) and the control group (20 persons). The experimental group received nursing process as a theoretical framework to analyze the patient’s problems in living with tuberculosis, whereas the control group received regular health services. The nursing process used in the experimental group was composed of 5 steps: Health assessment, Nursing diagnosis, Planning, Nursing intervention and Nursing evaluation. In addition, nursing process was used as a stimulus, or cue to action, must also present in order to trigger the HPB. Data were analyzed by using percentage, mean, standard deviation, Wilcoxon-Mann-Whitney test, and Chi-Square test.

The researchers found that the total scores and each part scores of HPB for the experimental and the control groups were not significant  different at .05 before receiving the nursing process. After the experiment, the experimental group had 100.00% of the curable TB while the control group had 30.00 % of the curable TB. The difference was statistically significant at .001, X2= .734.


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สังข์ทองเ., & สินซื่อสัตย์กุลส. (2019). Effects of using nursing diagnosis on health promoting behaviour among patients with tuberculosis. JOURNAL OF HEALTH SCIENCE RESEARCH, 13(1), 51-60. Retrieved from https://he01.tci-thaijo.org/index.php/JHR/article/view/199904
นิพนธ์ต้นฉบับ (Original Articles)


1.World Health Organization. Global TB Report 2016, WHO on Twitter: "NEW: 2016 Global #Tuberculosis Report: 10.4 people feel ill from #TB in 2015 [Internet]. 2016 [cited 2018 Sep 20]; Available from https://twitter.com/who/status/ 786 573679941586944.

2.Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. Annual report: Disease surveillance 2011. Bangkok: WVO Office of Printing Mill; 2012. (in Thai).

3.Bureau of Tuberculosis. National Strategic Plan for Tuberculosis 2017-2021. Nonthaburi: Department of Disease Control, Ministry of Public Health, 2017. (in Thai).

4.Strategic and Evaluation Section. Situation of Tuberculosis in Thailand. Nonthaburi: Bureau of Tuberculosis, Department of Disease Control, Ministry of Public Health, 2017. (in Thai).

5.Pukdeebureekul K. Promoting health behaviors of families with pulmonary tuberculosis clients through family nursing process District Muang, Loie Province [Thesis]. Khon Kaen: Faculty of Nursing, Khon Kaen University; 2011.

6.Usangthong W, Vorapongsathorn S. Health promotion behaviors of tuberculosis patients: at the Central Chest Institute of Thailand, Nonthaburi Province. Chest Disease Institute Journal. 2016;13(3):16-27. (in Thai).

7.Achananupab S. General medical treatment book part 2: 350 disease with care and prevention. 4th ed. Bangkok: Holistic Publishing; 2010. (in Thai).

8.Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6th ed. Boston, MA: Pearson; 2010.

9.Punthasee P. Nursing process & functional health pattern: Application in clinical practice. Bangkok: Pimangsorn; 2011. (in Thai).

10.Harnyoot O. Nursing process and implications. Journal of The Royal Thai Army Nurses. 2014;15(3):137-43. (in Thai).

11.Rattanavichakul C. The relationship between sense of coherence and health behavior among tuberculosis patient. Nakhon Pathom: Faculty of Nursing, Christian University of Thailand; 2011. (in Thai).

12.Kilicaslan Z, Kiyan E, Kucuk C, Kumbetli S, Sarimurat N, Ozturk F, et al. Risk of active tuberculosis in adult household contacts of smear-positive pulmonary tuberculosis cases. Int J Tuberc Lung Dis. 2009;13(1):93-8.

13. Wilainate T. Variables discriminating the groups of completed and not-completed TB treatment among smear-positive TB patients [Thesis]. Ubon Ratchathani: Ubon Ratchathani Rajabhat University; 2011. (in Thai).

14.Hamid Salim MA, Uplekar M, Daru P, Aung M, Declercq E, Lönnroth K. Turning liabilities into resources: Informal village doctors and tuberculosis control in Bangladesh. Bull World Health Organ. 2006;84(6):479-84.

15.Plubplatong T. Self-care experience in successful treatment of aging tuberculosis patients. Phitsanulok: Faculty of Nursing, Naresuan University; 2012.