The Development Model of Health Literacy Activities in Patient with Pemphigus in Institute of Dermatology
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Abstract
Abstract
This research aimed to develop and examine the results of using the health literacy activities model in patient with pemphigus. The sample were purposively selected and consisted of (1) 19 nurses and (2) 68 pemphigus patients. The 68 patients were equality divided into 34 participants in the experimental and 34 participants in the control groups. The study consisted of 4 phases: (1) situation analysis, (2) model development, (3) try out, and (4) evaluation. The research tools consisted of (1) interview guidelines (2) health literacy analysis form (3) brainstorming record (4) general information questionnaire (5) Pemphigus knowledge test for nurses (6) principles of health literacy of nurses (7) knowledge test for patients (8) health literacy questionnaire (9) quality of life questionnaire (10) Self-แare behaviors questionnaire. The validity of the instruments was checked by 3 experts. Cronbach alphas of the instruments were .76, .67, .72, .96, .85 and 77 respectively. Data were analyzed using descriptive statistics, t-test Wilcoxon signed ranks test and content analysis.
The result revealed that the health literacy activities model consisted of (1) define policy and competency of the nurses, (2) knowledge of disease and access to the services, (3) self-regulation, and (4) communication and social support. The nurse’s outcomes found that the nurses had significantly different knowledge of diseases and principles of health literacy before and after the development (p <.05). The patients’ outcomes found that the patients had significantly different knowledge, health literacy, and self-care behaviors before and after the development (p <.05), except quality of life. The clinical outcomes found that the patients in the experimental group reported mild symptoms had decreased from 76.50 to 38.20 percent, and no additional symptoms had increased from 11.18 to 61.80 percent. There was no re-visit and re-admit rate found.
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