Development of a Self-Management Support Model for Elderly Buddhist Monks with Chronic Obstructive Pulmonary Disease at Priest Hospital
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Abstract
Abstract
This research and development study aimed to develop and evaluate the effectiveness of a self-management support model for elderly Buddhist monks with chronic obstructive pulmonary disease (COPD). The study was conducted in 3 phases: (1) situation analysis; (2) model development and trial; (3) model evaluation. The purposive sample was recruited and consisted of 8 healthcare professional and 45 Buddhist monks with COPD. The research instrument was a self-management support model, yielding a content validity index of .93. Data collection tools consisted of (1) demographic data questionnaire; (2) self-management behavior assessment questionnaire; (3) quality of life questionnaire; and (4) COPD severity assessment questionnaire, yielding content validities of .92, .96, and .94, respectively, and Cronbach’s alpha coefficients of .88, .92, and .90, respectively. Data were analyzed using frequency, percentage, mean, standard deviation, and paired t-test.
The research results revealed that the developed self-management support model for elderly monks with COPD consisted of (1) screening and assessment; (2) knowledge provision and counseling; (3) care level support, and (4) continuous monitoring. The model implementation demonstrated that the mean scores of self-management behaviors and quality of life of the monks were significantly higher than before using the model (t 8.85, p < .001 and t 11.79, p < .001, respectively). The severity of COPD after using the model was significantly decreased comparing to before using the model (t -4.35, p < .001). The findings indicated that the developed model was effective and could be used as a guideline for the management of chronic diseases in other specific contexts.
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References
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