The effect of self-care promotion program on health care behaviors, health status, and cancellation or postponement of the extracorporeal shock waves lithotripsy procedure in patients with renal calculi in Nongkhai Hospital, Nong Khai Province
Keywords:
Self-care promotion program, Health care behaviors, Health status, Extracorporeal shock waves lithotripsy procedureAbstract
This study aimed to evaluate the effect of self-care promotion program on health care behaviors, health status, and cancellation or postponement of the extracorporeal shock waves lithotripsy procedure in patients with renal calculi, Nongkhai Hospital, NongKhai Province. A sample of 60 cases was divided into an experimental group of 30 cases and a comparison group of 30 cases. General data, health care behaviors, health status, and cancellation/postponement of procedure were collected by interview form and record form. The experimental group received a self-care promotion program. The comparison group received a standard of care. General data was analyzed using descriptive statistics. Paired t-test and independent t-test were performed to compare the mean of health care behaviors and health status scores within the group and between groups. A Z-test was performed to compare the proportion of health status and cancellation/postponement of procedure between groups. A p-value less than 0.05 was considered to represent statistical significance.
The results found that after implementing the program, the mean scores of knowledge behavior and behavior of promoting stone expulsion of the experimental group were higher than before implementing the program and higher than the comparison group statistically significant. When comparing the mean scores of health status, after implementing the program, the experimental group had a significantly lower mean score of pain than the comparison group. The results of this study show that the self-care promotion program provides patients with an understanding of renal calculi and allows patients to have better behavior in promoting stone expulsion, also relieving pain patients after the procedure, which is another approach for public health personnel to apply the key point of the program by integrating with the normal standard of care for an initial health care and health promotion in patients undergoing the extracorporeal shock waves lithotripsy procedure.
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