Effect of Project Based Learning Program on Problem Solving Skills and the Application of Local Wisdom for Patients with NCDs in Community

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Chutima Malai
Wisut Nochit
Mayuree Boontad
Rungnapa Tochot


The quasi-experimental research with one group pretest-posttest aimed to compare the results of problemsolving skills and the application of local wisdom to take care of patients with NCDs prior to and after the experiment, which was conducted from September 2017–January 2018. The population group was 56 senior nursing students. They were then separated into 7 groups, 8 students each before being educated in a project based learning program which composed of 2 phases including 1) Theory learning in evidence-based searching and analysis and 2) Applying findings for providing healthcare services in 7 fieldwork practices. The data was analyzed by descriptive statistics and dependent t-test method. The research yielded the following results: in the first phase, the students learned the local wisdoms from searching and analyzing (1) prayer with beads and meditation (2) bamboo and coconut-shell foot massages 3) long stick exercises (4) Ruesi Dadton knee exercises (5) herbal compresses and (6) elastic band exercises. The second phase found that the problem solving skills of the sample group was greater after attending the program with statistical significance (p < 0.01). The senior nursing students could apply local wisdom to take care patients with NCDs. The stick exercise was applied to patients with high blood pressure from 2 communities; the bamboo and coconut-shell foot massage, and hot herbal pool to patients with diabetes from 2 communities; prayer with beads and meditation to patients with diabetes from 1 community; elastic band exercise to patients from 1 community; Ruesi Dadton knee exercise and herbal compress to elderly with knee osteoarthritis from 1 community, and revealed that the patients who participated in every project had scores of knowledge and skills of behaviors in each activity passing the evaluation criteria. Nursing instructors and the public can apply the results in designing learning activities for nursing students in the future.


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