ผลของการใช้โปรแกรมการรับรู้สมรรถนะแห่งตนต่อความรู้และทักษะการดูแล ของผู้ดูแลผู้สูงอายุโรคปอดอุดกั้นเรื้อรังที่บ้าน

Nongkaluk Wongphanarat; Onuma Kaewkerd; Paiwan  Kotta

Authors

Nongkaluk Wongphanarat Boromarajonani College of Nursing, Nakhon Phanom Nakhon Phanom University
Onuma Kaewkerd Boromarajonani College of Nursing, Nakhon Phanom University
Paiwan Kotta Faculty of Nursing, Ubon Ratchathani Rajabhat University

Keywords:

self - efficacy awareness program, knowledge, skills of caregivers, chronic obstructive pulmonary disease

Abstract

Introduction: Chronic Obstructive Pulmonary Disease (COPD) mainly affects the elderly, who often depend on caregivers. Improving caregivers' self - efficacy can enhance their confidence and ability to care for COPD patients at home.

Research objectives: To study the effectiveness of the self - efficacy program on caregivers' knowledge and skills in managing elderly COPD patients at home.

Research methodology: A quasi - experimental design with a pre - posttest approach was employed, involving two groups: an experimental group and a control group, each with 35 caregivers aged 18 - 59. The caregivers were randomly assigned to the groups. The study included: 1) a self - efficacy designed to improve caregivers' knowledge and skills in COPD management and 2) data collection using: a personal information questionnaire, a COPD knowledge test, and a caregiving skills questionnaire. The measurement tools had a reliability of KR-20 = .76 and Cronbach’s alpha = .82. Data analysis included frequency, percentage, mean, standard deviation, and independent t - tests.

Results: The experimental group showed a significant improvement in both knowledge and caregiving skills compared to their pre-program scores and the control group (p < .05).

Conclusions: The self - efficacy program effectively enhanced caregivers' knowledge and skills in caring for COPD patients.

Implications: Healthcare professionals should apply the self - efficacy programs in care settings. These programs can boost caregivers' competency through targeted education and practical skills training, such as breathing techniques, coughing methods, and exercise routines. Improved caregiver skills can lead to better patient outcomes, including enhanced lung function and overall well-being.

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References

Global Initiative for Chronic Obstructive Lung Disease [GOLD]. Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease [Internet]. 2021 [cited 2022 Oct 17]. Available from: http://www.goldcopd.org/.

Thoracic Society of Thailand Under Royal Patronage. Diagnosis and treatment guideline. Bangkok: Beyond Enterprise; 2017. (in Thai)

Miravitlles M, Ribera A. Understanding the impact of symptoms on the burden of COPD. Respiratory Research [Internet]. 2017 [cited 2022 Oct 17];18(1):67. Available from: https://doi.org/10.1186/s12931-017-0548-3.

Taylor EJ, Jone P, Bures M. Quality of life. In: Lubkin IM, Larser PD, editor. Chronic illness impact and interventions. 4th ed. Boston: Jones & Bartlett; 1998.

Kanchanakijsakul C. Family participation in supporting drug use for Thai elderly with chronic diseases. Journal of Health Science of Thailand 2016;25(2):192-203. Available from: https://thaidj.org/index.php/JHS/article/view/243 (in Thai)

GRANT JS. Home care problems experienced by stroke survivors and their family caregivers. Home Health care Nurse: The Journal for the Home Care and Hospice Professional. 1996;14(11):892-902. Available from: https://doi.org/10.1097/00004045-199611000-00008.

Sukjit S, Duangthong J, Onmoy P, Thuwakum W. The potential of elderly caregivers in Pa Sao Sub-district, Muang district, Uttaradit province. Journal of Health Science of Thailand 2019;28(Suppl2):S23-S30. Available from: https:// thaidj.org/index.php/JHS/article/view/ 8279 (in Thai)

Health Data Center. Information to respond to the service plan for chronic obstructive pulmonary disease (COPD) [Internet]. 2022 [cited 2022 Oct 17]. Available from: https://shorturl.asia/AzJSe. (in Thai)

Duangta N, Liangchawengwong S, Sngunrungsirikul S. Impact of a breathing exercise self-effcacy programme on self-effcacy perception and breathing effciency in chronic obstructive pulmonary disease patients. The Journal of Thailand Nursing and Midwifery Council 2017;32(2):95-110. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/85146 (in Thai)

Bandura, A. Self-efficacy: toward a unifying theory of behavioral change. Psychological Review 1977;84(2):191-215. Available from: https://doi.org/10.1037/0033-295X.84.2.191

Faul F, Erdfelder E, Lang AG, Buchner A. G*power 3: a flexible sta-tistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods 2007;39(2):175-91. Available from: https://doi.org/10.3758/BF03193146.

Karunan K. The effect of behavioral change integrated with smoking cessetion self-efficacy program on smoking cessation behaviors and self-effcacy among patients with chronic obstructive pulmonary disease [Master’s thesis]. Songkla: Prince of Songkla University; 2016. (in Thai)

Sangseechan T. Provision of information and skill training to caregivers for reducing anxiety in stroke patients care at banphaeo hospital (Public organization). Veridian E-Journal, Slipakorn University [Internet]. 2015 [cited 2022 Dec 22];8(3):572-95. Available from: https://he02.tci-thaijo.org/index.php/Veridian-E-Journal/article/view/48946/40650. (in Thai)

Techama E, Srisuriyawet R, Asawachaisuwikrom W. Effects of knowledge and skills enhancing program for home-based COPD-patient care among community health volunteers. The Public Health Journal of Burapha University 2014;9(1):77-90. Available from: https://he02.tci-thaijo.org/index.php/phjbuu/article/view/45549 (in Thai)

Khakhuen S, Jitramontree N, Wirojratana V, Wattanakitkrileart D. Effect of the self-efficacy program on health behavior among oIder adults with chronic obstructive pulmonary disease. Journal of Health and Nursing Education 2018;24(1):57-71. Available from: https://he02.tci-thaijo.org/index.php/Jolbcnm/article/view/131725 (in Thai)