ผลของโปรแกรมสนับสนุนการจัดการตนเองเพื่อป้องกันภาวะแทรกซ้อน หลังหายป่วยเป็นโควิด-19 อำเภอบ้านลาด จังหวัดเพชรบุรี

Supranee Promsukhan; Napaphen  Jantacumma; Piyatida  Nakagasian

Authors

Supranee Promsukhan Sukhothai Thammathirat Open University
Napaphen Jantacumma Sukhothai Thammathirat Open University
Piyatida Nakagasian Faculty of Nursing, Mahidol University

Keywords:

self-management, post COVID-19 conditions, post-COVID functional status

Abstract

Introduction: Supporting patients for pulmonary and physical rehabilitation has proven effective in reducing complications that arise after contracting Covid-19.

Research objectives: To compare the differences between self-management behaviors to prevent post-COVID-19 conditions and post-Covid functional status (PCFS) among individuals who had contracted Covid-19.

Research methodology: A quasi-experimental design was used. Sample consisted of individuals who had contracted Covid-19 in the Raisathorn subdistrict and had been isolated for a minimum of 10 days but no more than 28 days. These individuals were chosen based on their Modified Medical Research Council (mMRC) fatigue scores, with a minimum of 2 or higher. The participants were then divided into two groups: the experimental group and the control group, with each group consisting of 30 individuals. To collect data, a self-management support program was developed in collaboration with the Line Official Account (OA) mobile application based on the self-management concept. Data were collected using a set of questionnaires, including a general information questionnaire on self-management for preventing post-COVID-19 conditions, and a PCFS questionnaire. The study was conducted over a period of eight weeks and consisted of four activities: goal setting, self-monitoring, self-evaluation, and self-reinforcement. Data were analyzed using descriptive statistics, the Wilcoxon signed-rank test, and the Mann-Whitney U test.

Results: Among the participants in the experimental group, self-management behavior to prevent post-COVID-19 conditions were found to be significantly improved between baseline and follow-up. At follow-up, between-group significant differences were found on self-management behavior to prevent post-COVID-19 conditions. Among the participants in the experimental group, PCFS scores were found to be significantly improved between baseline and follow-up. At follow-up, between-group significant differences were found on PCFS scores. p < .05

Conclusions: Findings of this study demonstrated that the implementation of self-management support programs can enhance prevention behaviors in post-COVID-19 patients, which ultimately aids in the prevention of post-COVID conditions.

Implications: Healthcare providers can utilize this program to assist preventing and managing potential complications arising from Covid-19.

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