ประสิทธิผลของโปรแกรมการจัดการตนเองโดยทีมสหวิชาชีพ ต่อการควบคุมโรคหืดผู้ป่วยวัยผู้ใหญ่ อำเภอบ้านแฮด จังหวัดขอนแก่น

Wanida Daosri; Saengdao Janda; Watchara Boonsawat; Khannistha Mahem

Authors

Wanida Daosri Faculty of Nursing, Praboromarajchanok Institute
Saengdao Janda Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute
Watchara Boonsawat Faculty of Medicine, Khon Kaen University
Khannistha Mahem Boromarajonani College of Nursing Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

asthma, self-management, asthma control, pulmonary function, multidisciplinary team

Abstract

Introduction: Suboptimal asthma control remains highly prevalent among affected individuals. Continuous self-management is, therefore, essential for improving health outcomes within this population.

Research objectives: To examine the effectiveness of a multidisciplinary team–based self-management program on self-management behaviors, levels of asthma control, and pulmonary function in patients with asthma.

Research methodology: This quasi-experimental study employed a two-group design. A purposive sample of 58 adult patients with asthma was equally assigned to an experimental group (n = 29) and a control group (n = 29). The experimental group received a self-management program based on the Creer’s conceptual framework, which was delivered by a multidisciplinary team comprising registered nurses, sub-district health-promoting hospital nurses, pharmacists, and physical therapists. The control group received routine nursing care. Research instruments included a self-management behaviour questionnaire, an asthma control assessment, and pulmonary function test. The data were analyzed using descriptive and inferential statistics, including the paired t-test, the independent t-test, Friedman’s test, and the chi-square test.

Results: Within the experimental group, self-management behaviors, asthma control, and pulmonary function showed statistically significant improvements from baseline. The experimental group demonstrated significantly better self-management behaviors and asthma control compared to the control group. However, there was no statistically significant difference in pulmonary function between the two groups.

Conclusions: A multidisciplinary team-based self-management program promotes self-management behaviors and improves asthma control.

Implications: The multidisciplinary team–based self-management program should be applied into nursing practice to enhance the self-care behaviors of patients with asthma.

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