ประสิทธิผลของโปรแกรมส่งเสริมสุขภาพต่อ คุณภาพชีวิตผู้สูงอายุที่มีโรคเรื้อรัง
คำสำคัญ:
โปรแกรมส่งเสริมสุขภาพ, ผู้สูงอายุ, โรคเรื้อรัง, คุณภาพชีวิตบทคัดย่อ
การวิจัยครั้งนี้ เป็นการวิจัยกึ่งทดลองแบบกลุ่มเดียว วัดก่อนและหลังทดลอง วัตถุประสงค์เพื่อศึกษาประสิทธิผลของโปรแกรมส่งเสริมสุขภาพต่อคุณภาพชีวิตผู้สูงอายุที่มีโรคเรื้อรัง กลุ่มตัวอย่าง คือ ผู้สูงอายุที่มีโรคเรื้อรัง ตำบลนาฝาย อำเภอเมืองชัยภูมิ จังหวัดชัยภูมิ จำนวน 40 คน คัดเลือกโดยสุ่มตัวอย่างแบบเจาะจง เครื่องมือที่ใช้ในการวิจัย คือ โปรแกรมส่งเสริมสุขภาพผู้สูงอายุ กิจกรรมของโปรแกรมประกอบด้วย การบรรยาย การบวนการกลุ่ม วิเคราะห์ปัญหา หาแนวทางแก้ไข พูดคุยแลกเปลี่ยนประสบการณ์ สาธิตและฝึกปฏิบัติ ดำเนินโปรแกรมโดยใช้เวลา 8 สัปดาห์ เครื่องมือที่ใช้ในเก็บรวบรวมข้อมูล ได้แก่ แบบวัดคุณภาพชีวิตของผู้สูงอายุฉบับย่อชุดภาษาไทย (WHOQOL-BREF-THAI) มีค่า Cronbach’salpha เท่ากับ .90 วิเคราะห์ข้อมูลโดยใช้สถิติความถี่ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน และ paired t-test ผลการวิจัยพบว่า คะแนนเฉลี่ยคุณภาพชีวิตของผู้สูงอายุที่มีโรคเรื้อรัง หลังเข้าร่วมโปรแกรมส่งเสริมสุขภาพสูงกว่า ก่อนเข้าร่วมโปรแกรมฯ อย่างมีนัยสำคัญทางสถิติ (p < .05) ดังนั้น หน่วยงานที่เกี่ยวข้องกับการดูแลผู้สูงอายุ ควรส่งเสริมสุขภาพสูงอายุ โดยประยุกต์ใช้โปรแกรมดังกล่าวไปประยุกต์ใช้พัฒนาคุณภาพชีวิตผู้สูงอายุที่มีโรคเรื้อรังให้ดียิ่งขึ้น
References
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2. Mille AM. Iris M. Health promotion attitudes and strategies in older adults. Health Education Behavior 2002; 29 (2): 249-67.
3.Boontae U., Tawchantuk S. Elder’s health status and quality f life under the health care provided by community network and simulated families. Journal of nursing and health care. July-September 2017; 35(3): 176-185.
4.Kaeodumkoeng K, Thummakul D. Health literacy promoting in aging population. Journal of Health Science Research, July-December 2015; 9(2): 1-8.
5.Rasiri T, Songthap A. Health Promotion for the Elderly: Guidelines for strong partnership and dynamic network participation in the 21th century. The southern college network journal of nursing and public health. January-April 2018; 5(1): 315-328.
6.Gadudom P, Hemchayat M. Effects of an Elderly Health Promotion Program in Bangkaja Sub-District Municipality, Amphur Muang, Chanthaburi. Journal of Phrapokklao Nursing College. March-August 2011; 22(2): 61-70.
7.Rasiri T., Songthap A., Health Promotion for the Elderly: Guidelines for strong partnership and dynamic network participation in the 21th century. The southern college network journal of nursing and public health. January-April 2018; 5(1): 315-328.
8.Khaemnin K, Kompor. Potential Development in Elderly Health Self-Care: Ban Kogesa-Ad Moo 4 Ho Kham Sub-District Mueang Bueng Kan District Bueng Kan Province. KKU Journal for Public Health Research. July-September 2013; 6(3): 75-84.
9.Mahem K, Srioat P. The Effectiveness of the Appreciation Influence Control (AIC) Process to Improve Knowledge and Behavior on Self -care of Older People at Banped Subdistrict, Muang District, KhonKaenProvince. The Journal of Boromarajonani College of Nursing, Nakhonratchasima. July-December 2012; 18 (2): 5-19.
10. Lainumngun P., Khamra C., Dejthai T. The Participative Management for Elderly Clubs Implementation in Kokjaroen District of Lopburi Province. KKU Research Journal. 2010; 15(1): 45-56.
11. Siritipakorn P, Muangpaisan WPisalsarakij D, Chaopanitwet P, Laojan P, Pitiyarn S, et al. Prevalence of Geriatric Syndromes and Characteristics of Elderly Patients in Geriatric Clinic, Siriraj Hospital. Journal of Nursing and Health Care 2019; 37(3): 20-29.
12.Jumneansuk, A., Detboon, P., Mingmai, K., Phophak, S., Phoha S., & Phanitcharoen, S. (2012). Quality of Life among Elderly who are Living with Chronic Diseases, Srichomphu District, Khon Khan Province. Ratchaphruek Journal, 15 (2), 16-26.
13. Somboontanon W, Auttakornkowit C. Effects of Health-Promoting Education Program on Health Status, Health knowledge, and Healthy Behavior among Urban Community Dwelling Elders with Chronic Liiness in Bangkok. Journal of Nursing, Siam University, 19 (36), 49-65.
14. Chaiyaphum Provincial Health Office. Health Data Center. [databaseInternet]. 2019[cited2019Jan18]. Available from cpho.moph.go.th.
15. Nualsithong N, Phuchongchai T, Buajan A. The Development of Model Activities for Elders’ Quality of
Life Improvement in Tambon Na Fai, Muang District, Chaiyaphum Province. Journal of Nursing and Health Care 2020; 38(1): 42-48.
16. Lalun A, Boonthai C, Ponnimitporn S, kemthong K, Pummarak S. Quality of Life Among Elderly with Chronic Disease at Naphai Subdistrict Health Promotion Hospital, Chaiyaphum Province Journal of Boromarajonani Collage of Nursing, Surin 2018; 8(1): 59-69.
17. Phuchongchai T, Nuansithong N. Health status and quality of life of the elderly in Mueang Chaiyaphum District Chaiyaphum Province At the 4th National and International Academic Conference “Integrating Research into Thailand 4.0. ”2017. July 21, 2017, Northeastern University Khon Kaen.2017.
18. Mahatnirunkul S, et al. Comparison of the WHO Quality of Life Measurements. Every 100 indicators and 26 indicators, Suan Prung Hospital Chiang Mai Province; 1977.
19. Nakasuwan V. The Effectiveness of Health Promotion Program for the Elderly on the Quality of Life in the Community. 2020; 12(1): 171-180.
20. Bandura. A. Social foundations of thought and action: A Social CognitiveTheory; New Jersey: Prentice-Hall Inc., Englewood Cliffs; 1986.
21. Phuchongchai T, Nuansithong N. Effects of an Eldely Health Promotion in Mueng Chaiyapum District, Chaiyaphum Province. Community Health Development Quarterly Khon Kaen University. 2019; 7(1): 1-18.
22. Panyasai K, Kitisri C, Ngerndee P. Effectiveness of health promotion programs for Quality of Life Basic Need among the Elderly. The Public Health Journal of Burapha University. 2017; 12 (2), 65-74.
23. Armartmuntree T, Kankarn W, Mongthaweepongsa S.Cost – Effectiveness of Sufficiency Health Promotion Program in Elders with Chronic Disease in Semi-urban Context, Yasothon Province Wason Krimwiratkul Dip Thai Board of Family Medicine. Journal of Nursing and Health Care 2018; 36(1): 100-108.
24. Ounnapiruk L, Ronnarithivichai C, Ucharattana P, et al. Quality of life among elderly : The Meta-analysis. Gerontology and Geriatric Medicine. 2012; 6(1):2-12.
2. Mille AM. Iris M. Health promotion attitudes and strategies in older adults. Health Education Behavior 2002; 29 (2): 249-67.
3.Boontae U., Tawchantuk S. Elder’s health status and quality f life under the health care provided by community network and simulated families. Journal of nursing and health care. July-September 2017; 35(3): 176-185.
4.Kaeodumkoeng K, Thummakul D. Health literacy promoting in aging population. Journal of Health Science Research, July-December 2015; 9(2): 1-8.
5.Rasiri T, Songthap A. Health Promotion for the Elderly: Guidelines for strong partnership and dynamic network participation in the 21th century. The southern college network journal of nursing and public health. January-April 2018; 5(1): 315-328.
6.Gadudom P, Hemchayat M. Effects of an Elderly Health Promotion Program in Bangkaja Sub-District Municipality, Amphur Muang, Chanthaburi. Journal of Phrapokklao Nursing College. March-August 2011; 22(2): 61-70.
7.Rasiri T., Songthap A., Health Promotion for the Elderly: Guidelines for strong partnership and dynamic network participation in the 21th century. The southern college network journal of nursing and public health. January-April 2018; 5(1): 315-328.
8.Khaemnin K, Kompor. Potential Development in Elderly Health Self-Care: Ban Kogesa-Ad Moo 4 Ho Kham Sub-District Mueang Bueng Kan District Bueng Kan Province. KKU Journal for Public Health Research. July-September 2013; 6(3): 75-84.
9.Mahem K, Srioat P. The Effectiveness of the Appreciation Influence Control (AIC) Process to Improve Knowledge and Behavior on Self -care of Older People at Banped Subdistrict, Muang District, KhonKaenProvince. The Journal of Boromarajonani College of Nursing, Nakhonratchasima. July-December 2012; 18 (2): 5-19.
10. Lainumngun P., Khamra C., Dejthai T. The Participative Management for Elderly Clubs Implementation in Kokjaroen District of Lopburi Province. KKU Research Journal. 2010; 15(1): 45-56.
11. Siritipakorn P, Muangpaisan WPisalsarakij D, Chaopanitwet P, Laojan P, Pitiyarn S, et al. Prevalence of Geriatric Syndromes and Characteristics of Elderly Patients in Geriatric Clinic, Siriraj Hospital. Journal of Nursing and Health Care 2019; 37(3): 20-29.
12.Jumneansuk, A., Detboon, P., Mingmai, K., Phophak, S., Phoha S., & Phanitcharoen, S. (2012). Quality of Life among Elderly who are Living with Chronic Diseases, Srichomphu District, Khon Khan Province. Ratchaphruek Journal, 15 (2), 16-26.
13. Somboontanon W, Auttakornkowit C. Effects of Health-Promoting Education Program on Health Status, Health knowledge, and Healthy Behavior among Urban Community Dwelling Elders with Chronic Liiness in Bangkok. Journal of Nursing, Siam University, 19 (36), 49-65.
14. Chaiyaphum Provincial Health Office. Health Data Center. [databaseInternet]. 2019[cited2019Jan18]. Available from cpho.moph.go.th.
15. Nualsithong N, Phuchongchai T, Buajan A. The Development of Model Activities for Elders’ Quality of
Life Improvement in Tambon Na Fai, Muang District, Chaiyaphum Province. Journal of Nursing and Health Care 2020; 38(1): 42-48.
16. Lalun A, Boonthai C, Ponnimitporn S, kemthong K, Pummarak S. Quality of Life Among Elderly with Chronic Disease at Naphai Subdistrict Health Promotion Hospital, Chaiyaphum Province Journal of Boromarajonani Collage of Nursing, Surin 2018; 8(1): 59-69.
17. Phuchongchai T, Nuansithong N. Health status and quality of life of the elderly in Mueang Chaiyaphum District Chaiyaphum Province At the 4th National and International Academic Conference “Integrating Research into Thailand 4.0. ”2017. July 21, 2017, Northeastern University Khon Kaen.2017.
18. Mahatnirunkul S, et al. Comparison of the WHO Quality of Life Measurements. Every 100 indicators and 26 indicators, Suan Prung Hospital Chiang Mai Province; 1977.
19. Nakasuwan V. The Effectiveness of Health Promotion Program for the Elderly on the Quality of Life in the Community. 2020; 12(1): 171-180.
20. Bandura. A. Social foundations of thought and action: A Social CognitiveTheory; New Jersey: Prentice-Hall Inc., Englewood Cliffs; 1986.
21. Phuchongchai T, Nuansithong N. Effects of an Eldely Health Promotion in Mueng Chaiyapum District, Chaiyaphum Province. Community Health Development Quarterly Khon Kaen University. 2019; 7(1): 1-18.
22. Panyasai K, Kitisri C, Ngerndee P. Effectiveness of health promotion programs for Quality of Life Basic Need among the Elderly. The Public Health Journal of Burapha University. 2017; 12 (2), 65-74.
23. Armartmuntree T, Kankarn W, Mongthaweepongsa S.Cost – Effectiveness of Sufficiency Health Promotion Program in Elders with Chronic Disease in Semi-urban Context, Yasothon Province Wason Krimwiratkul Dip Thai Board of Family Medicine. Journal of Nursing and Health Care 2018; 36(1): 100-108.
24. Ounnapiruk L, Ronnarithivichai C, Ucharattana P, et al. Quality of life among elderly : The Meta-analysis. Gerontology and Geriatric Medicine. 2012; 6(1):2-12.
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2020-12-30
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