ผลของโปรแกรมส่งเสริมสมรรถนะแห่งตนต่อพฤติกรรมการดูแลตนเอง หลังผ่าตัดในผู้ป่วยบาดเจ็บที่ใบหน้าและขากรรไกร

Maliwan  Hunaumpon; Pornsiri  Kanokkarnjana; Vipavee  Kittiponganan; Kampon Introntakun

Authors

Maliwan Hunaumpon Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok
Pornsiri Kanokkarnjana Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok
Vipavee Kittiponganan Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok
Kampon Introntakun Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok

Keywords:

self-efficacy, self-care, post-operative care, maxillofacial injuries

Abstract

This quasi-experimental study aimed to compare the mean postoperative self-care behavior score of patients with maxillofacial injuries before and after the intervention, both within and between groups. A total of 50 participants were selected through purposive sampling and assigned to either an experimental group or a control group, with 25 participants in each group. The experimental group received the self-efficacy enhancement program for 6 weeks, while the control group received standard nursing care. The research instruments included the self-efficacy enhancement program, a demographic data record form, and a postoperative self-care behavior questionnaire. Content validity was established, with scale-level content validity indices of 1.00 for the demographic data record form and 0.98 for the postoperative self-care behavior questionnaire. The program demonstrated item-objective congruence values ranging from 0.67 to 1.00, and the questionnaire showed acceptable reliability, with a Cronbach’s alpha coefficient of 0.81. Data were analyzed using descriptive statistics, chi-square tests, paired t-tests, and independent t-tests.

The findings showed that, within the groups, the experimental group that received the program had a significantly higher mean postoperative self-care behavior score after the intervention than before the intervention, whereas the control group showed no statistically significant difference. Between the groups, after the intervention, the experimental group had a significantly higher mean postoperative self-care behavior scores than the control group. This shows that the self-efficacy enhancement program was effective in promoting postoperative self-care behaviors among patients with maxillofacial injuries. Therefore this program may be integrated into standard nursing care to enhance postoperative self-care behaviors in this patient population.

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