Development of Self-Regulation and Family Support Model among Glaucoma Patients
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Abstract
This research and development aim to 1) Study the problem situation and need among glaucoma patients who had fifteen patients with glaucoma which were collected through focus group interviews and data analysis by content analysis. 2) Develop of self-regulation and family support model among glaucoma patients and 3) evaluate the effectiveness of the developed self-regulation and family support model. The sample consists of glaucoma patients and their families, and a simple random sampling method was used to recruit into the experimental (n = 58) or control group (n=58). Data were analyzed by using descriptive statistics, and t-tests. The research findings are as follows:
1. The problem situations: 1) patients with glaucoma alarm who never realized their condition before become ignored when they knew and afraid to be blind, 2) the patients and their families do not understand about health care for glaucoma disease, and 3) there is lack of regulation in continuous health care. The needs of glaucoma patients are 1) their families’ physical and mental care as if being the patients’ own eyes; 2) necessary knowledge and techniques for self-regulation and 3) health consultants and helpers when any emergency vision problems occur.
2. A model of self-regulation and family support for glaucoma patients has been developed with 4 activities; 1) observe and analyze health behaviour in order to set goals and develop self-regulation plans with families 2) supervise and monitor the outcomes due to the goals for continuous self-care decision-making; 3) continuously reinforce and encourage them to achieve the goals; and 4) continue the care delivery.
3. The results are that there are statistically significant differences between pretest and posttest scores of health behaviour in the patients with glaucoma and the ability of health behaviour of their families (t = 28.19, 28.15, p < .01 respectively). There are statistically significant differences between the experimental group and control group of health behaviour in the patients with glaucoma and the ability of health behaviour of their families (t = 26.85, 19.25, p < .01 respectively). The satisfaction level of the self-regulation and family support model is at a very good level (M = 4.85, SD = .25).
The self-regulation and family support model in glaucoma patients shows good health behaviour that should be applied to family care.
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