ผลของรูปแบบการส่งเสริมสุขภาพของเพนเดอร์ต่อพฤติกรรมการส่งเสริมการได้ยินในทารกแรกเกิดที่เสี่ยงจะสูญเสียการได้ยินของผู้ดูแลและการพาทารกมาตรวจตามนัด

Anong Sukho; Chollada Jongsomjitt Jongsomjitt; Songsiri  Nilachulaka; Puttachat  Nakrueang

Authors

Anong Sukho Nursing Cluster, Queen Sirikit National Institute of Child Health, Department of Medical Services, Ministry of Public Health
Chollada Jongsomjitt Jongsomjitt Nursing Cluster, Queen Sirikit National Institute of Child Health, Department of Medical Services, Ministry of Public Health
Songsiri Nilachulaka Nursing Cluster, Queen Sirikit National Institute of Child Health, Department of Medical Services, Ministry of Public Health
Puttachat Nakrueang Nursing Cluster, Queen Sirikit National Institute of Child Health, Department of Medical Services, Ministry of Public Health

Keywords:

high-risk infants, missed follow-up appointments, hearing loss, Pender’s health promotion model

Abstract

This quasi-experimental study aimed to 1) compare caregivers’ hearing promotion behaviors for newborns at risk of hearing loss before and after receiving Pender’s Health Promotion Model and 2) examine the follow-up attendance rate among these infants. The sample consisted of 27 caregivers and 27 newborns at risk of hearing loss who were admitted to the Neonatal Intensive Care Unit and the Premature Care Unit at the Queen Sirikit National Institute of Child Health. All infants had failed their initial hearing screening and were scheduled for follow-up assessments. The experimental tool was Pender’s Health Promotion Model applied to caregivers’ hearing promotion behaviors for newborns at risk of hearing loss and their adherence to follow-up appointments. The research instruments used for data collection include: a caregiver demographic questionnaire, a follow-up appointment record form, and a caregiver behavior assessment form for hearing promotion in newborns at risk of hearing loss. The assessment form was validated by experts and had a reliability coefficient of .83. Data was analyzed using descriptive statistics and Friedman’s test.

The research results found that: (1) Caregivers' hearing promotion behavior scores significantly increased over time, from a low level before the intervention (M = 21.29, SD = 3.18), to a moderate level at the first follow-up (M = 41.67, SD = 3.71), and to a high level at the second follow-up (M = 53.39, SD = 2.81). (2) The caregivers’ hearing promotion behavior scores for newborns at risk of hearing loss before receiving the intervention, after receiving the intervention at the first follow-up, and after receiving the intervention at the second follow-up were significantly different in at least one pair, with a statistical significance level of p < .05. (3) Follow-up attendance rates for infants at risk of hearing loss were 85.19% at the first follow-up and 88.89% at the second follow-up.

The results should be used to establish policies or guidelines for improving the quality of hearing screening programs, in order to identify children with hearing impairments and provide timely hearing rehabilitation within six months.

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References

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