ผลของโปรแกรมการส่งเสริมสุขภาพตามแนวทางของ สบช.โมเดล และกรมอนามัย ผ่านสื่อดิจิทัลต่อพฤติกรรมการดูแลตนเองของหญิงตั้งครรภ์ที่มีภาวะโลหิตจาง

Nurome Juiphuang; Janjira  Khanthayod; Srinaul Roengsoe; Suwilai Somnate

Authors

Nurome Juiphuang Boromarajonani College of Nursing Buddhachinaraj, Faculty of Nursing Praboromarajchanok Institute
Janjira Khanthayod Boromarajonani College of Nursing Buddhachinaraj, Faculty of Nursing Praboromarajchanok Institute
Srinaul Roengsoe Buddhachinaraj Phitsanulok Hospital
Suwilai Somnate Buddhachinaraj Phitsanulok Hospital

Keywords:

health promotion program, PBRI model, digital media, self-care behaviors, pregnant women with anemia

Abstract

This quasi-experimental research aimed to: 1) compare the mean self-care behavior scores of pregnant women with anemia before and after receiving a health promotion program; 2) compare these mean scores between the experimental and control groups; and 3) compare mean hematocrit (Hct) levels between the experimental and control groups. The sample comprised 60 pregnant women with anemia who were receiving services at the Antenatal Care (ANC) Department of Buddhachinaraj Phitsanulok Hospital. Participants were selected through purposive selection and equally assigned to an experimental group (n = 30) and a control group (n = 30). The experimental intervention was a health promotion program based on the Praboromarajchanok Institute Model (PBRI Model) and the Department of Health guidelines, delivered via video. Data collection instruments included: 1) a personal information questionnaire, 2) an HCT record form, and 3) a self-care behavior questionnaire. The content validity index for all instruments was evaluated by three obstetric experts, yielding an Index of Item-Objective Congruence (IOC) of 0.87 for the video media and 1.00 for the self-care behavior questionnaire. The Cronbach’s alpha coefficient for the questionnaire’s reliability was .82. Data were analyzed using descriptive statistics and inferential statistics, including paired t-tests and Mann-Whitney U Test, with a statistical significance level set at .05.
The results showed that after the 6-week program, the experimental group had significantly higher mean self-care behavior scores than before the intervention (t = 11.799, p < .05) and significantly higher scores than the control group (z = -6.600, p < .05). Furthermore, the experimental group demonstrated significantly higher mean Hct levels than the control group (z = -3.971, p < .05).
This study suggests that a health promotion program based on the PBRI Model and Department of Health guidelines, delivered via video, can effectively improve self-care behaviors among pregnant women with anemia.

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Author Biographies

Nurome Juiphuang, Boromarajonani College of Nursing Buddhachinaraj, Faculty of Nursing Praboromarajchanok Institute

A Senior Nurse Educator and Specialist in Maternal, Newborn, and Midwifery Care with 33 years of extensive experience in both nursing education and clinical practice. Holding a Master of Science in Maternal and Child Nursing from Mahidol University

Srinaul Roengsoe, Buddhachinaraj Phitsanulok Hospital

อดีดหัวหน้าแผนฝากครรภ์โรงพยาบาลพุทธชินราช พิษณุโลก

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