Effect of Health Beliefs Promotion Program on Complications Prevention Behaviors among Older Persons with Cataract Post Operative for Phacoemulsification with Intraocular Lens Prothesis
Main Article Content
Abstract
This quasi-experimental research, two-group posttest only design, aimed to study the effects of a health belief promotion program on complication prevention behaviors among older people with post-operation of phacoemulsification with intraocular lens prothesis. The sample consisted of 50 older people who underwent phacoemulsification with intraocular lens prothesis. They were divided into a control group and an experimental group, 25 people in each group. Data were collected between April and June 2024. The research instruments consisted of 1) a health belief promotion program, 2) a health belief promotion manual for older people with cataracts who underwent phacoemulsification with intraocular lens prothesis, 3) a video on eye cleaning and eye drops. The instruments were examined for content validity by three experts, 4) a questionnaire on general information of the elderly, and 5) a questionnaire on behaviors to prevent complications after the phacoemulsification with intraocular lens prothesis. The content validity index was calculated to be .91 and reliability coefficient (Cronbach's alpha) was calculated to be .80. Personal data were analyzed using descriptive statistics, including descriptive statistics and Independent T-test.
The results of the study found that the mean score of complication prevention behavior of older people with phacoemulsification with intraocular lens prothesis in the post-experimental period between the experimental group receiving the health belief promotion program was significantly higher than the control group receiving routine nursing (p <. 05).
The recommendations from this study show that after phacoemulsification with intraocular lens prothesis, the older people who participated in the health belief promotion program were able to effectively prevent complications such as postoperative infection, wound detachment, anterior chamber bleeding, uveitis, and lens dislocation. Therefore, the health belief promotion program should be promoted for further trial to test its effectiveness.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
Aekapod, D. & Sutjarak, P. (2018). Factors associated with complications prevention behaviors of post operative for Phacoemulsification with Intraocular lens prothesis in Maharaj Nakhonsithammarat hospital. Region 11 Medical Journal, 32(1), 919-926. (in Thai).
Assawaboonyadech, A., Supajitgulchai, D. & Puranawit, W. (2022). Video education for cataract surgery patients implementing post-operative self-care. Burapha Journal of Medicine, 9(1). 13-27. (in Thai).
Boromtanarat, P. (2016). Effectiveness of information provision using video media on anxiety reduction and complication reduction on phacoemulsification with intraocular lens implantation, Suratthani hospital. Region 11 Medical Journal, 30(3), 129-137. (in Thai).
Institute of Geriatric Medicine. (1999). Thai mini-mental state examination (MMSE-Thai 2002). Retrieved from chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://pcmc.swu.ac.th/th/site/palliative-care/docs/f-04.pdf
Jitaphankul, S. (1998). Important principles of geriatric medicine. Bangkok: Printing House of Chulalongkorn University. (in Thai).
Ketsingh, W. (1995). Principles of construction and analysis of research instruments. Bangkok: Thai Watthana Panich. (in Thai).
Khamphonsiri, T. (2018). Nursing care for older adults with visual impairment. In Panuthai, S. (Ed.), Geriatric nursing, Volume 2 (pp. 109-124). Chiang Mai: Smart Coating & Service. (in Thai).
Khengcharoen, M. & Chanda, W. (2017). Factors affecting infection in patients after cataract surgery. Retrieved from https://nursing.metta.go.th/index.php/work/research-2/6-research-r2r2552. (in Thai).
Lapchurat, A. (2018). Effects of health promoting program and prevent postoperative complication toward knowledge and practice for cataract surgery elderly patients, Suratthani hospital. Region 11 Medical Journal, 32(3), 1099–1112. (in Thai).
Maneepong, J. (2020). Case study: The holistic nursing of high risk cataracts surgery at Kalasin hospital. Journal of Environmental Education Medical and Health, 5(2), 12–21. (in Thai).
Masomboon, S. & Nititham, A. (2010). Factors affecting self-care behaviors of patients underwent cataract surgery with intraocular lens implantation at Phramongkutklao hospital. (Master’thesis). Kasetsart University, Bangkok. (in Thai).
Meewattana, K. (2022). Effects of the health belief program on behavior to prevent complication and blood pressure levels in patients with uncontrolled hypertension at outpatient department Sukhothai hospital [Presentation document]. Public Health Academic Conference. Region 2 Tak Province: Thailand. (in Thai).
National Health Security Office Ministry of Public Health. (2022). Information on cataract patients and situation in 2018 – 2021. Nonthaburi: National Health Security Office. (in Thai).
Phuengchomphu, W. (2020). Visual impairment. In Phuengchomphu, W. (Ed.), Geriatric nursing: Notable health issues (pp. 93-102). Bongkok: N.P.T. Printing. (in Thai).
Piamsri, K. (2022). Holistic nursing care for high-risk cataract surgery patients at Yasothon hospital: A case study of two patients. Yasothon Medical Journal, 24(1), 125–132. (in Thai).
Promjame, S. & Kespichayawattana, J. (2018). The effect of health belief model program on complication preventive behavior in hypertensive older persons. Royal Thai Navy Medical Journal, 45(3), 561-577. (in Thai).
Rodchua, A. (2012). Effects of self-care promoting program toward knowledge and practice for cataract surgery patients, Rajavithi hospital. Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 28(2), 1-12.
(in Thai).
Sanitlou, N., Sartphet, W. & Naphaarrak, Y. (2019). Sample size calculation using G*power program. Journal of Suvarnabhumi Institute of Technology (Humanities and Social Sciences), 5(1), 496 – 507. (in Thai).
Sianglam, W. (2023). Effects of Implementing a Health Belief Model-Based Intervention on Self - care Behaviors among Post-Surgical Patients of Ophthalmology, Otolaryngology, and Rhinology Departments at Buengkan Hospital (Research report). Retrieved from https://bkpho.moph.go.th/ssjweb/bkresearch/index.php?fn=detail&sid=244. (in Thai).
Stretcher, V. & Rosenstock, I.M. (1997). The health belief model. In Glanz, K., Lewis, F.M., & Rimer, B.K., (Eds.). Health Behavior and Health Education: Theory, Research and Practice. San Francisco: Jossey-Bass.
World Health Organization. (2023). Blindness and vision impairment. Retrieved from https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment
Yousuk, S. (2005). Prediction power of health beliefs and selected factors to complications prevention behaviors of post operative cataract patient for phacoemulsification with intraocular lens prosthesis in community hospital. (Master’ thesis). Christian University of Thailand. (in Thai).