The development of a self-care promotion model for pulmonary tuberculosis patients residing in border areas of Kanchanaburi Province.

Abstract

     The development of a self-care promotion model for pulmonary tuberculosis patients residing in border areas of Kanchanaburi Province is an action research with the following objectives: 1) to develop a self-care promotion model; 2) to study the effectiveness of the self-care promotion model for pulmonary tuberculosis patients residing in border areas; and 3) to study the satisfaction with the self-care promotion model for pulmonary tuberculosis patients that was developed. The research was divided into 2 phases: Phase 1: a study based on the 4-step PAOR principle according to the theory of Kermis & McTaggart (1988). The sample group was selected by purposive sampling, totaling 20 people. Data were collected using a questionnaire. Data were analyzed using descriptive statistics (percentage, mean, standard deviation), Chi-square test, Fisher’s exact test, Independent t-test, paired simple t-test, and F-test using the One-way ANOVA technique, and Scheffe’s pairwise comparison.

     The results of the study found that:

1. After the experiment, the experimental group had knowledge about tuberculosis, self-care awareness, and self-care behavior. More than the comparison group with statistical significance (p-value < 0.001)
2. After the experiment, the experimental group had knowledge about tuberculosis, self-care awareness, and self-care behaviors that were statistically significantly higher than before the experiment (p-value < 0.001).
3. After the experiment, it was found that the experimental group had 2.0 percent of sputum smear results positive for tuberculosis. When testing the statistical difference between the sputum smear results between the experimental group and the comparison group, it was found that receiving the developed self-care promotion model resulted in significantly lower sputum smear results than receiving the original self-care promotion model (p-value = 0.031).
4. Satisfaction with the developed self-care promotion model for pulmonary tuberculosis patients found that TB patients were highly satisfied overall at 82.0 percent.
5. Expansion of the development of the self-care promotion model for pulmonary tuberculosis patients residing in border areas of Kanchanaburi Province found that knowledge about tuberculosis, self-care awareness, and self-care behaviors Before and after the operation, it was found that there was a statistically significant difference at the 0.05 level. After the operation, knowledge about tuberculosis, self-efficacy perception and self-care behavior were better than before the operation. Knowledge about tuberculosis, self-efficacy perception and self-care behavior after the operation were not different between districts. After the operation, 100.0 percent of pulmonary tuberculosis patients residing in the border area of ​​Kanchanaburi Province could be cared for.