Development of a Patient Care Program Model for Asthma Patients at the Asthma Clinic, Outpatient Department, Su-ngai Padi Hospital

Abstract

     This study was a quasi-experimental research. The objectives were to 1) examine the problems and current approaches in asthma care at the asthma clinic of Su-ngai Padi Hospital; 2) develop a One Stop Service-based care program model for asthma patients; and 3) evaluate the effectiveness of the developed program in improving patients’ knowledge, asthma control ability, and satisfaction. The research was conducted in three phases: problem assessment, program development, and program evaluation. The sample consisted of 37 asthma patients. The framework for program implementation was based on the 2022 Thai Guideline for Adult Asthma Management developed by the Asthma Council of Thailand. The research instruments included a general information questionnaire, an asthma knowledge assessment, an asthma control questionnaire, and a satisfaction questionnaire-all of which were validated for quality and content validity. Data analysis was performed using the following statistical methods : 1) Descriptive statistics were used to analyze general data and satisfaction data, including frequency, percentage, mean, and standard deviation; 2) Wilcoxon Signed-Rank Test was used to compare knowledge levels before and after participation in the program ; and 3) McNemar’s Test was used to analyze the changes in asthma severity and disease control before and after the program.

     The findings indicated that, following the implementation of the program, patients demonstrated a statistically significant improvement in knowledge (p < 0.001). The asthma control rate increased from 0% to 64.86%, and the overall satisfaction with the program was high (M = 4.45, SD = 0.22). This program shows strong potential to be adapted as a model for asthma care in other community hospitals.