ศูนย์ความเป็นเลิศด้านการส่งเสริมสุขภาพผู้สูงอายุ

Long term study of a Self-management program: 2-year disease control and quality of life outcome among chronic illness patients at Kukot community medical center, Thailand

Chodchoi Wattana, Chongluk Supakitcharearn, Natawan Rukwongprayoon, Parinya Raethong
Adult and the Aged Nursing, Faculty of Nursing, Thammasat University, Thailand

Purpose

to determine the effects of a self-management program on disease controlled and quality of life among Thai people with chronic illness in Kukot community medical center, Thailand

Methods

This study was a clinical trial. Subjects were two hundred ninety participants, 25-75 years with diabetes and/or hypertension, lived in Pathumthani province who came for follow up visit at Kukot health center, Lumloogka and Zear brances were randomized into the intervention program for a period of 24 weeks. A comprehensive program was developed that integrated Self-efficacy and Self-management theory with a small group education and discussion, self-efficacy promotion, and self-management training for disease control. A longitudinal 2-year study compared patients receiving this self-management program with "usual care" patients receiving standard care. Data were analyzed using descriptive statistic, Chi-square test, McNemar, ANOVA, and Repeated Measure ANOVA.

Results

Result showed that the experimental group demonstrated higher scores of self-efficacy in diabetes self-management, and diabetes self-management behaviors, and higher percentage of diabetic patients who had good controlled than the control group at six months and 12 months but no significant difference at 24 months. In addition, the experimental group demonstrated a higher scores regarding self-efficacy in hypertensive self-management, and hypertensive self-management behaviors, and higher percentage of patients with hypertension who had good controlled than the control group at 12 months but no difference at 6 and 24 months. Moreover, the experimental group had higher scores of quality of life compared to the control group at 6, 12, and 24 months.

Conclusions

Results indicated that the self-management program showed partial effective to promote disease controlled and quality of life among people with chronic illnesses. Further studies should be replicated the using reinforcement in long term period.

Author: ดร.ชดช้อย วัฒนะ

หัวหน้างานพัฒนาศูนย์ความเป็นเลิศเฉพาะทางด้านการดูแลบุคคลที่ป่วยด้วยโรคเรื้อรัง วิทยาลัยพยาบาลพระปกเกล้า จันทบุรี