ผลของการสอนตามหลักของพิตส์เพื่อส่งเสริมความรอบรู้ด้านสุขภาพต่อการจัดการตนเองในผู้สูงอายุโรคปอดอุดกั้นเรื้อรัง

Abstract

Appropriate self-management among older persons with chronic obstructive pulmonary disease (COPD) requires health literacy enhancement. This experimental research aimed to study the effect of PITS-based education to enhance health literacy on self-management of older persons with chronic obstructive pulmonary disease. The sample consisted of older persons with chronic obstructive pulmonary disease (COPD) receiving services at the sub-district health promoting hospitals in Maelao district, Chiang Rai province. Fifty-four subjects were randomly selected, and 27 subjects were equally assigned into either the control or the experimental group. The experimental group was given group education 4 times, twice a week and one session for individual education resulting in a total education period of 5 times over 3 weeks. The control group was given routine care. The research instruments included a teaching plan, the health literacy manual for chronic obstructive pulmonary disease patients, teaching for health literacy enhancement in COPD patients video, an understanding personal perception scale, and a health literacy for COPD questionnaire. Data collection tools consisted of a personal and illness data recording form and the self-management behavior for older persons with COPD questionnaire. Data were analyzed using descriptive statistics, independent t-test and paired t-test. The results revealed that the mean score for self-management of older persons with chronic obstructive pulmonary disease receiving PITS-based education was higher than the score for those receiving routine care (p < .001), and higher than before, at a significant level (p < .001). The results indicate that PITS-based education can enhance health literacy and self-management among older persons with chronic obstructive pulmonary disease. Hence, healthcare personnel can apply PITS-based education as a guideline for enhancing the self-management among older persons with chronic obstructive pulmonary disease.