ผลของการให้ความรู้ตามหลักพิตส์เพื่อส่งเสริมความรอบรู้ด้านสุขภาพต่อการจัดการตนเองในผู้สูงอายุที่เป็นโรคเรื้อรังทางกายร่วมหลายโรค

Abstract

Self-management is important behavior for older people with physical multimorbidity in order to control their disease. This experimental research aimed to examine the effect of PITS-based education to promote health literacy on self-management among older adults with physical multimorbidity. The sample group included older persons diagnosed with both diabetes mellitus and hypertension and attending Thungyai district health services in Nakhon Sri Thammarat province. A total of 48 subjects were randomly selected and assigned to either the experimental or control group (24 subjects each). The experimental group received PITS-based education; consisting of 4 group education sessions and 1 individual education session over three weeks, while the control group received routine care. The tools used for data collection included 1) a personal and illness data recording form, and 2) the Patient Assessment of Self-management Tasks questionnaire. Data were analyzed by descriptive statistics, independent t-test, and dependent t-test. The results revealed that the experimental group, who received PITS-based education, had a significantly higher self-management mean score than before participating in the intervention as well as a significantly higher mean score than of the control group (p < .001). Therefore, healthcare providers can apply PITS-based education as a guideline for health education in older persons with physical multimorbidity to improve self-management.