ประสิทธิผลของการใช้โปรแกรมการเสริมสร้างพลังอำนาจใน การฟื้นฟูสมรรถภาพปอดสำหรับผู้ที่เป็นโรคปอดอุดกั้นเรื้อรัง โรงพยาบาลป่าซาง จังหวัดลำพูน

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a major health problem.Pulmonary rehabilitation is accepted by clinicians as an effective intervention for improving health outcomes among persons with COPD. Patients’ behavior related to lung rehabilitation should be promoted. This operational study aimedto test the effectiveness of the Empowerment Program on Pulmonary Rehabilitation (EPPR) at a community hospital in Lamphun province. The study participants consisted of 111 persons with COPD who visited the COPD clinic, 58 before and 53 after implementing the program. The process of implementing the program was based on the framework proposed by the National Health and Medical Research Council (NHMRC, 1999). The outcomes were evaluated by noting improving behavior for pulmonary rehabilitation and decreasing utilization of health services due to dyspnea exacerbation. Data were analyzed by using descriptive statistics. The results of the study demonstrated the effectiveness of the program as follows. 1.The percentage of participants who practiced lung rehabilitation at the good level (>80%) among the before-implementation group was 13.79, while the percentage of the same for theafter-implementation group was 96.23. 2.The percentages of participants who utilized health care services due to dyspnea exacerbation among the before-implementation group was 74.14, while the percentage of the same for the after-implementation group was 52.83. The findings of this study confirm that the EPPR can be used by community hospitals to improve patients’ behavior and decrease health service utilization due to dyspnea exacerbation. Further study should be conducted in the long term in order to test for the sustainability of the outcomes.