ผลของโปรแกรมการเสริมสร้างพลังอำนาจในอาสาสมัครสาธารณสุขประจำหมู่บ้านต่อการปฏิบัติการบริการส่งมอบยาให้กับผู้ที่มีภาวะโรคไม่ติดต่อเรื้อรังในชุมชน

Abstract

This quasi-experimental study, with a two-group, pretest-posttest design, aimed to study the effect of an empowerment enhancing program for village health volunteers on drug delivery service practices to persons with chronic non-communicable diseases in communities. The participants included 50 village health volunteers who worked in a health promoting hospital in Saraphi district, Chiang Mai province and who were assigned to two groups with 25 participants each by simple random sampling. The research was conducted from April to June 2023. The research instruments consisted of 1) an 8-week empowerment enhancing program, developed by the researcher based on Gibson’s empowerment theory (1995); 2) a handbook and media on drug delivery service practices to persons with chronic non-communicable diseases; and 3) an assessment form on drug delivery service practices to persons with chronic non-communicable diseases which was validated by six experts demonstrating a content validity index of 0.96 and a Cohen’s kappa coefficient of 0.85. The data were analyzed with descriptive statistics, Wilcoxon signed-rank test, and Mann-Whitney U. The results showed that the experimental group had higher mean scores for drug delivery service practices to persons with chronic non-communicable diseases in the community than before receiving the empowerment enhancing program and higher than those of the control group with statistical significance (p<0.001). The results of this research can be used as guidelines for community nurse practitioners and health care teams to promote and enhance the potential of village health volunteers, with knowledge, confidence, and skills, to provide drug delivery services to people with chronic non-communicable diseases in the community, effectively, accurately, and efficiently. It will be a guideline for promoting village health volunteers’ competence in taking care of persons with chronic non-communicable diseases in communities.