Physical and Mental Health Rehabilitation Activities for Patients Receiving Treatment for Emphysema at Pakham Hospital, Pakham District, Buriram Province
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Abstract
This participatory action research (PAR) applied the PAOR cycle (Plan-Act-Observe-Reflect) with the following objectives: 1) to study the needs for developing health rehabilitation activities for emphysema patients, 2) to develop a physical and mental health rehabilitation activity model for emphysema patients, 3) to assess the physical and mental health status of emphysema patients after using the activity model, and 4) to compare the physical and mental health of emphysema patients before and after using the health rehabilitation activity model at Pakham Hospital, Pakham District, Buriram Province. The research samples consisted of three groups: 1) 10 nurses and medical personnel, 2) 103 emphysema patients for needs assessment, and 3) 34 emphysema patients for the activity model trial. Research instruments included needs assessment questionnaires, activity model evaluation forms, and health status assessment forms, which were validated for content validity by three experts with IOC values ranging from 0.66 to 1.00 and reliability coefficients of 0.826 and 0.802, respectively. Quantitative data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation), the PNI modified index, and inferential statistics (paired t-test). Qualitative data were analyzed using content analysis.
The findings revealed that 1) the top three needs for developing health rehabilitation activities were recreational activities for stress relief (PNI = 0.634), reward activities for patients with good health maintenance (PNI = 0.563), and arm and leg muscle exercises (PNI = 0.517), respectively. 2) The developed "Pakham CARE Model" health rehabilitation activity model consisted of four components: nutritional promotion activities for the respiratory system ( = 4.27, S.D. = 0.55), physical fitness promotion activities ( = 4.23, S.D. = 0.51), spiritual and mental wellness promotion activities ( = 4.19, S.D. = 0.53), and motivation and social relationship building activities ( = 4.18, S.D. = 0.46), with all four components evaluated at a high level. 3) The overall physical and mental health status of patients after using the activity model was at a high level ( = 3.77, S.D. = 0.66). When examined by dimension, mental health had the highest mean score ( = 3.80, S.D. = 0.42), followed by physical health ( = 3.75, S.D. = 0.90). 4) Patients had significantly higher physical and mental health scores after using the health rehabilitation activity model compared to before using it (p < 0.05), with mental health showing greater improvement than physical health. In conclusion, the developed health rehabilitation activity model is a scalable and effective innovation suitable for implementation in community hospitals and resource-limited rural settings, prioritizing community participation and holistic care delivery.
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เนื้อหาและข้อมูล (เขียนข้อกำหนด)
References
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