Effects of the program to develop self-management behavior for patients taking warfarin in Phra Yuen hospital Khon Kaen province

Abstract

     This research aimed to study and compare, results of self-management behavior development program for patients taking warfarin in Phra Yuen hospital Khon Kaen province, before and after organizing a self-management behavior development program. The research was conducted from June 2024 to September 2024, using quasi-experimental research (the one-group pretest-posttest design). The purposively selected sample consisted of 36 patients taking warfarin at the warfarin clinic, Phra Yuen hospital, year 2024. The research tools were a self-management behavior development program, a warfarin knowledge test, a behavioral questionnaire for following the doctor's treatment plan, a warfarin history record, and a record form results of the patient's blood draw. Statistical analysis involved frequency, percentage, mean (), standard deviation (S.D.). Comparative analysis of average score of knowledge on the use of warfarin, the average score of behavior according to the doctor's treatment plan, of the sample group, before and after organizing the program using t-test statistics (Paired samples), and compared the proportion of patients taking warfarin with INR levels within the treatment target range, of the sample group, before and after organizing the program, using X²–test.
     The research found that: 1) After organizing a program, the sample group had average score of knowledge on the use of warfarin, and the average score of behavior according to the doctor's treatment plan, were higher than before the program was organized, statistically significant (p< 0.05). 2) After organizing the health behavior development program, the sample group had an INR level of 2.0 - 3.0 according to the treatment target range, 88.89%, increased from 30.56% before the program, and significantly higher than before the program was organized. Statistically (p< 0.05).