Health Promotion Program for New Pulmonary Tuberculosis Patients, Phonsai Hospital, Roi Et Province.

Abstract

      This study aimed to study the effect of a health promotion program applying empowerment theory on self-care behavior change in new sputum-positive pulmonary tuberculosis patients. This study was Quasi-experimental research, Pretest-Posttest Two-Group Design. Purposive selection was used to select 40 pulmonary tuberculosis patients receiving treatment at the tuberculosis clinic of Phon Sai Hospital. They were divided into an experimental group of 20 people and a control group of 20 people. The research instruments consisted of two sets: 1) a health promotion program... The health enhancement program, applying Gibson's (1995) empowerment theory, consisted of five activities. The study utilized a questionnaire divided into five sections: general information, knowledge about tuberculosis, perceived self-efficacy, adherence to the tuberculosis treatment plan, and a sputum test result record from the second month. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.

      Research results: A comparison showed no statistically significant difference in knowledge about pulmonary tuberculosis between the experimental and control groups before and after the experiment (p=0.05) (p=0.034). Self-efficacy perception before and after the experiment showed a statistically significant difference in the experimental group compared to the control group (p=0.05) (p=0.000). The experimental group also had a higher average score in this area. The experimental group showed significantly better adherence to the treatment plan compared to the control group (p=0.000) at the 0.05 level. Sputum test results at the second month showed a 100% improvement in the experimental group's sputum test results to negative, while 55% of the control group remained positive. This indicates a significant improvement in sputum test results at the second month for the experimental group.