The Effectiveness of Home Visit Program for Enhancing Self Care Capabilities among New case of Pulmonary Tuberculosis Patients in Sukhothai Thanee Municipality, Sukhothai Province

Abstract

Abstract

This quasi-experimental research employed a one-group pretest–posttest design to examine the effects of a home-visit program on self-care ability among newly diagnosed pulmonary tuberculosis patients in Sukhothai Thani Municipality, Sukhothai Province. The sample consisted of 16 newly diagnosed pulmonary tuberculosis patients selected through simple random sampling. Data were collected using a structured questionnaire, and the intervention consisted of a home-visit program designed to enhance self-care ability. The program comprised eight activities: (1) goal-oriented interaction, (2) patient assessment, (3) skills enhancement, (4) joint problem identification, (5) collaborative exploration and selection of practices, (6) joint planning and goal setting, (7) implementation of selected practices, and (8) follow-up and evaluation. Data were analyzed using frequency, percentage, mean, standard deviation, minimum and maximum values, and the Wilcoxon signed-rank test. Results showed that 68.75% of participants were male, with a mean age of 49.85 years (SD = 15.37). Of the participants, 37.50% had completed primary education, 43.80% were unemployed, and the average monthly income was 3,537.50 Baht (SD = 5,048.15). Additionally, 31.30% reported smoking and 44.70% reported alcohol consumption. After the intervention, participants demonstrated significantly higher scores in knowledge about pulmonary tuberculosis, perceived self-care ability related to promoting recovery, and perceived self-care ability related to preventing disease transmission compared to pre-intervention scores (p<0.05). These findings suggest that continuous home-visit programs should be implemented by relevant agencies to promote recovery and prevent the transmission of pulmonary tuberculosis.