A Feasibility Study the Effectiveness of Self-care Promoting Program on Self-care Behavioral and Clinical Outcomes in People with Corneal Transplantation: A Quasi-experiment Study

Authors

  • Kanokon Tupcharoen MNS (Candidate), Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.
  • Noppawan Phinitkhajorndech Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.
  • Vilavun  Puangsricharern Excellence Center for Cornea and Limbal Stem Cell Transplantation, Department of Ophthalmology, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.

DOI:

https://doi.org/10.60099/prijnr.2024.268807

Keywords:

Corneal transplantation, Feasibility study, Nursing, Self-care promoting program, Self-care behavior, Visual acuity

Abstract

Corneal transplantation is the most effective treatment for visual impairment caused by corneal blindness and can improve patients’ quality of vision. However, pre- and post-operative self-care is necessary to reduce the risk of complications and graft rejection. This one-group, quasi-experimental design with repeated measures aimed to determine the feasibility and effectiveness of self-care promoting programs on self-care behavior, anxiety, and clinical outcomes in individuals with corneal transplantation. Thirty participants who met the inclusion criteria were purposively recruited from a corneal excellence center in Bangkok, Thailand, from October 2021 to August 2022. The data collection instruments included the Demographic and Health Data Forms, the Self-Care Behavior Questionnaire, and the Self-Rating Anxiety Scale. The data were analyzed using descriptive statistics, paired t-tests, and Friedman and Wilcoxon signed-rank tests.

The program was found to be feasible, with all participants able to attend for 30 days postoperation. In terms of effectiveness, participants demonstrated improved self-care behavior and reduced anxiety compared to pre-program levels. Visual acuity also showed improvement 30 days postoperation, with 83.3% of participants having a clear corneal graft. These findings are significant for nursing practice, as they suggest that this program could be a promising tool for enhancing self-care behavior in individuals undergoing corneal transplantation. Nurses could potentially use this program to promote self-care behavior, alleviate anxiety, and enhance clinical outcomes. However, further research with randomized control is necessary before widespread implementation can be recommended.

 

 

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Published

2024-06-12

How to Cite

1.
Tupcharoen K, Phinitkhajorndech N, Puangsricharern V. A Feasibility Study the Effectiveness of Self-care Promoting Program on Self-care Behavioral and Clinical Outcomes in People with Corneal Transplantation: A Quasi-experiment Study. PRIJNR [Internet]. 2024 Jun. 12 [cited 2024 Oct. 6];28(3):645-58. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/268807