ประสิทธิผลของรูปแบบส่งเสริมสุขภาพและฟื้นฟูผู้สูงอายุกลุ่มติดบ้านเปลี่ยนผ่าน สู่กลุ่มติดสังคมโดยชุมชนมีส่วนร่วมเครือข่ายบริการสุขภาพอำเภอเมืองหนองบัวลำภู

Effectiveness of a Community Participatory Health Promotion and Rehabilitation Model for Transitioning Homebound Elderly to Socially Engaged Elderly in the Nong Bua Lam Phu District Health Service Network

Abstract

This research aimed to develop and evaluate the effectiveness of a community participatory health promotion and rehabilitation model for transitioning homebound elderly to socially engaged elderly, called the ACTIVE Model. The study employed                a Research and Development (R&D) design consisting of four phases: 1) studying the situation and needs of homebound elderly and the community; 2) developing the model based on Pender’s Health Promotion Model (HPM); 3) implementing the model with 30 homebound elderly participants in Donyanang Subdistrict, Nong Bua Lam Phu Province, for 16 weeks; and 4) evaluating and refining the model. Research instruments included the Barthel Activities of Daily Living (ADL) Index, The WHOQOL-BREF-THAI quality of life questionnaire and and a questionnaire based on Pender’s Health Promotion Model. Data were analyzed using descriptive statistics and Paired t-test. The results showed that after the intervention, the elderly had significantly higher ADL scores (p < .001), increasing from a mean of 10.53 to 13.27. A total of 73.33% (22 out of 30 participants) transitioned from homebound to socially engaged status. Their overall quality of life was moderate, Scores on Pender’s health promotion factors increased from a mean of 3.22 (SD = 0.51) to 3.84 (SD = 0.43). The findings indicate that the ACTIVE Model is an effective and feasible approach for promoting health and rehabilitating homebound elderly to become socially engaged through sustainable community participation.

Key word: Aged, Health Promotion, Community Participation, Activities of Daily Living, Community Health Nursing