การพัฒนาสมรรถนะแห่งตนร่วมกับการเรียนรู้แบบมีส่วนร่วมของอาสาสมัครสาธารณสุขในการส่งเสริมสุขภาพผู้สูงอายุที่เป็นโรคความดันโลหิตสูง

Abstract

ABSTRACT

The purpose of this quasi-experimental study was to evaluate the effects of an application of self-efficacy with participatory learning for health volunteers who promote the health behavior of the elderly with hypertension. The sample included 60 health volunteers in semiurban Pakkret Amphoe, Nonthaburi Province. They were divided into experimental and comparison groups of 30 persons each. This study was conducted over a period of 8 weeks with an experimental period of 4 weeks and a follow-up period of 4 weeks. Data were collected by self-administered questionnaires. Statistical analysis was performed using percentage, mean, standard deviation, Independent t-test, Paired t-test, ANCOVA, and Repeated Measure one-way ANOVA.

The results indicated that, after the experiment and the follow-up period, the experimental group had a significantly higher mean score of knowledge, perceived self-efficacy, and skill of promoting health behavior when compared to the comparison group (p-value < 0.001). When compared within the experimental group, the mean score of knowledge was significantly increased after experiment (p-value < 0.001), and maintained until the follow up period (p-value = 0.58). Mean score of perceived self-efficacy was significantly increased both after experiment, and follow up period (p-value < 0.001). Mean score of skill for promoting health behavior in follow up period was significantly higher than before experiment (p-value < 0.001).

The results of this study suggested that an application of self-efficacy with participatory learning had an effect on health volunteers of increasing knowledge, perceived self-efficacy and skills in promoting health behavior of the elderly with hypertension.

Key words: Health volunteer, elderly with hypertension, self-efficacy, health promoting behavior, participatory learning