การพัฒนาโปรแกรมการสร้างเสริมสุขภาพที่สอดคล้องกับวิถีชีวิตและวัฒนธรรม เพื่อป้องกันโรคเรื้อรังของสตรีวัยกลางคนในชุมชนชนบท จังหวัดอุบลราชธานี The development of a health promotion program consistent with the lifestyle and culture to prevent chronic diseases of middle-aged women in the rural community Ubon Ratchathani Province

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มณฑิชา รักศิลป์ บษพร วิรุณพันธุ์

Abstract

Health promotion and disease prevention focus on having better health, and health promotion helps people and communities to have good health behavior, causing changes to reduce the risk of having chronic diseases.  In addition, chronic illness is the cause of death and illness of up to two-thirds of women every year, especially in low- and middle-income countries.  


This study aimed at developing the health promotion program consistent with the lifestyle and culture to prevent chronic diseases of middle-aged women in rural community, Ubon Ratchathani Province. It was an action research divided into 2 phases as follows. 


Phrase 1: The health promotion program consistent with the lifestyle and culture in accordance with the conceptual framework of Pender’s Health Promoting Model and Leininger’s Culture Care Theory were constructed. The purposive sampling method was employed to select 50 samples, consisting of middle-aged women, multidisciplinary team, community leaders and public health volunteers. Data were collected using in-depth interviews and analyzed by content analysis. The result of the research obtained the health promotion program providing the knowledge about the risk of chronic diseases, the annual health check-up campaign by providing proactive services, the changes of exercise behavior using local music 3 days a week, the areas that are beneficial to exercise in the community, health record, 1 healthy meal a day and a role model for changing behavior.  


                Phrase 2: Evaluation of the health promotion program was administered. It was a quasi-experimental research. The samples were middle-aged women aged 40-59 years. Also, 55 people were equally divided into the experimental group and the control group using a sampling method. The experimental group used the health promotion program consistent with lifestyle and culture to prevent chronic diseases developed at the first phrase for 6 months. The control group received the care with the standards of Tambon Health Promoting Hospital. The instruments used to collect data included evaluation form for prevention of chronic diseases, body mass index, waist circumference and quality of life. Descriptive statistics and t-test were employed for data analysis. The research found that after using the health promotion program consistent with the lifestyle and culture, the mean scores of chronic disease prevention behaviors, the quality of life, the body mass index and the waist circumference were lower than those of the control group with statistical significance at the level of 0.05.   


                Conclusion: The health promotion program consistent with the lifestyle and culture to prevent chronic diseases affected chronic disease prevention behaviors, clinical results and the quality of life of the middle-aged women.  


                Recommendations: Health care facilities should organize campaigns to prevent and search for people at risk of having chronic diseases in the middle age group by promoting annual health checks, focusing on proactive services in the community.


 

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