การใช้ใบสั่งกิจกรรมทางกายในผู้ป่วยโรคไม่ติดต่อเรื้อรังโรงพยาบาลสิเกา จังหวัดตรัง

Abstract

This randomized contrelled experimental research aimed to study effects of using a physical activity prescription for patients with non-communicable diseases at Sikao Hospital, Trang province. The population in the study comprised patients with hypertension, patients with type 2 diabetes and patients with high blood glucose, totally 776 persons. The sample was selected through inclusion and exclusion criteria The sample consisted of 315 persons. A simple random sampling technique was used to divide the sample into 3 groups, 105 persons/group, namely, group 1 (Control group) did not receive a physical activity prescription; group 2 received a physical activity prescription without a follow-up, and group 3 received a physical activity prescription with a weekly follow-up. Data were collected using a self-report physical activity record for 28 weeks during April 2019 to January 2020. When the experiment was finished, the sample of 183 persons disappeared from all of the 3 groups and the sample of 134 persons remained which coutd be broken down into group 1 = 45 persons; group 2 = 48 persons; group 3 = 41 persons. Descriptive statistics, i. e frequency, mean, percentage, were used for an analysis and inferential statistics, l.e. t test and One-Way ANOVA, were used to compare the difference between the means of physical activity duration. The findings from the study revealed as follows: 1) The use of the physical activity prescription enabled patients to have more physical activity with statistical significance (P<0.01). Namely, the sample in the group 2 that received the physical activity prescription without a follow-up had an increase of a moderate level of physical activity averagely 21,78 minutes per week and the sample in the group 3 that received the physical activity prescription with a weekly follow-up had an increase of a moderate level of physical activity averagely 48.93 minutes per week. 2) The use of the physical activity prescription would give a better effect with statistical significance (P<0.01) when a follow-up was available. The follow-up affected patients to have more physical activity than without the follow-up, 27.15 minutes per week. 3) The use of the physical activity prescription enabled patients to get more physical activity but not sufficient. The sample in the group 2 that received the physical activity prescription without a follow-up had a moderate level of physical activity averagely 81.05 minutes per week and the sample in the group 3 that received the physical activity prescription with a weekly follow-up had a moderate level of physical activity averagely 104.54 minutes per week. The suggestion from the study was to enable a physical activity prescription to affect patients to have sufficient physical activity, physicians who make an order or write a physical activity prescription should emphasize patients to strictly do physical activities, increase patient awareness of benefits of doing physical activities, and improve a model of follow-up and a tool used to record physical activities to be easier for using so that patients can know their levels of physical activities in each week. Besides, environmental support should be added such as creating a role model person who has sufficient physical activities, gathering a group of physical activities, or asking family members to help stimulate physical activities.