DEVELOPMENT OF HEALTH LITERACY MODEL ON LABORATORY RESULTS AND SELF-CARE BEHAVIORS AMONG ELDERLY WITH CHRONIC DISEASES IN THE 9th REGIONAL HEALTH

Abstract

This research aimed to develop and test a health literacy model on laboratory results for improving self-care behavior of the elderly with chronic diseases in the 9^th Regional Health by using Don Nutbeam concept divided into three phases. First Phase: The study of problems and development health literacy model on laboratory results for improving self-care behavior of the elderly chronic disease which was carried out by questionnaires of 372 people and interviewed with 8 chronic disease clinical practitioners. Second Phase: Using health literacy model on laboratory results of 35 people purposive sample group.  There were five learning bases workshops between September 1 to November 30, 2020. Third Phase: Evaluation of the health literacy model on laboratory results for improving the self-care behavior of the elderly with chronic diseases, Data were analyzed with Repeated ANOVA and MANOVA. The research results were as follows: 1) Access skill to information at excellent level 2) Cognitive skill at excellent level 3) Interrogation skill at excellent level 4) Decision skill at excellent level 5) Behavior change skill at excellent level. The self-care behavior were 5.1) Exercise at good level; 5.2) Diet and nutrition at medium level; 5.3) Emotional at medium level; 5.4) Smoking and drinking at good level. 6) Telling skill at good level. After using the model and follow-up period, the elderly with chronic diseases had health literacy on laboratory result increased statistically significantly at level of 0.05. The clinical practitioners and the elderly with chronic disease were satisfied with the health literacy model at an excellent level. The responsible agencies should be encouraged the clinical practitioners to manage the Heath literacy model on laboratory results for changing self-care behavior of the elderly with chronic diseases.