ผลการพัฒนาระบบการฟื้นฟูสมรรถภาพปอดของผู้สูบบุหรี่ที่ทำงานในส่วนราชการ ที่เข้ารับบริการในคลินิกคนไร้ควัน โรงพยาบาลโกสุมพิสัย

Abstract

Abstract   

            This action research aimed to1) studied about the situation of behaviors of government employeesin Kosum Phisai District2) developed system of pulmonary rehabilitation program and 3) Evaluated the effectiveness of the developed system. The study employed a participatory action research design, conducted over two cycles, each comprising three phases: situation analysis, development of intervention strategies using the 4-step cycle of planning, acting, observing, and reflecting as proposed by Kemmis & McTaggart, and evaluation. The instruments included interview questionnaire, fagerstrom test for nicotine dependence interview questionnaire. Equipmemt were spirometry, apply blow bottle and lemon. Descriptive statistic and Wilcoxon signed rank test used to analysed. The result indicated that the smoker usually smoke before work in the morning,after meal and when they had party and social interaction. The pulmonary physical therapy for smoker were 3P (pao, pun, preaw : Pao = breathing exercise, Pun = aerobic exercise, Preaw = sour from lemon) apply with 5 A (Ask, Advise, Assess, Assist, Arrangement follow up). The study reviewed that the program of pulmonary rehabilitation cannotimprove pulmonary function but can reduce nicotine addict significantly. Futhermore 3P (pao, pun, preaw) were theorther choice to treat and help the smoker cessation.     

Keywords : smoker cessation nicotine cigarette