ผลของรูปแบบการพยาบาลโดยส่งเสริมการมีส่วนร่วมของครอบครัว ต่อผลลัพธ์ทางคลินิก ของผู้ป่วยเด็กโรคปอดอักเสบ ในหอผู้ป่วยกุมารเวชกรรม   โรงพยาบาลสันป่าตอง  จังหวัดเชียงใหม่

Waraporn Numsri

Authors

Waraporn Numsri Sapatong Hospital

Keywords:

pediatric pneumonia; family participation; caregiver knowledge; caregiving ability; pediatric nursing

Abstract

Background: Pediatric pneumonia is a significant health problem associated with morbidity and hospital readmission, particularly when caregivers lack adequate knowledge and caregiving skills. Promoting family participation is therefore considered an important strategy for improving the quality of care. This study aimed to examine the effects of a family participation-enhancing nursing model on caregivers’ knowledge, caregiving ability, and clinical outcomes of pediatric patients with pneumonia.

Methods: A quasi-experimental two-group pretest–posttest design was conducted. The sample consisted of 60 pairs of pediatric patients aged 1 month to 5 years and their primary caregivers, divided into a control group and an experimental group (30 pairs each). The experimental group received the developed nursing model. Data collection tools included a knowledge test, a caregiving ability assessment, a family participation assessment, and a clinical record form. Data were analyzed using descriptive statistics and inferential statistics, including paired samples t-test, independent samples t-test, Chi-square test, and Fisher’s exact test.

Results: After the intervention, both groups showed significant improvements in knowledge and caregiving ability (p < .001). Based on change scores, the experimental group demonstrated significantly greater improvements than the control group in all outcomes: knowledge (95% CI: −2.67 to −1.19; p < .001), caregiving ability (95% CI: −2.58 to −0.49; p = .005), and family participation (95% CI: −3.91 to −1.69; p < .001), with large effect sizes. However, no significant differences were found in clinical outcomes, including length of hospital stay, HFNC use, ICU admission, and 28-day readmission (p > .05).

Conclusion: The family participation–based nursing model significantly improved caregivers’ knowledge, ability, and participation. Although no significant differences in clinical outcomes were observed, the positive trends suggest the potential effectiveness of this care model.

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