THE DEVELOPMENT OF AN EMPOWERMENT PROMOTING MODEL IN COLORECTAL CANCER PATIENTS UNDERGOING CHEMOTHERAPY

Abstract

          The purposes of this research were to 1) study situation of care for colorectal cancer patients receiving chemotherapy, 2) develop the pattern of an empowerment promoting model in colorectal cancer patients receiving chemotherapy, and 3) study the effectiveness of an empowerment promoting model in colorectal cancer patients receiving chemotherapy in Jainadnarendra Hospital. The research was divided into 3 steps including; Situation study, Model developing and study the effectiveness of model. The purposive sampling technique was applied for sample group. Participants were Doctors and nurses at chemotherapy unit 10 persons and 50 colorectal cancer patients receiving chemotherapy. The research instrument used were a focus group discussion guideline, an empowerment promoting model and questionnaire of quality of life. Quality data analysis by content analysis and summarize. Quantitative data were analyzed by using frequency distribution, percentage, mean, standard deviation and Pair t-test. Research result, in situation study stage found there are no clear care plans and activities for empowerment and patients have poor quality of life, this study found a model for colorectal cancer patients receiving chemotherapy was empowerment promoting program. It consisted of 4 activities: 1) discovering reality, 2) critical reflection, 3) taking charge, and 4) holding on. The result after using this model, the experimental group had quality of life higher than before using the model and higher than control group with statistical significance (p < .01).