ผลของโปรแกรมสื่อวีดีทัศน์ช่วยสอนต่อความรู้และการปฏิบัติตัวในการเตรียมตรวจสมรรถภาพปอดของผู้ป่วยที่มารับการตรวจเพื่อวินิจฉัยโรคระบบการหายใจ โรงพยาบาลตติยภูมิในเขตเมือง

Tanunporn Phumee; Mullika Chuprayoon; kampon Introntakun; Siwadol Sunhapanit

Authors

Tanunporn Phumee Department of Nursing, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
Mullika Chuprayoon Department of Nursing, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
kampon Introntakun Department of Nursing, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
Siwadol Sunhapanit Department of Internal Medicine, Faculty of Medicine Vajira Hospital, Navamindradhiraj University

Keywords:

Video-assisted instructional program, Knowledge, Preparatory practices, Pulmonary function testing, Patients undergoing diagnostic evaluation for respiratory diseases

Abstract

This two-group pretest-posttest quasi-experimental study aimed to compare knowledge and preparatory practice scores for pulmonary function testing within and between groups. The sample consisted of 50 patients undergoing diagnostic evaluation for respiratory diseases, selected by purposive sampling and equally assigned to a control group and an experimental group, with 25 participants in each group. The experimental group received a video-assisted instructional program via the LINE application for 4 weeks, while the control group received standard care. The research instruments included a demographic questionnaire, a knowledge assessment, and a preparatory practice assessment. Data were analyzed using descriptive statistics. Baseline characteristics between groups were compared using the Chi-square test, Fisher’s exact test, and independent t-test. Knowledge and practice scores before and after the intervention within each group were compared using the dependent t-test, while comparisons between the control and experimental groups were performed using the independent t-test.

The results showed that: For within-group comparisons, the experimental group’s mean knowledge score increased from 12.60 (S.D. = 3.03) to 15.60 (S.D. = 1.87), and the mean practice score increased from 1.71 (S.D. = 0.29) to 2.44 (S.D. = 0.26), with statistically significant differences (t = -5.16 and -7.53, respectively; p<0.001). In contrast, the control group showed no significant differences in either outcome before and after the study (p = 0.831 and 0.606, respectively). For between-group comparisons, there were no significant differences in either outcome between the two groups at baseline (p = 0.918 and 0.849, respectively). After the intervention, the experimental group had a significantly higher mean knowledge score than the control group [15.60 (S.D. = 1.87) vs. 12.81 (S.D. = 3.00); t = -3.90, p<0.001] and a significantly higher mean practice score [2.44 (S.D. = 0.26) vs. 1.75 (S.D. = 0.36); t = -7.75, p<0.001]. The findings support the use of the video-assisted instructional program to enhance patients’ knowledge and preparatory practices for pulmonary function testing.

References

Saiphoklang N, Ruchiwit P, Kanitsap A, Tantiyavarong P, Vatcharavongvan P, Palungrit S, et al. Prevalence of chronic obstructive pulmonary disease and asthma in the community of Pathumthani, Thailand. Diseases. 2025;13(5):130. doi: 10.3390/diseases13050130.

Delavar MA, Jahani MA, Sepidarkish M, Alidoost S, Mehdinezhad H, Farhadi Z. Relationship between fine particulate matter (PM2.5) concentration and risk of hospitalization due to chronic obstructive pulmonary disease: a systematic review and meta-analysis. BMC Public Health. 2023;23(1):2229. doi: 10.1186/s12889-023-17093-6.

Chen P, Li Y, Wu D, Liu F, Cao C. Secondhand smoke exposure and the risk of chronic obstructive pulmonary disease: a systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis. 2023;18:1067-76. doi: 10.2147/COPD.S403158.

Sukhon D. The model for finding new tuberculosis patients in the community by X-Ray mobile with artificial intelligence; AI, Health Region 4. Journal of Medical and Public Health Region 4. 2025;15(2):154-66. (in Thai).

Barkous B, Briki C, Boubakri S, Abdesslem M, Ben Abbes N, Ben Hmid W, et al. Routine pulmonary lung function tests: interpretative strategies and challenges. Chron Respir Dis. 2024;21:14799731241307252. doi: 10.1177/14799731241307252.

Graham BL, Steenbruggen I, Miller MR, Barjaktarevic IZ, Cooper BG, Hall GL, et al. Standardization of spirometry 2019 update. An official American Thoracic Society and European Respiratory Society technical statement. Am J Respir Crit Care Med. 2019;200(8):e70-e88. doi: 10.1164/rccm.201908-1590ST.

Alavi Foumani A, Alavi Foumani SA, Attarchi M, Etemadi Deilami A, Majlesi B, Ildari S, et al. Quality of spirometry tests in the field of occupational health. BMC Res Notes. 2024;17(1):11. doi: 10.1186/s13104-023-06671-x.

Musalli AM, Alshehri WA, Alfawzan KMA, Aljizany MAM, Almalki AJD, Alqahtani DAD, et al. A review of respiratory system diseases: causes, symptoms, and treatments. Migration Letters. 2022;19(S8):103-13.

Campos-Rodríguez F, Chiner E, de la Rosa-Carrillo D, García-Cosío B, Hernádez-Hernández JR, Jiménez D, et al. Respiratory pathology and cardiovascular diseases: a scoping review. Open Respir Arch. 2025;7(1):100392. doi: 10.1016/j.opresp.2024.100392.

Haynes JM, Kaminsky DA, Ruppel GL. The role of pulmonary function testing in the diagnosis and management of COPD. Respir Care. 2023;68(7):889-913. doi: 10.4187/respcare.10757.

Agusti A, Ambrosino N, Blackstock F, Bourbeau J, Casaburi R, Celli B, et al. COPD: providing the right treatment for the right patient at the right time. Respir Med. 2023;207:107041. doi: 10.1016/j.rmed.2022.107041.

Dogru S, Aytac S, Al-Haithamy SAA, Ovayolu O, Sezgi C, Taylan M, et al. Impact of pre-test information on patient compliance with the spirometry protocol: a randomized controlled clinical trial. Eur Rev Med Pharmacol Sci. 2023;27(20):9754-61. doi: 10.26355/eurrev_202310_34147.

Kaewrat P, Chokbumrung K. A study of knowledge, attitudes, practices, and pulmonary function among patients with chronic obstructive pulmonary disease treated at Maharat Nakhon Ratchasima Hospital. Research and Development Health System Journal. 2021;14(3):13-28. (in Thai).

Laohavich C, Choothakan S, Tiparaj B. Effect of educational information with video compact disc on anxiety level of patients undergoing bronchoscopy. Nurs Res Inno J. 2017;23(2):195-207. (in Thai).

Tangsuppattakul U, Anantariyakul C. Effects of video media on preparation of patients receiving anesthesia for one-day surgery and minimally invasive surgery at the pre-anesthetic evaluation clinic, Phaholpolpayuhasena Hospital, Kanchanaburi Province. Phaholpolpayuhasena Hospital Journal. 2023;11(33):5-16. (in Thai).

Deelertpipatkul N, Boontham J. The effects of VDO media usage for pre and post-operative preparation on the knowledge and satisfaction of patients with cardiac implantable electronic devices. Vajira Nursing Journal. 2023;25(2):1-16. (in Thai).

Kurathong S. Urban medicine. Vajira Medical Journal: Journal of Urban Medicine. 2016;60(1):1-4. (in Thai).

Orem DE, Taylor SG, Renpenning KM. Nursing: concepts of practice. 6th ed. St. Louis, MO: Mosby; 2001.

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.

Cohen J. A power primer. Psychol Bull. 1992;112(1):155-9. doi: 10.1037/0033-2909.112.1.155.

Burns N, Grove SK. The practice of nursing research: conduct, critique, and utilization. 5th ed. St. Louis, MO: Elsevier Saunders; 2005.

Polit DF, Hungler BP. Nursing research: principles and methods. 6th ed. Philadelphia: Lippincott; 1999.

Bloom BS, Hastings JT, Madaus GF. Handbook on formative and summative evaluation of student learning. New York: McGraw-Hill; 1971.

Best JW. Research in education. 3rd ed. Englewood Cliffs, NJ: Prentice-Hall; 1977.

Changsieng P, Pichayapinyo P, Lagampan S, Lapvongwatana P. Implementation of self-care deficits assessment and a nurse-led supportive education program in community hospitals for behavior change and HbA1c reduction: a cluster randomized controlled trial. J Prim Care Community Health. 2023;14:21501319231181106. doi: 10.1177/21501319231181106.

Kamkhiew R, Seemanee S. Effects of a self-management promotion program using the LINE application on knowledge and chronic kidney disease prevention behaviors among risked patients. Journal of Nursing and Education. 2025;18(2):e273006. (in Thai).

Tom K, Phang PT. Effectiveness of the video medium to supplement preoperative patient education: a systematic review of the literature. Patient Educ Couns. 2022;105(7):1878-87. doi: 10.2196/51573.

Wasim AS, Choudri MJ, Saidani Z, Khan AM, Siddiqui RS, Ridha A, et al. The effect of video-assisted learning on pre-operative knowledge and satisfaction for total knee arthroplasty surgery: a randomised-controlled study. J Orthop Surg Res. 2024;19(1):592. doi: 10.1186/s13018-024-04974-8.

Güçsav MO, Polat G, Serçe Unat D, Bayramiç E, Dikmentepe Yılmaz ES. Determining factors affecting the acceptability of spirometry: a survey study in a tertiary chest diseases center. Tuberk Toraks. 2023;71(3):273-80. doi: 10.5578/tt.20239708.