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Journal of Health Science and Community Public Health
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2651-1193
Published by Khon Kaen University Homepage  [11 journals]
  • The effectiveness of treatment with physical therapy exercise using
           Shoulder Wheel in patients with persistent shoulder

    • Authors: ณัชกานต์ อินต๊ะรินทร์, สาโรจน์ ประพรมมา
      Pages: 1 - 14
      Abstract: This quasi experimental research aimed to examine effectiveness of physical therapy conjugated with shoulder wheel Exercise among patients with frozen shoulders. Thirty patients of Phakdie Chumphol hospital, Chaiyaphum province were recruited in this study. The pain score questionnaire was used for pain assessment and the goniometer was employed to measure degree of the shoulder movement. Data were collected 5 times: before engaging in the programme and four times (once a week for four weeks) after joining the programme. Data were analysed by repeated measure ANOVA. The average pain score of the patients before starting the programme was 7.83 (95%CI: 7.51, 8.15). After participating in the programme for four weeks, the average score was decreased to 0.73 (95%CI: 0.41, 1.05). The average degree of shoulder movement increased from 130.30 (95%CI: 125.36, 135.24) before joining the programme to 176.67 (95%CI: 171.73, 181.60) after four-week programme participation. The pain and the degree of shoulder movement before and after engaging in programme were statistically significant, respectively. Physical therapy and exercise with the shoulder wheel can effectively reduce pain and successfully increase shoulder movement among patients with frozen shoulder. This study suggested that this conjugated programme could be an alternative option for shoulder pain treatment, and it should be promoted for patients’ self-care.
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
  • The development of the homebound patient and bedbound patient care system
           in Tambon Nong Bou Amphoe Moung Nong Bua Lamphu Province

    • Authors: ประหยัด ธุระแพง, ปุริมพรรษ มหาเสนา, เรืองศิริ ภานุเวศ, ศิริรัตน์ อินทรเกษม
      Pages: 15 - 29
      Abstract: The purposes of this participatory action research were 1) to develop care system for homebound and bedbound patients living in Nong Bou sub-district, Mueang District, Nong Bua Lamphu and 2) to monitor effectiveness of this developed care system. Thirty-five homebound and bedbound patients with Barthel ADL Index ≤11 points were included in this study. Participants’ demographic data were collected and presented by descriptive statistics. After implemented this new care system, data were analysed by dependent t-test (paired t-test). Findings showed that average age of bedbound and homebound patients was 63.3 years old (SD=22.5). The majority of bedbound patients (65.7%) were being elderly. Four main activities to develop the care system for homebound/bedbound system included developing the practical guideline, managing patient database system, setting family care team and building community partnership system. After applying these activities, Barthel ADL Index of participants were increased 2.6 points (95%CI: 1.4 – 3.6, p<0.001). In 11 patients (31.4%), complications mainly from urinary tract infections and pneumonia were decreased (p=0.005) significantly.
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
  • Knowledge and attitude associated with preventing behavior for Hand Food
           and Mouth disease by parents of pre-school children In Banmo Tambon, Banmo
           District, Saraburi province

    • Authors: ศิริรัตน์ ปานโต, อมรศักดิ์ โพธิ์อ่ำ
      Pages: 30 - 40
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
  • Administrative Factors and Administrative Process Associated with
           Practicing for Epidemiology Surveillance among Health Personnel in Health
           Promotion Hospital, Songkhla Province

    • Authors: สมโภช ยอดดี, อมรศักดิ์ โพธิ์อ่ำ
      Pages: 41 - 54
      Abstract: This descriptive research aimed to study administrative factors and administrative process associated with practicing for epidemiology surveillance among health personnel in Health promotion hospital, Songkhla Province. Population was 175 health personnel responsible for epidemiology surveillance in Tambol health promoting hospitals in Songkhla province, in fiscal year 2018. Participants were 132 cases calculated by Daniel formula and systematic random sampling was determine to select the participants. Data were collected by questionnaires which composed of: parts 1 characteristic of participants; part 2 administrative factors; part 3 administrative processes; and part 4 epidemiology surveillance practice. Validity of questionnaire was checked by 3 experts and reliability of questionnaire was tested by Cronbach alpha coefficient = 0.975. Pearson product moment correlation coefficient was used to analyze the data. The results showed that the administrative factors including man, money and material had mean score with high level ( =2 .81, S.D.=0 .39), and the administrative process including planning, organizing, directing, co-ordination and reporting had mean score with high level ( =2 .9 2 , S.D.= 0.2 7 ). Moreover, epidemiology surveillance practice including collection of data, consolidation and presentation, data analysis and interpretation, as well as dissemination of Information had mean score with high level ( =2.88, S.D.=0.33). Regarding the analyzing of association, it was found that the administrative factors and the administrative process associated with practicing for epidemiology surveillance among health personnel in Tambol health promoting hospitals in Songkhla Province with statistic significant (r =0.235, P-value=0.007, r=0.245, P-value=0.005, respectively).
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
  • Health Problems in Working among the Agriculture Informal Workers in Ban
           Mab Krad, Mab Krad Sub-District, Phra Thong Kham District,
           Nakhon-ratchasima Province

    • Authors: อนัญญา วุฒิพงศ์เดชา, เทพไทย โชติชัย
      Pages: 55 - 70
      Abstract: This descriptive study aimed to study health problems and association between working behaviors and working conditions and also between threats of working and health problems of 110 agriculture Informal workers. Data were collected by using questionnaires and analyzed by frequency, percentage, mean, median, standard deviation, interquartile range, minimum, maximum and also Pearson Product Moment Correlation Coefficient and Spearman Correlation Coefficient. The results found that most of workers had health problems from their working at low level (72.7%) which their health problems included low back pain and waist pain (78.3%), tiredness from heat (70.9%) and hands, wrists, fingers pain (67.3%). The correlation analysis found that behavioral health and working conditions of the participants was negatively correlated at moderate level to health problems from working with statistical significance (rs = -0.35, p-value<0.001). The threats of physical functioning, chemical and biological aspects of ergonomics had positive correlation at moderate level to health problems from working with statistical significance (rs = 0.48, p-value<0.001; rs = 0.45, pvalue< 0.001; rs = 0.39, p-value<0.001 and rs = 0.48, p-value<0.001, respectively). Regarding the psychosocial threats, there was a positive correlation at low level with health problems from working with statistical significance (r= 0.19, p-value = 0.04). This study suggests that health surveillance, caring of occupational health for reducing risks of illness and injury should be concerned in order to improve quality of the work among working farmers.
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
  • The Development of Gagne’s model with blended learning to improve
           achievements for emergency medical technician students in the topic mother
           and neonatal care in normal and emergency delivery

    • Authors: วรางคณา ชมภูพาน
      Pages: 71 - 85
      Abstract: This research aimed to: 1) develop learning course of Gagne’s model with Blended learning for Emergency medical technician students in the topics of mother and neonatal care in normal and Emergency delivery; 2) compare achievements of students’ learning; and 3) assess the satisfaction of learning in Gagne’ s model with Blended learning. The research design was divided into two phases: 1) model development; and 2) model validation of the Gagne’s model with Blended learning. The first phase used survey study and documentary analysis. In this phase, the samples included 4 Emergency medical technician instructors and 30 Emergency medical technician students in the academic year of 2017. The results of this phase found that the instructors mostly used “Lecture and Handout” as the major teaching materials for teaching. The second phase was model validation of the Gagne’s model with Blended learning, including two steps, step one: internal validation checked by 3 experts (content, curriculum & instruction and evaluation); and step two: external validation (index of Item objective (IOC)=0.75 and reliability=0.82) conducted by using action research in one group pre-posttest design. This phase was conducted in 30 students who enrolled in the first semester of the academic year of 2018 (September – December 2018). The research instruments included pre-posttest assessments and questionnaires. The statistics used in analysis were percentage, mean, standard deviation (S.D.) and Paired t-test. The results revealed that: 1) the development of Gagne’s model with Blended learning in the topic mother and neonatal care in normal and Emergency delivery consisted of five main learning components, including principle, objective, content, process of learning (divided into two steps: preparation of teaching and implementation of teaching covering 9 steps of Gagne’ s model) and evaluation; 2) learner’ s learning post-test achievements were greatly improved than pre-test indicated by mean difference 4.89 (95% CI: 4.33-5.46) and statistical significance (p<0.001); and 3). the students’ satisfaction of developed teaching course was at a high level.
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
  • Factors Effecting to Prevention of Complication’ Diabetic Mellitus Among
           Diabetic Mellitus Type 2 at Public Health Center 2, Division of Public
           Health and Environment, Nakhon Sawan Municipality

    • Authors: รัชนี ปลั่งกลาง
      Pages: 86 - 101
      Abstract: This descriptive research aimed to study factors affected to prevention of complication of diabetic mellitus type 2 patients. Population was 131 diagnosed as the diabetic mellitus type 2 patients who had fasting plasma glucose higher than 140 mg/dl and registered in the Public Health Center 2, Division of Public Health and Environment, Nakhon Sawan Municipality, in fiscal year 2017. Participants were 113 cases calculated by using Daniel formula and were selected by systematic random sampling. Questionnaires were employed to collect data which composed of 5 parts including characteristics of participants, heath service system, health perceptions, cue to action factors and prevention of complications’ diabetic mellitus. In addition, to check questionnaire standardization, validity was checked by 3 experts and reliability was tested by using Cronbach’s coefficient alpha (=0.962). Pearson product moment correlation coefficient and Stepwise multiple regression analysis were used to analyze the data. The results revealed that marital status, average of income per month, health insurance, health service system, health perceptions and cue to action had positive association with prevention of complications with statistic significant level of 0.05. Moreover, age group had significantly negative association with the prevention of complications ( p-value=0.043) . Prediction model analyzed reported that overall selected factors had accounting for 40.10%. The three selected factors including cue to action, accessibility of health care center and referral system, and average income per month still significantly predicted the prevention of complication of the patients. The influent factors received from this study can be modified and developed to be a model for preventing complications of diabetic mellitus type 2 patients registered in the Public Health Center 2, Division of Public Health and Environment, Nakhon Sawan Municipality. In addition, follow up, patient appointment for continuous health checking, offering health promotion activities, encouraging proper health perceptions in using self-help and sharing groups, and also promotion of self-efficacy and self-management should be concerned and provided for diabetic mellitus type 2 patients.
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
  • Life style and Accessibility to health care services associated with
           longevity and healthy among elderly population in Loei Province

    • Authors: วันเพ็ญ แก้วสีโส, กิตติ ประจันตเสน
      Pages: 102 - 114
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
  • The Development of Synergetic Outpatient Services System in Reducing the
           Incidence of Patient Arrest in the Outpatient Department at Nakornping
           Hospital, Chiang Mai Province

    • Authors: ปิยะเนตร ทาจวง, ชูศักดิ์ ยืนนาน
      Pages: 115 - 130
      Abstract: The study of the development of synergetic outpatient services system to reduce the incidence of outpatient services was carried out in the outpatient department at Nakornping Hospital, Chiang Mai Province. This study aimed to develop a synergetic model of outpatient services in reducing the incidence of cardiopulmonary arrest at Outpatient Department. The Deming cycle circuit for developing the system in conjunction with a thematic analysis was employed in this study. In addition, the cardiac risk assessments for patient arrest by implementing procedures to reduce the incidence of cardiac arrest were used in this study. Participants consisted of the head of the outpatient department, nurses and outpatient care workers. Research tools included 1) group discussion and brainstorming sessions and 2) the risk assessment tool for respiratory arrest and cardiac arrest. The Likelihood ratios (LRs) were applied. The results revealed that 1) the Outpatient Service Model to reduce incidence of respiratory arrest and cardiac arrest at Nakornping Hospital, Chiang Mai province involved patient observing from the beginning of the service, zoning of risk patients, alertness of health staff in service, collaboration to assess and acceptance of participation and 2) the statistical analysis for evaluation accuracy or reliability of the risk assessment tool was considered by Likelihood ratio of positive at 11.59. The result shown the patients were evaluated by the assessment form had at least one symptom referred to the signs of cardiac arrest. The prediction is able to increase the chance of being as a crisis patient at 11.59 times compared to before the pre-test probability. While, likelihood ratio of negative test, the patients without symptoms may reduce the chance of becoming a critical patient to 0.52 times compared to before the assessment. According to the area under the ROC curve (AUC), it indicated that the assessment model can accurately predict the occurrence of the crisis of patients at 73.12 percent.
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
  • Developing Model for the Prevention of Volume Overload of End Stage Renal
           Disease among Hemodialysis Patients in NongBua Lam Phu Hospital

    • Authors: สุภาพร ไชยวัฒนตระกูล
      Pages: 131 - 146
      Abstract: An action research aimed to study the developing model for the prevention of volume overload of end stage renal disease among hemodialysis patients in NongBuaLam Phu Hospital. Data collection was done between March to June 2018. Research outcomes showed that more than half of patients were female (59.60%), married 75.60%, highest education was junior secondary school level (48.40%), Civil servant was 35.50% and a median of salary was 15,000 Thai Baht. There were four steps in Model for the Prevention of Volume Overload. First is Self management reflection with behavior evaluation and health education by Hemodialysis nurses and Multidisciplinary team. Second, volume overload control goal. Third, behavior plan such as food consumption control, drinking water control, medicine intake control and weight control. Final is an evaluation step, not only weight will be investigated when patients come back for hemodialysis also volume overload control and struggles will be assessed by patients and their family members, more than that taking note of food consumption and appropriate volume overload management will be supported by profession team. After participate the new model, patients can control their volume overload better than the past around 38.46%. Quality of life was appeared in a moderate level ( X ± S.D. :63.11 ± 13.26). In term of satisfaction dimension, patients and families were at the high level ( X ± S.D. :4.71 ± 0.34) and profession team was at the high level ( X ± S.D. :4.06 ± 0.31) Encouraging and raising ways will be continue for patients and families understand especially an insignificant volume overload control. This successful solution will sustain a normal volume.
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
  • Health Literacy and alcohol consumption in senior secondary school
           students, Chaiyaphume Province

    • Authors: ฝนทิวา โคตรนาลา, ลาพึง วอนอก, วรรณศรี แววงาม, สุกัญญา ฆารสินธุ์, กฤชกันทร สุวรรณพันธุ์
      Pages: 147 - 163
      Abstract: A descriptive cross-sectional study aimed to expressive alcohol consumption problem, health literacy and alcohol consumption in senior secondary school student, Chaiyaphume Province. 349 participants were recruited by a systematic random sampling and collected data via questionnaires. Results of the study be presented as mean, standard deviation, median, minimum and maximum. Study outcomes illustrated that more than half of students ingested alcohol (58.4%). Girls participated close to double of boys (1.9:1). Age average was 16.48 years, maximum was 18 years and minimum was 14 years. Most of members were highest senior students who were supported living cost from their parents (58.10%) and more than half (56.73%) were support monthly less than 3,000 Thai baht. One-third (31.52%) of family salary was between 10,000 – 19,999 Thai baht. Turn to health literacy; knowledge dimension was presented in high level (49.28%), health service and health data accessibility was moderate rate (39.26%), communicable skills were moderate rate (49.00%), decision making was moderate rate (41.83%) and heal management dimension was moderate rate (5.87%) Suggestion: An appropriate alcohol consumption campaign and adequate activities such a music plying and any sport should be arranged for students who were high alcohol consumption group.
      PubDate: 2018-12-27
      Issue No: Vol. 1, No. 2 (2018)
       
 
 
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