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Journal of Health Science Research
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  • The effect of a perceived self-efficacy promotion program on breastfeeding
           behaviors among adolescent first-time mothers

    • Authors: Sumalee Thongsaunsom, Natthapat Buaboon
      Pages: 1 - 12
      Abstract: Background: Most pregnant teenagers are at increased risk of breastfeeding problems due to a lack of knowledge, experience, and confidence in breastfeeding ability.     Objectives: The objective of this study was to examine the effects of a perceived self-efficacy promotion program on the breastfeeding behaviors of adolescent mothers with their first child. Methods: This quasi-experimental research study involved 50 adolescent first-time mothers who received antenatal care and delivered it at a hospital in the central region. The sample was  selected according to the inclusion criteria. Participants were randomly assigned to either the control group (n = 25) or the experimental group (n = 25) to receive the perceived self-efficacy promotion program. Data was collected using a perceived breastfeeding self-efficacy questionnaire with a Content Validity Index of 1.0 and a Cronbach's alpha coefficient of. 91. Descriptive statistics and a T-test were used to examine them. Results: The study found that the experimental group's mean score of breastfeeding behavior after participating in the perceived self-efficacy promoting program was statistically significantly higher than that of the control group before receiving the program (p < 05). When the mean scores of breastfeeding behavior before and after participation in the program were compared, it was discovered that the experimental group had a higher mean score of behaviors than the control group, with a statistically significant difference (p < 05). Conclusions: Perceived self-efficacy promotion programs can help adolescent mothers develop appropriate breastfeeding behavior.
      PubDate: 2021-12-30
      Issue No: Vol. 15, No. 3 (2021)
       
  • Effectiveness of a behavior modification program combined with family
           participation on smoking behavior of nicotine dependent patients with
           schizophrenia

    • Authors: Noppussorn Wises, Phatcharaphan Chaiyasung, Pornpirom Lhongsap, Rutshaporn Sridet
      Pages: 13 - 24
      Abstract: Background: Smoking cessation behavior modification can help patients with schizophrenia live a normal life by reducing smoking-related morbidity and disease relapse. Objectives: This study aimed to examine the effectiveness of a behavior modification program combined with family participation on the smoking behavior of nicotine-dependent patients with schizophrenia. Methods: This quasi-experimental study with a pretest-posttest control group design involved nicotine-dependent patients with schizophrenia in a community hospital, who were randomly enrolled without replacement. The experimental group consisted of 30 participants, while the control group consisted of 30 participants. The research instruments included a smoking behavior change program along with family member participation, the Fagerstrom Test for Nicotine Dependence, a self-efficacy questionnaire, and a smoking behavior questionnaire. The data were analyzed using descriptive statistics and a t-test.   Results: Nicotine dependence in the experimental group was significantly lower (p< .05) after participation in the program than before. In addition, after participating in the program, participants' intentions to quit smoking were significantly higher (p<.05) than before the program. Conclusion: The program could help nicotine-dependent patients with schizophrenia to reduce and quit smoking.
      PubDate: 2021-12-30
      Issue No: Vol. 15, No. 3 (2021)
       
  • Health literacy and disease and hazard prevention behaviors of Thai people

    • Authors: Prawech Chumkesornkolkit, Niranta Chaiyapan, Sujittra Boonkra, Chakkrit Ponrachom
      Pages: 25 - 36
      Abstract: Background: The Disease Control Department of the Ministry of Public Health has prioritized health literacy as a cognitive and social skill that enables people to develop behaviors to avoid diseases and health hazard. Objectives: To investigate the level of health literacy, disease and health hazard prevention behaviors, and the relationship between health literacy and disease and health hazard prevention behaviors of the Thai population in 2020. Methods: A cross-sectional study was conducted on 5,202 Thai people aged 18 years and older using a multi-stage random sampling technique. The research instruments consisted of a health literacy questionnaire, and a disease and health hazard prevention behavior questionnaire. The reliability coefficients of the two questionnaires were .85 and .85, respectively. The data were analyzed using descriptive statistics and the Pearson’s correlation coefficient. Results: Most Thais people had a moderate level of overall health literacy and a good level of overall disease and health hazard prevention behaviors. Health literacy was positively correlated with disease and health hazard prevention behaviors at a moderate level with statistical significance at the .05 level. Conclusions: The overall health literacy of the majority of the Thai population remained at a moderate level. In particular, health literacy was abundant in the area of ​​questioning skills with a low level of literacy. Therefore, it is important to prioritize the development of questioning skills for raising the level of health literacy which will lead to an improvement of disease and health hazard prevention behaviors.
      PubDate: 2021-12-30
      Issue No: Vol. 15, No. 3 (2021)
       
  • The structural factors of self-regulating medication adherence among the
           elderly at Elderly Schools in Chonburi Province

    • Authors: Orarat Wangpradit, Chalalai Chokdeesrijun, Kamolnut Muangyim, Decha Wannapahul
      Pages: 37 - 47
      Abstract: Background: Self-regulating medication adherence is important, especially among the elderly suffering from non-communicable diseases (NCDs). In the COVID-19 pandemic situation, health services are limited. The study of structural factors of self-regulating medication adherence will, therefore, reveal overall relating factors of self-regulating medication adherence in order to plan for effective education in medication use for the elderly. Objective: To investigate the concordance of the structural factors of self-regulating medication adherence among the elderly at elderly schools in Chonburi province. Methods: The sample was composed of 147 elderly people in elderly schools in Ban-Suan Municipality who had been diagnosed with at least one NCD and had been receiving oral medication for at least one year. Data was collected using a questionnaire. The statistics used for data analysis were mean, percentage, and goodness-of-fit index.  Results: The goodness of fit index consisting of chi-square value  2 was 70.53 at p = .145 and the relative chi-square value (2/df) was 1.195. The comparative fit index (CFI), goodness-of-fit index (GFI), and root mean square error of approximation (RMSEA) were 0.958, 0.936 and 0.036, respectively. Conclusion: Factors affecting self-regulating medication adherence among the elderly  were knowledge and comprehension of NCDs and consequences of medication adherence; knowledge of medication check and proper storage; and attitude towards self-medication for additional medications, herbs and food supplements.
      PubDate: 2021-12-30
      Issue No: Vol. 15, No. 3 (2021)
       
  • The effectiveness of massage oil of YA KAD MON on knee pain

    • Authors: Kanokwan Yutthawichai, Vipaporn Sareedenchai
      Pages: 48 - 58
      Abstract: Background: YA KAD MON oil is an Ayurvedic medicine. Thai traditional medicine uses it to reduce knee pain. Objective: To investigate the efficacy of massage oil of YA KAD MON on knee pain Methods: This quasi-experimental study was conducted on patient with knee pain at Na Yai Am Hospital, Chanthaburi. Fifty subjects, 25-55 years old, were randomly divided into two groups. The first group was treated with YA KAD MON oil and compared with the group treated with Plai oil. Pain assessment was done using numerical rating scale with facial scale, physical examination for knee disease in Thai Traditional Medicine. Knee range of motion (ROM) was assessed using a Goniometer. For treatment, 1 ml of oil was massaged on the knees for 10 minutes every week up to 3 weeks. The results of physical examination were recorded to compare the results before and after treatment. The data before and after treatment were analyzed using dependent t-test. Independent t-test, and Chi-Square were used to compare the data between the two groups. Results: The treatment with YA KAD MON oil and Plai oil can reduce the subjects’ pain score, improve the knee motion (sign of four, bending the knee to touch the groin, the heel near the buttocks), reduce the degree of knee deformity, increase the degree of ROM (the knee flexion on the prone position), and reduce the stiffness of the patella and the noise in the knee joint. The results revealed that massages with YA KAD Mon oil relived knee pain and were as effective as massages with Plai oil statistical significance (p<.05). Conclusions: The YA KAD Mon oil can be considered as an alternative herbal medicine to Plai oil for the relief of knee pain.
      PubDate: 2021-12-30
      Issue No: Vol. 15, No. 3 (2021)
       
  • Application of the PEMEC strategy to strengthen community participation in
           for the care of dependent elderly in Srimuangchum sub-district Mae Sai
           District Chiang Rai Province

    • Authors: Pranee Chantima, Porntip Sareeso
      Pages: 59 - 70
      Abstract: Background: Long-term care (LTC) is for the care of dependent older people who require community network partners to provide sound and sustainable care. Objective: To drive and examine the effectiveness of community participation in LTC by comparing ADL scores, a mean score of community participation, and satisfaction. Methods: Participatory action research and the PEMEC strategy were used through the research consists of Public guidance, Educating, Marking ideas, Empowerment, and Collective agreement in the following four steps; 1) situation study, 2) model development, 3) action phase, and
      4) outcome evaluation. This research was conducted from December 2019 to July 2020.  The purposive sampling method was used throughout the study, with 124 participants from 1) the public sector, 2) the local government department, and 3) the health sector. The research instruments included the interview forms for participation, satisfaction, and opinions of the network partners. Data were collected through the interview and focus group discussion. The quantitative data were analyzed using descriptive statistics, and the qualitative data were analyzed using content analysis. Results: The study showed that the mean score of comprehensive engagement was significant (p<.001), that the score of satisfaction with participation was lower before the performance  than after the performance (p<.001), and the ADL score of the dependent elderly had increased after the performance. Conclusion: The PEMEC strategy was key to driving community engagement in LTC and improving activities of daily living in older people.
      PubDate: 2021-12-30
      Issue No: Vol. 15, No. 3 (2021)
       
  • Traditional Isan exercise on body balance among the elderly in a community

    • Authors: Worawut Chompoopan, Wichai Eungpinichpong, Warangkana Chompoopan, Saowaluk Seedaket, Duangruedee Chotklang, Varinthip Srikongphlee
      Pages: 71 - 82
      Abstract: Background: The number of aging population has been increased globally, including Thailand. As populations ages, their physiologically changes, resulting in discomfort, decreased balance, and risk of falls. Objectives: To investigate the results of applying traditional Isan exercise on body balance blood pressure and heart rate among the elderly in a community. Methods: This quasi-experimental study was conducted with the elderly living in a community in Khon Kaen. The study population was divided into two groups of 40 people each: the experimental group and the control group. The experimental group participated in the physical training for three months, while the control group continued their daily life without participating in the program. Pre and post-experimental data were collected using the Timed Up and Go Test (TUG), Functional Reach Test (FRT), paired t-test and independent t-test with a statistical significance (p < .05). Results: The experimental group showed improved TUG with 2.09 seconds faster (95%CI = 0.89 to 3.30) and improved FRT (95%CI = 3.70 to 6.25) with 4.98 centimeters longer, which were statistically significantly (p <.05) different from those of the counter group. Conclusion: The application of traditional Isan exercise could improve the body balance of the elderly and reduced blood pressure and heart rate.
      PubDate: 2021-12-30
      Issue No: Vol. 15, No. 3 (2021)
       
  • Perceptions and self-care experiences of patients with chronic kidney
           disease in the community

    • Authors: Suppaluk Thanirat, Matanee Radabur, Sujira Wichainrat, Winya Sumawan
      Pages: 83 - 94
      Abstract: Background: The perceptions and self-care experiences of patients with chronic kidney disease play crucial information in caring and delaying the progression of chronic kidney disease for patients. Objectives: To explore the meaning of chronic kidney disease and what it entails to be a patient with chronic kidney disease, and to explore the perceptions and self-care experiences of patients with chronic kidney disease in the community. Methods: This study was a phenomenological design. In-depth interviews were conducted with sixteen patients with chronic kidney disease. Purposive sampling was used to select the participants. Data were analyzed using Giorgi’s phenomenological method. Results: The patients perceived a meaning of chronic kidney disease in that it is caused by accumulation of drug leading to loss of kidney function. It is treated with dialysis and patients eventually die. The patients perceived who had chronic kidney disease based on laboratory results or information from their doctors. Five core themes emerged regarding self-care as a patient with chronic kidney disease emerged, including 1) causes of chronic kidney disease; 2) impairment of life; 3) self-care of patients with chronic kidney disease; 4) expectations of living with chronic kidney disease; and 5) healthcare support. Conclusions: Patients perceived the meaning of chronic kidney disease, what it entails to be a patient, and experienced self-care regarding chronic kidney disease in both positive and negative aspects. Therefore, accurate perception of chronic kidney disease should be created among patients. Patients should be helped to take proper care of themselves to reduce the progression of diseases.
      PubDate: 2021-12-30
      Issue No: Vol. 15, No. 3 (2021)
       
  • Effects of health literacy and food consumption behavior promotion program
           among over-nutrition novice monks in the general education section of
           Phrapariyattidham school, Chiang Mai Province

    • Authors: Sunisa Senawan, Waraporn Boonchieng, Warangkana Naksen
      Pages: 95 - 106
      Abstract: Background: Over nutrition is one of the health problems occurring in every age group. Novice monks are also facing this problem. Improving the health literacy of this group could lead to consumption behavior leading to prevention and solution of this over nutrition problem. Objectives: This study aimed to investigate the effects of the health literacy and food consumption behavior promotion program among over-nutrition novice monks in general education section of Phrapariyattidham school, Chiang Mai Province. Methods: This study was a two-group experimental pretest-posttest design. The subjects were the novice monks in grade 7-12, divided into two groups which were the experimental group (n=38) and the control group (n=38). The duration of health literacy and food consumption behavior promotion program was 8 weeks. There were 6 face-to-face activities. The instrument used for data collection was the questionnaire regarding health literacy and food consumption behavior. The health literacy scores within and between groups were analyzed using paired
      t-test, and independent t-test. Results: The results showed that after participating in the health literacy program, the experimental group had a significantly higher mean score of health literacy for over-nutrition prevention than the scores before participating in the health literacy program (p<.001) and that of the control group (p<.05). In addition, the mean scores of food consumption behavior between before and after participating in the program of the experimental group and the control group were not significantly different. Conclusions: This health literacy program resulted in an improvement in the health literacy of novice monks. However, food consumption behavior before and after attending the program were not significantly different. This could be due to some extrinsic factors that should be concerned in the further study.
      PubDate: 2021-12-31
      Issue No: Vol. 15, No. 3 (2021)
       
  • Factors related to dyspnea in patients with heart failure

    • Authors: Patmanee Taimpitak, Sunida Preechawong
      Pages: 107 - 119
      Abstract: Background: Dyspnea is a common symptom in patients with heart failure. Appropriate management congruent with age self-care, and social support could help patients manage dyspnea. Objective: This study aimed to examine the factors associated with dyspnea in patients with heart failure. Methods: The sample included 122 patients with heart failure who met the inclusion criteria from three tertiary care hospitals. Data were collected using a demographic questionnaire, illness perception questionnaire, attitudes control questionnaire, social support questionnaire, self-care questionnaire, and dyspnea questionnaire. The Cronbach’s alpha coefficients of the related variables were .70, .81, .82, .79, and .96 respectively. The data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient. Results: The results showed that the participants were male (66.4%)-and their average age were 52.25 years (SD=6.29). The mean score of dyspnea was at a low level (M=19.49; SD=23.88). Illness perception was positively statistically significant related to dyspnea in patients with heart failure (r = .336), while perceived control was negatively statistically significant related to dyspnea in patients with heart failure (r = -.291). Age, social support, and self-care were not significantly related to dyspnea in patients with heart failure (r = .067, -.070, and -.031, p<.05) respectively. Conclusions: Health care team should consider patients’ illness perception and perceived control when developing effective interventions for patients with heart failure. This will help patients reduce dyspnea.
      PubDate: 2021-12-31
      Issue No: Vol. 15, No. 3 (2021)
       
  • The effects of self-management on health behaviors and kidney function of
           patients with chronic kidney injury Stage 3

    • Authors: Wanwisa Sonjai
      Pages: 120 - 132
      Abstract: Background: Patients with chronic kidney function failure and kidney injury Stage 3 could be improved to Stage 2 or Stage 1 if they have appropriate self-management. Objectives: The aim of this study was to examine the effects of self-management on health behaviors and kidney function of chronic illness patients with chronic kidney injury Stage 3. Methods: A quasi-experimental study with a two-group pre-post-test design was used. The sample included diabetic and/or hypertension patients with chronic kidney injury Stage 3. Sixty patients were randomly assigned and divided into the experimental (n=30) and the control group (n=30) by match-paired age, sex, education, and period of diabetic and/or hypertension. The experimental group participated in self-management program for 12 weeks. Research instruments for data collection included personal data questionnaire, self-management behavior questionnaire and serum creatinine record. Data were analyzed using frequency, percentage, means, and standard deviation with independent t-test. Results: Health behavior and creatinine levels of the participants in the experimental group were better than those of the control group with the significance level of .05. Conclusions: The findings of this study suggest that patients with chronic kidney injury Stage 3 may be able to use self-management program to promote their health behaviors and eating, exercise and drug use behaviors to efficiently control their kidney function.
      PubDate: 2021-12-31
      Issue No: Vol. 15, No. 3 (2021)
       
  • Factors associated with the Quality of life among individuals with a lower
           limb prosthesis in Southern Thailand

    • Authors: Supachai Kaewdoung, Bhunyabhadh Chaimay, Somkiattiyos Woradet
      Pages: 133 - 145
      Abstract: Background: Lower limb amputation is a major loss, leading to disability and a significant health burden. Although amputees are provided with prostheses to return to daily life. It is undeniable that this affects many aspects, including quality of life. Objectives: To determine the level of quality of life (QOL) and factors associated with QOL in persons with lower limb prostheses (LLP). Methods: Analytic cross-sectional study with 315 people who visited public health services in southern Thailand. The sample was selected using the cluster sampling method. Data were collected using questionnaires, the World Health Organization of Quality of Life – Brief – Thai (WHOQOL-BREF-THAI) version. The data were analyzed using descriptive statistics. Multiple logistic regression analysis was used to analyze factors associated with QOL of people with LLP. Results: The result showed that zthe QOL of people with LLP was rated at a good level (64.76%; M±SD=101.31±14.12). The factors significantly associated with the QOL of people with LLP were female (Adjusted OR [ORadj] = 0.33, 95%CI: 0.17-0.70), merchant or self-employed (ORadj = 9.09, 95%CI: 2.24-36.76), leg amputation due to accident (ORadj = 7.36, 95%CI: 3.13-17.30), stump problem (ORadj = 0.22, 95%CI: 0.92 - 0.53), sufficient income (ORadj = 6.91, 95%CI: 3.28-14.57), family relationship (ORadj = 3.20, 95%CI: 1.01-10.11), and need for support in daily living (ORadj = 0.34, 95%CI: 1.14-0.79). Conclusions: The QOL of people with LLP was assessed at a good level. Factors such as gender, occupation, cause of amputation, stump problem, income, family relationship and activity of daily living were associated with the QOL of people with LLP.
      PubDate: 2021-12-31
      Issue No: Vol. 15, No. 3 (2021)
       
  • The effect of the online integrative program of flipped classroom and
           group inquiry as a teaching method for nursing students

    • Authors: Sunipa chinnawoot, Yupawan Thongtanunam, Nisarat Yuwapattanawong, Wipratchaya Thedthong
      Pages: 146 - 157
      Abstract: Background: An online integrative program of flipped classroom and group inquiry as a teaching method has been used to effectively promote team learning, critical thinking and data searching. Objectives: This study aimed to compare team learning and learning achievement of nursing students who participated in the online integrative program of flipped classroom and group inquiry as a teaching method (OIPofFI), and to examine learning outcomes based on the National Qualifications Framework for higher education. Methods: The sample of this quasi-experimental research study consisted of 104 fourth year nursing students. Data were collected using a team learning assessment form, a learning achievement test, a learning outcome based on the National Qualifications Framework for higher education evaluation form, and a satisfaction questionnaire. Data were analyzed using mean, standard deviation and paired t-tests. Results: It was found that: the mean score of team learning ability after participating in the OIPofFI was statistically significant higher than that of before (t = 2.45, p=.017). The mean score of learning achievement aof nursing students after participating in the OIPofFI was statistically significantly higher than that of before (t = 16.87, p=.001). The efficiency index of learning outcomes based on the National Qualifications Framework for Higher Education was 83.85/ 86.87. Nursing students were satisfied with participating in the OIPofFI at a high level (M=4.32, SD=0.51).    Conclusions: The findings demonstrated the effectiveness of the OIPofFI. Thus, faculty should develop activities that promote team learning among students.
      PubDate: 2021-12-31
      Issue No: Vol. 15, No. 3 (2021)
       
  • The effects of lower uterine segment compression after Modified Crede’
           maneuver on blood loss in the postpartum period

    • Authors: Parichart Tewapitak, Patarawadee Pholphoke
      Pages: 158 - 169
      Abstract: Background:  Postpartum hemorrhage (PPH) has been a significant cause of maternal morbidity and mortality. Most PPH cases are caused by uterine atony. Immediate lower uterine segment compression (LUSC) is a technique that could reduce blood loss after placenta delivery. Objective: This study examined the effect of immediate LUSC using modified crede’ maneuver on blood loss at 2 hours and 24 hours after placenta delivery. Methods: Purposive sampling method was used to recruit the sample of 60 mothers who admitted at Nopparat Rajathanee Hospital. The mothers were assigned into two groups: the experimental group and the control group.  The mothers in both groups received the same standard treatments. The experimental group received additional 10 minutes of LUSC after placenta delivery. The research instruments were LUSC, digital scale, and a recording form. Data were analyzed using descriptive statistics and t-test. Results:  The findings showed that there were statistically significant differences between the mean amount of blood loss in the experimental group and the control group at 2 hours and 24 hours after delivery (t=2.591, p=0.012; t=2.683, p=0.009, respectively). Thus, the use of LUSC resulted in less blood loss in the experimental group than that of the control group. Conclusions: The 10-minute LUSC with Modified Crede’ technique significantly reduced blood loss at 2 hours and 24 hours after placenta delivery.
      PubDate: 2021-12-31
      Issue No: Vol. 15, No. 3 (2021)
       
 
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