Journal of Health Sciences and Wellness

Nursing Care for Outpatients Receiving Treatment for Chronic Venous Insufficiency by Wearing Compression Stocking

Aphanan Leelatanon — 2024-05-28

Chronic venous insuffciency (CVI) refers to a dysfunction of venous system. The condition is characterized by symptoms like tired legs, heaviness, pain after prolonged standing or sitting, edema, and skin changes, which may develop into chronic leg ulcers. The risk of CVI increases with age, sex - especially in females, obesity, regular prolonged periods standing or sitting at work, pregnancy, family history of varicose veins, deep vein thrombosis (DVT), hypertension, constipation, and previous leg injury. A proper diagnosis for CVI is duplex ultrasound. Treatment for CVI is by wearing compression stockings, by medication, sclerotherapy, and operations. Compression stocking is a standard treatment for CVl with high safety. It can assist in improving venous return, musculoskeletal pump function, and reduce edema in lower extremities. The nursing process for patients who receive treatment by wearing compression stocking is composed of 5 steps - assessment, diagnosis, planning, implementation, and evaluation. The objective is to provide patients with knowledge and understanding, so that they receive stockings with the appropriate size and level, and are able to wear compression stockings according to the most effective treatment plan.

Hearing Loss Situation and Factors Influencing Hearing Loss among Food Processing Workers in Wiang Pa Pao district, Chiang Rai Province

Maneerat Suanmuang — 2024-05-24

Hearing loss is a highly debilitating condition that significantly impacts daily activities, including work and communication-dependent tasks such as studying. Its prevalence increases each year. This study a Cross-sectional descriptive study. The objective of this study was to determine the prevalence of hearing loss and factors that influence hearing loss among 130 food processing workers in Wiang Pa Pao District, Chiang Rai Province. Data were collected by using general questionnaire and Audiometer SIBELSOUND 400 – AM. Statistical analyses utilized descriptive statistics, such as percentages, means, standard deviations, and logistic regression analysis, including odds ratios. Hearing capacity was evaluated based on the criterion that hearing loss commences when the ability to hear sounds at a volume level above 25 decibels (dB) is compromised.

The results of the study found that the majority of employees started hearing impairment 68 worker (52.30%). The results of factors influence to the hearing loss of employees, including: age range 31-40 yr. (OR adj = 0.040 95% CI = 0.004-0.366), age range 41-50 yr. (OR adj = 0.068 95% CI = 0.009-0.502), age over 50 yr. (OR adj = 0.099 95% CI = 0.014-0.704) and more than 15 years of work experience (OR adj = 6.437 95% CI = 1.196-34.635). Based on the research outcomes, it is recommended to provide training to employees on preventing hazards related to loud noises and promoting the use of personal protective equipment, especially for those with extensive work experience.

The Effect of a Breastfeeding Support Program with Line Application on Breastfeeding Behaviors and the Rate of Exclusive Breastfeeding at 1 Month in Adolescent Mothers

Tiprutai Khunpong — 2024-05-24

This quasi-experimental research aimed to examine the effect of a breastfeeding supportprogram with Line application on breastfeeding behaviors and the rate of exclusive breastfeeding at one month in adolescent mothers. The sample consisted of 46 mothers aged 10 to 19-years old who stayed in the postpartum ward at a tertiary hospital in Samut Prakan province. The experimental
group (n=23) received the breastfeeding support program plus routine postpartum care, while the control group (n=23) received only routine postpartum care. Data were collected using the demographic characteristics interview, B-R-E-A-S-T-Feed observation form, and the Infant's Feeding interview form. The study used descriptive statistics, the Chi-square test, the Fisher Exact test, the Independent T-test, the Paired T-test, the Wilcoxon Signed-Rank test, and the Z-test to analyze data.
The results showed that the mean score of breastfeeding behavior in the experimental group was statistically significantly higher than that of the control group at .05 (t = 2.12). The exclusive
breastfeeding rate of the experimental group was statistically significantly higher than that of the control group (Z = 2.88, p = .004). Some suggestions from that study are for nurse midwives to follow up on breastfeeding problems after discharge and give advice according to the problems of the mothers using an application promoting the success of exclusive breastfeeding.

Factors Predicting Health-Promoting Behaviors among Caregivers of Children under 5 Years during the COVID-19 Pandemic: Cross-Sectional Study in Rural Thailand

Jintana Thepsaw — 2024-05-24

The COVID-19 pandemic and associated quarantine measures have had a negative impact on children and caregivers, both mentally and physically. Children who receive inappropriate health-promoting behavior from the caregiver could have health problems. This study aimed to identify factors influencing the health-promoting behaviors (HPBs) of caregivers of children under five years of age while experiencing lockdowns. The cross-sectional study conducted between March and May 2021 had 138 caregivers of children who completed the questionnaires, which captured demographic information, parenting style, social support, self-efficacy, and HPBs. The study used descriptive statistics and multiple linear regression to determine the predicting factors of the HPBs of caregivers. The results showed the mean age of the participants was 34.06 + 8.96 years, more than half were recognized as day laborers (69.6%), and one-third had primary school education (30.4%). The percentage of total variance explained by all study variables (parenting style, social support, and self-efficacy) was 29.8 percent (adjust R2 = .298, F = 20.420, p < .001), and self-efficacy was the best predictor of the HPBs of caregivers (ß = 0.580, p < .001).
These findings represent a preliminary stride towards recognizing the factors that influence the development of HPBs among caregivers of children under five years old. In achieving this, there is a need to enhance the caregivers' self-efficacy and direct interventions to counteract the adverse effects on the health of children residing in a rural community during and following the COVID-19 Pandemic.

The Factors Related to Preoperative Nutritional Status among Patients with Liver Pancreas and Biliary Tract Disease

Yupa Phoopha — 2024-05-24

Diseases of the liver, pancreas, and biliary tract are common diseases affecting the process of digestion and food absorption, causing malnutrition. This study aimed to determine the factors associated with nutritional status in preoperative patients with liver, pancreas, and biliary tract disease. Eighty-four (84) preoperative patients with liver, pancreas, and biliary tract diseases were the subjects of the study. Data were collected using a demographic data form, the Nutrition Alert Form (NAF), the Charlson Co-morbidity Index (CCI), a food consumption behavior questionnaire, a social support questionnaire, and the Hospital Anxiety and Depression Scale (HADS). Data were analyzed using frequency, percentage, mean, standard deviation, and the Pearson correlation coefficient.
The results showed that the sample group had the highest risk of malnutrition at 45.2%, followed by the group with malnutrition at 33.3%. In addition, co-morbidities and food consumption
behavior showed a significant positive correlation with nutritional status among preoperative patients with liver, pancreatic, and biliary tract diseases (r = .406, P<.01, r = .214, p<.05, respectively). The results of this study show that Patients with liver, pancreas, and biliary tract disease Most of them had nutritional status changes. Therefore, there should be a nutritional status assessment for all patients to promote nutritional status for those in preoperative conditions.

Community Participation in the Development of the Temple: the Control of Cigarettes and Alcoholic Beverage Consumption in Ubon Ratchathani

Sirisup Sihawong — 2024-05-24

This study titled Community Participation in the Development of the Temple: The Control of Cigarettes and Alcoholic Beverage Consumption in Ubon Ratchathani is a qualitative research. Its objective is to study the approach of temple development and its community participation to control the cigarettes and alcoholic beverage consumption in Ubon Ratchathani. The sample groups comprise ten different informants with various social status and roles in the community. The Buddhist monks come from different communities; ten are from rural and semi-rural areas. The method in this research was structured Interview .

The findings of this research are explained in these four following aspects (1) The development of the Buddhist monks’ personal potentials in controlling the consumption of cigarettes and alcoholic beverage of the people in the community (2) The development of the monastery area or ‘Wat’ and its neighbourhood to be in accordance with the control of cigarettes and alcoholic beverage consumption of the people in the community (3) The development of religious activities to be in accordance with the control of the cigarettes and alcoholic beverage consumption of the people in the community (4) The development of the existing and the new stakeholders and networks that include bureaucrats, schools, public health service channels, community leaders and the people in the community so that they take part in the control of the cigarettes and alcoholic beverage consumption.

Measurement of impulse noise in the community area near the Rood Tunnel Construction project in Bangkok

Punpaphatpron Bunprom — 2024-05-28

At present, in Bangkok, many tunnels are being built, all of which are in urban areas with densely populated populations. This research studied the impact of impulse noise from construction machinery. A case study of a road tunnel construction project in Bangkok and compare the difference in the impulse noise level of construction machinery to nearby communities with and without construction activities. Impulse noise level (LC, peak 5 min) according to the 2016 A.D. standards of ministerial regulations for management and performance safety measurements were performed by integrating sound level meters during foundation construction for 8 hours, for a total of 7 days at the construction area and in the community (total of 4 stations). Data were analyzed using descriptive statistics, including minimum, maximum, and mean. The differences between groups were analyzed using the independent t-test inferential statistics.

The results of the Area A study showed that the average of LC peak 5 min in the community near the construction site is higher than the construction site with statistical significance at the .001 level (P <.001). The difference between the average of LC, peak 5 min in the community near the construction site during with and without construction activity was found to be no different and during the construction period of Area A, the highest LC peak was 134.6 dB (C). Area B in the construction site had an average of LC, peaking 5 minutes higher than the community near the construction site with statistical signifcance at the.001 level. The difference between the average of LC peak 5 min in the community near the constru ction site during with and without onstruction

activity showed that during the construction activity period, the average of LC peak 5 min was higher than the period of inactivity with statistical signifcance at the.001 level and During the construction period of Area A, the highest Lcpeak was 133.6 dB (C). Therefore, there should be monitoring or measurement to reduce impulse noise from pile drivers and concrete floor drilling, which could decrease the noise levels.

Factor related to Cardiovascular Risk among Hypertensive Patients in Bang Pla Health Promoting Hospital, Bangphli District, Samutprakan Province

Prisana Akaratanapol — 2024-05-28

Hypertensive patients have high risks of complications in cardiovascular disease. The objective of this cross-section analytical study focused on factors related to cardiovascular diseases risks mong hypertensive patients. The sample was composed of hypertensive patients who had risks of heart disease and coronary heart disease, were 35 years old and above, with blood pressure equal to or higher than 140/90mmHg and lived in the service area of Bang Pla Health Promoting Hospital, Bang Phli district, Samutprakan province. There were 160 participants in the sample and data were collected from the patients' medical records. Data were analyzed by using mean percentage, chi-square, logistic regression odds ratio, with 95% confidence intervals.
The study found that the differential risks of cardiovascular diseases were high, being 2.50% in women and 8.10% in men (p<0.001). The sample comprised of 65 women over 60 years old, accounting for 40.60% of the total. The BMI indicated overweight status in 49.40% of women and 15.60% of men (p=0.002). Among the subjects, 8.10% of men smoked (p<0.001) and 17.50% drank alcohol (p<0.001). Women with a waist circumference greater than 80 cm made up 55.60%, while men with a waist circumference greater than 90 cm made up 13.80% (p<0.001). Additionally, 24.40% of women had an HDL level less than 40 mg/dl, compared to 5.60% of men with an HDL level less than 50 mg/dl (p=0.015). The prevalence of non-communicable diseases (NCD) was 39.40% in women and 10.60% in men (p=0.002). Factors related to cardiovascular risk found that women had a higher risk of cardiovascular disease than men at 17.65% (OR = 17.65, 95% CI = 2.91-106.95). Smoking was associated with a higher risk of cardiovascular disease compared to non-smoking at 0.09% (OR = 0.09, 95% CI = 0.01-0.79), which was statistically significant. This study can be used for health promotion to reduce the risk of cardiovascular disease.

Knowledge on Paracetamol among Village Health Volunteers in Samut Prakan Province

Piyawan Wongboonnak — 2024-05-28

This survey research aimed to investigate levels of knowledge of paracetamol among village health volunteers in Samut Prakan Province. The sample was 377 village health volunteers in Samut Prakan Province selected by accidental sampling. The questionnaire was performed to collect data during October to November 2022. Hyptheses were tested by an independent t-test and
a one-way ANOVA.
The results showed that the subjects had a high level of knowledge about paracetamol and had an average score of 12.13 t 3.42 points out of a total of 15 points. The top 3 wrong answers were 2 dose-related issues (wrong answers: 73.47% and 38.20%) and issues related to the prevention of double drug exposure (wrong answers 36.60%).The hypothesis with an independent t-test, it was found that the samples of caregiver community Volunteers and non-caregiver community Volunteers had statistically significant different paracetamol knowledge on doses and precautions (p < 0.001 and 0.010, respectively). While testing knowledge of paracetamol it was found that the sample of village health volunteers with different durations of being health volunteers has no statistically significant difference (p = 0.232). In conclusion, the paracetamol knowledge of village health volunteers in Samut Prakan province was at a high level. However, more awareness should be raised on dosage and prevention of double drug exposure to ensure the safety of using paracetamol.

Effects of Teaching Model for Enhancing Critical Thinking in Prenatal Nursing Care of Women with Gestational Diabetes Mellitus

Kanokporn Nateetanasombat — 2024-05-28

This quasi-experimental research aimed to compare mean scores between nursing students who received a teaching model for enhancing critical thinking in prenatal nursing care of women with gestational diabetes mellitus, and nursing students who received regular teaching. The samples were 52 junior nursing students. They were divided into an experimental group and a control group. Each group had 26 samples. The research instruments included a teaching model for enhancing critical thinking, teaching materials on gestational diabetes mellitus, three case studies, and assessment form on critical thinking. The content validity had been examined by three experts and the reliability was 0.76. The data were analyzed by descriptive statistics, paired t-test, and independent t-test.
This study found that the majority of control group were 21 years old (42.30%). 96.15% were female. The GPA was between 2.51-3.00 (57.70%). Meanwhile, the majority of experimental group were 21 years old (53.84%) and all were female (100%). The GPA was between 2.51-3.00 (46.15%). Both the control group and the experimental group had increased critical thinking in prenatal nursing care of women with gestational diabetes mellitus when compared with the total 23 scores. The control group had increased the mean scores from 40.43% to 78.56%, whereas the experimental group had increased the mean scores from 39.26% to 91.60%. The comparison of mean scores of critical thinking after and before the experiment found that junior nursing students of the control and experimental groups had significantly increased critical thinking after the experiment at 0.05. However, comparison of mean scores of critical thinking between the control and experimental groups after the experiment found that nursing students of the control and experimental groups had not been different on critical thinking. This teaching model would increase learning skill by using case studies in various situations, which would have the effect of increasing mean scores of critical thinking.

Nine Traditional Chinese Medicine Groups of Depression among Adolescents in Muang District, Nakhon Ratchasima Province

Sayada Danthaiwattana — 2024-05-28

The purpose of this descriptive research was to study the relationship between nine Chinese medicine syndromes and depression among adolescents in Muang district, Nakhon Ratchasima province. The research method used by the researcher was using a sample of 400 adolescents aged between 11 and 20 years from the area of Muang district, Nakhon Ratchasima province, with the following research tools: (1) personal factor questionnaire, (2) Thai version of the Patient Health Questionnaire for Adolescents (PHQ-A), and (3) checklist for the nine body conditions of traditional Chinese medicine.
The results of data analysis showed that 289 out of 400 subjects had mild to severe depression, most of whom were females, with the age range between 16 and 20 years old. The results also found that the nine physical characteristics of Chinese medicine were positively correlated with adolescent depression at significant level of 0.01. It was found that the conditions group with the highest correlation was group 8, in which obstructive qi (breath) physical state was associated with depression of adolescents at the moderate association level (r=0.453). The results showed that obstructive qi (breath) conditions have the highest level of association with depression among adolescents, which was consistent with traditional Chinese medicine theory and related research. Therefore, depression should be prevented from the beginning, and it should be taken care of by balancing emotions, and eating food that has the property of diffusing Lung Qi and stimulating the flow of Qi, including doing body exercises.

Predictive Factors Influencing the Perceived Care Burden of Primary Caregivers of School-Age Children with Specific Learning Disabilities

Uraiwan Tiengsomboon — 2024-05-28

This study is a descriptive research project aimed at investigating factors that predict theperceived care burden among primary caregivers of school-aged children with specific learning disabilities (SLD). The study, titled "Predictive Factors Influencing the Perceived Care Burden of Primary Caregivers of School-Age Children with Specific Learning Disabilities," was validated for content by experts, with reliability values of 0.91 and 0.86. The Cronbach's alpha coefficients were calculated to be 0.88 for both. Data collection occurred from December 2022 to March 2023, for a total of four months. The statistical methods used in data analysis included descriptive statistics and Stepwise Multiple Regression.
The research findings indicated that the perception of stigma (β=.348), social support (β=.306), and the age of school-aged children with SLD (β=.117) can together predict the perception of care burden of the primary caregiver at 24.9% (Adj. R²= .249, p<.001). Therefore, it is essential that relevant agencies, schools, and public health personnel should be aware of and consider the importance of factors such as the perception of stigma, social support, and the age of children with SLD.