Development of guidelines for preventing and controlling respiratory infections in children for caregivers at preschool child development centers
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Abstract
Background: Respiratory tract infections in early childhood are a significant problem commonly found in preschool child development centers. Developing guidelines for caregivers is crucial for disease prevention and control.
Objectives: To investigate the current situation, develop guidelines, and evaluate the effectiveness of implementing guidelines for the prevention and control of respiratory tract infections in children for caregivers in preschool child development centers.
Methods: This research and development study was conducted in three phases: Phase 1 Situation analysis conducted through focus group discussions with four caregivers and six parents; Phase 2 Guideline development; and Phase 3 Guideline implementation with ten caregivers and 70 parents. The research instruments were focus group discussion guides and questionnaires. Data were collected through focus group discussions and questionnaires. Qualitative data were analyzed using content analysis, while quantitative data were analyzed using descriptive statistics, Wilcoxon signed-rank test, and Paired t-test.
Results: Three major problems were identified in Phase 1 : 1) personnel lacked skills in disease assessment and communication, 2) operational challenges included the lack of monitoring and surveillance systems, and 3) limited resources for equipment and facilities. In Phase 2 guidelines were developed comprising two main components: disease prevention and control guidelines. Phase 3 showed that caregivers’ overall behavior scores significantly improved (p<.05), while knowledge scores remained unchanged. The parents showed significant improvements in both knowledge and behavior scores (p<.001).
Conclusions: The developed guidelines were effectively in improving caregivers’ prevention behaviors and enhanced parents’ knowledge and behaviors.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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