ผลของโปรแกรมการเรียนรู้แบบมีส่วนร่วมต่อความรู้ และทักษะในการป้องกันและการช่วยเหลือเบื้องต้น แก่มารดาและทารกที่คลอดก่อนถึงโรงพยาบาลของอาสาสมัครสาธารณสุขในเขตกรุงเทพมหานคร
The Effects of Participatory Learning Program on Knowledge and Fundamental Skills of Prevention and Basic Assisted Delivery for Giving Birth Before Arrival among Health Volunteers in Bangkok Metropolitan Region
Keywords:
Participatory Learning, Healthcare Volunteers, Childbirth SkillsAbstract
ABSTRACT
This quasi-experimental research aimed to investigate the effect of participatory learning program on knowledge and fundamental skills of prevention and basic assisted delivery skill for giving birth before hospital arrival by public health volunteers at Bangkok metropolitan region. There were 60 public health volunteers, selected on a specific basis from Public health volunteers from the 30th Chao-Arm Health Center and 31st Earbjittangsubutr Health Center, participate in this study. The participants were divided into 2 groups: experimental and controlled group, with 30 participants each. The experimental group received a participatory learning program and control groups have been learned by lectures. Afterwards, both groups were trained for preventive and supportive care for mothers and babies who were delivered before the hospital arrival. The participatory learning program had 4 steps: 1) Experience, 2) Reflect and Discussion, 3) Encourage understanding and concept (the researcher summarized the ideas of the group, and then conceptualized of their understanding, 4. Experimentation / Application of knowledge and fundamental skills of prevention and basic assisted delivery of giving birth before hospital arrival for public health volunteers in Bangkok metropolitan region. Data were analyzed by frequency, mean, standard deviation and t-test.
The research found that after attended the program, both the experimental group and the controlled group gained more statistically significant different knowledge and skills in preventing and providing basic support to mothers (who were delivered and their babies) before the hospital arrival (t experimental = 16.00, p <.001 and t control = 9.05, p < .001, for knowledge and (t experimental = 12.38, p < .001 and t control = 5.69, p < .001 for skill, respectively). The experimental group was a statistically significant difference of knowledge and fundamental skills of prevention and basic assisted delivery than the controlled groups (t = 2.85, p < .01, t = 4.68, p <.001, respectively)
References
1. Kaewkiadtikun, K. Birth before Arrival. In: Thagjitkom S., Kurathong S., Palopakarn C., Sriaon J., Wajanarodjana S., (Editor). URBABLOGY FOR URBAN COMMUNITY. Bangkok: Text and Journal Publication; (2016). 125-135 (in Thai)
2. Government of Western Australia North Metropolitan Health Service. Born Before Arrival (BBA): Planned Homebirth;1-3(in Australia)
3. Chiragdin, T. Effect of Giving Birth Before Arrival (BBA) on Pregnancy Outcome among booked Mothers atCoast Provincial and General Hospital (CPGH). As part of Fulfilmentfor The Degree of Master of Medicine in Obstetrics and Gynaecology, University of Nairobi,February; 2013.(in Kenya)
4. Alabi, AA., O’Mahony, D., Wright, G. and Ntsaba, MJ.Why are babies born before arrival at health facilities in King SabataDalindyebo Local Municipality, Eastern Cape, South Africa? A qualitative study.Articles from African Journal of Primary Health Care & Family Medicine are provided here courtesy of AOSIS, 2015; 7(1),1-9.(in South Africa)
5. Vibulwong, P. Birth before arrival.BoromarajonaniColleqe of Nursing, Bangkok; 2015. (in Thai)
6. Watanawili, C. Emergency Women Nurse in Antenatal and Intrapartum. Bangkok: Chulalongkorn University Printing House; 2015. (in Thai)
7. Department of Mental Health. Ministry of Public Health, Bangkok: Vongkamon Production Printing House; 2001. (in Thai)
8. Sanprasan, P., Wattradul, D., Puapairoj, V., ,Jamsomboon, K., Techangkul, L. &Yuyuen, Y. Effects of Health Voluntreer’s Capacity Building based on Particpating Learning Program on knowledge and Skill of Caring Patients with Cardiovascular Disease and Risk Group of Cardiovascular Disease. Thai Journal of Cardio-Thoracic Nursing, 2015; 26(1),119-132. (in Thai)
9. Vonglek, R. The Effect of Participatory Learning on Knowledge Attitudes and Parctice of Community Leaders in Prevention of Dengue Hemorrhagic Fever of Klong-Cha-NuanSubdistrict, Weingsra District, Suratthani Province. Journal of Community Health Development Quarterly KhonKaenUniversity, 2015; 3(2): 273-291. (in Thai)
10. Community Public Health Health Promotion Division.Practical in Proactive Public Health for health volunteer. Bangkok: The Agricultural Co-operating Federation Printing House of Thailand., Ltd; 2013. (in Thai)
11. National Institute for Emergency Medicine.Emergency Medicine Master plan: Bangkok;Union creation., Ltd; 2016 (in Thai)
12. Siriphan, S.Wongsuwan, W., &Namuang, A., Teaching Method Approach with graphical Techniques and Contemporary Information to Improve Student Achievement.Princess of NaradhiwasUniversityJournal of Humanitics and Social Science, 2014; 1(1): 12-20
13. Suapumee, N. Chittayanunt, K. Wongrattanarak, W. &Naksrisang, W. Effectiveness of the Dengue Hemorrhagic Fever Prevention and Control Program in Community using a Participatory Learning Process. Nursing Journal of the Ministry of Public Health.2515; 25-39. (in Thai)
14. Dejthongjun, S.The Study on Development of Learning Effectiveness of Students in Local Subject : A Comparison of the Learning Effectiveness Using STAD (Student Teams Achievement Division) and Lecture.[dissertation]. Dhurakij Pundit University: Bangkok:2015 (in Thai)
15. Therawiwat, M. Nimsuwan, P. Imamee, N. The Effectiveness of a Community Participatory Learning Program for Avian Influenza Prevention, Mueang District, Nakhonsawan Province. Journal of Health Education, 2007; 30(105) : 45-60.
