Journal of Preventive Medicine Association of Thailand
https://he01.tci-thaijo.org/index.php/JPMAT
<p><strong><span style="font-size: 20.0pt; font-family: 'TH SarabunPSK','sans-serif';">Journal of Preventive Medicine Association of Thailand ISSN 2985-2943 (Print) ISSN 2985-2951 (online) Objectives are to support public health researches of health institutions at all levels and also to distribute their dedicated works and researches on public health. Publish knowledge researches of health, public health, occupational medicine, mental health, community epidemiology, clinical epidemiology and related medical and public works</span></strong></p> <p><strong><span style="font-size: 20.0pt; font-family: 'TH SarabunPSK','sans-serif';">Free access online : Every 4 months or 3 issues per year </span></strong></p> <p><strong><span style="font-size: 20.0pt; font-family: 'TH SarabunPSK','sans-serif';">(Jan.-Apr./May-Aug./Sep.-Dec.)</span></strong></p> <p><strong><span style="font-size: 20.0pt; font-family: 'TH SarabunPSK','sans-serif';">Language : Abstract in English and Thai, Text in Thai</span></strong></p>โรงพยาบาลพระนครศรีอยุธยาและสมาคมเวชศาสตร์ป้องกันแห่งประเทศไทยen-USJournal of Preventive Medicine Association of Thailand2985-2943<p>บทความที่ลงพิมพ์ในวารสารเวชศาสตร์ป้องกันแห่งประเทศไทย ถือเป็นผลงานวิชาการ งานวิจัย วิเคราะห์ วิจารณ์ ตลอดจนเป็นความเห็นส่วนตัวของผู้นิพนธ์ กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยเสมอไปและผู้นิพนธ์จะต้องรับผิดชอบต่อบทความของตนเอง</p>The Development of Head Injury Patient Care Model and Undergoing Cranial Surgery in Uthai Thani Hospital
https://he01.tci-thaijo.org/index.php/JPMAT/article/view/268510
<p><strong>Objectives:</strong> Developing of head injury patient care model and undergoing cranial surgery by applying a model to Enhanced Recovery After Surgery (ERAS) and study the results of head injury patient care model and undergoing cranial surgery. <strong>Methods:</strong> This research was research and development. The samples group in this study were 30 professional nurses with experience working and caring for head injury patients who had undergone cranial surgery and medical record of 30 patients who had undergone cranial surgery by selecting purposive sampling. This was consists of 3 phases as following: Phase 1: study the nursing situation for patients undergoing cranial surgery by tools include data recording form and semi-structured interview group discussion guide. Phase 2: develop of head injury patient care model and undergoing cranial surgery in Uthai Thani Hospital. The research tools consisted of (1) nursing model for head injury patient care and undergoing cranial surgery by applying a model to Enhanced Recovery After Surgery (ERAS). Phase 3: study the results before and after using the model. The research tools consisted of (1) a questionnaire regarding general information of professional nurses (2) a recording form for evaluation nursing practice for head injury patients who received cranial surgery, consisting of preoperative, intra-operative and postoperative nursing care and (3) patient outcome records collect information from medical records. The research instrument was checked for content validity with an item consistency index equal to 1.00 and Cronbach's alpha coefficient was used to find confidence equal to the appropriateness at 0.95 - 0.98. Qualitative data were analyzed in Phases 1 and 2 by content analysis and drawing conclusions. Quantitative data was analyzed in Phases 1 and 3. Quantitative data was analyzed using descriptive statistics. Comparative statistics: Paired t-test and Independent t-test were performed for data collection in June to December 2023. <strong>Results: </strong>Developing of head injury patient care model and undergoing cranial surgery consisting of preoperative, intra-operative and postoperative nursing care. The results was a higher adherence to the guidelines than before used, with a statistically significant difference (p < .05, p < .01, p< .001). The nursing outcomes for head injured patients that undergoing cranial surgery on the patient after using the model had better results than before using the model. Including postoperative death, Length of Stay (LOS) and re-operation are decreased. As for surgical wound infection, there was no significant difference. <strong>Conclusion: </strong>The development of head injury patient care model and undergoing cranial surgery by applying a model to Enhanced Recovery After Surgery (ERAS) could increase nursing care outcomes for head injury patients who undergoing cranial surgery and could be better result nursing care for head injury patient care model and undergoing cranial surgery.</p>Jariya BoonyalitJinda PudpongManeerat LueangwilaiNissama Poochakhanit
Copyright (c) 2024 สมาคมเวชศาสตร์ป้องกันแห่งประเทศไทย
https://creativecommons.org/licenses/by-nc-nd/4.0
2024-03-222024-03-22141118Situation and Correlation Between Outcomes and Severity of Diabetic Ketoacidosis at Phra Nakhon Si Ayutthaya Hospital in 2022
https://he01.tci-thaijo.org/index.php/JPMAT/article/view/264204
<p><strong>Objective:</strong> Diabetic ketoacidosis is acute life-threatening complication of diabetes mellitus and also important health burden in Thailand, affected mortality and resource expenditure. The objective was to study situation, mortality rate and correlation between outcomes and severity of diabetic ketoacidosis at Phra Nakhon Si Ayutthaya hospital in 2022. <strong>Methods:</strong> A single center, retrospective cohort study was collected data from 5,193 hospitalized diabetes patients aged more than 15 years old, included by criteria according to American Diabetes Association at Phra Nakhon Si Ayutthaya hospital in 2022. <strong>Results:</strong> The rate of hospitalization for DKA was 2.5 per 100 persons with diabetes mellitus. 130 patients were enrolled with mean age 52.9 years (SD=19), mean height 159.6 centimeters (SD=11), mean body mass index 23.5 kilograms per square meter (SD=5). The female accounted more than male in all the groups. Patient with type 2 diabetes mellitus accounted mostly for 73.9% of all the patients. First diagnosed diabetes mellitus accounted for 10.8% presented with diabetic ketoacidosis. Hypertension is the most common underlying disease, second one is dyslipidemia. The mean duration of stay was 10.8 days (SD=12.3). The occurrence of acute kidney injury was 45.4%. The requirement of intensive care unit was 12.3% and needed invasive ventilation 36.2%. The mortality rate was higher in this study 24.6% compared with the previous study. <strong>Conclusion:</strong> The mortality rate, intensive care unit stay and requiring invasive ventilation was found correlated significantly with severity of diabetic ketoacidosis (p-value 0.021, 0.049, <0.001 respectively). From this study, the author concern about health burden of the patients and we should encourage and develop the care of patients with diabetic ketoacidosis in Phra Nakhon Si Ayutthaya hospital to decrease the life-threatening complication, mortality and promote the good quality of life.</p>Watcharanan Muenanan
Copyright (c) 2024 สมาคมเวชศาสตร์ป้องกันแห่งประเทศไทย
https://creativecommons.org/licenses/by-nc-nd/4.0
2024-03-282024-03-281411932