ผลของโปรแกรมการสร้างเสริมความสามารถการคัดกรองและการสื่อสารทางสุขภาพ ของอาสาสมัครสาธารณสุขประจำหมู่บ้านในการป้องกันโรคไตเรื้อรัง

Napaphen Jantacumma; Songpon Padoungpattanakul; Pattaya Kaewsarn

Authors

Napaphen Jantacumma School of Nursing, Sukhothai Thammathirat Open University
Songpon Padoungpattanakul School of Educational Studies, Sukhothai Thammathirat Open University
Pattaya Kaewsarn School of Educational Studies, Sukhothai Thammathirat Open University

Keywords:

village health volunteers, health screening capability, health communication, chronic kidney disease

Abstract

Introduction: Chronic kidney disease (CKD) is a major health issue. It is caused by many factors which can be prevented by taking self care. CKD should be prevented by screening and health communication, which is one of the important roles of village health volunteers (VHVs).

Research objective: To examine the effects the health screening and communication capacity building program of VHVs in preventing CKD before and after participating to the program.

Research methodology: This quasi - experimental study was one group pre and posttest design. The sample group was 26 VHVs in Pakkret district. Research tools consisted of: 1) the health screening and communication capacity building program of village health volunteers in preventing CKD developed using a periodic 6 weeks from empowerment concept of Gibson with 4 main phases: (1) discovering the truth, (2) critical reflection, (3) deciding on an appropriate activity method and taking action, and (4) maintaining to practice; 2) questionnaire of health communication ability for CKD prevention; and 3) questionnaire of health screening ability for CKD prevention. The research tools had CVI values of .98, .91 and .97, respectively. The reliability of the questionnaire for part 2) and 3) was .89 and .85, respectively. Data were analyzed by descriptive statistics and paired t - test.

Result: After participating in the program, the VHVs demonstrated significantly improved abilities in screening ( t (25) = 10.532, p < .001) and health communication skills (t (25) = 9.627, p < .001) for chronic kidney disease prevention compared to before participating in the program.

Conclusion: This empowerment program can increase the screening and health communication capabilities of VHVs in preventing CKD.

Implications: The concept of empowerment can be applied to enhance the abilities of VHVs in other skills for preventing other chronic diseases.

Downloads

Download data is not yet available.

References

Hill NR, Fatoba ST, Oke JL, Hirst JA, Callaghan CA, Lasserson DS, et al. Global prevalence of chronic kidney disease -a systematic review and meta-analysis. Public Library of Science ONE 2016;11(7):1-18. doi: 10.1371/journal.pone.0158765.

Ingsathit A, Thakkinstian A, Chaiprasert A, Sangthawan P, Gojaseni P, Kiattisunthorn K, et al. Prevalence and risk factors of chronic kidney disease in the Thai adult population: Thai SEEK Study. Nephrol Dial Transplant 2010;25(5):1567-75. doi: 10.1093/ndt/gfp669.

The Nephologist Society of Thailand. Recommendations for the care of patients with chronic kidney disease before kidney replacement therapy, 2015. Available from: https://www.nephrothai.org/wp-content/uploads/2023/03/CKD-guideline-2565-revised-edition.pdf

Nonthaburi Provincial Public Health Office. Illness with important non-communicable diseases. [Internet]. 2020. [cited 2022 Feb1]; Available from: https://hdcservice.moph.go.th/hdc/main/index.php

Suppaluk T, Matanee R. Sujira W. Winya S. Perceptions and self-care experiencesof patients with chronic kidney disease in the community. Journal of Health Science Research 2021;15(3): 83-94. Available from: https://he01.tci-thaijo.org/index.php/JHR/article/view/251518/171689 (in Thai)

Surawatakul S, Laorat S and Dermtamrum L. Development of care model for chronic kidney disease stage 4 in Nadoon District. Academic Journal of Mahasarakham Provincial Public Health Office 2020;4(7):129-43. Available from: https://thaidj.org/index.php/AJMP/article/view/9017 (in Thai)

Department of Noncommunicable Disease Control, Ministry of Public Health. Epidemiology and review of protocol to prevent chronic kidney disease. Bangkok: War Veterans Organization Printing House under Royal Patronage, Agricultural Cooperative Community Printing House of Thailand Limited 2022. (in Thai)

Department of Disease Control, Ministry of Public Health. Chronic disease (CKD) management manual for village health volunteers. 1st printing. Bangkok: War Veterans Organization Printing House under Royal Patronage, Thailand Agricultural Cooperative Community Printing Company Limited; 2016. (in Thai)

Singhkum S and Chumnanborirak P. The community health network for improving quality of care for patients with chronie renal desease. Mahasarakham Hospital Journal 2019;16(3):149-58. Available from: https://he02.tci-thaijo.org/index.php/MKHJ/article/view/244943/169762 (in Thai)

Kuhamanee U, Rodpakpai Y, Maharatphong N. Health literacy and the role of village health volunteers (VHVs) in preventing chronic disease. Department of Medical Services Journal 2020;45(1):137-42. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/244774/166381 (in Thai)

Rasiri S, Intarakumhang Na Rachasima S, Rasiri T.The role of thai public health volunteers. Journal of Health Research and Development 2021;7(2):80-97. Available from: https://he02.tci-thaijo.org/index.php/journalkorat/article/view/250391/174231 (in Thai)

Buntham A. Guidelines for promoting Performing work according to the roles and responsibilities of Village health volunteers Chatrakan District Phitsanulok Province. 2nd National Academic Conference, 22 December 2015. Kamphaeng Phet: Kamphaeng Phet Rajabhat University 2015. (in Thai)

Ngasaengsai P, Sornsian P, and Phattharabenjapon S. A case study of health intelligence of village volunteers. Isaan Journal of Pharmacy 2014;9:82-7. Available from: https://he01.tci-thaijo.org/index.php/IJPS/article/view/16320/14864 (in Thai)

Gibson C H. A Concept Analysis of Empowerment. Journal of Advanced Nursing 1991;16:354-361. doi: 10.1111/j.1365-2648.1991.tb01660.x.

Benjamin S B. Taxonomy of Education Objective Handbook l : Cognitive Domain. New York: David Mackey Company, lnc. 1956.

Linjeen J, Sittisart V, Nawamawat J, Sritarapipat P. The development of health volunteers’ competencies in non-communicable diseases screening: A systematic review. Humanities, Social Sciences and Arts 2019;12(6):1175-1191. Available from: https://url.in.th/NVJTu (in Thai)

Wongnim B. Development of Health Communication Competencies of Village Health Volunteers through the Participatory Process of Thawung District Health Network. Singburi Hospital Journal 2022;31(2) 54-67. Available from: https://url.in.th/EZUIR (in Thai)