Factors associated with quality of spirometry at occupational medicine clinic in Nopparat Rajathanee Hospital
Keywords:
quality of measurement, spirometry, worker, occupational respiratory diseaseAbstract
Abstract
A quality of spirometry is essential for diagnosis and surveillance of respiratory diseases in workers. This cross-sectional study aims to evaluate the quality of spirometry at Occupational Medicine Clinic in Nopparat Rajathanee Hospital. The factors that contributed to the quality were also examined. A total of 246 workers at Occupational Medicine Clinic in Nopparat Rajathanee Hospital were participated in the study. The data were collected by questionnaire and spirometer and analyzed by descriptive statistic and Multiple Logistic Regression method. The results revealed that 82.5% of the spirometry was high quality and shown positive correlation with experience in spirometry (Adjusted OR 2.36; 95% CI 1.01, 5.52), knowledge regarding spirometry (Adjusted OR 2.24; 95% CI 1.06, 4.76), and attitude toward spirometry (Adjusted OR 3.36; 95% CI 1.44, 7.81) among participants. Therefore, it is concluded that experience in spirometry, knowledge regarding spirometry and attitude toward spirometry are related to the quality of spirometry. This study suggested the spirometry practice should emphasize on knowledge regarding spirometry and promote attitude toward spirometry. In addition, positive experience in spirometry should also be supported before conducting an actual test.
References
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2. Bureau of Occupational and Environmental Diseases. Report of Environmental and occupational diseases in 2015 [internet]. 2015. [Cited 2018 August 11], Available from: https://hdcservice.moph.go.th/hdc/reports/page.php?cat_id=f16421e617aed29602f9f09d951cce68.
3. Bureau of Occupational and Environmental Diseases. Report of Environmental and occupational diseases in 2016 [internet]. 2016. [Cited 2018 August 11], Available from: https://hdcservice.moph.go.th/hdc/reports/page.php?cat_id=f16421e617aed29602f9f09d951cce68.
4. Bureau of Occupational and Environmental Diseases. Report of Environmental and occupational diseases in 2017 [internet]. 2017. [Cited 2018 August
11], Available from: https://hdcservice. moph.go.th/hdc/reports/page.php?cat_ id=f16421e617aed29602f9f09d951cce68.
5. Jirapongsuwan A. Work environment and health risk: Principles and application for occupational health nursing. Bangkok: Danex intercorporation; 2018.
6. Bandhukul A. Texbook of occupational medicine. Bangkok: Nopparat Rajathanee Hospital; 2011.
7. International Labour Organization (ILO). Topics in workers’ compensation systems [internet]. 2011. [Cited 2018 September 18], Available from: http:// www.iloencyclopaedia.org/part-iii-48230/ topics-in-workers-compensationsystems/.
8. Mary C. Spirometry in the Occupational Health Setting-2011 Update. Journal of Occupational and Environmental Medicine [internet]. 2011. [Cited 2018 August 16], Available from: https:// acoem.org/acoem/media/News-Library/ Spirometry-in-Occupational-HealthSetting.pdf.
9. Miller MR, Hankinson J, Brusasco V, et al. Standardisation of spirometry. J Eur Respir 2005;26:319-38.
10. Nursing division ministry of public health. Standardisation of occupational health Nursing. Bangkok: Thep phen wanit; 2014.
11. Ekpanyaskul C. editors. Principle of Occupational Medicine for Preventive Medicine & Public health. Bangkok: Charan Sanitwongse printing; 2018.
12. Occupational Safety and Health Administration. (OSHA). Spirometry testing in occupational health programs: Best practices for healthcare professionals [internet]. 2013. [Cited 2018 August 15], Available from: https://www.osha.gov/ Publications/OSHA3637.pdf.
13. Daniel WW. Biostatistics: A foundation for analysis in the health sciences. 10th ed.Las Vegas: Edwards Brothers Molloy; 2013.
14. Bloom B.S. Taxonomy of Educational Objective: The classification of educational goals. Michigan: David McKay company;1956.
15. Daniel WW. Biostatistics: A foundation for analysis in the health sciences. 8th ed. New York: John Wiley & Sons; 2005.
16. Foundation summacheeva. Ministerial Regulation Guideline for Health Checkup based on Chemical and Physical Risk Factors from Occupations in The Workplace 2013. [Internet]. 2020 [cited 2020 April 18]. Available from: https://www.summacheeva.org/share/law_industry_health.
17. The Association of occupational and Environmental Diseases of Thailand. Guideline for Health Examination of Confined-Space Workers. Foundation summacheeva 2014;1-26.
18. Safety And Health At Work Promotion Association (Thailand) Under Patronage. Ministerial Regulation Standards for The Management and Operation of safety and Occupational health and working Environmental of Confined Space 2019. [Internet]. 2020 [cited 2020 April 18]. Available from: https://www.shawpat.or.th/index.php?option=com_phocad ownload&view=category&id=10:-m-ms&Itemid=77.
19. Giner J, Plaza V, Rigau J, et al. Spirometric standards and patient characteristics: An exploratory study of factors affecting fulfillment in routine clinical practice. Respir Care 2014;59:1832-37.
20. Seyedmehdi S M, Attarchi M, Yazdanparast T, et al. Quality of spirometry tests and pulmonary function changes among industrial company workers in Iran: a twoyear before-and-after study following an intensive training intervention. Prim Care Respir J 2013;22:86-91.
21. Powwattana A, Kalampakorn S, Lagampan S, et al. Health Promotion and Disease Prevention in Community: An Application of Concepts and Theories to Practice.
Bangkok: Nanawitthaya Printing; 2014.
22. Leuppi J D, Miedinger D, Chhajed P N, et al. Quality of Spirometry in Primary Care for Case Finding of Airway Obstruction in Smokers. Respiration 2010;79:469-74.
23. Sternberg Robert J. The theory of successful intelligence. Interam J Psychol 2005;39:189-202.
24. Malmstrom K, Peszek I, Botto A, et al. Quality assurance of asthma clinical trials. Control Clin Trials 2002;23:143-56.
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Published
2020-12-30
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Porprasit N, Jirapongsuwan A, Kalampakorn S, Siri S. Factors associated with quality of spirometry at occupational medicine clinic in Nopparat Rajathanee Hospital. J Med Health Sci [Internet]. 2020 Dec. 30 [cited 2024 Apr. 26];27(3):69-82. Available from: https://he01.tci-thaijo.org/index.php/jmhs/article/view/246817
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