Lanna Journal of Health Promotion and Environmental Health

The factors affecting food consumption behaviors personnel of Health Promotion Center region 1, Chiang Mai

Sopin Mokmamern — 2025-04-22

Food consumption behavior significantly impacts consumer health. This study aims to investigate the factors influencing the food consumption behavior of personnel at Health Promotion Center region 1, Chiang Mai to inform policy formulation for promoting healthy eating and effectively reducing the risk of chronic non-communicable diseases. This research was a cross-sectional descriptive study of purposed to the food consumption behavior and its influencing factors result among personnel at Health Promotion Center region 1, Chiang Mai. The study population were the personnel comprised 260 people of working at Health Promotion Center region 1, Chiang Mai. A simply random of sample at 155 individuals was selected using the Krejcie and Morgan formula with a margin of error of 0.05. Data were collected using structured questionnaires with a reliability coefficient of 0.9 and a confidence level of 0.6. The food consumption knowledge questionnaire had a KR-20 value of 0.6. Data were analyzed using descriptive statistics, including frequency and percentage, as well as multiple regression analysis to study the influence of variables on food consumption behavior.

The results showed that the overall level of knowledge regarding food consumption among personnel of Health Promotion Center region 1, Chiang Mai was found to be low (69.7%). In contrast, the overall level of health belief patterns related to food consumption was high (81.3%). The primary sources of information were Facebook (76.8%) and colleagues (77.4%). The overall level of food consumption behavior was at a moderate level (55.5%). These factors collectively predicted 15.9% of the food consumption behavior among the personnel at Health Promotion Center 1, Chiang Mai (R² = 0.159). The findings from this study can serve as foundational data for the development of health literacy among the personnel, aiming to promote more appropriate food consumption behaviors

Results of The Education Program for Caregivers on Initiating Age-Appropriate Foods for 6-Month-Old Children Receiving The Well Child Clinic's Services at Health Promotion Hospital, Chiang Mai

suwannee pradit — 2025-01-07

Promoting child nutrition by encouraging caregivers to have knowledge about preparing food for children, feeding them age-appropriate food, and enhancing knowledge and understanding and changing caregivers’ correct feeding behavior will help children grow well, without obesity or malnutrition. This quasi-experimental research aimed to study the results of a child care education program by comparing the average knowledge scores, age-appropriate feeding behaviors, and evaluating program satisfaction. The sample size consisted of 45 caregivers of 4-month-old children receiving services at the Well Child Health Clinic, Health Promotion Hospital, Reginal Health Promotion Center 1, Chiang Mai, between February to May 2024.

The instruments were a child care education program and questionnaires. The content validity of the knowledge and behavior questionnaires were tested with the IOC values of 0.67-1.00 and 0.75-1.00, respectively, and the Cronbach's alpha coefficient reliability values of 0.80 and 0.91, respectively. Data were collected during the experimental and post-experimental periods. Descriptive statistics and paired
t-tests were used for data analysis.

The results showed that (1) the knowledge of caregivers about the initiation of age-appropriate foods for 6-month-old children after participating in the program was significantly higher than before participating in the program (p<0.001), (2) the average feeding behavior scores before and after participating in the program were not statistically significantly different, (3) the age-appropriate feeding behavior scores while feeding the children before and after participating in the program were significantly different (p<0.001), and (4) the caregivers were highly satisfied with the program (mean = 4.54, S.D. = 0.533).

This study's results are useful for promoting the knowledge and behavior of caregivers to be able to provide appropriate nutritional care for children.

Keywords: educational programs, child caregivers, age-appropriate food, children aged 6 months

The effect of Counseling on Anxiety in Women with Abnormal Cervical Cancer Screening Results, Lamphun Hospital

Wannawarang Khahawattharangkun — 2025-01-08

Women who have abnormal cervical screening results may have an impact on their mental state and it can cause stress, anxiety, fear, and sometimes skepticism about the diagnosis. This research is quasi-experimental to compare mean pre-post counseling anxiety scores within the group and between the experimental and control groups. The sample was women with abnormal cervical cancer screening results, Lamphun Hospital. Classified into experimental and control groups, 30 cases per group. The tools used in the experiment included a series of counseling activities for women with abnormal cervical cancer screening results, developed according to the person centered theory of Rogers (1996). The tools used to collect the data include personal data records and anxiety assessments (STAI form Y-1) of Spielberger developed and translated into Thai by Orphan Lueboontawatchai (2020). The data were analyzed with descriptive statistics, including frequency, percentage, mean, standard deviation and inferential statistics, as follows Fisher’s exact probability test, Paired sample t-test and independent t-test.

The results showed that after counseling, the anxiety scores between the experimental and control groups differed statistically significantly at the level of 0.05. The experimental group had low anxiety scores (mean=37.16, SD=8.21). Meanwhile, the control group had a moderate anxiety score. (mean=46.46, SD=6.65).

Therefore; this series of counseling activities for women with abnormal cervical cancer results reduces anxiety and it also helps women with abnormal cervical cancer results to undergo effective diagnosis in the next step.

The Effects of an Educational Program on Managing Pain and Anxiety of Patient with Extra Corporeal Shock Wave Lithotripsy, Lamphun Hospital

Aranya Pongnapadol — 2025-01-10

Urolithiasis is a health problem that greatly affects the quality of life of the Thai population. Most patients require shock wave lithotripsy. While breaking up the stones, the patient will feel uncomfortable from the pain while breaking up the stones. This research is quasi-experimental to compare pain scores, anxiety scores and satisfaction levels of patient. The sample group is the patient altering extra corporeal shock wave lithotripsy at Lamphun Hospital during the period from March 1, 2024 to April 30, 2024, it was divided into two groups: the experimental group 40 people and control group 40 people. The tools used in this study were educational program on managing pain and anxiety of patient by applying the self-care concept of Orem (2001) to teach, guide and support patient to be able to managing pain and anxiety. The tools for collecting the data are personal data recording forms, pain assessments, anxiety assessments, and patient satisfaction assessments. Data analysis with descriptive statistics and inferential statistics

The results showed that the experimental group received educational program on managing pain and anxiety of patient with extra corporeal shock wave lithotripsy had lower average scores of pain (t=6.800, p-value=0.000) and anxiety (t=2.968, p-value=0.000) than the control group statistically significant at the level of 0.05. And were more satisfied with the shock wave lithotripsy service than the control group statistically significant at the 0.05 level (t=-7.162, p-value=0.000).

Therefore; this program helps patients undergoing shock wave lithotripsy, manage their pain and anxiety and create satisfaction in the service of extra corporeal shock wave lithotripsy.

Effect of Nutrition and Exercise program on weight control behavior and appropriate weight gain in over weight gain pregnancy , Antenatal care department Phrao hospital

นางจันจิรา นิลสนิท — 2025-01-10

The study of the program on diet and exercise for controlling weight in overweight pregnant women at Phrao Hospital, Chiang Mai, were studied using a quasi-experimental design with a two-group, pretest-posttest design. The objectives were: 1) to compare the average scores of weight control behaviors in overweight pregnant women between the experimental and control groups, 2) to compare the weight gain during pregnancy in overweight pregnant women between the experimental and control groups, and 3) to compare the rate of complications from weight gain during pregnancy between the experimental and control groups. The study sample consisted of 60 pregnant women with a BMI greater than or equal to 23 kg/m2 receiving antenatal care at Phrao Hospital, Chiang Mai, selected purposively and divided into an experimental group of 30 and a control group of 30. The research tools included a program on diet and exercise for weight control behaviors in pregnant women, which lasted for 7 weeks. Data collection tools included general information forms for pregnant women, complication recording forms during pregnancy, and questionnaires on weight control behaviors. Data analysis involved statistical methods such as frequency distribution, percentages, mean, and standard deviation, as well as statistical tests including Chi-square, paired sample t-test, and independent t-test.The results of the study showed that after using the diet and exercise program, the experimental group had significantly improved weight control behaviors compared to the control group (p < .001). The weight gain in the experimental group was within normal range and significantly lower than the control group (p < .001). Additionally, the experimental group had fewer complications during pregnancy compared to the control group.Healthcare professionals may consider using this program to care for overweight pregnant women in their facilities and expand its use to other hospitals in the future.

Keywords: Diet and exercise program, Weight control behaviors, Overweight pregnant women

The Effects of Implementing a Self-Care Processes in Lifestyle Medicine for Patients with Hypertension at The Health Promotion Clinic, Health Promotion Center Region 1 Chiang Mai

Mayuree Itthiphuwadol — 2025-01-11

Hypertension is a major global and national health concern and a key risk factor for cardiovascular diseases. This quasi-experimental study employed a two-group pretest-posttest design to evaluate the effects of a lifestyle medicine-based self-care process on patients with hypertension at the Health Promotion Clinic, Health Promotion Center Region 1, Chiang Mai. The study aimed to compare the mean blood pressure, body mass index (BMI), and waist circumference of working-age hypertensive patients within the experimental group before and after the intervention, as well as between the experimental and control groups post-intervention.

The study was conducted from January to August 2024. Participants included 153 individuals aged 18–59 years who were diagnosed with hypertension, either as a primary condition or comorbidity, and registered for treatment at the clinic. Using G*Power, the sample size was calculated to be 76 participants, who were divided into an experimental group (n = 38) and a control group (n = 38) through systematic sampling (alternating even and odd days). Participants were required to communicate in Thai and provide informed consent.

The experimental group underwent an intervention based on lifestyle medicine, with assessments conducted using the Lifestyle Assessment and the STOP-BANG Questionnaire at baseline and after 12 weeks. The control group received standard care. Data were analyzed using descriptive statistics, the Mann-Whitney U test, and the Wilcoxon signed-rank test, with a significance level of 0.05.

Results revealed that after 12 weeks, the experimental group demonstrated significant reductions in mean blood pressure, BMI, and waist circumference at the 0.05 significance level. Between-group comparisons indicated significantly lower mean blood pressure in the experimental group compared to the control group, also at the 0.05 significance level, with no significant differences observed in BMI or waist circumference.

Health Literacy Promotion Program among Pregnant Women with Anemia on Eating Behavior Taking Iron Supplement Tablets and Blood Concentration at Health Promotion Hospital Regional Health Promotion Center 1 Chiangmai

chananan punyasilp — 2025-01-13

Anemia in pregnant women increases the risk of preterm birth, low birth weight, and postpartum hemorrhage. Health literacy is a crucial factor for pregnant women with anemia. This study was a quasi-experimental research aimed to investigating the effects of a health literacy promotion program for pregnant women with anemia at Health Promotion Hospital Regional Health Promotion Center 1 Chiangmai. This study selected a purposive sample of pregnant women aged 18 years and older, with hemoglobin levels below 11 gram per deciliter. The research was conducted between March and October 2024, divided into a control group and an experimental group, with 25 participants in each group. Experimental group received health literacy program underwent an 8-week. A questionnaire that was validated for content by three experts, with an Index of Item-Objective Congruence (IOC) value of 0.82 and a reliability coefficient (Cronbach's alpha) of 0.92. Descriptive statistics were used, frequency, percentage, mean, standard deviation. For comparison of means, non-parametric analysis was conducted using the Wilcoxon Signed Ranks Test and the Mann-Whitney U-test, as the data distribution was not normal.

The results showed that the experimental group had an increase in mean health literacy, dietary behavior, medication adherence, and blood concentration after the intervention (p<.01). Comparing the two groups, the health literacy of the experimental group improved more than the control group (p<.05). However, dietary and medication behavior and blood concentration in the experimental group did not significantly difference between the control group. This health literacy promotion should be used to enhance their knowledge and serve as a guideline for addressing other issues in the future.

The Efficacy of Intermittent Fasting for Weight Loss in Metropolitan Health and Wellness Institution Employees with Overweight or Obesity

ภัทราภรณ์ เอมย่านยาว — 2025-01-14

Overweight or obesity is a major risk factor for non-communicable chronic diseases that can be prevented by changing behavior by eating and exercising regularly. This quasi-experimental study aimed to investigate the effects of intermittent fasting for weight loss in metropolitan health and wellness institution employees with overweight. A purposive sampling of 45 people who were overweight and consented to participate was selected. The research instruments consisted of a personal data, weight, body mass index, and waist circumference, Nutrition and Food Consumption Knowledge Assessment and the 16/8intermittent fasting program, which applied self-efficacy and social support theories to behavior modification. The study was conducted of 8 weeks. Data were analyzed using descriptive statistics: frequency, percentage, mean, standard deviation, Pair t-test, and Repeated-Anova.

The results found that the mean scores of nutritional knowledge and food consumption after the program were significantly higher than before (p < 0.001). When comparing the mean weight, body mass index and waist circumference 3 times at the beginning of the project, 4 weeks, and 8 weeks, it was found that they were significant (p < 0.001). In conclusion, the program can reduce weight, body mass index, and waist circumference in overweight people. The results of this research can be communicated as an alternative for weight loss in working-age people.

The Development of a Care Model for Pregnant Women at Risk of Gestational Diabetes at Health Promotion Hospital, Reginal Health Promotion Center 1, Chiang Mai

่janchai singnon — 2025-01-15

Gestational diabetes is a significant risk factor that increases the likelihood of complications for both pregnant women and their fetuses. It also raises the risk of developing type 2 diabetes in the future. Meanwhile, infants are at risk of being overweight, experiencing shoulder dystocia during delivery, and developing hypoglycemia after birth, which can lead to long-term chronic health issues. This research aims to develop a model, examine the outcomes of its implementation, and assess the feasibility of applying it to the care of women at risk for gestational diabetes in health promotion hospitals in Chiang Mai. This study used participation action research methodology, conducted in three phases: 1) a literature review on care guidelines and risk factors associated with GDM, 2) development of an effective care approach in collaboration with a multidisciplinary team, and 3) evaluation of the care model’s effectiveness with a sample of high-risk pregnant women. Data collection tools included a questionnaire assessing motivation and preventive behaviors for gestational diabetes. The reliability of the entire questionnaire was confirmed with a Cronbach’s Alpha coefficient of 0.87. The sample consisted of 52 high-risk pregnant women, divided into an experimental group (26 participants) and a control group (26 participants). Data were analyzed using frequency, percentage, mean, standard deviation, and t-tests. Qualitative data regarding the feasibility of implementing the care model were summarized into key themes.

Research findings indicate that the developed care model demonstrates that the program not only enhances motivation but also encourages pregnant women to apply their knowledge in adopting behaviors to prevent diabetes. The study revealed that pregnant women in the experimental group showed significant improvements in awareness and knowledge related to risk management. Moreover, they made statistically significant changes in their dietary and exercise behaviors (p<0.001). The care model can be effectively applied in healthcare settings to manage high-risk pregnancies and promote the health of mothers and their unborn children.

Effect of early skin to skin contact activity between mother and baby undergoing cesarean section on infant suckling performance and mother-infant bond. Health Promoting Hospital, Health Center 1 Chiang Mai

Nongkran Srisanga — 2025-01-16

Currently, only 14 percent of children aged 0-6 months in Thailand receive breast milk, which is lower than the 50 percent target set in 2025. Early skin-to-skin contact activities help enhance breastfeeding success by encouraging infants to suckle from their mothers within the first half hour after birth. This quasi-experimental research aimed to compare the efficiency of breastfeeding and mother-infant bonding between the groups participating in the Early skin-to-skin contact activity in the operating room. The sample group in the study consisted of 52 pairs of pregnant women and term infants at the Health Promotion Hospital, Health Center 1, Chiang Mai, divided into the experimental group, 26 pairs performing activities in the operating room, and the control group, 26 pairs perform recovery room activities as per normal service. The research instruments were the Early skin-to-skin contact practice, the breastfeeding assessment form, and the mother-infant bonding questionnaire. The instruments were validated by experts and had a concordance index of 0.67, and a Cronbach’s Alpha Coefficient of 0.92.

The results of the study found that: The experimental group's suckling efficiency score (9.88) was significantly higher than that of the control group (8.81). Similarly, the mother-infant bonding score in the experimental group was higher than that of the control group at an average of 3.36, which was 2.97. The results indicated that Early skin-to-skin contact activities promoted suckling efficiency and bonding, demonstrating the importance of implementing them in the operating room to support breastfeeding and build mother-infant bonding.

The Effectiveness of a Self-Management Promotion Program for Elderly People with Urinary Incontinence in Ban Nong Hai Sub-district Health Promoting Hospital, Khuaeng Pao Sub-district, Chom Thong District, Chiang Mai Province.

Kitiporn Pengphira — 2025-01-22

This research is a quasi-experimental study aimed to evaluating the effectiveness of a self-management promotion program for elderly with urinary incontinence in the Ban Nong Hai Subdistrict Health Promoting Hospital, Khung Pao Subdistrict, Chom Thong District, Chiang Mai Province. The study involved 40 participants who received an 8-week self-management promotion program, which included video materials and various health-promotion activities. Data collection was carried out using a questionnaire that assessed the severity of urinary incontinence and self-management behaviors related to urinary incontinence, including life pattern management, medical management, and palliative management. Data were analyzed using the Wilcoxon Signed-Rank Test.

The research findings indicated that the self-management behaviors of elderly individuals in life pattern management, medical management, and palliative management significantly improved after participating in the self-management program, with statistically significant higher scores compared to before the program (p ≤ 0.001). This study suggests that promoting self-management can effectively help reduce urinary incontinence problems in the elderly and can be applied in the care of older adults in the community.

Miss Effectiveness of a Lifestyle Medicine Health Behavior model of Working-Age in Risk group Hyperlipidemia at Regional Health Promotion Center 2, Phitsanulok

Kunnika Suwan — 2025-01-26

Dyslipidemia is a leading cause of cardiovascular disease, a major global and Thai health issue with increasing prevalence due to changing lifestyles, leading to premature deaths. This quasi-experimental study aimed to examine the effects of a health behavior modification model based on lifestyle medicine principles on working-age individuals at risk of dyslipidemia.

The sample consisted of 80 individuals with abnormal blood lipid levels from the Good Health Center, Health Promotion Hospital, Phitsanulok. They were divided into an experimental group (40) and a control group (40). The experimental group underwent a 12-week health behavior modification program, while the control group received standard care. Data collection tools included questionnaires on general and health information, lifestyle medicine health behavior assessments, blood lipid levels, and cardiac performance. Data were analyzed using descriptive statistics, including frequency, percentage, mean, standard deviation and inferential statistics, including Fisher's Exact test, Chi-square test, Independent t-test, and Wilcoxon signed rank test.

Results showed that the experimental group significantly improved in health behaviors related to diet, exercise, smoking and alcohol cessation, and sleep (p < 0.05). They also had significantly lower levels of total and LDL cholesterol compared to the control group (p < 0.05), although HDL cholesterol and triglycerides showed no difference between groups. Cardiac performance in the experimental group improved significantly compared to the control group (p < 0.05).

The lifestyle medicine-based model effectively enhanced health and reduced dyslipidemia risk among working-age individuals. Relevant agencies should consider adopting this model to promote health and reduce dyslipidemia risks.

Satisfaction and Motivation in The Performance of Public Health Personnel Under the Lamphun Provincial Administrative Organization

Chatupol Pongthanapiboon — 2025-03-10

Abstract

In 2023-2024, 38.36% of subdistrict health promotion hospitals (HPH) were transferred to the Lamphun Provincial Administrative Organization (PAO), increase and be completed by 2027. However, there has been no study on the satisfaction and motivation of those transferred. The purposes of this research were to study the level and factors affecting the level, and the opinions on problems and suggestions for increasing the level of satisfaction and motivation in public health personnel. The population was 11 subdistricts HPH, 47 persons who transferred to the Lamphun PAO in the fiscal year 2023 by simple random sampling, the samples were 34 persons. The mixed-methods study design was done. Data was collected from April to May 2024. The instrument was a questionnaire with IOC of 0.6 - 1.0 and Cronbach's Alpha Coefficient reliability value of 0.78 - 0.96, consisting of three parts. Part 1, General information including gender, age, education, position, and seniority. Part 2, Satisfaction and motivation in 5 dimensions with Likert rating scale 5 level as 1) Organizational policy and administration, 2) Personnel administration/career path and promotion, 3) Salary, compensation, and benefits, 4) Work environment 5) Organization culture. Part 3, Opinions on problems and suggestions for increasing the level of satisfaction and motivation. Descriptive statistics analyzed general data, Chi-square was testing relationship between variables, and Content analysis for qualitative studies.

The results found that overall satisfaction and motivation levels were at a high level ( = 3.83 ± 0.44). There were significant relations between job positions with Organizational policy and administration, Personnel administration/career path and promotion, and Salary compensation and benefits at level of p ≤0.05. In addition, age was significant in relation with Personnel administration/career path and promotion at a level of 0.05. The suggestions were to allocate personnel correctly for the job, career path promotion, clarity in regulations, and personnel potential development which would increase satisfaction and motivation with ownership and engagement.

Effect of Group Process on Health Behaviors Among Persons with Hypertension in Hypertension Clinic at Li Hospital, Lamphun Province

chindarat suntorn — 2025-03-18

Lifestyle factors mainly cause hypertension. Using group processes to change health behaviors will help hypertensive patients live a quality life. This research is quasi-experimental research to study and compare the effects of using group processes on health behavior of hypertensive patients. The sample group is 60 hypertensive patients who seek treatment at the Hypertension Clinic, Li Hospital, Lamphun Province. The sample group is randomly selected as the experimental group (30 people) and the control group (30 people). The intervention lasted for 16 weeks. The experimental group receives group processes for 4 weeks, including providing knowledge about hypertension and its complications, diet and drug control, exercise, emotional management and medication, and general health care. Meanwhile, the control group receives regular nursing care. Health behavior assessment is performed using the Health Behavior Assessment Form for Hypertensive Patients. Health behavior scores before and after using the group process are analyzed using the Wilcoxon Signed-Rank test. and between groups using the Mann- Whitney U test. The research results found that hypertensive patients in the experimental group after using the group process had higher mean health behavior scores than the group before using the group process, which is different. Statistically significant (p<.01) and those with hypertension after receiving the group process had a significantly higher mean health behavior score than the group that received normal nursing, at a statistically significant (p<.01) These results indicate that the group process effectively increased knowledge and improved health behavior management in hypertensive patients, enabling better blood pressure control. Therefore, it is recommended that nurses and healthcare teams incorporate group process-based learning into health behavior modification programs for hypertensive patients. This approach can enhance self-care practices, ensuring appropriate health behaviors.

Health Literacy, Health Behaviors and Health Status of Staff in Suan Prung Hospital, Chiang Mai Province

supannika chaiwan — 2025-04-04

This research aims to study health literacy, health behaviors, and health status. The sample group consists of Suanprung Hospital personnel who underwent health examinations and had laboratory results, including cholesterol, triglycerides, blood sugar, and uric acid levels, collected between February and April 2024. Systematic random sampling was used to select the sample of 202 people. Data were collected using a health literacy and health behavior assessment tool developed in 2023. The data were analyzed using descriptive statistics and Spearman's correlation. The study found that the sample group, on average, had very good health literacy and good overall health behaviors. There was a statistically significant relationship between health literacy and health behaviors. However, no statistical relationship was found between health literacy and health status. The relationship between health behaviors and health status, including the results of 2 blood tests, triglyceride and uric acid, had a statistically significant negative relationship. When separating the relationship between non-communicable disease health behaviors and COVID-19 infection behaviors and health status, it was found that non-communicable disease health behaviors had a statistically significant negative relationship with the results of triglyceride and uric acid, and COVID-19 infection behaviors had a statistically significant negative relationship with triglyceride levels. From the study results, health literacy was related to health behavior and health behavior may affect the health status of the sample group, It can be discussed that health literacy has a statistically significant relationship with health behavior and may affect health status. Therefore, increasing the level of health literacy among the general public is a major challenge in promoting good health.

Results of the Model Development for Health Promoting Care of Pregnant Women and Safe Childbirth in Remote Areas, Mae Hong Son Province

Hathairat Thongkiao — 2025-04-21

Mae Hong Son Province had many remote areas in many districts. It was difficult for pregnant women to access medical services, risking maternal and child death. Therefore, It was necessary to study the results of the model development for health promotion of pregnant women and safe childbirth in remote areas to increase safety for mothers and children during pregnancy and childbirth. By conducting action research to develop the model development for health promotion of pregnant women and safe childbirth, study the results of model development and compare satisfaction with the developed model with the original model in remote areas. The sample consisted of 80 pregnant women who gave birth at home / subdistrict health promoting hospitals, pregnancy was 28 weeks or more, living in remote areas which were at risk from pregnancy and childbirth groups. They divided into an experimental group and a comparison group, each group consisting of 40 people. The experimental group used the model development, the comparison group used original model. The research instruments included the model development for health promotion and the original model in remote areas, Interview form and record of pregnancy, antenatal care, childbirth and health status. Data were collected in September and December 2024 and analysis employed descriptive statistics, Chi-square test, and t-test.

The study found that the model development for health promotion of pregnant women and safe childbirth consists of 1) Development of staff potential, 2) Health promotion of pregnant women and safe birth, 3) Monitoring and evaluation. The results of using the model development for health promotion found that it provided pregnant women with more knowledge about pregnancy, had behaviors for health promotion better and better than the traditional care. Maternal health and birth weight were significantly more normal than the traditional care, but the baby's health after birth was no different from the traditional care. This developed model resulted in significantly more satisfaction among pregnant women than the traditional care.

According to the results, this developed model should be applied in remote areas of Mae Hong Son Province and other provinces.

Environmental Education: Concept to Conservation of Local Herbal Plants Wisdom Base on Community Participation

Samart Jaitae — 2025-01-31

The utilization of plants within their cultural beliefs led to the development of indigenous medicinal plant wisdom. An application can be useful for the concept of environmental education a process of learning and behavior change that is green environment, to develop activities for conserving indigenous medicinal plant wisdom, it is willing create processes for the conservation of medicinal plant habitats, the preservation of species diversity, the transmission of conservation activities, and the reflection of the role of local health officers. However, the practices within environmental education activities must match the community context, creation of community participation activities and includes supporting relevant academic information, which will lead to an appropriate results conservation process by balance and sustainability.

The Influence of TikTok on Holistic Health Perspectives in Children and Youth

ธารทิพย์ มีจอม — 2025-02-03

The world has fully transitioned into an online society, making access to various applications increasingly seamless. One of the most popular applications today is TIKTOK, which is easily accessible to people of all ages. Although the minimum age for users is set at 13 years old, reports indicate that younger children, particularly those of school age, are still able to access and use the platform. This article aims to explore the influence of the TIKTOK application on the holistic health perspective of children and youth, examining both the positive and negative impacts, and proposing ways to promote holistic health in the digital era.The study reveals that TIKTOK has influenced the holistic health perspective of children and youth by encouraging physical movement, fostering creativity, building self-confidence, and enhancing social interaction. However, without proper usage control and parental guidance, it could negatively impact all aspects of health. This includes promoting inappropriate imitative behaviors. The findings from this study can serve as a guideline for addressing holistic health issues related to TikTok usage among children, youth, and other age groups, contributing to the field of public health in the future.

Analysis of Standard Requirements between TIS 2677-2558 and ISO 15190:2020 Identifying Strengths, Weaknesses, Opportunities, and Threats as a Guideline for Laboratories Transitioning from Thai to International Standards.

Suphara Manowong — 2025-02-11

มาตรฐานคุณภาพในห้องปฏิบัติการเป็นสิ่งสำคัญในการดำเนินงานของห้องปฏิบัติการทางการแพทย์ ซึ่งมีบทบาทสำคัญในการให้บริการด้านการวินิจฉัยและการตรวจสอบ เพื่อให้ได้ผลลัพธ์ที่เชื่อถือได้และแม่นยำ มาตรฐานที่เกี่ยวกับห้องปฏิบัติการทางการแพทย์มีหลายประเภท รวมถึงมาตรฐานไทย มอก.2677–2558 และมาตรฐานสากล ISO 15190:2020 บทความนี้มีวัตถุประสงค์เพื่อการวิเคราะห์และเปรียบเทียบข้อกำหนดระหว่างมาตรฐาน
มอก. 2677–2558 และ ISO 15190:2020 เพื่อให้ข้อมูลที่ช่วยสนับสนุนการเปลี่ยนผ่านมาตรฐานอย่างมีประสิทธิภาพ เสริมสร้างความปลอดภัยในห้องปฏิบัติการทางการแพทย์ และยกระดับการดำเนินงานให้สอดคล้องกับมาตรฐานสากล การศึกษานี้ใช้การวิเคราะห์เอกสารมาตรฐานเพื่อเปรียบเทียบข้อกำหนดระหว่าง มอก. 2677–2558 และ ISO 15190:2020 โดยเน้นจัดกลุ่มข้อกำหนดที่คล้ายคลึงกันและข้อกำหนดใหม่ที่เพิ่มเติมในมาตรฐานสากล นอกจากนี้ยังใช้การวิเคราะห์ SWOT เพื่อระบุจุดแข็ง จุดอ่อน โอกาส และอุปสรรคในการเปลี่ยนผ่านมาตรฐาน เพื่อให้ได้ข้อมูลเชิงลึกสำหรับการพัฒนาห้องปฏิบัติการให้สอดคล้องกับมาตรฐานที่ทันสมัยและมีประสิทธิภาพมากขึ้น การศึกษาพบว่ามาตรฐาน มอก. 2677–2558 และ ISO 15190:2020 มีข้อกำหนดที่คล้ายคลึงกันในด้านการจัดการคุณภาพ เช่น การควบคุมคุณภาพและการตรวจสอบความถูกต้องของผลการตรวจ แต่ ISO 15190:2020 ได้เพิ่มข้อกำหนดที่สำคัญด้านความปลอดภัยทางชีวภาพ การจัดการความเสี่ยงด้านรังสี การยศาสตร์ และการบริหารความเสี่ยงที่ครอบคลุมมากขึ้น ซึ่งช่วยเสริมสร้างความปลอดภัยและความน่าเชื่อถือในระดับสากล อย่างไรก็ตาม
การเปลี่ยนผ่านมาตรฐานยังเผชิญอุปสรรค เช่น ค่าใช้จ่าย การปรับตัวของบุคลากร และการต่อต้านการเปลี่ยนแปลงในองค์กร แต่ห้องปฏิบัติการที่สามารถปรับตัวได้จะมีโอกาสยกระดับการดำเนินงานให้สอดคล้องกับมาตรฐานสากล เพื่อให้การเปลี่ยนผ่านจาก มอก. 2677–2558 ไปสู่ ISO 15190:2020 เป็นไปอย่างมีประสิทธิภาพ ห้องปฏิบัติการควรวางแผนการปรับตัวอย่างเป็นระบบ โดยเน้นการฝึกอบรมบุคลากรเพื่อสร้างความเข้าใจในมาตรฐานใหม่ และการตระหนักถึงความสำคัญของข้อกำหนดด้านความปลอดภัยและการบริหารความเสี่ยง ผู้บริหารควรมีบทบาทในการสนับสนุนด้านทรัพยากรและการสร้างบรรยากาศการทำงานที่เอื้อต่อการเปลี่ยนแปลง พร้อมทั้งปรับปรุงกระบวนการทำงานให้สอดคล้องกับมาตรฐาน และใช้เทคโนโลยีที่เหมาะสม นอกจากนี้ ควรมีการติดตามและประเมินผลอย่างต่อเนื่อง เพื่อให้มั่นใจว่าการดำเนินงานเป็นไปตามข้อกำหนดและสร้างความยั่งยืนในระบบ