Thai Journal of Health Education

Prevention Behaviors of Coronavirus Disease 2019 among Diabetic Patients Receiving Services in Hospital, Nakhon Ratchasima Province

mattana phumkokrak — 2024-06-30

The current situation of the COVID-19 pandemic shows that diabetic patients are at a higher risk of experiencing severe symptoms and death compared to the general patient population. Therefore, this cross-sectional analytical research aimed to study the behavior of preventing COVID-19 infection among diabetic patients receiving services in hospitals in Nakhon Ratchasima. The sample group used in the research consisted of 175 diabetic patients, selected through purposive sampling. The research tools used included a questionnaire, which comprised four parts: 1) a personal information questionnaire, 2) a test of knowledge about COVID-19 infection, 3) a questionnaire on health status perception according to a health belief model, and 4) a questionnaire on behavior to prevent COVID-19 infection. Data were analyzed using statistics, including percentages, mean, standard deviation, and Spearman’s Correlation Coefficient.The study found that: 1) Diabetic patients had a high level of knowledge about COVID-19 and perceived their health status in accordance with a health belief model at a high level, while their behavior in preventing COVID-19 infection was at a moderate level. And 2) Occupation, average monthly family income, knowledge about COVID-19, and perception of health status according to health belief model regarding the perception of severity, perceived benefits, and perceived barriers to COVID-19 infection were statistically significantly related to the behavior of preventing COVID-19 infection (p-value <0.05). However, the perception of risk did not have a relationship with the behavior of preventing COVID-19 infection.For future studies, the data obtained from this study should be used as a guideline to develop and promote behaviors that prevent COVID-19 among diabetic patients. This will lead to diabetic patients adopting sustainable healthy behaviors.

Coronavirus Disease 2019 Health Literacy and Preventive Behavior among Village Health Volunteers (VHVs), Nakhon Pathom Province

Endu thammawongkan — 2024-06-30

The coronavirus disease 2019 or COVID-19 outbreak is affecting the global health. In Thailand, the village health volunteers (VHVs) are considered as an important workforce for controlling and preventing diseases in communities. This cross-sectional survey research aimed (1) to explore the level of literacy and prevention behaviors that related to COVID-19, and (2) to study the relation between individual factors, level of literacy and prevention behaviors related to COVID-19 among 280 VHVs in Nakhon Pathom province. The samples were selected using two-stage cluster sampling. Data collection was processed during May to July, 2021 by questionnaires. Descriptive statistics, chi-square test and multiple regression analysis were used for data analysis.

The study revealed that the majority of VHVs had COVID-19 literacy and prevention behaviors relevant to COVID-19 in high level. The factors of health conditions and having smartphone of VHVs significantly related with literacy level. Education level of VHVs and all the six dimensions of health literacy including access skill, cognitive skill, communication skill, self-management skill, decision skill, and media literacy skill were significantly associated with prevention behaviors (p<0.05). Additionally, the overall of COVID-19 literacy has a positive relationship with COVID-19 prevention behaviors at a moderate level (r=0.444). Furthermore, education level, having other community status, and health literacy in self-management skill could predict 26.4%. of COVID-19 prevention behaviors.

Therefore, knowledge about COVID-19 should be actively promoted to VHVs, especially in the area of self-management in order to have COVID-19 disease prevention behavior correctly that will help prevent and control COVID-19 in the community effectively.

The Electronic Health Literacy among People with Hypertension in Prachinburi Province

Chanasit Kunanonpongs — 2024-06-30

การวิจัยนี้เป็นการวิจัยเชิงสำรวจแบบภาคตัดขวาง มีวัตถุประสงค์เพื่อศึกษาความรอบรู้สารสนเทศอิเล็กทรอนิกส์ด้านสุขภาพ จังหวัดปราจีนบุรี กลุ่มตัวอย่าง คือ ผู้ป่วยโรคความดันโลหิตสูง จังหวัดปราจีนบุรี จำนวน 311 คน สุ่มตัวอย่างโดยกำหนดสัดส่วนตามเพศและอายุ เก็บรวบรวมข้อมูลด้วยแบบสอบถามที่ให้กลุ่มตัวอย่างตอบด้วยตนเอง วิเคราะห์ข้อมูลด้วยสถิติเชิงพรรณนา ได้แก่ การแจกแจงความถี่ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน และทดสอบสมมติฐานการวิจัยด้วยสถิติไคสแควร์ (Chi-square test) และสถิติฟิชเชอร์ (Fisher’s Exact test)

ผลการวิจัย กลุ่มตัวอย่างส่วนใหญ่เป็นเพศหญิง ร้อยละ 77.8 อายุเฉลี่ย 57 ปี (SD : 7.9, max: 69, min : 35) ระยะเวลาเฉลี่ยที่เป็นโรคความดันโลหิตสูง 8.8 ปี (SD. : 5.2, max : 30, min : 1) ส่วนใหญ่มีระดับความรอบรู้สารสนเทศด้านสุขภาพอิเล็กทรอนิกส์ในระดับปานกลาง ร้อยละ 70.7 ระดับพฤติกรรมการดูแลตนเองในระดับถูกต้องน้อยร้อยละ 57.3 (SD. : 4.2, max :85, min : 61) ไม่มีความสัมพันธ์กับความรอบรู้สารสนเทศอิเล็กทรอนิกส์ด้านสุขภาพ (p = 0.069) สำหรับปัจจัยที่มีความสัมพันธ์กับความรอบรู้สารสนเทศด้านสุขภาพอิเล็กทรอนิกส์อย่างมีนัยสำคัญทางสถิติได้แก่ อายุ (p =0.026) เจตคติต่อการเข้าถึงระบบบริการสาธารณสุข (p= 0.012) เจตคติต่อการเข้าถึงข้อมูลโรคความดันโลหิตสูงออนไลน์ (p= 0.008) ทั้งนี้หน่วยงานที่เกี่ยวข้อง ควรจัดกิจกรรมส่งเสริมการสืบค้นข้อมูลออนไลน์ และส่งเสริมเจตคติการสืบค้นข้อมูลออนไลน์นร่วมในการให้ความรู้สุขศึกษาในคลินิกโรคความดันโลหิตสูงในการดูแลผู้ป่วยโรคความดันโลหิตสูง เพื่อส่งเสริมให้ผู้ป่วยมีความรอบรู้สารสนเทศด้านสุขภาพอิเล็กทรอนิกส์และสามารถสืบค้นข้อมูลด้านสุขภาพที่นำไปใช้ประโยชน์ได้ถูกต้อง

Reproductive Health Services in Thailand 2019

Patchareewan Jensarikorn — 2024-06-30

This research of a cross-sectional study aimed at examining the provision and rationale for contraception, safe abortion, youth-friendly health services (YFHS), and reimbursement for reproductive health services according to the benefit packages. Data were collected using questionnaires in public hospitals, under and outside the Ministry of Public Health, between June and September 2019. Descriptive statistics were used to analyze the data.

The study found that hospitals provided contraceptive services for all treatment rights, with 98.6 percent coverage under universal health coverage. The most commonly provided services were combined hormonal contraceptive pills and injectable contraceptives, at 99.4 percent. Long-acting reversible contraceptive services were less provided due to their expense and unpopularity, as well as a lack of personnel to provide the services. There were 29.9 percent of hospitals that provided termination of pregnancy services. Most hospitals provided termination of pregnancy services at the gestational age of 12-20 weeks by dilatation and curettage, with fetal death as the main indication. The main reason of terminated pregnancy services was a lack medical doctor. Moreover, the YFHS were mostly shared with other clinics and available during office hours, with hospitals' telephones serving as an additional channel.

Reimbursement of service fees according to the benefit package found that the highest amount of reimbursement was for long-acting reversible contraceptive services provided for women under 20 years. The reasons for the lack of reimbursement for services were because services were terminated, the lack of personnel who can provide long-acting reversible contraceptive services, and the lack of awareness that the services were reimbursable. Suggestions from this research are that hospitals should be encouraged to purchase medical supplies for long-acting reversible contraceptives and reimburse for the services according to the benefit package, increase coverage in capacity building for personnel to have skills in providing long-acting reversible contraceptive services, promote positive attitudes among medical personnel involved in termination of pregnancy, and expand access to youth-friendly health services via community and online channels.

Factors Affecting Preventing Depression Behavior among Students of Rajabhat University Western Thailand

Wikanda Mongmat — 2024-06-30

This study is a cross-sectional survey research with the objective of studying the relationship between preventive behaviors and depression. Social media influence Promoting depression prevention from educational institutions Promoting family prevention of depression of students of Western Region Rajabhat University There was a sample size of 395 people. Using a multi-stage random sampling method. Consisting of stratified random sampling according to Western Region Rajabhat Universities and selecting samples by lottery (Simple random sampling). The instrument used in the research was a questionnaire regarding depression prevention behaviors. Social media influence Promoting depression prevention from educational institutions Promoting family prevention of depression Confidence values were 0.94, 0.91, 0.97, and 0.94, respectively. Data were analyzed using descriptive statistics, One-Way ANOVA, and Stepwise Multiple Regression Analysis.

The results of the research found that the sample group had overall depression prevention behaviors at a high level. Factors that are significantly related to depression prevention behavior at the 0.05 level include gender (p-value = 0.000), age (p-value = 0.007), expenses that students receive from their parents. (p-value = 0.000) and marital status of parents (p-value = 0.001) and when considering the relationship between the independent variable and the dependent variable, it was found that social media influence Promoting depression prevention from educational institutions and promotion of family depression prevention There is a positive relationship with depression prevention behaviors. Statistically significant at the .05 level (r = 0.834, 0.772, and 0.818), respectively.

Factors Affecting Health Promotion Behaviors of Elderly In Songkhanong Sub-District, Sampran District, Nakhon Prathom Province

Roongrote Poomriew — 2024-06-30

The purposes of this cross-sectional analytical survey were to explore health literacy, healthservice accessibility, social support and health promotion behaviors 3 E 2 S and factors related to health behaviors 3 E 2 S of elderly aged 60 years and over living in Songkhanong Sub-District, Sampran District, Nakhon Prathom Province. The samples were 204 elderly selected by simple random sampling. Data were collected by interviewing and were analyzed through frequency, percentage, mean, standard deviation, Chi-square, Pearson’s Product-Moment Correlation and stepwise multiple regression.

The results of the study indicated that majority of the elderly samples had levels of health literacy, health service accessibility and social support at low 62.7 percent, high 54.4 percent and moderate 58.3 percent respectively. While they had health promotion behavior 3E 2S at moderate level 62.3 percent, high level 35.7 percent and low level 2.0 percent with an average score 45.37 and
SD = 5.334. In addition, an average of monthly income, health literacy, health service accessibility and social support had positive significant relationships with health promotion behavior 3 E 2 S of the elderly (p = 0.05). Moreover, factors affecting health promotionbehavior 3 E 2 S of the elderly were health literacy and social support (p = 0.05). They couldexplain the variation of the elderly health behavior 3 E 2 S by 19.8 percent. These results suggest that those related agencies should conduct programs to increase more health literacy and social support for enhancing health promotion behavior of the elderly.

The Effects of Applying Pender's Health Promotion Program on Improving Risk People with Type 2 Diabetes Mellitus Non Tum Sub-district, Chum Phuang District, Nakhon Ratchasima Province

Supitchayaporn Sunonsatitkul — 2024-06-30

This quasi-experimental study aimed to the effects program of applying Pender's health promotion theory with behavior change risk diabetes mellitus type 2 of people Non Tum Sub-district, Chum Phuang District, Nakhon Ratchasima Province. The samples were risk people with type 2 diabetes mellitus divided into two groups. The experimental and control group were consisted of 35 participate group. The experimental group was received program of applying Pender's health promotion theory and the control group received regular health promotion programs by simple random sampling and the trial period 12 weeks. The instrument used for data collection was personal questionnaire, health promotion behavior assessment (3E.2S.) and fingertip sugar level recording and body mass index form. Frequencies, percentage,mean, standard deviation, compare average score values paired samples t-test and independent samples t-test were applied for data analysis.

The results of this study were as follows: After receiving the program of applying Pender's health promotion theory the risk diabetes mellitus type 2 of people Non Tum Sub-district, Chum Phuang District, Nakhon Ratchasima Province, the experimental group hadsignificantly health behavior (3E.2S), effect on fingertip sugar levels and body mass index than before receiving the health promotion program and better control group at 0.01 level. Such the health promotion programs can be used to expand their results and apply in other areas to the provincial and national levels.

The Effects of the Promotion Program in Cyberbullying Prevention Behavior in Eighth Grade Students of a Secondary School in Bangkok Metropolis

Ponpawee Laosuwannayok — 2024-06-30

The cyberbullying problem among adolescents is increasing. Promoting the acquisition of cyberbullying prevention skills among adolescents is therefore necessary and important. This quasi-experimental research aimed to study the effectiveness of a promotion program incyberbullying prevention behaviors in eighth grade students of a secondary school in Bangkok.The study sample comprised 65 eighth-grade students, divided into an experimental group of 30 students and a comparison group of 35 students. The experimental group participated in a program developed based on self-efficacy and social support theories. The program consists of 4 learning activities and the activities were organized once a week. Methods for organizing learning activities include lectures, group counseling to share experiences, role-playing, live modeling, and anonymous discussions in line groups. Data were collected using a self-assessment questionnaire and analyzed using descriptive statistics, such as frequency, percentage, mean, and standard deviation. Research hypotheses were analyzed with the chi-squared test, independent samples t-test, and paired samples t-test, with a significance level set at 0.05.

After experimentation, the experimental group had significantly higher scores on self-efficacy in preventing cyberbullying. They also exhibited increased outcome expectations regarding the benefits of cyberbullying prevention, and cyberbullying prevention behaviors compared to before the experiment and significantly more than the comparison group (p<0.05), with p-values equal to 0.003, 0.001, and 0.001 respectively. It can be concluded that the program effectively promoted cyberbullying prevention behavior and increased perceived self-efficacy within the experimental group.

Effectiveness of Program Enhancing Health Literacy to Change 3E 2S Health Behavior among Personnel under the Non Thai District Health Office, Non Thai District, Nakhon Ratchasima Province

Kawee Chinjoho — 2024-06-30

This study is a quasi-experimental research. The experimental group consists of personnel from the Non-Thai District Public Health Office, and the comparison group consists of personnel from the Chakkarat District Public Health Office, with 48 individuals in each group. The aim of study is to evaluate the effectiveness of a health literacy enhancement program to modify the 3E 2S health behaviors of personnel from the Non-Thai District Public Health Office, Non-Thai District, Nakhon Ratchasima Province. The program duration was 14 weeks, and data were collected using online questionnaires both before and after the program. Data analysis was performed using the t-test.

The research results showed that after participating in the program, the experimental group had an average health literacy score at a good level (Mean=83.16±4.68). Comparing the differences between the scores of the two groups revealed a statistically significant difference (p<0.001). Social health activity participation was at a good level (Mean=16.27±2.56). Comparing the average scores of the two groups revealed a statistically significant difference (p<0.03). Self-care behavior according to the 3E 2S principles was at a moderate level (Mean=31.06±4.94). Comparing the average scores of the two groups revealed a statistically significant difference (p<0.001). Therefore, the health literacy enhancement program to modify the 3E 2S health behaviors can be used with at-risk groups for chronic diseases, and program should be periodically conducted to align with changing contexts and knowledge.

Development of maternal and child care model according to the Miracle 1,000 Days Plus project, Health Area 9

Pakarat Sangkla — 2024-06-30

Thailand is facing a problem of low birth rates and poor-quality children. The intelligence level is lower than the international standard. The process of implementing and solving the problem has not been successful or sustainable. Therefore, it is necessary for the network partners responsible for maternal and child care to develop a standardized model of care. Analyzing situations and finding ways were exchanged between them to come to a conclusion. The purpose of this study was to study the model of maternal and child care through the Miracle 1,000 Days Plus Project in Health District 9 and the cooperation and participation of the involved network partners. This study was participatory action research. A specific target group was selected, including 40 network partners involved in caring for mothers and children in Health District 9. Qualitative data were collected from documents, In-depth interview, and focus group discussion and quantitative data were collected from A questionnaire of the participation. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed using content analysis.

The results showed that the development of a model for caring for mothers and children involves organizing the learning process in four areas: decision-making, operations, and receiving benefits and evaluation problems and obstacles include the lack of coordination between experts and the analysis of the causes and results of operations. The solution was to review roles and develop potential at all levels. especially at the district level, including staff in their work in terms of skills, understanding, and care for mothers and children. The success factor was that executives at all levels have continuous supervision and monitoring of operations, and network partners participate in the work. and the overall participation of network partners was at a high level. (=4.03, S.D.= 2.01)Therefore, the development of mother-child care models should have support from relevant agencies and using the model to plan and create guidelines for the further development of maternal and child care models in maternal and child health.

Factors Affecting Learning Happiness of Nursing Students

apiruedee papol — 2024-06-30

This academic article aims to present Factors associated with Learning Happiness of Nursing students. Happiness is a crucial factor in human life. Nursing students' life can be challenging due to many factors that may contribute to their happiness index. because they have been found to be at risk of stress and unpleasant emotions due to several reasons such as changing environment, and nursing practice with sickness, sadness and loss of the patients and their families. Happiness refers to how we feel like or satisfied with life. for the joy of education It is caused by learners having wisdom to understand the value of things. What is important, happiness in learning must come from the learner. When learners are happy to learn, they will respond to their curiosity. bring value to life Happy learning is a learner's feeling of satisfaction, determination, interest, and eagerness to participate in teaching and learning.

Factors associated with Learning Happiness of Nursing students such as 1) internal factors such as health status, emotional intelligence, resilience and 2) external factors such as family, characteristic of instructors, teaching and learning and the environment supporting students learning. Also should be used s the additional information to the instructors/lectures and students’s advisors in according to assist and support the student in learning process.