Journal of Public Health Nursing

Primary Healthcare System Transition: Challenges and Solutions for Future Operations

พิทยา จารุพูนผล, เกษร สุวิทยะศิริ, Kanasap Tawatting — Fri, 30 Aug 2024 00:00:00 +0700

The Senate Committee on Public Health has conducted a study to examine the significance of the primary healthcare system and its impact on the public access to health services.Currently, the primary healthcare system is not making sufficient progress in achieving its objectives, which has led to a lack of quality healthcare access for the general population Additionally, there is an ongoing issue of transferring responsibilities to local administrative organizations as part of the decentralization policy. The study emphasizes the importance of a comprehensive primary healthcare system that includes health promotion, disease prevention and control, diagnosis, treatment, rehabilitation, and palliative care. This system is in line with the United Nations Sustainable Development Goals (SDGs), particularly Goal 3 which aims to achieve universal health coverage.

The study highlights the need to assess the readiness of provinces for transferring the Tambon Health Promotion Hospitals (THPHs) prior to implementing a nationwide plan to determine the advantages, disadvantages, and overall efficiency for the public. The study concludes that the establishment of departmental-level unit to drive the primary healthcare system will be benefit for the public. It will serve as the initial point of healthcare contact within communities, ensuring continuous and holistic care from birth onwards. This involves improving current services or establishing new service units to comply with standards and integrating a multidisciplinary team of family medicine physicians, dentists, dental hygienists, professional nurses, nurse practitioners, pharmacists, and public health academics. This integrated approach will further advance the primary healthcare system.

Caring for Aggregate Group in the Community

Wilaipun Somboontanont — Fri, 30 Aug 2024 00:00:00 +0700

Aggregate group is the significant group in the community which community health nurse plays the vital role in caring for healthy community. This article is aimed to introduce significance and concepts of caring for aggregate group in the community including examples of community nurses’ roles in caring for five aggregate groups (i.e., women and early childhood group, school age child group, adolescence group, adult group, and older person group). Therefore, caring for aggregate group is essential in community health nursing since healthy aggregate will reach to healthy community in the future.

The Effect of a Health Literacy Enhancement Program on Stroke Prevention Behaviors and Clinical Health Outcomes among High-Risk Chronic Non-communicable Diseases Patients

Usanun Intamas, Arunrat Premkamon — Fri, 30 Aug 2024 00:00:00 +0700

This quasi-experimental research aimed to investigate the effect of a health literacy enhancement program on stroke prevention behaviors and clinical health outcomes among high-risk chronic non-communicable disease patients. Sample was patients with chronic non-communicable diseases who were at risk for stroke. The assessment was conducted using the Thai CV Risk Score between November 2023 and January 2024. The experimental tools included a health literacy program for stroke prevention, incorporating the Health Literacy and Participatory Learning framework, duration of activities for a total of 5 weeks. Data collection involved the assessment of personal information, stroke prevention behaviors, and clinical health outcomes record. The data analyzed utilized descriptive statistics, paired t-test, and independent t-test, with statistical significance level set at .05.

The results indicated that patients in the experiment group, who had high-risk chronic non-communicable diseases, demonstrated higher average scores in stroke prevention behaviors and clinical health outcomes after participating in the program and those in the control group (p < .001). The health literacy enhancement program should be implemented for all chronic non-communicable disease patients. This program should emphasize on access to accurate and reliable health knowledge in order to facilitate the planning of health behavior modification that can lead to improved clinical health outcomes, prevention of complications, and effectively stroke prevention.

Development of a Clinical Nursing Practice Guideline for Stroke Patient Care at Home, Wichian Buri District, Phetchabun Province

Suphathagoon Koedkieo, Sutteeporn Moolsart, Noppawan Piaseu — Fri, 30 Aug 2024 00:00:00 +0700

The effects of subacute stroke patients, nurses are essential in the care of stroke patients at home. Patients are more likely to be safe and without complications when they receive the appropriate nursing care based on evidence-based practice. The purposes of the research and development were as follow: 1) to investigate the challenges and needs of stroke patients, 2) to develop a clinical nursing practice guideline (CNPG) for stroke patient care in home setting, and 3) to examine the effect of a clinical nursing practice guideline for stroke patients care at home, in Wichian Buri District, Phetchabun Province.The sample categorized based on to the development process into four distinct stages: Stage 1- Evidence-triggered phase, the participants consisted of 15 registered nurses. Stage 2- Evidence-support phase, the samples consisted of 14 research papers that underwent a scoping review of the literature. Stage 3- Evidence-observed phase, the sample of 10 stroke patients and 10 caregivers who received care according to the CNPG. Stage 4- Evidence-based phase, the sample of 10 registered nurses who provided care using the developed CNPG. All samples were selected by purposive sampling. The research utilized several tools including 1) a brainstorming guideline, which aided in the analysis of data through conclusion and data synthesis, 2) the developed CNPG, 3) the Thai version assessment form of activity daily living, and deformities, and 4) a questionnaire to assess on the readiness of caregivers for stroke care at home, and a questionnaire to assess nurse’s satisfaction toward the usage of the CNPG, The data were analyzed by using descriptive and non-parametric statistics.

The results revealed as follows: The subacute stroke patients faced a range of issues including physical, psychological, social, and economic domains. The CNPG for stroke patients receiving care at home addressing four key issues: (1) the patients’ inability to perform activities of daily living, (2) providing nursing care to prevent to complications resulting from limited mobility, (3) alleviating anxiety related to the illness, and (4) reducing the risk of recurrence. Following the evaluation of the CNPG, stroke patients showed a significant improvement in their activities of daily living score compared to before the CNPG testing. Additionally, caregivers shown a considerably greater level of readiness after the CNPG testing, and registered nurses expressed satisfaction with the CNPG.

Effects of a Hearing Protection Training with Ear Fit Test Feedback on Hearing Protection Use among Workers in Auto Part Manufacturing Industry

Fri, 30 Aug 2024 00:00:00 +0700

This quasi-experimental research aimed to examine the effects of the program that combines training on hearing protection and feedback from ear fit tests on individuals’ behavior in using hearing protection. A total of 104 workers employed in the auto part manufacturing industry in Chon-buri province, who are regularly exposed to noise levels of 85 decibels or above, were recruited in this study. They were then separated into two groups: the intervention group (n=52) and the control group (n=52). The intervention group received the training program that consisted of educational session on the hazards of noise and strategies for preventing occupational hearing loss. The program also included interactive discussions and practical demonstrations. Additionally, individual feedback regarding the results of the ear fit test was given. The control group received standard training according to the hearing conservation program in accordance with the company policies. Questionnaires and an ear-fit-test machine were utilized to gather data during the pre-test and 4 weeks after the intervention. Data were then analyzed using descriptive statistics; Paired t-test, Independent-sample t-test, Chi-square test and Fisher’s exact test.

The results revealed that after the implementation of the program, the intervention group had significantly increase in mean scores for the utilization of hearing protective Devices (HPDs) and the Personal Attenuation Rating – PAR (p <.05) compared to their scores prior to the program, as well as higher than the scores of the control group. Findings suggest that the program which combined training on hearing protection and feedback from ear fit tests, was effective in enhancing the usage of hearing protection devices and improving PAR score. Occupational health nurse or those who responsible for a hearing conservation program can utilize this training for other workers who are exposed to comparable high levels of noise.

Erratum to: Prevalence and Risk Factors Related to Oral Potentially Malignant Disorders Among Dependent Patients in Nong Suea District, Pathum Thani Province

Chuchai Anunmana, Pirasut Rodanant, Pisit Saengthongsin — Fri, 30 Aug 2024 00:00:00 +0700

วารสารพยาบาลสาธารณสุข ขอแจ้งข้อผิดพลาดที่เกี่ยวกับบทความวิจัย ที่ตีพิมพ์ในวารสารพยาบาลสาธารณสุข ปีที่ 38 ฉบับที่ 1 มกราคม - เมษายน 2567 ผู้นิพนธ์ คือ พิสิฐ แสงทองศิลป์, ชูชัย อนันต์มานะ และพีรศุษม์ รอดอนันต์ เรื่อง ความชุกและปัจจัยเสี่ยงที่สัมพันธ์กับความผิดปกติเสี่ยงมะเร็งช่องปากในผู้ป่วยภาวะพึ่งพิง อำเภอหนองเสือ จังหวัดปทุมธานี ในตารางที่ 2 และ 3 วารสารขออภัยสำหรับความผิดพลาดในการตีพิมพ์และขอให้อ้างอิงบทความวิจัยที่ถูกต้องในเว็บไชต์วารสารเป็นหลักและในวารสารฉบับนี้ Erratum (การแก้ไขบทความ) : ความชุกและปัจจัยเสี่ยงที่สัมพันธ์กับความผิดปกติเสี่ยงมะเร็งช่องปากในผู้ป่วยภาวะพึ่งพิง อำเภอหนองเสือ จังหวัดปทุมธานี หน้า ก - ค