Journal of Public Health Nursing https://he01.tci-thaijo.org/index.php/phn <p>วารสารมีวัตถุประสงค์เพื่อเผยแพร่ผลงานการศึกษาค้นคว้าและผลงานการวิจัยที่เกี่ยวข้องด้านการ พยาบาลสาธารณสุข การสาธารณสุข และการพยาบาล และเพื่อเป็นสื่อกลางในการแลกเปลี่ยนความรู้ และความคิดทางวิชาการ เสริมสร้างสัมพันธภาพระหว่างผู้ที่อยู่ในกลุ่มวิชาชีพ</p> en-US <p>บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)</p> [email protected] (รองศาสตราจารย์ ดร. พัชราพร เกิดมงคล) [email protected] (นางสาวกาญจนา สุวรรณคง) Fri, 15 Dec 2023 00:00:00 +0700 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 Developing and Feasibility testing of Practice Guideline for Surveillance of Stroke in community, Panomthuan district, Kanchanaburi province https://he01.tci-thaijo.org/index.php/phn/article/view/266480 <p>The morbidity and mortality rates of Stroke have consecutively risen worldwide, including Thailand. It is recognized that community engagement played a significant role for an effective Stroke surveillance. This mixed-method study aimed to develop and examine the feasibility of practice guidelines for the surveillance of Stroke in a community. This study consisted of 3 phases. First, the guideline was developed by the researcher, applying the model of community health engagement. The 8 steps of practice guideline were (1) ice-braking, (2) informing objectives, (3) reporting individual health-related data, (4) returning community risk assessment, (5) conducting a group discussion, (6) obtaining permission, (7) selecting a representative of Stroke, and (8) summarizing and making appointments. Second, a total of fifty-four subjects, who met the inclusion criteria were systematically randomized to engage in the practice guidelines for the surveillance of Stroke. Knowledge, attitude, behaviors related to Stroke, Thai CVD risk score, and satisfaction of engagement in the program were assessed by the researcher using questionnaires before and after implementation. Third, the feasibility of using the guideline was collected from 10 subjects who voluntarily joined a focus group discussion.</p> <p>According to t-test analysis, knowledge, attitude, stroke risk behavior, and Thai CVD risk scores of those subjects after participation in the practice guidelines for the surveillance of Stroke were significantly improved than before participation (p&lt;.001). In addition, it showed that overall satisfaction of samples joining in the program was very good (mean=4.53, SD=0.54). The qualitative results showed that most subjects agreed that this guideline was feasible to help people monitor and surveillance Stroke. They also stated that all people in the community should be invited to participate in the program, and the engagement of community leaders played a significant role in the achievement of the program.</p> <p>Overall, this practice guideline was feasible to improve knowledge, attitudes, and behaviors by monitoring and surveillance by the community. However, some content and activities should be varied to tailor to the context of different communities before delivering to people effectively.</p> <p><strong>Key Words</strong>: Practice Guideline/ Surveillance/ Stroke/ Community</p> Nisit Jongsuphawisankit, Tippawan Tiankaroj Copyright (c) 2023 Thai Public Health Nurses Association https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/phn/article/view/266480 Fri, 15 Dec 2023 00:00:00 +0700 EFFECT OF THE PROGRAM APPLYING OREM’S NURSING THEORY TO PREVENT PERIPHERAL ARTERIAL DISEASE IN THE ELDERLY PATIENTS WITH DIABETES MELLITUS AND HYPERTENSION https://he01.tci-thaijo.org/index.php/phn/article/view/263639 <p>This quasi-experimental research with 2 group pre-post test design aimed to examine effect of the program applying Orem’s nursing theory to prevent perpheral arteral disease in elderly patients with diabetes melltitus and hypertension, Elderly registered at a community in Bang Sue ,Bangkok Metropolitan were assigned into an experimental group (n=28), and comparison group (n=28). The experimental group received a 8-week Orem’s nursing theory applying program, whereas a comarison group received a usual care.Data were collected by the researchre using a questionnaire record before and after the intervention. Data were anlyzed using percentage, mean, standard diviation, analytical statistics such as Chi-square test, Independent t-test, and Paired &nbsp;t-test.</p> <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong>After intervention, the experimental group had significantly higherscores on</p> <p>Knowledge and behaviours in preventing peripheral arterial disease than before and than</p> <p>comparison group (p &lt;.0001) and the experimental group had significantly lower scores on blood sugar (DTX) than before and than comparison group (p&lt;.0001). The findings support that which applied Orem’s nursing theory, can improve support to elderly patients and reduce the risk of perpheral arteral disease in elderly patients with diabetes melltitus and hypertension.</p> Thananchanok Chalermchai, Kwanjai Amnatsatsue, Patcharaporn Kerdmongkol , Plernpit Boonyamalik Copyright (c) 2023 Thai Public Health Nurses Association https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/phn/article/view/263639 Fri, 15 Dec 2023 00:00:00 +0700 Correlation between Health Literacy and Preventive Behaviors of COVID-19 among Older persons in a senior citizen club, Bangkok Metropolis https://he01.tci-thaijo.org/index.php/phn/article/view/265404 <p>The elderly is a group with increasingly complex changes in physical psychology and society which are different for each person. Especially in the physical that is risk for illness including the risk of infection with of Coronavirus disease 2019. This research was descriptive correlational research. The study aimed to explore the correlation between health literacy and preventive behavior of Coronavirus disease 2019. The sample consist of 400 elderlies in elderly club, Bangkok metropolis selected by simple random sampling. A questionnaire was used to collect data on respondent demographics and health literacy and preventive behavior of Coronavirus disease 2019. Data were analyzed using descriptive statistic and Spearman’s correlation coefficient.</p> <p>The results indicated that the elderly in elderly club had a good level of health literacy and preventive behavior of Coronavirus disease 2019. And health literacy was positively related to preventive behavior of Coronavirus disease 2019 of elderly with a statistical significance level of .05 with a correlation coefficient (r) of .307</p> <p>The study finding could be promoting the elderly in elderly club to access to health care service to preventive Coronavirus disease 2019 through various channels such as media, public relations from government agencies, cooperation from health volunteers for the elderly in elderly club receive information and have better and more comprehensive behavior to preventive behavior of Coronavirus disease 2019.</p> Tanawat Ruamsook, Araya Tipwong, Kanokwan Duangklad, Suthum Nanthamongkolchai Copyright (c) 2023 Thai Public Health Nurses Association https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/phn/article/view/265404 Wed, 13 Dec 2023 00:00:00 +0700 Model Development of Nursing Service to Solve Health Problems Caused by Ergonomic Health Hazards in Hospital Personnel, Chaophya Abhaibhubejhr Hospital Prachinburi Province https://he01.tci-thaijo.org/index.php/phn/article/view/266209 <p>Health problems related to ergonomic hazards are highly prevalent among hospital personnel in Chaophya Abhaibhubejhr Hospital Prachinburi Province. The purpose of this study was therefore to develop nursing service model to solve health problems caused by ergonomic hazards in hospital personnel and test for its effectiveness. The study was divided into 3 phases including ; Phase 1 situational analysis and explore how to address health problems related to ergonomic hazards ; Phase 2 development of nursing service to solve health problems caused by ergonomic hazards ; and Phase 3 Implementation of the developed model and test for its outcomes on knowledge, behaviors related to musculoskeletal disorders prevention, physical fitness, and musculoskeletal health problems. Satisfaction of the model and opinion related to effectiveness of the model were also explored.</p> <p>Situational analysis found that although health problems related to ergonomic hazards tend to be increased and vary by work unit, currently there is no effective model to address the problems. Researchers therefore develop nursing service model based on ergonomic principle and self-care theory to solve health problems caused by ergonomic hazards in hospital personnel. &nbsp;The model consisted of ergonomic risk assessment, development of work instruction, nursing innovation related to health education channel and media, and coaching and monitoring of the problem. After the implementation with 106 hospital personnel with nursing service model to solve health problems caused by ergonomic hazards in hospital personnel, it was found that mean score of knowledge and behaviors related to musculoskeletal disorders prevention, and physical fitness were significantly higher than that before the implementation, while musculoskeletal health problems significantly lower (p &lt; 0. 001). Participants also satisfied with the model and perceived effectiveness of the model at very high level. Findings suggest that the model developed in this study could be applied to other work-related health problem of hospital personnel. &nbsp;</p> Watcharawee Wachiraphantham, Apuntree Prayunvong, Rossukon Srisanit, Yaowaret Kanmali, Pranee Phonmana Copyright (c) 2023 Thai Public Health Nurses Association https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/phn/article/view/266209 Fri, 15 Dec 2023 00:00:00 +0700 THE EFFECTS OF SELF-EFFICACY ENHANCEMENT PROGRAM TO PREVENT LOW BACK PAIN OF OFFICE WORKERS IN A PRIVATE HOSPITAL, BANGKOK https://he01.tci-thaijo.org/index.php/phn/article/view/264635 <p>This quasi-experimental research using two group pre test-post test designs aimed to examine the effect of a self-efficacy promotion program on the prevention of low back pain and level of lower back pain. The degree of flexibility of the back muscles and the degree of ergonomic risk were also assessed. Purposive sampling technique was used to recruit 60 office workers with lower back pain in a&nbsp; private hospital . Participants were then divided into&nbsp; experimental groups (n=30) and the control groups (n=30) based on their work location. The experimental group participated in the program for 4 weeks and the control groups received usual&nbsp; care. Program consists of educational activities related to lower back pain, ergonomics and working with&nbsp; computer, work station arrangement, and&nbsp; practice of back muscle exercises. Data was collected using self-administered questionnaire, muscle flexibility assessment and rapid office strain assessment (ROSA). Descriptive statistics including frequency, percentage, mean, standard deviation, Wilcoxon signed rank test and Mann Witney U test were used to analyze the data.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results revealed that after receiving the program, the experimental group had higher mean scores on perceived self-efficacy in reducing low back pain and, self-care behaviors than the pretest and higher than that of the control group (p &lt; .001), degree of flexibility of the back muscles was also significantly higher than before the experiment (p &lt; .001). However, low back pain and ergonomic risk score&nbsp; was not significantly different&nbsp; between groups. Findings suggest that self-efficacy enhancement programs for the prevention of low back pain was effective in promoting self-care behaviors and could be applied to those with similar job characteristics.</p> <p><strong>Key words : </strong>low back pain, office workers, self-efficacy , muscle flexibility, ergonomics risk</p> <p>&nbsp;</p> supinda chaluay, Surintorn Kalampakorn, Jutatip Sillabutra Copyright (c) 2023 Thai Public Health Nurses Association https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/phn/article/view/264635 Fri, 15 Dec 2023 00:00:00 +0700 The Application of the Nursing Care Process to the 3 Doctors for Every Thai Family Policy https://he01.tci-thaijo.org/index.php/phn/article/view/266023 <p><strong>Abstract</strong></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The 3 Doctors for Every Thai Family or the 3-Doctor Policy is a policy to create access to the health service system. The 1<sup>st</sup> doctor is a house doctor who is a village health volunteer (VHV) with responsibility to visit houses, and perform primary screening. The 2<sup>nd</sup> doctor is a public health doctor who is personnel in a primary health facility or subdistrict health promotion hospital, including registered nurses, pharmacists, community public health technical officers, or other professions with responsibility to implement health promotion and coordinate with the 1<sup>st</sup> doctor and the 3<sup>rd</sup> doctor. The 3<sup>rd</sup> doctor is a family doctor who is a doctor in a hospital with responsibility to provide treatment, give advice, and coordinate and refer for specialist treatment. Accordingly, 1 community health nurse as the 2<sup>nd</sup> doctor plays an important role to drive the implementation. This article is aimed at presenting the concept in the application of the nursing care process to the 2<sup>nd</sup> doctor implementation according to the 3-doctor policy in 5 steps: community health assessment, community problem diagnosis, problem-solving, planning, and health problem assessment. Under this role, the community health nurse is responsible for giving knowledge and advice, coordinating and managing work, and performing risk assessments on community health. This is an alternative way for community health nurses to act in defining a framework to generate good outcomes from work coordination and to achieve the creation of a public access policy.&nbsp;</p> <p>&nbsp;</p> <table> <tbody> <tr> <td width="13">&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> </tr> </tbody> </table> <p>&nbsp;</p> <p>&nbsp;</p> <p>* Corresponding Author, Ph.D., Faculty of Nursing, Kamphaeng Phet Rajabhat University&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> <p>&nbsp;** Associate Professor., Ph.D., Faculty of Public Health, Naresuan University</p> <p>*** Assistant Professor Dr., Faculty of Nursing, Kamphaeng Phet Rajabhat University&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> <p>**** lecturer., Faculty of Nursing, Kamphaeng Phet Rajabhat University&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> Ketkarn Thipthimwong, Narongsak Noosorn, Supapen Panawatthanapisuit, Ratree Theangjit Copyright (c) 2023 Thai Public Health Nurses Association https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/phn/article/view/266023 Fri, 15 Dec 2023 00:00:00 +0700