Journal of health and health management

Factors Predicting on Health Care Behaviors in Gestational Diabetes Mellitus Women

2023-11-27T14:40:28+07:00

This study was predictive correlational research. The purpose of this study was to study relationships and predictors of health care behaviors in gestational diabetes mellitus women. The samples were 100 of gestational diabetes mellitus type A1, who were selected by purposive sampling. The research tools were questionnaires consisting of 4 parts 1) personal data, 2) self-efficacy, 3) self-esteem and 4) health care behaviors. The content validity index (CVI) of the questionnaires in 2-4 parts were .80 and its reliability were .78, .82 and .89, respectively. The data were analyzed by frequency, percentage, mean, standard deviation, Pearson’s product moment correlation coefficient and stepwise multiple regression.The results indicated that education, self-efficacy and self-esteem were statistically significant at the positive low relationship with health care behaviors at p<.01 (r = .279, .222 and .245 respectively. Self-esteem and self-efficacy were found to predict 43% and 40% (R²=.43, .40, respectively) of the variance in women’s health care behaviors, with a significance level of p<.01. This study suggests that the important things were promoting self-efficacy and self-esteem in order to increase effective health care behaviors.

Acute Effect of Activating Trunk and Thigh Muscles on Pain and Flexion-Relaxation Phenomenon in Office Workers with Low Back Pain

2024-03-13T10:49:04+07:00

The purpose of this research was to compare the effects of activating muscle in the sample group of 30 people with lower back pain caused by sitting for work using different programs. Testing pain flexibility and flexion-relaxation phenomenon (FRP) before and after giving the activating muscle program. Data were collected using a pain questionnaire, sit and reach test, and electromyography (EMG) of back muscles to determine the FRP. The FRP is an indication of the ability to flexion-relaxation of two back muscles the erector spinae muscle and the multifidus muscle. Data before and after the experiment were analyzed using a one-way analysis of variance (ANOVA). Pairwise comparisons were made using the LSD method, and within-group data were compared using the t-test.

The results showed that all three groups had reduced pain and increased flexibility after the experiment. The control group and the thigh muscle activation group had significantly increased flexibility. The FRP decreased significantly between the control group and the thigh muscle activation group, and between the trunk muscle activation group and the thigh muscle activation group. Only the trunk muscle activation group showed a decrease in the FRP in the multifidus muscle, unlike the other groups. Therefore, in people who suffer from pain after sitting at work, it is important to increase the ability of the multifidus muscle to work to increase back stability by activating the trunk muscles and to increase muscle flexibility by activating both the trunk muscles and the thigh muscles. Modifying muscle function during sitting can help prevent back pain.

Exploratory factor analysis of sufficient health of undergraduate students

2024-02-20T22:39:54+07:00

This research aims to analyzing exploratory factors of the self-sufficiency health of undergraduate students. The sample was obtained using the stratified random sampling method. 404 people, used as questionnaire tools. With reliability equal to 0.92. Analyze data using exploratory factor analysis with key components. Rotation of right-angle elements with the Varimax method. The results of the research showed that there are 8 components of self-sufficiency health of undergraduate students: Component 1: Good community, Component 2: Good family, Component 3: immunity and stability, Component 4: risk avoidance, Component 5: rationality and morality, Component 6: good self-care, Component 7: healthy, Component 8: living well. From the eight elements mention above. It is suggested that educational institution adopt its development, and promote student’s health in according with the Sufficiency Economy Philosophy in terms of integration in the curriculum and activities at the institutional level.

The Prevalence and Factors Related to Geriatric Syndromes among Ophthalmic Older Patients at Mettapracharak Hospital (Wat Raikhing)

2024-02-27T16:04:31+07:00

This correlational study aimed to describe the prevalence of geriatric syndrome, and analyze the relationship between personal factors and geriatric syndrome. The sample group was 120 older patients, using services at the outpatient department. The instrument for data collection consisted of a personal information interview guide and comprehensive geriatric assessment tools, including 3 domains (9 aspects of geriatric syndrome). Those tools were ready-approved quality through content validity and reliability. Data were analyzed using descriptive statistics and Spearman Rank Correlation Coefficient statistics. The results showed that most of the sample were female (55.80%) with multi-morbidities and polypharmacy, with average years 69.93 ( = 69.93, SD = 6.55). The top 3 symptoms included knee osteoarthritis, urinary incontinence and instability/fall risk. Those presented among female than male, in 60-69 years old. Gender was associated with instability significantly (r_s = .293). Age was associated significantly with instability, urinary incontinence, and knee osteoarthritis (r_s = .276; r_s = .245; r_s = -.182) (p-value = .05). Professional nurses in the area of geriatrics should receive training in developing the use of tools to assess the health of the elderly with accuracy while ensuring that all dimensions of health are 3 covered in order to use them in planning the provision of quality clinical services for the elderly.

The Effects of Using the Health Belief Model on Diabetes Preventive Behaviors and Risk of Diabetes in the Population at Risk for Type 2 Diabetes

2024-04-05T17:56:25+07:00

This one-group quasi-experimental research using pre-test, post-test, and follow-up design, aimed to study the effect of using a health belief model on diabetes preventive behaviors and diabetes risk in populations at risk for type 2 diabetes. The sample group was 28 academic support personnel in an educational institution in Bangkok who were at risk for type 2 diabetes. The research was conducted over a period of 16 weeks, 12 weeks were allotted for the intervention and another 4 weeks were provided for the follow-up period. The sample group was given the programs which consisted of educational sessions on the 1st-2nd week and followed-up by providing individualized feedback on health status information, prompting and providing 3 consultations on the 4th, 8th, and 12th, and exchanging information through the LINE application throughout the experimental period. On the ward, the data were collected in the post-test phase on the 12th week and the follow-up phase on the 16th week. The diabetes preventive behavior questionnaire was developed by the researcher (CVI = 1.00, Reliability = .75) and collected data on risk factors for diabetes, including body mass index, waist circumference, and blood pressure. Measuring was in the pre-test, post-test, and follow-up period. The statistical analysis was performed by using percentages, means, standard deviations, and repeated measure ANOVA. The results found that the sample group had a mean score on health behaviors to prevent type 2 diabetes increased more than and there is a risk factor for developing type 2 diabetes, namely body mass index and the waist circumference decreased less than before receiving the health belief program with statistical significance at the .05 level. This finding suggests that the health belief program should be used to promote the population at risk for type 2 diabetes by emphasizing on reducing the obstacles of the sample group to the point and continuously throughout the project to develop healthy behaviors to prevent type 2 diabetes. Continuously, this will help reduce the risk of developing type 2 diabetes. Keywords: diabetes preventive behaviors, risk of diabetes, the health belief model, population at risk for type 2 diabetes.

The Effects of a Self-efficacy Enhancing Program with Participation of Public Health Volunteers on the Knowledge and Coronavirus 2019 Preventive Behaviors in the Elderly, Pomphet Medical Center PhraNakhon Si Ayutthaya Province

2023-10-13T10:39:22+07:00

The purpose of this quasi-experimental research was to study the effects of a self-efficacy enhancing program with participation of public health volunteers on the knowledge and coronavirus 2019 preventive behaviors in the elderly population around Pomphet Medical Center in PhraNakhon Si Ayutthaya Province. The sample consisted of 40 elderly people aged > 60 who live in the area of Pomphet Medical Center’s responsibility in PhraNakhon Si Ayutthaya province. They were selected by the simple random sampling method and they were divided into the experimental group (20 individuals) and the comparative group (20 individuals). The research instruments included: 1) the self-efficacy enhancing program with participation of public health volunteers, which was developed based on the self-efficacy concepts of Bandura. The duration of the program was 6 weeks. The activities comprised: 1) giving knowledge and practising coronavirus 2019 preventive skills (2) enhancement of self-efficacy and (3) participation of public health volunteers and 2) questionnaires about knowledge and coronavirus 2019 preventive behaviors, the reliability scores of which were .94 and .93, respectively. Data were analyzed by descriptive statistics and t-test. The result revealed as follows. After attending the program, knowledge and coronavirus 2019 preventive behaviors of the experimental group were significantly higher than before attending the program, and were higher than the comparative group (p<.001).

Factors Affecting Mental Health of Elderly with a COVID-19 Background History, Nonthaburi Province

2023-10-13T10:23:13+07:00

The objectives of this descriptive research are to study 1) the relationship between mental health and strength of mind; the perception of COVID-19 news; the fear of re-contracting COVID-19; patience in stress;self-esteem; optimism; social support of the elderly (60 years and older) with COVID-19 infected background; depression 2) the factors affecting the mental health of elders with COVID-19 infected background in Nonthaburi; 60 years and older population with COVID-19 infected background in two districts: Muang and Bangkruay.The consenting sample group with COVID-19 background, comprised of 100 subjects from each district, was examined with nine sets of tools, the Five-Level Likert Questionnaire, and quality inspection.The research has been confirmed through the human ethics research from Saint Louis College, certification number E.043/2565. Pearson Product Moment Correlation and Stepwise Regression Analysis were used to analyze results respectively.Finding showed positive relationships in mental health towards the factors in objective one (above) except for the relationships between mental health and strength of mind and that of depression. Positive mental health predictive factors were patience in stress, optimism, the perception of COVID-19 news, and self-esteem---all together clarifying the variability of mental health at a percentage of 21.8. Gannaway, Susan B.S., M.S. Winona State University, Winona, Minnesota, USA

The Development of Self-Direction Model to Enhance Life Happiness of Older Adults in Bangkok Metropolitan

2024-01-18T16:37:37+07:00

The purpose of this mixed-methods research design were: 1) to study life happiness of older adults, 2) to develop the self-direction model to enhance life happiness of older adults, and 3) to study the results of using the self-direction model to enhance life happiness of the older adults. The population used in this study were 248,071 older adults aged between 60-75 years living in east bound of Bangkok. The sample used in this study was divided into 2 groups: 1) sample group 1 comprised 111 older adults, was used to study life happiness, obtained from multi-stage selection from the population according to the specified criteria, and 2) sample group 2 comprised of 40 older adults obtained from the purposive selection the sample group 1 who life happiness scores were lower than 50th percentile and volunteered to participate in the experiment. Those were then randomly selected into 20 of each experimental and control groups. The older adults in the experimental group received a self-direction model to enhance life happiness while the control group did not receive the self-direction model and participate in activities of the Elderly Club as usual. The research instruments were: 1) the life happiness scale of the older adults with item objective congruence (IOC) index ranged from 0.67-1.00, the item discrimination power ranged from .24-.77, and the reliability coefficient was .92, and 2) the self-direction model which the researcher developed from three psychological theoretical concepts, consisting of existentialism, constructivism, and adult learning theory, with item objective congruence (IOC) index of 1.00. The statistics used for analyzing the data were (1) analysis of qualitative data obtained from interviewing were empirical data on life happiness and from a synthesis of life happiness related literature. Those were used to define an operational definition of life happiness of the older adults, and 2) analysis of quantitative data obtained from using the self-direction models to enhance life happiness of the older adults. Statistics included mean, and standard deviation (, SD), Normality test, Wilcoxon Matched Pairs Signed-Ranks Test, and Mann-Whitney U-Test. The research results were: (1) the life happiness of 111 older adults was at a moderate level, (2) the self-direction model developed from the concepts of three psychological theories: Existentialism, Constructivism, and Adult Learning Theory, and (3) overall life happiness of the older adults in the experimental group after the experiment and after the follow-up were higher than before the experiment with statistical significance at .01, and significantly higher than that of the control group at the .01 level.

Relationship between Self-learning, Organizational communication Atmosphere and Safety Behavior from COVID-19 Infection of the Professional Nurses

2023-08-12T13:48:53+07:00

This research objective was to study the relationship between self-learning Organizational communication atmosphere and safety behavior from COVID-19 infection of professional nurses The sample group consisted of professional nurses who had worked for more than 1 year in hospitals affiliated with the office. Permanent Secretary of the Ministry of Public Health in Nonthaburi Province, 93 people providing care to patients infected with COVID-19. Tools used to collect data include: Personal information questionnaire, Self-learning questionnaire, Organizational communication atmosphere questionnaire and questionnaire about safety behavior from COVID-19 infection which passed the content validity check and tested the reliability of the tool by testing the Cronbach’s alpha coefficient. Reliability values were .94, 1.00, and .98, respectively. Data were analyzed by finding frequency, percentage, mean, standard deviation, and Pearson’s correlation coefficient. The results of the research found that the organizational communication atmosphere was at a high level (Mean = 4.03, SD = .545), self-learning was at a high level (Mean = 3.88, SD = .411), and safety behavior from infection. COVID-19 is at a high level (Mean = 4.15, SD =.435). Self-learning and organizational communication atmosphere have a moderate level and significant positive relationship with safety behavior from COVID-19 infection. Statistically at the p<0.05 level (r = .674 and .502)

The relationship between personal factors and preoperative anxiety in patients undergoing surgery, Lerdsin Hospital

2024-04-25T13:26:42+07:00

The objectives of this cross-sectional study were (1) to study preoperative anxiety, (2) to examine the relationship between sex, age, history of surgery, information needs, fear of postoperative pain, fear of being conscious during surgery, and preoperative anxiety in patients undergoing surgery. The samples selected with purposive selection were 140 patients who received surgery at Lerdsin Hospital, Bangkok. The instruments used in the research were a personal information record form and a questionnaire collecting preoperative anxiety and information needs. The reliability coefficient was 0.87. The data were analyzed using descriptive statistics, the correlation coefficient. The research results found that the samples had overall preoperative anxiety at a high level ( = 3.80, SD = 1.12). Gender and information need had a positive relationship with preoperative anxiety (r = .46, p < .01; r = .60, p < .01) respectively. As for age, history of surgery, fear of post-operative pain and fear of being conscious during surgery was not related. Suggestions: The sample group had a high level of preoperative anxiety. The nurse on the surgical ward should provide assistance. To relieve preoperative anxiety by providing knowledge about surgery and giving anesthesia to patients

The Community Model Synthesis for Elderly Well-being in Next Normal of Aging Society with Aging Innovators

2023-01-24T20:30:03+07:00

This participatory action research aims to synthesize the community model in next normal of aging society with aging innovators, and compare physical fitness, perceived fragility, local herb literacy, and well-being before and after the model development. The sample group was 30 elderly innovators. The research tools were questionnaires and in-depth interview guidelines. The analytical statistics were percentage, mean, standard deviation, and paired t-test. The qualitative data analyzed by content analysis. The results showed that all samples were females. Most of them were aged 60-69 years, primary school level, have their own residence, live in a single family, income between 2,501-10,000 baht. The synthesized community model revealed that the eminent characteristics of elderly innovators were using their own leadership to persuade members continuingly participate in activities, proactive learning, attentively accept to change, initiate the new things in a revenue-generating way. The involvements who drive aging innovators to evidently perform their duties are local leaders, and health personnel. A 30-hour elderly innovator course was emerged. Elderly innovator Learning Center was consisted of committees organized various activities to maintain member participations and coordinated with local administrators to include projects and activities in the plan for improving the quality of life of the elderly at the sub-district level. After the aging innovator community model development, it was found that blood pressure, muscle strength, traditional herb knowledges, and well-being levels in the aspects of eating, sleeping, self-worth, social worth, and overall well-being levels significantly statistically change.

The Phenomenal Study of New Normal Health Behaviors from COVID-19 Pandemic among Thai People in Congested Communities, in Bangkok

2024-03-19T16:48:46+07:00

This study was a mixed method research which aimed to study the knowledge of COVID-19, perception of self-care ability, new normal health behaviors and phenomena of health behavior from COVID-19 pandemic among Thai People in Bangkok’s congested communities. Quantitative data were collected by knowledge test and questionnaires. Participants were selected by multi-stage random sampling including 359 persons and qualitative data were gathered using in-depth interviews with 10 participants: 3 community leaders, 4 community health volunteers and 2 persons in the community. Quantitative data were analyzed using descriptive statistics and qualitative data were analyzed using content analysis. The study revealed that knowledge of COVID-19 was moderate level (Mean = 9.74, SD = 1.83) perception of self-care ability overall was moderate level (Mean = 2.62, SD = .50). New normal health behavior after COVID-19 overall was good level (Mean = 103.03, SD = 6.52) wear a face mask or cloth mask before leaving the house (Mean = 3.94, SD = .25) hand washing with soap or alcohol gel after touching things in public (Mean = 3.81, SD = .41) and the least was exercising at least 3 times/week (Mean = 2.40, SD = .93). Study of new normal health behavior phenomena from the COVID-19 pandemic among Thai People in Bangkok’s congested communities, a change in lifestyle to a new normal of life due to the COVID-19 pandemic. From the experience of performing duties of community leaders and public health volunteers during COVID-19 pandemic. Community health volunteers played important role in good management by having a major team and potential manpower and creating a system of participation in communities. There was a management process by “Demarcation of responsibility zones and good coordination”. Therefore, creating a good management system, strengthening the prevention and control of the COVID-19 pandemic in communities by having community health volunteers covering all communities in Bangkok, developing leader potential, creating network partners inside and outside the community and supporting community members. The communication is accurate, reliable, concise, and fast.

The Correlation Between Post COVID-19 Syndrome and Psychological Well-being Among Patients Who Have Been Infected with COVID-19

2024-03-28T13:13:02+07:00

This research aimed to explore the level of psychological well-being and the relationship between post COVID-19 syndrome and psychological well-being among patients who have been infected with COVID-19. The sample of three hundred and eighty-four were recruited by simple sampling method. The research instruments included questionnaires on demographic data, post COVID-19 syndrome, and psychological well-being. The content validity index was .81 and .83, and the Cronbach’s alpha coefficient was .82 and .86 respectively. descriptive statistics and Chi-Square test were used for data analysis. The results revealed that 84.4 percent of patients have been infected with COVID-19 had psychological well-being at the high level. The relationship between post COVID-19 syndrome and psychological well-being was statistically insignificant (chi-square = 1.508, p = 0.471). The results of this study highlight the need for clinicians to discuss post COVID-19 conditions and provide adequate support to alleviate stress in patients.

Nursing Practicum Methods and Competency to Care for Older Adults in Community among Nursing Students

2024-04-05T17:54:10+07:00

This correlational research aimed to study competency to care for older adults in community, and to determine the relationship between nursing practicum methods and competency to care for older adults in community among nursing students at Boromarajonani College of Nursing Udon Thani, Udon Thani Province. Samples were 115 baccalaureate nursing students who were randomly selected. Data were collected during May 2022 by using the Demographic Questionnaire, the Nursing Practicum Methods Record Form, and the Competency to Care for Older Adults in Community among Nursing Students Questionnaire. The data were analyzed by using descriptive statistics and Spearman’s rank correlation coefficients of significance statistic at the .05 level. Results showed that nursing students rated their overall score of competency to care for older adults in community as a high level ( = 3.88, SD = .40). They reported high levels of competence in all categories with the category of team working competency as highest score ( = 4.39, SD = .47) and the category of caring for older adults with chronic diseases competency as lowest score ( = 3.64, SD = .47). Moreover, the relationship between community practice and competency to care for older adults in community was slightly positive (r_s = .19, p<.05). However, the relationship between case study (r_s = .10, p>.05), case conference (r_s = .12, p>.05), reflection (r_s = .002, p>.05) and project-based learning (r_s = .02, p>.05) with competency to care for older adults in community were not related. Henceforth, the study recommends preparing nursing students for caring for older adults with chronic diseases before their clinical nursing practicum and suggests using digital platforms like virtual simulations and animations to improve their competency in community care for older adults.

Effect of the Modified Oral Stimulation Intervention with Breast Feeding on Feeding Performance and Body Weight in Preterm Infants

2024-02-27T21:39:36+07:00

The purposes of this quasi-experimental research were to compare: 1) feeding performance between preterm newborns who received a modified oral stimulation intervention with breastfeeding and preterm newborns who received breastfeeding without a modified oral stimulation intervention, 2) body weight of preterm newborns who didn’t receive a modified oral stimulation intervention with breastfeeding and preterm newborns who didn’t receive a modified oral stimulation intervention with breast feeding . The sample group were 42 preterm newborns (control group 21, experimental group 21), with a gestational age of 32-36 weeks admitted to the preterm neonatal care unit in Saraburi Hospital, were purposively selected according to the inclusion criteria. The research tools comprise: 1) The modified oral stimulation intervention with breastfeeding with reliability 0.75, 2) The suckling performance assessment, The data were analyzed using descriptive statistics, t-test, and one-way ANOVA. The results were: There was a significant difference in sucking ability at the .01 level between preterm newborns who received a modified oral stimulation intervention with breast feeding and preterm newborn who didn’t. And body weight of preterm newborns who received a modified oral stimulation intervention with breastfeeding and preterm newborns who received breastfeeding without a modified oral stimulation intervention. There was a statistical significant difference at the .01 level

The effect of Smart Executive Function (SMART-EF) Program on Preschool Children’s Executive Function and Parenting Behaviors in Enhancing the Executive Function of Children

2024-03-06T15:58:44+07:00

This research is quasi-experimental research. The objective is to evaluate the effectiveness of the Smart Executive Function (SMART-EF) on preschool children’s executive function and parents’ behaviors regarding promoting executive function. The sample group consists of parents and preschool children aged 3-6 who attend a child development center from January to December 2022. The sample was randomly selected, with 35 participants in the experimental group and 35 in the control group. The experimental group received the Smart Executive Function program, while the control group received regular care. Data were collected using: A questionnaire on pre-school parenting behaviors to enhance parental cognitive skills, with content validity of .95 and reliability of .86, Assessment of pre-school children’s executive function development using a standardized tool, with an index of item objective congruence (IOC) of 0.67-1.0 and reliability of .88. Statistical analysis involved descriptive statistics and an independent sample t-test.The research found that, after participating in the program, there was a statistically significant increase in the average scores of parenting behaviors related to enhancing cognitive skills in the experimental group compared to the control group at p<.01. Additionally, the average scores of cognitive skill development in pre-school children were significantly higher in the experimental group than in the control group at p<.001.This study suggests that health professionals or nurses can apply the “Smart Executive Function” program to parents of preschool children to promote self-awareness and consistent behavior in enhancing children’s cognitive skills effectively.

The Relationships Between the Future Skills of Head Nurses and the Organizational Commitment Among Professional Nurses of Private Hospitals in Bangkok

2023-12-15T15:59:18+07:00

This research was a descriptive research. To study the relationship between the future skills of head nurses and professional perceived nurses’ commitment to the organization. Private hospital in Bangkok With 80-150 beds from random simpling the population is professional nurses hospital in Bangkok who work full time from the group of 3 hospitals. By using the calculation method with the G*Power program, the sample size was 102 people. The tools used in the research consisted of Personal information questionnaire. Questionnaire on future skills of head nurses according to the perceptions of professional nurses which has a reliability value of 0.99 and the questionnaire on organizational commitment of professional nurses at private hospitals in Bangkok which has a confidence value of 0.85. Data were analyzed by averaging. standard deviation and Spearman’s correlation coefficient.The results of the research found that the future skills of head nurses as perceived by professional nurses as a whole At the highest level ( = 4.53, SD = 0.38), professional nurses are committed to the organization as a whole. At a high level ( = 4.30, SD = 0.31), future skills of head nurses had a moderate positive relationship (r = 0.39) with professional perceived nurses’ commitment to the organization. Private hospital in Bangkok Statistically significant at the 0.05 level.The results of this research suggest that the trategies by used to develop the executive of head nurses and their commitment to the organization. and plan to develop the skills of the head nurse to selve the ploplem, the sensitive of personal and digital. And study nurse’ commitment to the organization of private hospital in Bangkok

The Effects of Participatory Nursing Model on Nurses’ Perception for Professional Value and Decision for Advance Care Planning of Patient with Risk of Stroke

2023-01-24T19:30:17+07:00

This semi-experimental research The objective is to study the results of using participatory nursing models to recognize the professional value of professional nurses. And the advance planning decision of patients with stroke risk The sample is divided into 2 groups, namely the professional nursing group that operatesIn the 25 gymnast patients and the user group, the control group is a group in which 20 users receive traditional nursing and the trial group is a group in which users are nursing using participatory nursing forms 20 Research tools have 2 parts. Part 1 is an experimental tool. And the tools used to direct the experiment are as follows: 1.1 participatory nursing model By using the concept of participatory management principles of Susshkin And operated byParticipation of professional nurses, internal medicine ward, 1.2 tools used to supervise experiments, including 1) knowledge tests About stroke and advance planning decisions of professional nurses Before and after the development of participatory nursing models and 2) Knowledge test In practice when having a stroke Of service users After the development of a participatory nursing model, Part 2, the tools used to gather information are as follows: 2.1 Yon Eunja’s Nursing Professional Recognition Questionnaire and Faculty (Yeun et al., 2005) And 2.2 knowledge evaluation model And pre-planned decisions developed by the researcher And the patient’s advance decision record in writing The statistics used in the research are the average percentage, standard deviation, and comparison of knowledge and judgment.The pre-planned mind of the user group during the period after receiving the same nursing and after using the participatory nursing model by Mann-Whitney U statistics. The results show that 1. After using the participatory nursing model Nurses have a higher professional value recognition of professional nurses than before using the participatory nursing model. When considered on a side basis, found that After using the participatory nursing model Nurses that are sample groups have a high level of professional value recognition.More than before, the use of 3-sided participatory nursing models is 1) Professional appreciation 2) Social and cultural awareness 3) Role in nursing services As for the perceived professional value that is not higher, there are 2 areas 1) Nursing professionalism and 2) Nursing initiatives and 2. Knowledge and advance planning decisions of service users receiving participatory nursing forms Higher than those receiving traditional nursing. Statistically significant at level .05.

Study of the Service Model of the Geriatric Clinic with Thai Traditional Medicine: Case Study of Bunrueang Subdistrict Municipality Chiang Khong District Chiang Rai Province

2024-05-09T13:22:42+07:00

This article aims to study the service model of the geriatric clinic using Thai traditional medicine , which uses a qualitative research process obtained from the lessons learned from key informants, including community leaders, Thai traditional medicine doctors, and Thai traditional medicine professors who are involved in setting up a geriatric clinic using Thai traditional medicine under the integrated economic and social upgrading project for each sub-district In the area of Bunrueang Subdistrict Municipality Chiang Khong District Chiang Rai Province by selecting a purposive sample of 20 people and using focus group methods to analyze content data. The results of the study found that service model of the geriatric clinic using Thai traditional medicine in the Bunrueang Subdistrict Municipality area Chiang Khong District Chiang Rai Province consists of 2 forms: 1) Caring for illnesses of the elderly that focuses on providing services for 5 disease groups: Bone and joint disease group, blood and wind disease group, gastrointestinal disease group, respiratory disease group and skin disease group 2) Promoting health prevention and developing the quality of life of the elderly, focusing on providing 4 services including: activities to move your body to relax your muscles, medicine cooking activities, activities to promote the use of herbs and activities to promote mental health.

Relationship Between Self-Care Behavior, Confidence in One’s Ability to Perform Self-Care, and Quality of Life in Patients with Heart Failure

2023-12-16T13:39:47+07:00

This study is a Correlation Research. The purpose of the study were 1) to evaluate the level of development of the quality of life, self-care behavior, and confidence in one’s ability to perform self-care among patients with heart failure 2) to study the relationship between self-care behavior, confidence in one’s ability to perform self-care, and the quality of life among patients with heart failure. The samples were comprised of a purposive sampling of 64 patients receiving care at internal medicine and specialized clinics of the Rajavithi hospital from August to October 2023. The research instruments consisted of personal data record form, the self-care of heart failure index version 7.2 (SCHFI – Thai v. 7.2), Confidence in one’s ability to perform self-care, and Minnesota Living with Heart Failure Questionnaire (MLHFQ) with reliability Cronbach Alpha of .73, .95 and .96 respectively. The statistics used to analyze data were Descriptive statistics and Pearson’s correlation coefficient. The research results were 1. The mean score for overall of the quality of life of patients with heart failure was poor ( = 45.59, SD = 21.25). The mean score of the self-care behavior of patients with heart failure was fair ( = 68.91, SD = 13.47). The mean score of confidence in one’s ability to perform self-care was also fair ( = 66.72, SD = 19.85) 2. The quality of life of patients with heart failure statistically significant low-level (r < 30) related to self-care behavior and confidence in one’s ability to perform self-care (r = .28, p <.05 and r = .27, p <.05) respectively.