Academic Journal of Mahasarakham Provincial Public Health Office

การเตรียมและส่งต้นฉบับ

Sangud Chuallenfa — Fri, 18 Apr 2025 00:00:00 +0700

การเตรียมและส่งต้นฉบับ

Content

Sangud Chuallenfa — Fri, 18 Apr 2025 00:00:00 +0700

Contents Page

บทบรรณาธิการ

Original Article

Nursing care for postpartum teenage mothers : cases study 1
Varaporn Shithai^*

Nursing care of patients with ventilator-associated pneumonia of national leprosy node. 13
Wanida detpukdee^*

Development of a model for upgrading business establishments into Wellness Center in Maha Sarakham Province 26
to support Health Economic Policy
Rattawadee Khotnarin^*

The Development of care and referral models for patients with acute myocardial infarction (STEMI) 41
at Wapi Pathum Hospital Maha Sarakham Province
Bongkotchakorn Tuntikulwattanakit^*

Development of Workforce Management Framework for Public Health Personnel in 55
Mahasarakham Provincial Public Health Office
Phattharaphorn Phumyota¹, Sutida Kanama², Thanatya Rudtho³

การเตรียมและส่งต้นฉบับ 76

Editorial Board

Sangud Chuallenfa — Fri, 18 Apr 2025 00:00:00 +0700

Editorial Board

Nursing care for postpartum teenage mothers : cases study

Varaporn Shithai — Fri, 18 Apr 2025 00:00:00 +0700

Abstract

Introduction : Postpartum teenage mothers face one of the most critical and significant changes in their lives. They encounter physical, emotional, mental, and social challenges, and many struggle to adapt. Therefore, caring for and supporting postpartum teenage mothers is crucial. Medical and public health personnel should recognize its importance, while also promoting and encouraging the active participation of families and communities in postpartum care.

Objective: To study and compare the nursing care provided to two postpartum teenage mothers.

Method: This study examines nursing care for two teenage mothers by collecting data from medical records, conducting interviews with patients and their relatives, and using observation. Content analysis is employed to determine nursing diagnoses, plan care, and evaluate outcomes, with Gordon's health model serving as the study framework.

Results: Both case studies involve teenage mothers experiencing their first pregnancies. The two cases were assessed using Gordon's health patterns, identifying several nursing problems, including anemia resulting from physiological changes during pregnancy, the need for support in adapting to the maternal role, promotion of breastfeeding, a risk of repeat pregnancy due to a lack of knowledge and understanding of family planning and suitable contraception, a risk of educational failure stemming from inadequate life planning and difficulties in returning to school, and anxiety about adjusting to motherhood and child-rearing. The cases differ as follows: Case 1 involves a mother facing economic challenges and preferring to use formula milk, while Case 2 involves a financially stable mother who wishes to breastfeed and successfully transitions to exclusive breastfeeding upon returning home.

Keywords : teenage mothers, postpartum

Nursing care of patients with ventilator-associated pneumonia

Wanida Detpukdee — Fri, 18 Apr 2025 00:00:00 +0700

Abstract

Background: Ventilator-associated pneumonia (VAP) is a hospital-acquired infection with serious consequences, causing harm to patients, their families, and the hospital. When VAP occurs, it leads to increased medication use, higher costs, and, in some cases, the development of drug-resistant bacteria. This can result in prolonged hospital stays and a higher risk of mortality.

Objective: To study and compare the nursing care provided to two patients with ventilator-associated pneumonia.

Methods: Nursing care for two patients with ventilator-associated pneumonia was studied. Data were collected from medical records, and relatives were interviewed using Gordon's 11 health patterns. Nursing diagnoses were formulated based on the North American Nursing Diagnosis Association (NANDA) guidelines. Nursing care was provided, and outcomes were assessed in three phases: the critical phase, the rehabilitation phase, and the discharge planning phase.

Results: Nursing care was provided for two case studies of patients with ventilator-associated pneumonia (VAP). The first case involved a patient with acute gastroenteritis, sepsis, and acute respiratory failure, while the second case involved a patient with pneumonia and acute respiratory failure. Both patients were initially treated in the respiratory care unit at Trang Hospital. During the critical phase, they were transferred to the intensive care unit for respiratory management. Sputum cultures revealed the presence of Acinetobacter baumannii (CRAB MDR). Following the nursing protocols established by the Infection Control and Prevention Nursing Division and completing the planned antibiotic treatment, both patients showed progressive improvement. The first patient was discharged by the physician, while the second patient, who had a history of chronic obstructive pulmonary disease (COPD), required ongoing oxygen therapy and was referred to a community hospital for continued care.

Keywords : ventilator-associated pneumonia, critically ill patient.

Development of a model for upgrading business establishments into Wellness Center in Maha Sarakham Province to support Health Economic Policy

Rattawadee Khotnarin — Fri, 18 Apr 2025 00:00:00 +0700

Abstract

Introduction : This study aims to develop a model for upgrading establishments into wellness centers in Maha Sarakham Province to support health economic policy

Methods : This study was participatory action research that uses qualitative methods and quantitative method together by using the conceptual framework of the Ministry of Public Health’s Wellness center development to develop business establishments and in crease their economic competitiveness, in conjunction with Participatory Action Research concepts of Kamol Sutthiprasert to study the results of a model development for upgrading business establishments into Wellness Center in Maha Sarakham Province to support health economic policy. The sample group is the Wellness Center committee, Maha Sarakham Province, which is obtained through Purposive Sampling total 8 people. The tool used to collect data was a questionnaire regarding the Wellness Center certification assessment process of the Maha Sarakham Provincial Public Health Office, group discussion recording form and Wellness Center Assessment Form. Using descriptive statistics for analyze basic data frequency, percentage, mean, and standard deviation. Inferential statistics used Paired T-Test to compare participation before and after the research, Used content Analysis by explaining, interpreting, and conclusions using inductive methods from participating in group processes and the interview.

Results : The development model for establishments to become wellness centers in Maha Sarakham Province to support the health economic policy consists of 7 components 1) Organizing a meeting to review problems and obstacles for fiscal year 2024 2) Organizing a meeting to develop an action plan and explain the indicators and operational guidelines 3) Provide knowledge to officials responsible for work at the sub-district and provincial levels
4) Promotion and development of entrepreneurial potential 5) Monitoring and evaluation to certify establishments as Wellness Centers 6) Awarding of evaluated establishments 7) Review the performance of the entire process to set operational goals for next year to be more efficient and effective.
The participatory action research is appropriate for the context and content of research that requires collaboration among working groups in carrying out activities. The results of using the operating model found that 1) The number of certified establishments has increased to 26 in total, from 6 in 2023. 2) The participation of stakeholders before the development of participation was at a moderate level, with an average score of 3.38 (S.D. = 0.32), after participating in the activity, there was a high level of participation, with an average score of 4.10 (S.D. = 0.23).

Keywords : Development of, Wellness Center

The Development of care and referral models for patients with acute myocardial infarction (STEMI) at Wapi Pathum Hospital Maha Sarakham Province

Bongkotchakorn Tuntikulwattanakit — Fri, 18 Apr 2025 00:00:00 +0700

Abstract

This action research aimed to develop a model and evaluate the outcomes of care and referral for patients with acute myocardial infarction (STEMI) at Wapipathum Hospital, Maha Sarakham Province. The study was conducted between April 2023 and September, 2024, and consisted of four phases: Phase 1 involved studying and analyzing the problem situation and planning; Phase 2 focused on developing a care and referral model for STEMI patients; Phase 3 implemented the model; and Phase 4 evaluated the model's development and outcomes. The sample consisted of 103 STEMI patients, selected through purposive sampling. Research instruments included: (1) a data recording form for medical records and STEMI patient information, (2) a clinical outcome recording form, and (3) a satisfaction assessment form. Data were analyzed using percentages, means, standard deviation, and
t-test.

The findings revealed the successful development of a care and referral model for STEMI patients at Wapipathum Hospital. Key outcomes included an increase in the door-to-needle time rate within 30 minutes from 64.53% to 93.75% and an increase in the door-to-balloon time rate within 90 minutes from 90.59% to 92.31%. The percentage of STEMI patients receiving reperfusion within 30 minutes rose from 81.55% to 96.89%. Additionally, the proportion of STEMI patients arriving by EMS increased from 16.67% to 43.90%, and the mortality rate decreased from 10.42% to 4.88%. The care model was adhered to at 100%, and the professional nurses and interdisciplinary team reported high overall satisfaction.

Keywords : Care model, Referral system, Acute myocardial infarction

Development of Workforce Management Framework for Public Health Personnel in Maha Sarakham Provincial Public Health Office

Pattaharaphorn Phumyota — Fri, 18 Apr 2025 00:00:00 +0700

Abstract

This action research aimed to develop the personnel workforce framework management under the Maha Sarakham Provincial Public Health Office. The research utilizes a workforce framework management for public health personnel based on workforce allocation policies, management guidelines, and the organizational structure and workforce framework for regional government administrative units under the Ministry of Public Health (2022-2026).
The study also incorporates actual work data from 5 employment types as of February 1, 2023, personnel database information from the Public Health Personnel Management Information System. Additionally, the study considered professional standards, career progression, alignment with mission-level service quality enhancement based on the Standard Academic Professional (SAP), and insights from in-depth interviews with executives, Human Resource Management Committee, Chief Human Resource Officers (CHRO), service unit staff, and those responsible for human resource management groups within the Maha Sarakham Provincial Public Health Office.

The findings reveal that all 73 units under the Maha Sarakham Provincial Public Health Office applied the workforce framework management model as an analytical tool. By the end of the 2022-2026 workforce framework (100%), the overall organizational framework showed an increase of 9.23%. The unit with the highest workforce framework increase was the Borabue District Public Health Office, with a peak increase of 83.33%. Further analysis indicated that district public health offices (L) should have 11-15 workforce frames. Followed by Kudrung Hospital with a 26.15% increase, while F2 hospital experienced increased due to service level enhancement missions for F3 hospital.

In terms of job category overview, the highest workforce utilization was observed in the Back Office support roles, exceeding the framework by 101.04%, followed by professional roles at 60.06%, particularly positions such as audiovisual officers, radiologic technologists, and dentists were notable.
Key success factors in managing the workforce framework included: 1) Executives and Human Resource Management Committee of Maha Sarakham Provincial Public Health Office (CHRO), 2) Service unit personnel within the Maha Sarakham Provincial Public Health Office, and 3) Public Health Personnel Management Information System (HROPS).

Recommendations: The workforce framework management should use the same management to facilitate workforce planning, vacancy management, career progression supporting, Distribute position distribution, and adjustments in alignment with service quality enhancement (SAP).
The framework should be flexible and adaptable at regular intervals to respond to workforce policies and the specific context of each area.

Keywords : Workforce Management, Workforce Framework, Public Health Personnel Workforce, Workforce Management Framework Development

Editorial

Sangud Chuallenfa — Fri, 18 Apr 2025 00:00:00 +0700

บทบรรณาธิการ

วารสารวิชาการสำนักงานสาธารณสุขจังหวัดมหาสารคามฉบับที่สิบแปดนี้ มีวัตถุประสงค์เพื่อให้วารสารวิชาการสำนักงานสาธารณสุขจังหวัดมหาสารคาม เป็นแหล่งตีพิมพ์ผลงานทางวิชาการของบุคลากรสาธารณสุข พัฒนาวิชาการให้เป็นที่ยอมรับทางวิชาการในระดับสากล พร้อมทั้งเพื่อให้เกิดความร่วมมือทางวิชาการระดับกระทรวงสาธารณสุขและระดับหน่วยงานด้านการศึกษา โดยกำหนดให้เป็นวารสารราย 4 เดือน จัดพิมพ์ในรอบเดือนมกราคม พฤษภาคม และกันยายน งานวิจัยที่มีความสำคัญ ได้แก่ นิพนธ์ต้นฉบับ (Original Article) จำนวน 5 เรื่อง ได้แก่ 1) การพยาบาลมารดาวัยรุ่นหลังคลอด : กรณีศึกษา 2) การพยาบาลผู้ป่วยปอดอักเสบจากการใช้เครื่องช่วยหายใจ 3) การพัฒนารูปแบบยกระดับสถานประกอบการให้เป็น Wellness Center ในจังหวัดมหาสารคาม เพื่อรองรับนโยบายเศรษฐกิจสุขภาพ 4) การพัฒนารูปแบบการดูแลและส่งต่อผู้ป่วยโรคกล้ามเนื้อหัวใจขาดเลือดเฉียบพลัน (STEMI) โรงพยาบาลวาปีปทุม จังหวัดมหาสารคาม 5) การพัฒนารูปแบบการบริหารกรอบอัตรากำลังบุคลากรสาธารณสุขในสังกัดสำนักงานสาธารณสุขจังหวัดมหาสารคาม

ทั้งนี้ ขอกราบขอบพระคุณผู้เชี่ยวชาญในสาขาต่างๆ จากคณะแพทยศาสตร์ มหาวิทยาลัยมหาสารคาม คณะเภสัชศาสตร์ มหาวิทยาลัยมหาสารคาม คณะสาธารณสุขศาสตร์ มหาวิทยาลัยมหาสารคาม คณะสาธารณสุขศาสตร์ มหาวิทยาลัยขอนแก่น คณะสาธารณสุขศาสตร์ มหาวิทยาลัยกาฬสินธุ์ คณะมนุษยศาสตร์และสังคมศาสตร์ มหาวิทยาลัยราชภัฏมหาสารคาม วิทยาลัยพยาบาลศรีมหาสารคาม คณะพยาบาลศาสตร์ สถาบันพระบรมราชชนก วิทยาลัยพยาบาลบรมราชชนนีนครราชสีมา คณะพยาบาลศาสตร์ สถาบันพระบรมราชชนก และวิทยาลัยการสาธารณสุขสิรินธร จังหวัดขอนแก่น คณะสาธารณสุขศาสตร์และสหเวชศาสตร์ สถาบันพระบรมราชชนก ที่ให้ข้อแนะนำ ปรับปรุงแก้ไขให้งานวิจัยมีคุณภาพมากขึ้น
ซึ่งมุ่งหวังให้วารสารวิชาการสำนักงานสาธารณสุขจังหวัดมหาสารคาม เข้าสู่มาตรฐานทางวิชาการ กองบรรณาธิการหวังเป็นอย่างยิ่งว่าวารสารนี้จะเป็นประโยชน์ในการพัฒนาคุณภาพงานวิจัยและการเผยแพร่ผลงานให้มีการใช้ประโยชน์ที่มากขึ้น เพื่อการพัฒนางานสาธารณสุขต่อไป

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วารสารวิชาการสำนักงานสาธารณสุขจังหวัดมหาสารคาม