Journal of Phrae Public Health for Development - วารสารสาธารณสุขแพร่เพื่อการพัฒนา

Comparative Evaluation of Harmless Acute Pancreatitis Score (HAPS) and Bedside Index of Severity in Acute Pancreatitis (BISAP) Scoring System in the Stratification of Prognosis in Acute Pancreatitis at Fang Hospital Chiang Mai

2026-02-11T10:49:11+07:00

This retrospective observational study aimed to comparatively evaluate the sensitivity and specificity of the Harmless Acute Pancreatitis Score (HAPS) and Bedside Index for Severity in Acute Pancreatitis (BISAP) scoring systems in screening patients with acute pancreatitis at Fang Hospital. The sample consisted of 190 individuals diagnosed with acute pancreatitis at the Internal Medicine Department, Surgical Inpatient Department, and Surgical Critical Care Unit. Purposive sampling was used. Data analysis employed descriptive statistics and Cross-tabulation.

The research findings revealed that, using the Harmless Acute Pancreatitis Score, there were 112 positive results, accounting for 58.95%. It demonstrated a sensitivity of 80.80% and a specificity of 68.30%. The negative predictive value was 82.80%, and the overall accuracy was 71.10%. Furthermore, using the Bedside Index for Severity in Acute Pancreatitis, with a score ≥ 3 predicting severe cases, it showed a sensitivity of 68.40% and a high specificity of 98.90%. The positive predictive value was 98.50%, and the overall accuracy was 83.70%.

In conclusion, both BISAP and HAPS are useful tools for predicting the severity of acute pancreatitis. When compared, it was found that BISAP is particularly outstanding in terms of specificity, making it beneficial for confirming severe cases and identifying patients at high risk of mortality. It is recommended as the primary assessment tool for Fang Hospital. In contrast, HAPS demonstrates high sensitivity, which is advantageous for initial screening and does not require complex laboratory investigations. HAPS is particularly suitable for network community hospitals with limited specialized personnel and medical resources.

The Effects of Self-Efficacy Promotion Programs for Disease Prevention Based on the 3S.3E.1R. Principle with Digital Health Media Monitoring on Health Information of Pre-Diabetes and Pre-Hypertension Group

2026-02-11T11:10:05+07:00

This quasi-experimental research aimed to examine the effects of a self-efficacy promotion program for disease prevention based on the 3S.3E.1R. principle combined with digital health media follow-up on health status of individuals at risk or suspected of having diabetes mellitus and hypertension. The participants consisted of 52 individuals living in Den Chai District, Phrae Province. The intervention and follow-up period lasted for 12 weeks. The research instruments included: (1) a self-efficacy promotion program for disease prevention based on the 3S.3E.1R. principle combined with digital health media follow-up,
(2) a personal information record form, (3) a knowledge assessment questionnaire on diabetes mellitus and hypertension, (4) a disease prevention behavior questionnaire, (5) a self-efficacy perception questionnaire for disease prevention, and (6) a health record form. The reliability coefficients of the instruments ranged from 0.75 to 0.89. Data were analyzed using descriptive statistics, Fisher’s exact test, and t-tests.

The results revealed that after the intervention, the experimental group demonstrated significantly higher mean scores of knowledge regarding diabetes mellitus and hypertension, disease prevention behaviors, and self-efficacy perception compared to the pre-intervention period (p < 0.05). Additionally,
the mean body mass index, waist circumference, blood glucose levels, systolic blood pressure, and diastolic blood pressure significantly decreased after
the intervention (p < 0.05). These outcomes were also significantly different from those of the control group at the 0.05 level.

The Effectiveness of New Intermediate Care Rehabilitation Network Model in Stroke Patients of Muang District, Chiangrai Province

2026-02-11T11:29:58+07:00

This retrospective cohort study included stroke patients treated at Chiang Rai Prachanukroh Hospital who completed six months of intermediate rehabilitation or achieved an MBI score of 20 earlier. Participants were divided into two groups:
a new rehabilitation group of 242 people and a traditional rehabilitation group of 318 people. Participants had at least two MBI assessments: at hospital discharge and post-rehabilitation. Exclusion criteria were death within six months post-diagnosis or unavailable medical records. Data was collected using Microsoft Excel. The research instruments used were electronic medical records and the Thai version of the Modified Barthel Index (ICC = 0.87). Data were analyzed using descriptive statistics, exact probability test, t-test, Wilcoxon signed-rank test, and linear regression.

Both groups showed significant MBI improvements post-treatment
(p < 0.00). Service utilization including physical therapy, occupational therapy, home visits, private clinic services, and hospital visits was significantly higher in the 2024 group (p < 0.05). Baseline differences were observed in hypertension, dyslipidemia, and stroke etiology. After adjusting for these factors, differences in functional improvement (∆MBI) between the models were not statistically significant. The new model enhanced access to care and treatment intensity through public-private collaboration. However, functional outcomes were comparable to the traditional model when accounting for baseline characteristics. Future prospective randomized controlled trials are recommended to reduce confounding and more accurately assess intervention effectiveness.

Factors affecting hospital readmission in heart failure patients with reduced ejection fraction, Phrae Hospital

2026-02-11T11:34:37+07:00

Heart failure with reduced ejection fraction is a cause of increased mortality and hospital readmission in many hospitals. Therefore, diagnosing
the causes of recurrent heart failure is crucial so that patients receive correct and appropriate treatment. This research aimed to study the prevalence and factors affecting hospital readmission in heart failure patients with reduced ejection fraction at Phrae Hospital. This was an analytical, retrospective cohort study conducted in patients with heart failure with a left ventricular ejection fraction (LVEF) below 40% who received follow-up care at the Heart Center of Phrae Hospital for at least 6 months, from January 1, 2023 to December 31, 2023.
The research instruments were data recording forms for patient medical records and information related to their heart failure condition. Data were presented as percentages, means and standard deviations. Factors affecting hospital readmission in heart failure patients with reduced ejection fraction were analyzed using Risk-ratio regression with a significance level set at p < 0.05.

A total of 293 patients with heart failure with reduced ejection fraction who received follow-up care at the Heart Center, Phrae Hospital were included.
The hospital readmission rate was 30.40%. It was found that hypertension, alcohol consumption, uncontrolled blood sugar levels, and incorrect medication use significantly affected hospital readmission (p = 0.00, p = 0.00, p < 0.00 and
p < 0.00, respectively). Gender, other comorbidities, smoking, substance abuse, medications received, and treatments received (such as surgery, percutaneous coronary intervention with balloon angioplasty, etc.) were found to have no significant effect on hospital readmission.