https://thaidj.org/index.php/jpphd/issue/feedJournal of Phrae Public Health for Development - วารสารสาธารณสุขแพร่เพื่อการพัฒนา2024-01-22T17:37:28+07:00นิพิฐพนธ์ แสงด้วงhrphrae.ejournal@gmail.comOpen Journal Systems<p><strong>วารสารสาธารณสุขแพร่เพื่อการพัฒนา</strong></p> <p>จัดทำขึ้นเพื่อเผยแพร่ผลงานวิจัยและผลงานวิชาการด้านการแพทย์ สาธารณสุข และการคุ้มครองผู้บริโภค รวมทั้งผลงานนวัตกรรมด้านการสาธารณสุขที่ก่อให้เกิดองค์ความรู้อันเป็นประโยชน์แก่บุคคลทางการแพทย์และสาธารณสุข </p> <p><strong>Language:</strong> Abstract in English. Text in Thai and/or English </p> <p><strong>Access:</strong> Free access online </p> <p><strong>กำหนดการตีพิมพ์เผยแพร่วารสารฯ</strong> วารสารมีกำหนดออก ปีละ 2 ฉบับ (ราย 6 เดือน) </p> <p>ฉบับที่ 1 เดือน มกราคม–มิถุนายน <br />ฉบับที่ 2 เดือน กรกฎาคม–ธันวาคม </p> <p>ISSN 2774-096X (Online) </p> <p> </p>https://thaidj.org/index.php/jpphd/article/view/15013Evaluation of Phrae Model for Herbal Distribution from the Government Manufactories, Phrae Province2024-01-22T16:38:46+07:00Wimaluk Nopsiriwimasiri@gmail.com<p>There are two herbal medicines government manufactories of WHO-GMP in Phrae province (Song and Den Chai Crown Prince Hospital). Phrae’s chief financial officer support the budget for herbal manufacture and distribution to government hospitals in Phare since 2014, namely Phrae model. Past operations, there are strengths, weaknesses, problems and barriers indicate to systematic management mechanism. Evaluation is an important mechanism to get information for improve and develop work efficiently in the future. So the researcher interested to study evaluation of Phrae model for herbal distribution from government manufactories to collect and analyze the data. The results of this research will be used as guideline for develop the operations of herbal distribution in Phrae, including herbal medicines management to effective, achieve the goal and leading to sustainability of Thai traditional and alternative medicine operations. This research is mixed methods research between qualitative and quantitative. Data were collected to two parts. Primary data, we select information providers by purposive sampling from role and participation, questionnaires were used as qualitative informations, and analyzed by using content analysis to explain characteristics and opinions of the sample groups. Secondary data were descriptive retrospective, study and collect informations from related documents, were analyzed by using descriptive statistics including: frequency, percentage, mean and standard deviation. The results of this study showed, Phrae model for herbal distribution from government manufactories were evaluated by the CIPP model that are high levels ( = 81.30, SD = 348.20). Four parts of the evaluation overall, the average are at a high levels. Performance results for the past 5 years (2018–2022), all Phrae outpatients who receive the services with the science of Thai traditional medicine were higher percentage rate level than Health Region 1 and Thai National level. Also percentage for Phrae’s herbal medicine prescription value was increased too.</p>2024-01-22T00:00:00+07:00Copyright (c) 2024 https://thaidj.org/index.php/jpphd/article/view/15007The Development of care model for Patients with Chronic Kidney Disease at Phayao hospital and Network2024-01-22T16:13:05+07:00Donkum Kaewboonserthrphrae.ejournal@gmail.comNiphitphon Chuayunanhrphrae.ejournal@gmail.comPatcharin khamnuan3hrphrae.ejournal@gmail.com<p>This research and development aim to develop of care model for patients with chronic kidney disease and study the effects of using the model of care for patients with chronic kidney disease, Phayao Hospital and network. The sample includes nurses and health teams working in chronic kidney clinics at Phayao Hospital and a network, of 16 people, and patients with chronic kidney disease receive services at the chronic kidney clinic from July to September 2023, 57 people. The tools used to conduct the research include models of care for patients with chronic kidney disease at Phayao Hospital and network using the LINE OA application account named “Yu-kạb-hmo-tai” (Staying with kidney doctor). Data collection tools include patients with chronic kidney disease questionnaires and questionnaires for nurses and health teams. Data were analyzed data using descriptive statistics, including frequency, percentage, mean, standard deviation, and inferential statistics, including the Paired t-test with a statistical significance level of 0.05.</p> <p>The research findings indicate that the model of care for patients with chronic kidney disease Phayao Hospital and network using the LINE OA application “Yu-kạb-hmo-tai” operates as the model of education and consultation through the LINE application account that includes infographics and online videos about chronic kidney disease, medication guidelines, dietary considerations, exercise regimens, mood management strategies for CKD patients, factors contributing to kidney degeneration, and measures for preventing and slowing down the progression of kidney degeneration, etc. The results of the model application showed a statistically significant increase in knowledge and behavior in self-care after the use of the model <br>(p < 0.05). The estimated Glomerular Filtration Rate (eGFR) has increased statistically significantly. (p < 0.05). The highest level of satisfaction with the model (Mean 4.21). Nurses and health teams were also most satisfied with the model. (Mean 4.24)</p>2024-01-22T00:00:00+07:00Copyright (c) 2024 https://thaidj.org/index.php/jpphd/article/view/15011The Result of Improving Health Literacy for Reducing Risk of Cardiovascular Disease. A case Study of People living in Amphoe Soem Ngam, Lampang Province2024-01-22T16:30:53+07:00Sommart Yotkasemhrphrae.ejournal@gmail.comNongphakha Poodlahrphrae.ejournal@gmail.com<p>The quasi-experimental research aims to study a result of improving health literacy for reduce cardiovascular risk. Research design was two groups pretest-posttest design. Purposive sampling was used to recruit 80 participants who had low, moderate, and high levels of CVD risk and poor and low health literacy levels. Forty of the experimental group receivedan improving health literacy promotion programme in order to reduce risk of cardiovascular disease. The control group received a regular health literacy promotion programme. Research tools were health literacy and self-care behaviour questionnaires, Thai CV risk score and personal health data. The content validity of all instruments were showed by IOC= 0.67-1.00 Quantitative data was analysed using descriptive statistics and Independent T-test and Dependent T test. The results showed that at post-experiment the experimental group had significant higher mean scores of heath literacy and health behaviour (p<0.05), and CVD risk score had significant lower mean scores than at pre-experimental (P<0.05). CVD risk score of experimental group were significant decreased more than control group at post-test (P<0.05).Research suggests that should be used Improving Health Literacy program for Reducing Cardiovascular Risk of all severity of risk and evaluate long term health outcomes.</p>2024-01-22T00:00:00+07:00Copyright (c) 2024 https://thaidj.org/index.php/jpphd/article/view/15015The Effect of the Educational Program on Knowledge and Care Behaviors of Children with Thalassemia in Phrae hospital2024-01-22T16:45:12+07:00Chunjit Somjitboomch2002@gmail.comKanokrat Attachaipanich hrphrae.ejournal@gmail.comAnyarat Suma hrphrae.ejournal@gmail.com<p>This quasi- experimental research aimed to compare average knowledge and self care behaviors score of school age children with Thalassemia before and after attend the educational program. Design the study by two group pretest-posttest exam in 7-12 years old transfusion dependent Thalassemia children that attended Phrae hospital during August–November, 2021. Experimental group was 19 transfusion dependent Thalassemia children that attended hospital on Tuesday receiving the educational program on knowledge and self care behaviors through animation and comic. Control group was 19 blood dependent Thalassemia children that attended hospital on Monday receiving routine care. Basic data were collected using exact probability test and t-test. Average knowledge and care behaviors score were compared by t-test and paired t-test.</p> <p> </p>2024-01-22T00:00:00+07:00Copyright (c) 2024 https://thaidj.org/index.php/jpphd/article/view/15017Home Visit Model for Schizophrenic Patients At-Risk Groups in the Community by Family Care Team. Wang Chin District, Phrae Province2024-01-22T16:54:20+07:00Nutgrita Kaewsansai jibpeeba@gmail.com<p>This research and development study aimed to investigate conditions of care, model development and efficiency of follow-up home visit of Schizophrenic patients of at-risk groups by family care team in Wang Chin District of Phrae Province. which applied the semi-experimental research method in one group. Pre-test and post-test were implemented in this stage. The samples include 10 of Schizophrenic Patients of at-risk groups who received care service at Wang Chin Hospital in Wang Chin District of Phrae Province. The data was analyzed with descriptive statistics and Pair t-test statistics.</p> <p>The results showed that; applied survey research to examine the condition care given to Schizophrenic patients of at-risk had problems in lack of continuity of care and medicine when they returned home or to the community. They did not accept illness and used alcohol or drugs causing exacerbation and aggressive behaviors. Schizophrenic patients at Wang Chin Hospital in Wang Chin Hospital of Phrae Province consisted of before home visit model for Schizophrenic patients, Team development, declaring of objectives of home visit. The home visit process. It consists of preparing a visit recording form. Division of team roles Recording home visit information and after the home visit It is a summary of the results from home visits, analysis of individual patient problems. and planning the next visit. Including data analysis and synthesis. After implementing the home visit model. the scores of self-care by the patients in the experimental group after the experiment was higher than that of before the experiment with statistical significance at 0.50. As a result, patients and caregivers practice correct <br>self-management. To prevent relapse and receive continuous consultation from the family doctor team Therefore, Home Visit Model for Schizophrenic Patients At-Risk Groups in the Community by Family Care Team. Wang Chin District, Phrae Province that is appropriate to the local context, helping to increase efficiency in caring for at-risk schizophrenia patients.</p>2024-01-22T00:00:00+07:00Copyright (c) 2024 https://thaidj.org/index.php/jpphd/article/view/15019The Development of Assessment Guidelines for Patients with Acute Coronary Syndrome.2024-01-22T17:00:58+07:00Panumart Malicity_7664@hotmail.comKannika Chainanhrphrae.ejournal@gmail.comNiphitpon Sangduanghrphrae.ejournal@gmail.com<p>The objective of this research and development were 1) to develop guidelines for assessment patients with acute coronary syndrome, and 2) to study the effectiveness of guidelines for assessment patients with acute coronary syndrome. The sample group consists of patients exhibiting symptoms of acute coronary syndrome. The data collection tools include: guidelines for assessment patients with acute coronary syndrome, questionnaires for the comments regarding the assessment guidelines for patients, and satisfaction surveys. The quality of the tools is examined through content validity checks and reliability assessments. Data is analyzed using descriptive and paired t-test.</p> <p>The results showed that: 1) the developed assessment guidelines for patients form includes evaluations of the patient's initial condition, key symptoms, associated symptoms, significant risk factors, time of arrival at the emergency room, time of electrocardiogram examination, interpretation of test results, and physician diagnosis, 2) the comments regarding the assessment guidelines for patients form had high levels ( = 4.38, SD = 0.76), 3) the sample group that used the patient assessment form showed a high level of satisfaction with the assessment, ( = 4.28, SD = 0.73). The average time for accessing electrocardiogram examinations significantly differs between the group of patients with acute coronary syndrome who use the patient assessment form and those who do not, with statistical significance at the 0.05 level (t = 3.10). The group used the assessment form has a shorter average access time to electrocardiogram examinations compared to the group not using the assessment form. This suggests that the developed guidelines for assessment patients to be screened, assessment, differential diagnosis and able to access essential treatment in a time. As a result, the death rate decreased.</p>2024-01-22T00:00:00+07:00Copyright (c) 2024 https://thaidj.org/index.php/jpphd/article/view/15021Effectiveness of the screening model for patients with chronic obstructive pulmonary disease, Den Chai District, Phrae Province2024-01-22T17:10:43+07:00Prakaiwan Chaichobpoompim_21@hotmail.comPatchareephon Pothardhrphrae.ejournal@gmail.comSirinya Khonwonghrphrae.ejournal@gmail.com<p>The objective of this research and development is to develop screening for patients with chronic obstructive pulmonary disease in Den Chai District, Phrae Province, using research and development as a conceptual framework. The sample group consisted of 1) 38 people suspected of having chronic obstructive pulmonary disease. 2) 10 medical personnel working in the multidisciplinary chronic obstructive pulmonary disease team at Denchai Crownprince Hospital. The tools used were a.form. Verbal risk screening record B. Peak Flow examination C. Spirometer examination Before and after using a bronchodilator inhaler and follow up and care for new patients in 6 processes, including 1. accessing services 2. evaluating 3. planning 4. caring <br>5. providing empowering information 6. Continuous care Content validity was checked by 3 experts. The index of consistency between the questions and objectives was between 0.80-1.00. Data were analyzed using frequency statistics, percentages, averages, and content analysis. The results of the study can be summarized as follows: 1) A form was obtained for screening patients with chronic obstructive pulmonary disease. 2) Screening results found 7 new patients, 18.42% were smokers, 57.14% were registered for treatment and received ICS LABA drugs. 71.42 percent since the beginning 4 asthma patients, 10.53 percent, 75.00 percent exposed to dust and smoke, 1 lung cancer patient, 2.63 percent 3) Patient outcomes 6-month home follow-up 71.43% of symptoms did not relapse, 75% quit smoking. Proactive screening of new COPD patients is a way to help find new patients and receive treatment both with and without severe symptoms, helping to control the disease. good There should be a campaign against cigarettes and monitoring of disease and health hazards.</p> <p> </p>2024-01-22T00:00:00+07:00Copyright (c) 2024 https://thaidj.org/index.php/jpphd/article/view/15023Effects of Eldery and caregivers Preparation Program on prevention pressure sores Inpatient department Denchai Crown Prince Hospital.2024-01-22T17:20:57+07:00Busaba In-tharawutintbuss@hotmail.comYuwares Boonyanunhrphrae.ejournal@gmail.com<p>This is a research and development design to create and study the results of the program to prepare elderly patients and caregivers to prevent pressure sores from occurring. Study in elderly people aged 60 years and over, both men and women at risk for pressure ulcers, Braden score less than 12 points.The total sample size was 32 cases. List of tools used to conduct research is a program to prepare at-risk elderly patients and their caregivers for the prevention of pressure ulcers for Inpatient Department. The study found that average knowledge score ability to take action ability to change of caregivers to prevent pressure sores in terms of skin care and cleanliness mobility assistance and taking care of food and water after developing according to the program 6 steps to prepare elderly patients and caregivers for the prevention of pressure ulcers statistically significantly higher (p < 0.05).There were no incidence of pressure ulcers in elderly patients until they were discharged The most important in patient care throughout the period after discharge from the hospital is the family caregiver. Nurses must have the competencies to provide caregivers have knowledge in making changes and be able to carry out activities to prevent infection in the elderly at risk of dependency</p>2024-01-22T00:00:00+07:00Copyright (c) 2024