https://thaidj.org/index.php/jpphd/issue/feedJournal of Phrae Public Health for Development - วารสารสาธารณสุขแพร่เพื่อการพัฒนา2025-01-16T10:03:42+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/16031The Effects of Developing an Integrated Home Pharmaceutical Care system for Elderly Community-Dwelling Individuals with Type 2 Diabetes mellitus and Depression San Sai District, Chiang Mai Province2024-11-28T09:40:14+07:00ณภัทร อินทจักร์just4joean@gmail.com<p><strong>Abstract</strong></p> <p>This quasi-experimental research aims to 1) compare the level of depression in elderly patients with Type 2 diabetes and comorbid depression before and after receiving the integrated home-based pharmaceutical care; 2) compare plasma glucose levels between the experimental and control groups of elderly patients with Type 2 diabetes and comorbid depression in the community. The sample consisted of 24 elderly outpatients diagnosed with Type 2 diabetes and comorbid depression at San Sai Hospital, Chiang Mai Province. The sample was divided into experimental and control groups, each consisting of 12 participants. Data collection tools included the 9Q Depression Assessment Questionnaire, an adherence assessment for antidepressant medications in patients with mental health conditions, a medication adherence questionnaire for diabetes and comorbid conditions from San Sai Hospital, and a plasma glucose level recording form. Data were analyzed using descriptive statistics, compare the equality of two independent population groups with a test of the mean, and analyze the comparison of the means between two groups of samples, both independent and dependent.</p> <p>The research findings revealed that elderly patients with type 2 diabetes and comorbid depression, after receiving integrated home pharmaceutical care. <br />The experimental group demonstrated a statistically significant reduction in depression severity and plasma glucose levels compared to the control group <br />(p < 0.05).(t = 6.76 and 2.21 respectively)</p> <p><strong><em>Keywords:</em></strong> Elderly patients with type 2 diabetes, Depression, Integrated home pharmaceutical care system</p> <p><strong> </strong></p>2025-01-16T00:00:00+07:00Copyright (c) 2025 Phrae Provincial Public Health Officer https://thaidj.org/index.php/jpphd/article/view/16075The development of a Community Based Treatment and Care for drug use in Phrae2024-11-28T15:31:40+07:00ปกรณ์ วชิรัคกุลpkjob53@hotmail.com<p><strong>Abstract</strong></p> <p>This participatory action research aimed to develop and study the effects of <br />a Community Based Treatment (CBTx) for drug use in Phrae province, Thailand. and to examine factors associated with drug treatment under the community-participated rehabilitation approach. The study involved 512 participants, with data collected through questionnaires, focus group discussions, and the national narcotics treatment and rehabilitation data system. Data were analyzed using descriptive statistics, including percentage, mean, and correlation coefficient.</p> <p>The results revealed that the community-participated treatment model for drug users consisted of six steps: 1) establishment of community working group, 2) assessment and identification of drug users for voluntary treatment program participation, 3) screening, diagnosis evaluation, and treatment planning, 4) group therapy activities, 5) follow-up care by health teams and community leaders, and 6) treatment outcome evaluation. Factors significantly associated with treatment effectiveness under the community-participated rehabilitation model at the 0.05 level (P < 0.00) were: 1) alignment with community needs, 2) strong community leaders, 3) shift in community members' perspectives, 4) target group coverage, and 5) multi-sectoral collaboration.</p> <p><strong><em>Keywords:</em></strong> drug use, Community Base Treatment and Care</p>2025-01-16T00:00:00+07:00Copyright (c) 2025 Phrae Provincial Public Health Officer https://thaidj.org/index.php/jpphd/article/view/15758The Effect of the Self-Efficacy Programs on Knowledge and Self-Care Behavior Patients with Osteoarthritis of Orthopedic Examination Room, Out Patient Department, Lamphun Hospital2024-11-28T10:03:45+07:00จุฑามาศ อุตรสักjutamasuttarasak@gmail.com<p><strong>Abstract</strong></p> <p>Osteoarthritis is a common health problem and affects the quality of life of patients. This research is a quasi-experimental study that aimed to compare <br />self-care knowledge and behavior in patients with osteoarthritis of the knee before and after receiving the self-efficacy programs. The sample group is patients with osteoarthritis of knee who came to receive treatment at the Orthopedic Department, Lamphun Hospital from April to June 2024 with 85 people. The tools used in <br />the research includeincludee self-efficacy programs. It is based on Bandura’s concept of self-efficacy perception theory (Bandura, 1997). The tools used to collect the data included a personal data recording form, a Modified WOMAC Scale, a knowledge assessment, and an assessment of the self-care behavior of patients with osteoarthritis of the knee. The data were analyzed with descriptive statistics, including frequency, percentage, mean, and standard deviations, and inferential statistics including; paired samples t-test. The results of the study showed that after receiving a self-efficacy program patients have a high level of knowledge about osteoarthritis of the knee and behavior statistically significant at the level of 0.05. The self-care behavior in the areas of daily living, treatment, and use of medications, nutrition, exercise, and mental health improved statistically significantly at the level of 0.05. Therefore, the self-efficacy program effectively strengthens knowledge and self-care behaviors in patients with osteoarthritis of <br />the knee.</p> <p><strong><em>Keywords:</em></strong> Osteoarthritis of Knee, Self-Efficacy Programs, Knowledge, Self-Care Behaviors</p>2025-01-16T00:00:00+07:00Copyright (c) 2025 Phrae Provincial Public Health Officer https://thaidj.org/index.php/jpphd/article/view/16019Outcomes of Rehabilitation in the Intermediate Phase for Stroke Patients at Nan Hospital2024-11-29T11:46:01+07:00ภัทรวิชญ์ พรหมรักษ์ohm.rehab@gmail.com<p><strong>Abstract</strong></p> <p> The objectives of this study are to: 1) study the functional gain of stroke patients following receiving intermediate care services (IMC), using the Barthel Index (BI) to track changes (∆BI); 2) evaluate the efficiency of intermediate care services (∆BI / total IMC); and 3) identify factors influencing access to intermediate care services at Nan Hospital. This was a retrospective cohort study, with the population consisting of stroke patients who received acute phase care at <br />Nan Hospital between October 1, 2022, and September 30, 2023, totaling 811 patients. A sample of 240 patients was selected through purposive sampling method, in accordance with inclusion and exclusion criteria. The research instrument included a general and clinical data record form and the Barthel index, a high reliability (κ = 0.88) and validity tool for assessing activities of daily living. Data was analyzed using descriptive statistics and multivariable logistic regression analysis.</p> <p>A total of 91 patients completed the rehabilitation program. The result revealed that the average function gain was 5.81±4.12 points, and the average rehabilitation efficiency was 3.07±2.97 points per rehabilitation session. Access to services was negatively impacted by increasing age and residing outside of Muang Nan District.</p> <p><strong><em>Keywords:</em></strong> Intermediate care, stroke rehabilitation, accessibility to rehabilitation</p>2025-01-16T00:00:00+07:00Copyright (c) 2025 Phrae Provincial Public Health Officer https://thaidj.org/index.php/jpphd/article/view/16089Factors Affected on Developing of Digital Identity Usage Behavior to Support Public Health Service Delivery for Public Health Personnel in Phrae Province.2024-12-03T16:32:40+07:00วัชรพงษ์ วัชรินทร์bonsi238@gmail.comนิพิฐพนธ์ แสงด้วงnvanness@hotmail.com<p><strong>Abstract</strong></p> <p> This study aimed to 1) examine the level of digital identity usage behavior in supporting health services and 2) investigate the factors influencing digital identity usage behavior in supporting health services among public health personnel in Phrae Province. The sample consisted of 151 public health personnel working in general hospital, community hospital, and tambon health promoting hospital, selected through systematic random sampling. Data was collected using a Likert-scale questionnaire with a reliability coefficient ranging from 0.78 to 0.87. <br />Data analysis was conducted using descriptive statistics and multiple regression analysis.</p> <p>The results showed that 1) The overall digital identity usage behavior in supporting health services was at a moderate level (M = 2.33, SD = 0.85). <br />2) The factors significantly influencing the development of digital identity usage behavior in supporting health services (Y) at the 0.05 level were: policy support (X1), cybersecurity awareness (X2), perceived benefits (X3), perceived ease of use (X4), system trust (X5), and behavioral intention (X6), with coefficients of influence of 0.44, 0.39, 0.35, 0.25, 0.21, and 0.20 respectively. These six variables collectively explained 28.00% of the variance in digital identity usage behavior. The predictive equation based on raw scores is as follows:</p> <p>Digital identity usage behavior in supporting health services = (-3.41) + 0.21(X1) + 0.20(X3) + 0.25(X4) + 0.35(X5) + 0.40(X6) + 0.45(X7).</p> <p><strong><em>Keywords:</em></strong> Intermediate care, stroke rehabilitation, accessibility to rehabilitation</p>2025-01-16T00:00:00+07:00Copyright (c) 2025 Phrae Provincial Public Health Officer