Journal of Phrae Public Health for Development - วารสารสาธารณสุขแพร่เพื่อการพัฒนา

The results of the self-care behavior promotion program for glaucoma patients to control intraocular pressure at Phrae Hospital

Taratip Intararujikul — Mon, 30 Jun 2025 00:00:00 +0700

The quasi-experimental research aims to study results of the self-care behavior promotion program for glaucoma patients to control intraocular pressure at Phrae Hospital that affects for the glaucoma knowledge, perception of severity and benefits of glaucoma prevention and treatment and self-care behavior between before and after joining the program in 45 people selected by purposive sampling. Research instruments were the self-care behavior promotion program for glaucoma patients to control intraocular pressure and the questionnaire consisted of 4 parts: 1) General information, 2) Knowledge about glaucoma with a KR-20 value of 0.94, 3) Perception of disease severity and benefits of glaucoma prevention, and 4) Self-care behaviors for glaucoma with Cronbach's alpha coefficient values of 0.95 and 0.91, respectively. Data was analyzed by descriptive statistics and paired t–test.

The result that after joined the self-care behavior promotion program for glaucoma patients to control intraocular pressure at Phrae Hospital. The sample were had the glaucoma knowledge, perception of severity and benefits of glaucoma prevention and treatment and self-care behavior increasing. It is significantly different from before joining the program (p < 0.00).

Should encourage perception of disease severity and benefits of glaucoma prevention in glaucoma patients to continuously control intraocular pressure at home.

The Development of a Friendly Prototype Community model for the elderly with Quality of Life of Elderly by the Participative Network Partners in the community: A Case study at Phrae Province

Mon, 30 Jun 2025 00:00:00 +0700

This participatory action research aimed to develop and examine the outcomes of a community-based participatory model for creating age-friendly prototype communities in Phrae Province, Thailand. The study participants included 1) 25 community leaders and stakeholders and 2) 306 older adults. Data were collected through questionnaires and focus group discussions, and analyzed using content analysis, descriptive statistics, and inferential statistics with a paired
t-test.

The findings revealed that the developed model was based on participatory collaboration among community members and multi-sectoral networks, including public and private sectors, consistent with the principles of PAR. The model comprised five key steps: 1) community assessment guided by the World Health Organization’s concept of age-friendly cities, 2) needs assessment and issue prioritization, 3) development planning, 4) feedback and policy advocacy through community and administrative channels and 5) evaluation and continuous reflection for sustainable improvement. This process resulted in the establishment of
a prototype age-friendly community aligned with the WHO’s eight domains of age-friendly cities.

Regarding outcomes, the overall quality of life scores of older adults significantly improved after the implementation (p < 0.05). Domain-specific analysis indicated statistically significant improvements in psychological well-being, social relationships, and environmental aspects (p < 0.05), while physical health scores showed a positive trend but did not reach statistical significance
(p = 0.07).

Keywords: Age-Friendly Community, Participation, Quality of Life

Effectiveness of application for fluid replacement and blood management during surgery

ศักดิ์กฤษณ์ ประสิทธิ์ศุภการ, จิราภรณ์ เตชะอุดมเดช, ประเสริฐศักดิ์ ขอห้องกลาง — Thu, 04 Sep 2025 00:00:00 +0700

Fluid replacement and blood management are crucial roles of nurse anesthetists during surgery, significantly impacting patient survival. Developing an application to assist in fluid and blood management calculations is essential. This quasi-experimental research aimed to study 1) the effectiveness of a fluid replacement and blood management application during surgery and 2) nurse anesthetists' satisfaction with the application. The sample included 39 nurse anesthetists from the anesthesiology department of Maharat Nakhon Ratchasima Hospital, selected through systematic sampling. Data collection tools consisted of a test and an opinion questionnaire, validated by six experts with a content validity index ranging from 0.83 to 1.00 and reliability ranging from 0.81 to 0.87. Data were analyzed using frequency distribution, percentage, mean, standard deviation, and paired t-test.

The results showed that the average time for manual calculations was 4.09 minutes, while the application significantly reduced the calculation time to 0.22 minutes (p < 0.05, p = 0.00). Nurse anesthetists' satisfaction with the application was at a highest level across all aspects (mean = 4.79 ± 0.40), including convenience, speed, accuracy, and applicability in both emergency and routine situations. This study demonstrates that the application effectively enhances operational efficiency and patient safety.

Keywords: Fluid Replacement, Blood Management, Application

Effectiveness Effectiveness of a practice guidelines for the prevention of phlebitis in patients receiving intravenous therapy at In Patient Department Nongmuangkhai hospital, Phrae Province

วรางคณา วงศ์อรินทร์, กรรณิการ์ ชัยนันท์, นิพิฐพนธ์ แสงด้วง — Mon, 30 Jun 2025 00:00:00 +0700

This action research aims to develop and study the effectiveness of a practice guideline for the prevention of phlebitis in inpatients. The focus was on continuous development and improvement of the guideline using the PDCA cycle as
a conceptual framework. The sample consisted of 1) 14 professional nurses working in inpatient department 2) 100 patients receiving intravenous fluids admitted to the inpatient department. The instruments included a knowledge assessment form,
a nursing practice assessment form for the prevention of phlebitis in the inpatient department, and a record of the incidence and severity of phlebitis . Content validity was approved by experts and reliability was tested using the Kuder-Richardson formula (KR-20), with a reliability score of 0.95. Data were analyzed using descriptive statistics, including frequency, percentage, and mean.

The results found that a practice guideline for the prevention of phlebitis in inpatient department was developed at Nong Muang Khai Hospital, Phrae Province. The results showed that after implementation of the practice guideline, the effectiveness of a guideline for the prevention of phlebitis was significantly improved. Professional nurses' knowledge of intravenous fluid administration and prevention of phlebitis increased from moderate ( = 10.07, S.D. = 1.44) to high
( = 15.29, S.D. = 2.01). Their ability to correctly perform nursing activities to prevent phlebitis from intravenous fluid administration increased from 81.80% to 97.65%, and the incidence of phlebitis decreased.

Keywords: Effectiveness/the practice guideline intravenous fluids/peripheral phlebitis

Effects of Tele-nursing in COPD Patients’ Care after Discharge from the Hospital

สุพิน รู้ธรรม, ศุภาพร แก้วประเสริฐ — Mon, 30 Jun 2025 00:00:00 +0700

This study is a quasi-experimental two-group study with pre-test and
post-test. It aimed to investigate the effects of telenursing on the care of patients with chronic obstructive pulmonary disease (COPD) after hospital discharge. between intervention and control groups. The sample group was made up of COPD patients who were admitted to Mae ai hospital. The participants were selected by purposive sampling with 30 subjects to divide the sample into an experimental group of 15 and a control group of 15 subjects for 4th week. The data were analyzed using percentages, standard deviations, means, and independence samples t-tests.

The results showed a statistically significant difference in the mean score of knowledge and the mean score of practice between the experimental and control groups (p < 0.00, < 0.00), respectively. The mean score of the COPD assessment test (CAT) and readmission rate within 28 days after discharge was no statistically significant difference between the experimental and the control groups. However, the mean score of CAT in the experimental group decreased more than in the control group, and the readmission rate within 28 days after discharge in the experimental group was less than in the control group during the study period.

Tele-nursing could increase the potential for COPD patient self-care after discharge and readmission rate prevention, and telehealth can be used as an alternative for caring for COPD patients after discharge.

Keywords: Tele-nursing, Chronic Obstructive Pulmonary Disease, Readmission rate within 28 days

Factors Affecting Maternity Benefit Receipt among Social Security Insured Persons Receiving Prenatal Care and Delivery Services at Phrae Hospital, Phrae Province

Kreangsak Kampon, Nipitphon Saengduang, Hutsayaporn Intayos — Mon, 30 Jun 2025 00:00:00 +0700

This comparative causal study aimed to examine factors associated with
the utilization of maternity benefits among 200 insured women who received antenatal care and delivery services at Phrae Hospital. Data were collected using
a validated questionnaire covering personal information, benefit perception, benefit information access, and employer social support, with reliability coefficients ranging from 0.75 to 0.98. Data were analyzed using descriptive statistics,
the Mann - Whitney U Test, and the Kruskal-Wallis Test.

The results revealed that benefit perception, information access, and employer support were at high levels (mean = 63.23, 25.09, and 21.34, respectively). Differences in age, duration of insurance, type of insured person, benefit perception, information access, and employer support were significantly associated with variations in maternity benefit utilization (p < 0.05), while education, income, and number of children were not. Furthermore, benefit perception (r = 0.17), information access (r = 0.15), and employer support (r = 0.21) showed significant correlations with maternity benefit utilization.

These findings highlight the importance of enhancing awareness, improving access to information, and strengthening supportive employer environments to promote equitable utilization of maternity benefits.

Keywords: maternity benefits, Social Security insured