Primary Health Care Journal (Northeastern Edition)

Content

2024-08-30T23:53:28+07:00

EFFECTS OF QUALITY OF LIFE IMPROVEMENT PROGRAM AMONG VILLAGE HEALTH VOLUNTEERS, PHU SANG SUB-DISTRICT, PHU SANG DISTRICT, PHAYAO PROVINCE

2024-04-11T12:40:58+07:00

This quasi-experimental study aimed to compare the quality of life of village health volunteers before and after participating in a quality of life development program and between the experimental and control groups. The study involved 199 village health volunteers, with 30 in the experimental group and 30 in the control group, selected through purposive sampling. Data were collected using a quality of life assessment questionnaire. The experimental tool was a quality of life development program, which included activities such as knowledge sharing, group counseling, relationship-building skills training, a local nutrition guide, yoga and Tai Chi exercises, social communication, social adaptation, and follow-up and reminders via the Line application. Data were analyzed using frequency, percentage, mean, and standard deviation. The comparison of mean scores was conducted using the Dependent sample t-test and Independent sample t-test. The findings showed that: I. After the intervention, the experimental group had significantly higher average quality of life scores compared to before the intervention at the 0.05 significance level. II. The experimental group also had significantly higher quality of life scores compared to the control group at the 0.05 significance level. In summary, developing the quality of life for village health volunteers should focus on providing useful skills and experiences through a combination of guidance and activities such as relationship-building, social communication, social adaptation, and regular follow-up and reminders through the Line application.

THE RELATIONSHIP BETWEEN HEALTH LITERACY AND HEALTH PROMOTING DISEASE PREVENTING BEHAVIORS, AMONG PEOPLE WHO HAVE PREVIOUSLY BEEN INFECTED WITH COVID-19, IN THEPHARAK DISTRICT, NAKHON RATCHASIMA PROVINCE

2024-04-11T12:33:48+07:00

This cross-sectional descriptive study aims to examine the relationship between health literacy and health promoting and disease preventive behaviors among people who have previously contracted COVID-19. The research sample consisted of 280 people selected through simple random sampling. The research tools included a self-developed health literacy questionnaire and a health promoting and disease preventive behaviors questionnaire, validated by three experts, with item-objective congruence (IOC) values ranging from 0.66 to 1.00 and reliability coefficients ranging from 0.77 to 0.97. Data were analyzed using statistics including frequency, percentage, mean, standard deviation, chi-square tests, and Pearson correlation coefficients. The findings were as follows: 1) Occupation, income, quarantine duration, and vaccination status were significantly related to health promoting and disease preventive behaviors regarding COVID-19 at a 0.05 significance level. 2) Health literacy in terms of access skill, communication skill, self-management skill, and media literacy skill was positively correlated with health promoting and disease preventive behaviors at .05 significance level. And 3) Health literacy in terms of cognitive skill was negatively correlated with health-promoting and disease-preventive behaviors at .05 significance level.

DEVELOPING THE HEALTH LITERACY OF PUBLIC HEALTH VOLUNTEERS TO ACCESS SERVICES AT COMMON ILLNESS PHARMACY, NAKHON SAWAN MUNICIPALITY

2024-07-25T21:56:16+07:00

The promotion of access to Common Illness pharmacies aims to reduce hospital congestion by enhancing the health literacy of village health volunteers, in line with the Ministry of Public Health's policies. This research aimed to improve the health literacy of village health volunteers to facilitate access to Common Illness pharmacies in Nakhon Sawan Municipality. The study involved 11 pharmacists and 98 village health volunteers. Research tools included in-depth interviews, focus group discussions, and a health literacy promotion model. Quantitative data were analyzed using frequency distribution, percentage, mean, standard deviation, and paired samples t-test. Qualitative data were analyzed using content analysis and presented descriptively. The study found that in Phase I, 6 Common Illness pharmacies within the municipality served an average of 85.88 Gold Card patients per month per pharmacy. Outside the municipality, five pharmacies served an average of 180.5 Gold Card patients per month per pharmacy. Phase II, the health literacy promotion model, using the V-Shape Literacy Model and word-of-mouth strategies, was implemented over 12 weeks. Activities included workshops, social media engagement, and practical experience to improve access to pharmacies. Phase III, post-implementation evaluation showed that the health literacy of village health volunteers increased by 4.48 points, with a 95% confidence interval of 3.91 to 5.05. Phase IV, access to Common Illness pharmacies by Gold Card patients in the municipality increased by 149.67%. In contrast, outside the municipality, where the model was not applied, access increased by only 13.21%. In conclusion, promoting health literacy among village health volunteers using the V-Shape Literacy Model and word-of-mouth strategies effectively increased Gold Card patients' access to Common Illness pharmacies.

THE STUDY OF CHEST RADIOGRAPH OF POST COVID-19 PNEUMONIA AT RANONG HOSPITAL

2024-05-30T14:01:02+07:00

This research aimed to study the characteristics of chest radiographs following recovery from COVID-19 pneumonia in patients at Ranong Hospital between January 1 and December 31, 2022. Data collection was conducted using patient records and the Picture Archiving and Communication System (PACS). Descriptive statistics, including frequency distribution, percentage, mean, and standard deviation, were employed to describe general patient information and chest radiograph findings. The study included 166 patients with an average age of 66.8 years, comprising 51.2% females and 48.8% males. The average time between hospital admission and follow-up chest radiographs was 11.7 weeks. The results showed that 43 patients (25.9%) had completely normal chest radiographs, and 41 patients (24.7%) exhibited reduced abnormalities compared to initial imaging. Among the residual abnormalities, ground-glass opacity was observed in 43 patients (47.3%), consolidation in 31 patients (34%), reticular infiltration in 10 patients (11.0%), and other findings in 7 patients (7.7%). The residual abnormalities were predominantly distributed in the peripheral and lower lung regions bilaterally. In conclusion, the majority of post-recovery chest radiographs in COVID-19 pneumonia patients returned to normal, with only a subset of patients exhibiting residual abnormalities that could be detected via chest radiography. Therefore, chest radiography, which is widely available at all levels of healthcare in Thailand, is cost-effective and exposes patients to lower radiation doses compared to computed tomography (CT). It is an effective tool for initial follow-up of complications in patients recovering from COVID-19 pneumonia.

THE RELATIONSHIP BETWEEN THE BIG FIVE PERSONALITY FACTORS AND STRESS IN MASTER’S STUDENTS IN PSYCHOLOGY AT RAMKHAMHAENG UNIVERSITY

2024-04-11T12:46:41+07:00

This descriptive research aimed to study the relationship between the Big Five personality traits and stress among Master's degree students in the Master of Science in Psychology program, Faculty of Education, Ramkhamhaeng University. The sample consisted of 66 Master's students from the aforementioned program, selected through simple random sampling. The research instruments included a Big Five Personality Traits Scale with a reliability of 0.88 and a Stress Assessment Scale from the Stress Relief Handbook (revised version), published by the Department of Mental Health in 2012. Data were analyzed using descriptive statistics, including frequency distribution, mean, and standard deviation, as well as Pearson’s correlation coefficient to examine relationships, with statistical significance set at the .05 level. The results showed that the sample had high levels of personality traits related to extraversion, openness to experience, agreeableness, and conscientiousness, while they had low levels of neuroticism. Both male and female students exhibited normal levels of stress. Students majoring in counseling psychology and those enrolled in the bi-semester learning format experienced mild stress. The study found a moderate positive correlation between neuroticism and stress, which was statistically significant at the .05 level. Conversely, there was a low negative correlation between agreeableness and stress, also statistically significant at the .05 level. Based on these findings, the program should consider developing an educational plan that fosters agreeableness and openness to experience to help reduce student stress.

EFFECTS OF THE HEALTH LITERACY PROGRAM, COMBINED WITH "KHU SIAW SAN PHALUNG" TO PREVENT DRUG AVOIDANCE BEHAVIORS AT NON-PHO SRI WITTHAYAKHOM SCHOOL IN SAM SUNG DISTRICT, KHON KAEN PROVINCE

2024-04-23T11:05:27+07:00

Drug addiction among children and youth poses a significant problem, particularly for students who will play key roles in national development. This quasi-experimental study examines the impact of a health literacy program combined with "Khu Siew San Phalung" on promoting drug prevention behaviors at Non Pho Si Witthayakhom School in Sam Sung District, Khon Kaen Province. The study involved two groups: the experimental group, consisting of 30 secondary school students from Non Pho Si Witthayakhom School who received the health literacy program and "Peer Power Partners" intervention, and the comparison group, with 30 students from Premtinnasulanon School who engaged in regular school activities. The intervention lasted for 10 weeks. Data was collected before and after the intervention using questionnaires and analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation), as well as Paired t-tests and Independent t-tests, with a significance level at .05. Results indicated that after the intervention, the experimental group scored an average of 12.75 points higher in health literacy related to drug prevention compared to the comparison group, with statistical significance (95% CI = 4.50 to 16.29; p-value < .001). Additionally, the experimental group’s average score for drug prevention behaviors was 15.53 points higher than the comparison group, also statistically significant (95% CI = 7.36 to 9.30; p-value < .001). This indicates that the health literacy program combined with "Khu Siew San Phalung" is an effective approach for enhancing drug prevention behaviors and reducing drug issues in schools.

DEVELOPMENT OF A MODEL FOR PREVENTION AND SURVEILLANCE OF PREMATURE BIRTH BY PARTICIPATION OF THE DISTRICT HEALTH SERVICE NETWORK NUEA KHLONG DISTRICT KRABI PROVINCE

2024-04-23T10:27:42+07:00

This study aimed to develop a model for preventing and monitoring preterm births through community network participation in Nuea Khlong District, Krabi Province, using the PDCA cycle combined with participatory work processes. The purposive sample included the operational network driving the development of a preterm birth prevention and monitoring model at Nuea Khlong Hospital and 14 sub-district health-promoting hospitals. The study was conducted over 6 months, from October 2023 to March 2024. Qualitative data were collected through interviews and analyzed using content analysis, while quantitative data were analyzed using descriptive statistics such as frequency and percentage. The results showed that current practices for preventing preterm births mainly involve screening for risk factors, but the existing guidelines lack specificity and do not comprehensively cover all associated risks. Education provided to at-risk pregnant women is also insufficient to raise awareness or enable effective self-care. To improve the model for preterm birth prevention and monitoring, two main components were identified: Antenatal Clinics in Sub-district Health Promoting Hospitals: Enhance the screening process to cover five key risk factors comprehensively. This requires improving guidelines to ensure all potential risks are addressed. Delivery Room at Nuea Khlong Hospital: Implement a consistent risk assessment for pregnant women experiencing preterm labor, using the same tools and criteria as the antenatal clinics. This uniform approach ensures comprehensive risk evaluations and appropriate care. Providing tailored education about preterm labor and management strategies based on individual risk factors is essential. These measures can effectively enhance preterm birth prevention and monitoring efforts in the region through active community participation.

EVALUATION OF BEHAVIORAL IMPROVEMENT FOR PREVENTING LIVER FLUKES AND CHOLANGIOCARCINOMA IN SI CHOMPHU SUBDISTRICT, SI CHOMPHU DISTRICT, KHONKAEN PROVINCE

2024-08-06T01:09:26+07:00

This study aims to evaluate the effectiveness of behavior modification in preventing liver fluke disease and cholangiocarcinoma. The participants were divided into two groups: Group 1 consisted of 13 government officials and local network partners involved in the implementation, and Group 2 comprised 365 local residents. Data was collected through focus group discussions and questionnaires. The analysis used percentage, mean, standard deviation, and dependent t-test. The findings revealed that participants rated the performance of contextual factors at the highest level (mean = 4.6), input factors at a high level (mean = 4.3), process factors at a high level (mean = 4.4), and outcome factors at a high level (mean = 4.1). Overall, the implementation was rated as high (mean = 4.3). In terms of knowledge about liver fluke disease and cholangiocarcinoma, the majority of the public had high knowledge, with an average score of 12.4, reflecting a 14.3% increase. This increase in knowledge was statistically significant (p-value < .001). Regarding preventive behaviors for liver fluke disease, most participants exhibited high prevention behaviors, with an average score of 19.7, showing a 34.5% increase. This increase in preventive behaviors was also statistically significant (p-value < .001).

Editorial Board

2024-08-30T23:18:02+07:00