Thailand Journal of Health Promotion and Environmental Health

The effects of counseling program screening Down’s syndrome pregnant women in Health Promotion Hospital, Regional Health Promotion Center 3, Nakhon Sawan

Rujipateh Phetsindechakul — 2024-11-20

This quasi-experiment research involves a two-group design and aims at identifying the effects counseling program screening Down’s syndrome pregnant women in Health Promotion Hospital. The research conducted with pregnant women and divided into two groups; thirty for experimental group and thirty for control group by using purposive sampling. The experimental group had received the counseling program screening Down’s syndrome pregnant women of nursing care, while the control group had received conventional nursing care. The research instruments were counseling program screening Down’s syndrome through computer media and a questionnaire on health status perception. Number, percentage, mean, standard deviation, paired t-test and independent t-test were used for data analyzing. The findings revealed a significant improve of the experimental group in health status perception and counseling program screening Down’s syndrome pregnant women and control group levels at the level of p < .05 after participated the counseling program screening Down’s syndrome pregnant women. The average score of the experimental group was significantly higher than the control group at the level of p < .05. This study indicated that counseling program screening Down’s syndrome pregnant women was impacted and can be modified health behavior and increasing screening Down’s syndrome pregnant women. Therefore, it should be further study on applying for promoting health behavior with pregnant women.

The Effects of Health Literacy Promotion Program on Parents of Pediatric Pneumonia Patients in Health Promoting Hospital of Regional Health Promotion Center 3 Nakhon Sawan

Kanyaphat Krasin — 2024-11-20

This quasi-experimental research study, using a two-group pretest-posttest design, aimed to examine the effects of health literacy promotion program on parental for pediatric pneumonia patients. The study was conducted at the Health Promoting Hospital, Regional Health Promotion Center 3 Nakhon Sawan. A total of 60 participants were divided into two groups: an experimental group (30 participants) and a control group (30 participants). Data were analyzed using descriptive statistics, paired t-test, and independent t-test. The results indicated that the health literacy and caregiving behavior of parents in the experimental group significantly improved after the intervention compared to before the intervention and compared to the control group (p<0.05). Therefore, it is recommended to develop service models to enhance the effectiveness of operations and nursing care for pediatric pneumonia patients, ultimately reducing the incidence and severity of pneumonia in children.

Effect of the online breastfeeding Self-efficacy promotion program in post cesarean section mother at Health Promotion Center 5 hospital, Ratchaburi.

Rasita Jiratchaikul — 2024-11-20

This quasi-experimental pretest-posttest control group design research aims to study the effect of the online breastfeeding self-efficacy promotion program on post-cesarean section mothers at Health Promotion Center 5 Hospital, Ratchaburi. Through purposive sampling, eighty post-cesarean section mothers in the postpartum ward were included in the study and divided equally into the control and experimental groups. Data was collected via questionnaires and was analyzed using descriptive statistics, independent t-test, and paired sample t-test. The study showed that the experimental group had higher scores in perceived self-efficacy in breastfeeding and higher breastfeeding efficiency than the control group, statistically significant at p<0.001. They also demonstrated a higher average score in perceived self-efficacy in the post-test compared to the pretest which is statistically significant at p<0.001. In contrast with the control group, an increased tendency for exclusive breastfeeding was found in the experimental group in 1, 2, and 4-week follow-ups. These findings supported this online breastfeeding self-efficacy promotion program as a support for post-cesarean section mothers on effective breastfeeding. Follow-up with newborn feeding is recommended up to 6 months.

Development of a model for Occupational Health services in Health Promotion Center 2 Phitsanulok

Phubet Doungsongka — 2024-11-20

This action research aims to develop an occupational health service model at the Regional Health Promotion Center 2 Phitsanulok and evaluate the effectiveness of the developed model. The development of the occupational health service model follows the conceptual framework of Kemmis & McTaggart, consisting of four stages: planning, designing the occupational health service model, observing the implementation outcomes, and reflecting on the practice. The sample group involved in the planning stage comprised 12 participants, selected through purposive sampling based on inclusion criteria, including the hospital director, heads of the health screening and counseling units, and 9 members of the occupational health committee. Data collection was conducted between January and May 2024, and the data were analyzed using content analysis and descriptive statistics. The results showed that the occupational health service model at the Regional Health Promotion Center 2 Phitsanulok, operates under the Occupational Health, Safety, and Environment Committee. The committee consists of occupational medicine physicians, occupational health nurses, and personnel trained in safety. The operational activities are divided into two main parts: policy implementation and service provision. The services are both proactive and reactive, supported by an occupational health clinic. The evaluation of the developed occupational health service model at the Regional Health Promotion Center 2 Phitsanulok, indicated that the model met the criteria and standards for occupational health and environmental medicine services for community hospitals across five components: management support for occupational health and environmental medicine services, occupational health services for personnel, proactive occupational health and environmental medicine services, reactive occupational health and environmental medicine services, and environmental medicine service implementation. All components achieved 100% compliance, rated at an excellent level.

The effect of health behavior modification program to health perception , health behavior hypertension controlling and Blood pressure level among patients Uncontrolled Blood pressure level in Health promoting hospital , Health promotion center 2 Phitsanulok province

Komkham Sutthi — 2024-11-20

This quasi-experimental research aims to 1) compare the mean scores of perceived severity, perceived risk, and outcome expectations 2) compare the mean scores of health behaviors and 3) compare the systolic and diastolic blood pressure levels of patients before and after participating in the health behavior modification program within the same group and between groups.The sample consisted of 62 hypertensive patients with uncontrolled blood pressure receiving services at the outpatient department of the Health Promotion Hospital, Health Center 2 Phitsanulok. The experimental group participated in a 12-week health behavior modification program, while the control group received standard nursing care. Data were collected using a general patient information interview form, an assessment of perceived severity, perceived risk, and outcome expectations regarding self- management behaviors among hypertensive patients with uncontrolled blood pressure, an assessment of health behaviors, and blood pressure measurements before and after the experiment for both groups. Data were analyzed using descriptive statistics, Chi- square, Paired sample t-test, and Independent t-test.The results showed that after the experiment, the experimental group had significantly higher mean scores of perceived severity, perceived risk, and outcome expectations regarding self-management behaviors compared to before the experiment and compared to the control group (p<0.001). The mean scores of health behaviors were also significantly higher than before the experiment and higher than the control group (p<0.001). Additionally, the experimental group was able to control blood pressure to acceptable levels significantly better than before the experiment (p<0.001).

Factors Related to Health Behavior According to Lifestyle Medicine of the Elderly in Ratchaburi Province

Kornkanok Nakhruea — 2024-11-20

The Descriptive study aimed to study the level of health behavior and factors of personal, predisposing, enabling, and reinforcing that related to health behavior according to Lifestyle Medicine of the elderly in Ratchaburi province. The sampled were 223 elderly 60 years old and over, social bound who were members of the Elderly Club, selected by the multi-stage sampling. The data were collected using an interview form by the researcher assistant. The data analyzed by descriptive statistics, Chi-square statistical test. The findings that the sample were female (68.6%) with an average age of 70 years, 43.3%, had an underlying disease (75.3%), were Hypertension, Dyslipidemia and diabetes disease (64.1%, 31.8%, 26.3%, respectively). Had the level of health behavior by Lifestyle Medicine to a very good level, 52.5% (social connections, avoidance of risky substances, stress management and restorative sleep at an excellent level of 83.4, 76.7, 67.7, 43.5%, respectively). The factors related to health behaviors according to the guidelines Lifestyle Medicine has a statistical significance (p<0.01) that included gender, Lifestyle Medicine knowing, health perception, access to healthy food stores, access to exercise facilities, having a health policy in the community, access to public health services, receiving support from family and health personnel (χ²=8.79, 30.92, 12.38, 27.62, 10.31, 38.0, 5.73, 6.56, respectively). Therefore, health literacy should be created for changing health behaviors according to lifestyle medicine, food and exercise. Government and local government organization should be use community health policies and creating a culture of caring for the elderly to good health behavior of the elderly.