Princess of Naradhiwas University Journal

A Model of Non-Uptake for National Immunization Program among Children Aged 0 - 3 Years in Southern Border Provinces: A Qualitative Study

2024-03-26T10:44:33+07:00

This study aims to explore a conceptual framework and reasons of non-uptake for national immunization program among children aged 0-3 years in southern border provinces. A qualitative study was applied to achieve the research objective. Focus group discussion was derived from 3 groups of participants which were (1) parents (2) health care providers and (3) community leaders, religious leaders, health volunteers and women leaders with a total of 108 participants. The focus group discussion was done among 18 groups of participants from 6 districts in Pattani, Yala and Narathiwat. Tape recording and concept mapping was performed during the focus group discussion. Transcribing word-by-word was done by researchers, then thematic analysis was used to explore the research results. Trustworthiness was performed by presenting a summary of concept mapping to the participants immediately after finishing the focus group discussion. Themes and sub-themes were presented to participants, stakeholders, and experts with a total of 56.

Results showed that the framework of non-uptake for national immunization program among children age 0-3 years included 1) vaccine hesitancy among parents related to fear of adverse reaction of vaccines, stress due to family disagreement and conflict, untrust on quality and efficiency of vaccines, belief in the will of Allah, vaccine is dirty agents and untrust on the vaccine ingredients (haram) 2) barriers of access caused by the difficulty in transportation and lacking of social support
3) insufficient service hours and incongruent service deliver with parent’s lifestyles, provider’s behaviors and ineffective follow up system.

Besides focusing on parent’s hesitancy against vaccines, improving the accessibility of parents to vaccine services, service mild and follow up system is crucial attention to enhance vaccine coverage among children in the southern border provinces.

The Reasons for Late Initiation of Antenatal Care and Self-care Experiences without Receiving Antenatal Care by Pregnant Women in Yala Province: Qualitative Descriptive Research

2024-03-20T14:40:21+07:00

The purpose of this qualitative descriptive study was to investigate the causes of delayed antenatal care initiation as well as the experiences of self-care when antenatal care was not received. The 18 samples were selected using the purposive sampling technique. Informants were pregnant mothers who received care at one of the hospitals in Yala province, had received antenatal care for the first time after reaching the gestational age of 12 weeks. The depth interview questionnaire was the opened semi-structured questionnaire was validated the contents by three experts. Data transcription was conducted word-by-word. Content analysis technique was applied in data analysis.

Results found that there were eight primary reasons for late initiation of antenatal care, which included: 1) ignorance about becoming pregnant; 2) uncertainty about becoming pregnant; 3) pregnancy as a normal situation for self-care; 4) ignorance of the benefits of antenatal care; 5) uncertainty about the appropriate timing for antenatal care; 6) finding it inconvenient to obtain antenatal care due to hyperemesis gravidarum, financial burdens, a long distance from home to healthcare services, or a desire to travel with one's spouse; 7) avoidance antenatal care; and 8) antenatal care services weren't appropriate for their needs.

Pregnant women who experienced self-care without receiving antenatal care identified two key aspects :1) Continue with the same level of self-care; 2) Try to increase self-care. There are numerous complex direct and indirect factors that contribute to the late initiation of antenatal care. Therefore, it is crucial to carefully consider the causes and related aspects when preventing and modifying issues related to pregnant women starting late initiation of antenatal care. Additionally, it is important to encourage pregnant women to take care of themselves properly.

Model for Surveillance and Promotion of Nutrition among Preschool Children at Child Development Center, Muang District, Songkhla Province

2024-02-29T13:42:20+07:00

The purposes of this research and development were to examine the state of nutrition among preschool children and develop a model for surveillance and promotion of nutrition among them through the processing of two phases: the first phase and the second phase. The first phase was analyzing preschool children’s nutritional status. Samples for the quantitative study were 166 preschool children and their parents at the child development center in Muang District, Songkhla Province using a sampling without replacement method. The research instruments were: 1) Personal data; 2) growth development record form; 3) nutrition record form; and 4) family supplying food assessment and children eating behavior assessment. Experts validated each instrument by determining that the content validity index (IOC) equaled 1. Alpha's Cronbach coefficient 's reliability index was equal to.84. Frequency, percentage, mean, and standard deviation were all used in data analysis. Samples for the qualitative study were six delegates from each child development center, for a total of 36 people. Participation in in-depth interviews and participation observation of individuals who were responsible for nutrition care were used. The second phase was four-step approach of development model of surveillance and promotion of nutrition among preschool children included: 1) instruction regarding ' preschool children growth development, and nutrition to teachers, babysitters, and parents; 2) the researcher presented the situation analysis data. The samples consisted of 166 preschool children and their parents from the child development center, Muang District, Songkhla Province; 3) the samples were assigned to a small group for brainstorming regarding a model of surveillance and promotion of nutrition among preschool children; and 4) the researcher used the small group brainstorming information to develop a model of surveillance and promotion of nutrition among preschool children at child development center.

The results demonstrated that almost all preschool children experienced problems with vegetable consumption, malnutrition (fat, thin, or petite), and a predilection for crunchy snacks. A developed model of surveillance and promotion of nutrition had involved the child development center and parents for participation in the process to provide caring recommendations for meeting nutrition status criteria and enhancing the effectiveness of malnutrition surveillance.

Caring needs and preparedness of pregnant women with severe hypertension required pregnancy termination

2024-02-28T11:40:48+07:00

The purpose of the qualitative descriptive study was to examine the caring needs and preparedness of pregnant women with severe hypertension required pregnancy termination. 15 informants were selected based on the necessary criteria using a purposive sample technique. Data collection used depth individual interviews which were validated by experts. Data was confirmed and verified for accuracy by reflecting the data to informants. The researchers never included personal opinions into any data analysis procedure. The tape record was transcribed to assess and summarize the interview data. The purpose of the research was followed throughout the content analysis and data analysis. The purpose of the conclusion was to address the research question. According to the findings, the three main types of caring needs were: 1) encouraging everyday activities; 2) seeking useful knowledge about the course of the disease and treatment; and 3) seeking immediate medical attention to soothe anxiety and pain. Nearly all the informants said that they were not prepared for the need to terminate a pregnancy when it was necessary, which led to worry and tension about what might happen in the future, particularly if they were preterm labor. A preterm baby was at danger for potentially fatal complications after delivery. To minimize adverse effects, physical and psychological preparedness were crucial. The findings highlight the significance of responding caring needs and preparedness of pregnant women with severe hypertension to improve the quality of their future medical treatment.

Prevalence and Factors Associated with Early Postpartum Hemorrhage in Mother undergoing Cesarean Section at Thong Song Hospital, Nakhon Si Thammarat

2024-02-21T15:36:23+07:00

This study is a descriptive retrospective study aimed to investigate the prevalence of early postpartum hemorrhage situations and to determine the relationship between demographic, medical factors, and early postpartum hemorrhage in mothers undergoing abdominal caesarean section at Thung Song Hospital, Nakhon Si Thammarat. The sample was 397 mothers who had a caesarean section from 28 weeks of pregnancy onwards. The research instrument consisted of three parts: Part 1 was personal data, Part 2 was medical factors developed from literature reviews, and Part 3 was postpartum hemorrhage in mothers with caesarean section in which IOC all objectives were 1.00. The data was collected from medical records of pregnant women who had undergone caesarean section during 1 January 2021 – 31 December 2023. General data were analyzed by descriptive statistics; frequency, percentage, standard deviation, and logistic regression analysis. The results were as follows:

The prevalence of early postpartum hemorrhage situations in mothers undergoing caesarean section was 29.97 %.
Factors that were statistically significantly associated with early postpartum hemorrhage include: demographic factors were gestational age greater than 40 weeks (OR=1.888, 95%CI= 1.037-3.438; p = 0.038), and medical factors were blood loss greater than or equal to 1,000 milliliters (OR = 218.52, 95%CI = 92.978-513.587; p= 0.000).

The finding of this study, a healthcare professional team can be deployed to plan care and prevention. Enhance the control of early postpartum hemorrhage in mothers undergoing caesarean section.

Development of a Clinical Nursing Practice Guideline for Prevention of Unplanned Extubation in Medical Intensive Care Unit, Mahasarakham Hospital

2024-02-27T09:42:58+07:00

The purpose of this study was to develop a clinical nursing practice guideline based on advanced nurse practitioners' evidence-based practice to minimize unplanned extubation. There were three phases involved: phase one involved investigating clinical problems, phase two involved finding practice-relevant information, and phase three involved testing a clinical nursing practice guideline. A quasi-experimental study was conducted. Samples of this study were twelve nurses and sixty-two patients, split into control and experiment groups. In each group, there were thirty-one patients. The instruments utilized in the data collection process were the unplanned extubation incidence record form and the feasibility of a clinical nursing practice guideline form. The statistics used in this study were descriptive statistics and Chi-square test.

The results found that there were four components of a clinical nurse practice guideline for prevention of unplanned extubation: risk assessment for unplanned extubation; 2) nursing care during intubation; 3) information regarding intubation and communication; and 4) management administration. The results found that there were 8.47 and 4.44 unplanned extubation incidents in the control group and experimental group, respectively, throughout 1000 days of intubation. The proportion of unplanned extubations did not statistically substantially different between the two groups (χ 2 = .350, p > .05). Nurses exhibited a 100% of a high level in feasibility rate for applying the practice guideline.

The usage of this nursing practice guideline was deemed feasible. There was no discernible difference between unplanned extubation and short term usage. As a result, nurses ought to follow nursing practice guidelines for a longer period of time.

Prevalence and Model of postpartum blues among Mother with Normal Labor and Cesarean Section

2023-08-03T12:56:58+07:00

The purpose of this study was to examine the prevalence and pattern of postpartum blues in mothers with normal labor and cesarean sections. 357 samples who experienced postpartum blues after normal labor and cesarean section in the postpartum ward of Samut Prakarn Hospital. The research instruments were a demographic questionnaire and postpartum blues emotion questionnaire of Kennerley and Gath's (1989) which were translated into Thai and then back translated by Phuangprasonka et al. (2016) with a reliability coefficient of 0.79. Data analysis included frequency, percentage, mean, and standard deviation for both demographic data and postpartum blues symptoms. An independent t-test was utilized to compare the postpartum blues score between the groups. Results showed that during the first three days after birth, 43.9% of mothers with normal labor and 58.4% of mothers with cesarean section experienced postpartum blues. The risk of postpartum blues was highest on the first day following delivery and lower in the second - and third-days following delivery in mothers who had normal labor and cesarean section. Between mothers with normal labor and cesarean section, there was a statistically significant difference in the intensity of postpartum blues scores (t = 4.65, p <. 001)

The Effectiveness of Nueng Na Thong Aamong Students of the Faculty of Thai Traditional and Alternative Medicine, Ubon Ratchathani Rajabhat University

2023-10-12T09:35:48+07:00

The objective was to study reductions in waist circumference, belly fat level and body weight. Nueng Na Thong is the Thai health care wisdom. This was quasi-experimental research with 35 subjects. The research tools consisted of the questionnaire and experimental record form. The reliability was tested by Cronbach method, resulting in the value equal to 0.83. Statistics used for data analysis were number, percentage, mean, standard deviation, Pearson correlation coefficient analysis and multiple regression analysis. The results showed that the experimental group had post-test waist circumference, belly fat level and body weight with statistically significant difference at 0.05level with a 2.39 cm reduction in waist circumference, a 0.51 cm reduction in post-test belly fat level and a 0.03 kg reduction in body weight. The degree of heat sensation highly affected in the same direction as waist circumference (r = 0.741) in a statistically significant manner at 0.05 level and the degree of heat sensation affected waist circumference, belly fat level and body weight. Daily life behavior was a mediator variable in a statistically significant way at 0.05 level and the ability to explain the relationship was 33.40, 37.70 and 37.00 percent. Abdominal for reducing body composition (Nueng Na Thong) had moderate heat sensation, tolerance ( = 5.79 S.D. = 0.21). No side effects were found. Overall daily life behavior was at occasional level ( = 2.49 S.D. = 0.18). Eating, best practices were practiced at frequent level ( = 3.07 S.D. = 0.34). The experiment resulted in reduced waist circumference, belly fat level and body weight. In this regard, daily life behavior must be jointly controlled as well.

Received Experiences of Health Literacy Promotion for Blood Glucose Level Control and Body Weight Gain in Pregnant Women with Gestational Diabetes Mellitus

2024-02-14T10:22:40+07:00

The purpose of this qualitative study was to examine how pregnant women with gestational diabetes mellitus experienced of health literacy promotion in controlling their blood glucose levels and weight gain. The ten hospitals involved in this study were five large general hospitals, one large community hospital, two community hospitals with over 120 beds, and two community hospitals with between 60 and 120 beds. 29 women with gestational diabetes mellitus served as primary informants, whereas nine registered nurses served as secondary informants. The research instruments were: 1) A general form for gathering data; 2) A semi-structured questionnaire for in-depth interviews was developed based on phenomenology and concepts related to health literacy promotion, which was tested with three pregnant women for easier understanding.

The results demonstrated that every primary informant experienced anxiety and worry, which need to protect both the oneself and fetus. The experiences were divided into three categories: 1) First group could not recall all of their knowledge, did not search for more information, and were unable to apply what they did know; 2) Second group could recall suggestions and related numbers but were unable to adjust to the new diet; and 3) Third group could recall numbers, nutrition, and calorie calculations and independently seek out new information.

The study's Recommendation that health care professionals should be sensitive while gathering for information regarding health literacy promotion to assist pregnant women with gestational diabetes mellitus control their blood glucose levels and gain weight faster than usual.

The Relationship between Risk Perception and Stress towards Exercise Behavior of Pregnant Women with Gestational Diabetes Mellitus

2024-03-12T14:46:28+07:00

The purpose of this correlational descriptive study was to examine the relationship between risk perception and stress towards exercise behavior of pregnant women with gestational diabetes mellitus. Samples were 90 pregnant women with type A1 gestational diabetes who met the eligible criteria and received antenatal care at Maharaj Hospital in Nakhon Si Thammarat from March to October 2023. Instruments used for data collection were personal data questionnaire, the risk perception assessment during pregnancy, the stress measurement, and exercise behavior questionnaire. Alpha's Cronbach coefficient reliability index values were.94,.91, and.80, respectively. Data analysis used descriptive statistics and the Pearson correlation coefficient. The following were the findings:

The average risk perception during pregnancy score was moderate (M = 305.42, SD = 154.75). The average stress score was moderate (M = 40.78, SD = 9.22), and the average exercise behavior score was moderate (M = 34.41, SD = 8.30)
There was a statistically significant positive correlation between risk perception and stress (r =.260, P <.05). Risk perception had statistically substantially positive correlation with exercise behavior (r = .240, P < .05), while there was no statistically significant correlation between stress and exercise behavior.

These findings can be used by healthcare professionals to assist pregnant women with gestational diabetes mellitus perceive their risks, modify their exercise behavior, and improve their ability to control blood glucose levels.

Oral Health Promoting Behaviors of Diabetic Patients in Warin Chamrap District, Ubon Ratchathani Province

2024-02-29T10:59:22+07:00

This cross-sectional study aimed to investigate oral health-promoting behaviors and study factors related to oral health-promoting behaviors of 300 samples were diabetic patients in Warin Chamrap District, UbonRatchathani Province. Data collection was 5 - part questionnaires:
1) Personal characteristics, 2) oral health care knowledge and understanding testing, 3) oral health problem perception, 4) awareness of oral health care, 5) social support for oral health care, 6) oral health attitudes and beliefs, and 7) oral health promotion behavior. The content validity was 1.00, 0.94, 0.96, 0.94, 0.95, 0.98, and 0.97, respectively. KR-20 was 0.79. The reliability testing by Cronbach's alpha coefficient of questionnaire 3-7were 0.84, 0.76, 0.82, 0.77, and 0.76, respectively. Data analysis using frequency, percentage, mean, standard deviation, Chi-square and Fisher's exact test.

The results of the study found that: 1) Oral health care behavior of diabetic patients was at a moderate level (M=2.97, S.D.= 0.57); knowledge and understanding of oral health care were at a moderate level (M=10.19, S.D.= 2.70); perception of oral health problems was at a moderate level (M=3.31, S.D.=0.68); awareness of oral health care was at a moderate level (M=3.05, S.D.=0.59); social support was at a moderate level (M=3.12, S.D.=0.58); and attitudes and beliefs regarding oral health were at a high level (M= 3.85, S.D.= 0.53). 2) Relationship factors found that personal characteristics such as age group were significantly related to oral health promotion behaviors of diabetic patients P<0.05 with a Chi-square value of 23.70. Gender, education level, occupation, and insulin exposure were not related. Knowledge and understanding of oral health care, awareness of oral health problems, and oral health attitudes and beliefs were significantly related to oral health promotion behaviors among diabetic patients P<0.05 with a Chi-square of 83.22, 16.40, and 9.92, respectively. Awareness of oral health care and social support was not related to oral health promotion behaviors among diabetic patients. Research results show that the age group of diabetic patients has knowledge and understanding of oral health. Recognition of oral problems and having an attitude of good faith will have behaviors that promote good oral health.

Burnout among Registered Nurses Working at A Tertiary Care Hospital of Southern Region

2024-01-16T10:59:05+07:00

The purposes of this descriptive study were to: 1) determine the level of burnout experienced by registered nurses working at a tertiary care hospital in the southern region; and 2) investigate methods for reducing burnout among these nurses. The samples group was split into two groups: thirty samples who completed questionnaires and ten samples who chose to participate in a brief focus group discussion by choosing from the same group of samples. Two types of questionnaires were used: 1) a measurement of burnout among registered nurses which had an Alpha Cronbach’s coefficient of 0.85 and a content validity index of 1; and 2) a semi-structured interview questionnaire for focus group discussions with registered nurses which had an Alpha Cronbach's coefficient of 0.97 and a content validity index of 1. Data analysis used descriptive statistics such as percentage, mean, standard deviation, and content analysis.

Results found that an average overall burnout score for registered nurses working in a tertiary hospital in the southern region was found to be moderate (M = 2.50, SD. =0.65). When each component was examined, it was found that the working part had the highest average burnout score (M = 3.19, S.D. = 0.94), followed by the organizational part and the personal part (physical fatigue) (M = 2.68, S.D. = 0.90, M = 2.66, S.D. = 0.74) respectively, and the aspect of burnout that registered nurses experienced at the lowest level was personal part (emotional exhaustion and Cognitive weariness) (M = 1.99, S.D. = 0.69, M = 1.99, S.D. = 0.78) respectively, The following were strategies to help registered nurses who were working professionally experience less burnout: 1) sleep and rest; 2) self-care; 3) balanced nutrition; 4) working plan; 5) balanced working schedule; 6) effective communication with coworkers; 7) stress management; and 8) mental health promotion.

Effectiveness of Online Health Literacy Promotion Program on Health Literacy and COVID-19 Preventive Behavior in Nursing Students, Mahasarakham University

2023-04-24T18:28:51+07:00

The purpose of the one group pre-test post-test quasi-experimental design was to compare health literacy and COVID-19 preventive behavior among nursing students, Mahasarakham University. 137 third- and fourth-year nursing students who registered for and enrolled in the nursing practicum in the semester of 2022 were selected using purposeful sampling. The research instruments were validated by three experts consisted of: 1) the health literacy promotion program, 2) the booklet and media, 3) the health literacy in the COVID-19 preventive questionnaire, and 4) the COVID-19 preventive behavior questionnaire. The instruments showed the item objective congruence index ranged from 0.67 to 1.00, content validity index ranged from 0.71 to 0.96, and Cronbach’ s alpha coefficient yielded values of 0.76 and 0.91, respectively. Data analysis used descriptive statistics and paired t-test.

The results found that the average health literacy scores of participants after participating in the program were higher than before participating the program (t = -9.060 , p < 0.001), and the average COVID-19 preventive behavior scores of participants after participating in the program were higher than before participating the program(t = -3.740 , p < 0.001).

The findings suggest that an online health literacy promotion program can improve health literacy in the context of COVID-19 prevention. This program has benefits. Prior to students practicing in nursing practicum, this program ought to be promoted to nursing students. It should also be extended to other health care fields where practicing with patients is necessary for appropriate COVID-19 preventative behavior.

The Lived Experiences of Self-Care to Prevent Infection among Patients with Leukemia Undergoing Chemotherapy During COVID - 19 Pandemic

2024-01-25T15:09:33+07:00

Descriptive phenomenological qualitative research was employed to explore the lived experiences of self-care to prevent infection among patients with leukemia undergoing chemotherapy during COVID-19 pandemic. Twelve participants, all of whom were leukemia undergoing chemotherapy during COVID-19 pandemic, were included in the study by purposing sampling. Data were collected through in-depth individual interviews and analyzed using the Colaizzi method. The study revealed two main themes encapsulating the lived experiences of self-care to prevent infection among patients with leukemia undergoing chemotherapy during COVID-19 pandemic: 1) new normal ways for self-care, and 2) boosting psychological immunity.

The findings contribute to a deeper understanding of the lived experiences involved in self-care to prevent infection among leukemia patients undergoing chemotherapy during COVID - 19 pandemic. Furthermore, the insights gained from this study can inform the development of nursing intervention aimed at providing support for self-care to prevent infection among patients with leukemia during the COVID-19 pandemic or other infectious and communicable disease.

The Development of Virtual Scenario Simulation-Based Learning Model to Enhance Practice Skills of Nursing Students in Maternal and Newborn Nursing and Midwifery

2024-03-12T09:30:37+07:00

The development of virtual scenario simulation-based learning model to enhance practice skills of nursing students in Maternal and Newborn Nursing and Midwifery .The objectives of this research and development were to: 1) develop a virtual scenario simulation-based learning model to enhance practice skills of nursing students in Maternal and Newborn Nursing and Midwifery; 2) evaluate the effectiveness and feasibility of the program; and 3) compare the learning achievement of knowledge, and practice skills and satisfaction of nursing students before and after participating in the virtual scenario simulation-based learning program. There were three phases of this research. First phase was study and analyze situation of using a virtual scenario simulation-based learning. Fifteen experts were selected as samples using the purposive sampling method. A questionnaire for interviews was utilized to obtain data. To develop virtual scenario simulation-based learning model in phase two, the information from the interview questionnaire was examined. After the instrument's quality was validated by five experts, 66 third-grade nursing students from Police Nursing College were divided into two groups: 33 individuals were assigned to the experimental group and 33 individuals to the control group. The samples were used to compare knowledge, practice skills, and satisfaction after utilizing virtual scenario simulation-based learning in phase three.

Findings revealed the following: 1. The development of virtual scenario simulation-based learning model to enhance practice skills of nursing students in Maternal and Newborn Nursing and Midwifery consisted of five components included: 1) instructor; 2) learner; 3) practical course administration; 4) virtual scenario simulation-based learning design; and 5) learning outcomes. 2.The feasibility of virtual scenario simulation-based learning model demonstrated the highest level
(M = 4.88, S.D. = 0.26) 3.The effectiveness of virtual scenario simulation-based learning model shown the highest level (M= 4.58, S.D.= 0.35) 4.The experiment group’s learning scores of post-test was 6.50 (S.D. = 1.52), the control group’s learning scores of post-test was 5.67 (S.D. = 1.03), the average satisfaction score was 4.23 (S.D. = 0.33), and the average practice skill score was 4.33
(S.D. = 0.12)

Development of Potential of Caregivers to Screen Dementia for Community-dwelling olders by Using the IQCODE tool

2024-02-29T11:23:47+07:00

The purpose of this research and development study was to examine process development of potential of caregivers to screen dementia for older adults living in community. The sample group consisted of 63 caregivers and 1756 older adults in the community. Descriptive data analysis used number, percentage, mean, and standard deviation and statistical comparison analysis were Paired t-test, Chi-square test and 95% CI.

The following findings were identified: 1) 96.83% of caregivers in the community were women, with an average age of 50; 58.72% had completed secondary school or above a vocational qualification; and 10% had no prior experience providing care for older adults; 2) The procedure development of potential of caregivers to screen dementia for older adults in community included training of potential for caregivers to screen dementia for older adults in the community, developing a curriculum for improving potential of caregivers to screen dementia for older adults in the community, and selection a dementia screening tool for older adults in the community; 3) The results of development of potential for caregivers to screen dementia for older adults in the community by using the IQCODE measurement revealed that the knowledge level of caregivers following training was statistically substantially greater than score of caregivers before to training (p <0.01). Negative attitude level of caregivers was shown to be statistically considerably lower after the training than it was before (p <0.01). Nevertheless, there was no statistically significant difference in the positive attitude level of caregivers before and after the training; and 4) the IQCODE measurement, which caregivers used to screen for dementia in older adults living in the community, revealed 6.44% of the risk of dementia incidence (95%CI 5.4 – 7.7).

Dementia is a significant problem facing in older adults. Development of potential of caregivers to screen dementia for older adults living in the community by using appropriate and effective measuring techniques is important initial step in gaining access to the health care system for older adults with dementia.

Knowledge, Attitude, and Practices in Prevention of Respiratory Infectious Diseases among Patients Receiving Services at an Outpatient Department

2023-07-27T10:49:21+07:00

Respiratory infectious diseases have severe and long-lasting impacts on the population. This descriptive study aims to determine the knowledge, attitude, and practices in prevention of respiratory infectious diseases among patients receiving services at an outpatient department, and to examine the relationship between knowledge, attitude, and practices in prevention of respiratory infectious diseases. Samples included 400 patients who had received services at the outpatient department of a university hospital in the Northern region during July to October 2022. The study instrument was a self-administered questionnaire related to knowledge, attitude, and practices in prevention of respiratory infectious diseases consisting of general information, knowledge, attitude, and practices in prevention of respiratory infectious diseases. Data were analyzed using descriptive statistics, and Spearman’s correlation coefficient was used to analyze the relationship among knowledge, attitude, and practices in prevention of respiratory infectious diseases.

The study results showed that the knowledge, attitude, and practices in prevention of respiratory infectious diseases of the participants were at a high level. Knowledge had a very low level of positive correlation with attitude in prevention of respiratory infectious diseases (r = .239, p < 0.01). Attitude had a low level of positive correlation with practices in prevention of respiratory infectious diseases (r = .306, p < 0.01), and knowledge had a very low level of positive correlation with practices in prevention of respiratory infectious diseases (r = .300, p < 0.01).

The study results provide guidelines for educating and promoting practices in prevention of respiratory infectious diseases for patients receiving services at outpatient department.

Feasibility and Acceptability of a Chronic Disease Patient-Caregiver Network of Follow-Up Model for Local Caregivers, Phipun, Nakhon Si Thammarat Province:A Qualitative Study

2024-01-19T10:29:07+07:00

The objective of this qualitative study was to evaluate the feasibility and acceptability of a Chronic Disease Patient-Caregiver Network (CDP-CN) of follow-up model in community. This innovative approach involved establishing a community - centered network of caregivers, focusing on identifying and managing patients with chronic diseases. The methodology encompassed the use of observation forms and semi - structured interviews with seven diabetes and hypertension patients and 15 caregivers, aiming to identify challenges, devise solutions, and evaluate the CDP - CN of follow -up model's efficacy. Content analysis techniques were applied for data analysis.

The findings of this study are significant, indicating that the CDP-CN of follow - up model is a viable and effective method for managing chronic diseases in communities. The model was adapted to fit the specific needs, flexibility and scalability. Particularly, training for caregivers and the establishment of a network system. It facilitated enhanced patient care in chronic disease management and led to notable improvements in healthcare access and management. A critical advantage of this model was its support for home-based health monitoring, which proved to be both time-efficient and cost-effective for patients and caregivers. Also, the model's acceptability among all divers’ teams involved, including patients, caregivers, and healthcare providers due to enhance patient autonomy and empowerment.

Additionally, the importance of a thorough follow-up visit system model was highlighted, emphasizing the need for continuous care. This comprehensive approach is crucial for delivering personalized, patient-focused care, especially for those with chronic conditions in community environments.

The CDP - CN of follow-up model's success illustrates its potential as a template for community healthcare initiatives, especially in managing chronic diseases in less urbanized areas. It emphasizes the importance of community-based care, local involvement, and multidisciplinary collaboration, offering an effective solution for improving chronic disease management and healthcare delivery.