Princess of Naradhiwas University Journal

Eakachai Kantawong

Eakachai Kantawong — 2024-01-15

The purposes of this study were to cross-culturally translate and adapt the Thai version of the Adolescent Drinking Media Literacy Scale (Thai-DMLS) and to conduct psychometric testing of the Thai-DMLS, including its assessment of construct validity and reliability. This study comprised two distinct phases: a cross-cultural translation process, and a two-wave data collection to assess the psychometric properties of the Thai-DMLS, involving 343 secondary school students in Chiang Mai, Thailand. Exploratory factor analysis was performed to evaluate the construct validity of the Thai-DMLS using data from the first wave. Subsequently, confirmatory factor analysis was undertaken with data from the subsequent wave, which was administered two weeks later. Cronbach’s alpha coefficient was calculated to evaluate the internal reliability of the Thai-DMLS, while the scale’s external reliability was assessed using intra-class correlations.

The results revealed that the 18 items of the Thai-DMLS were categorized into two factors, including 1) knowing the truth about alcohol business marketing strategies and 2) critical thinking about media strategies and unrevealed fact. The results from confirmatory factor analysis indicated the good fit of the measurement model (X²/df = 1.81, RMSEA = 0.05, CFI = 0.95, TLI =0.94). The Cronbach’s alpha coefficients for each factor were 0.82 and 0.92, respectively. Intra-class correlations for each factor were 0.95 and 0.97, respectively. The findings suggest that the Thai-DMLS exhibits good validity and reliability. It is recommended that healthcare providers and researchers consider using this scale to evaluate the levels of media literacy related to drinking among adolescents, as it serves as a foundational step in the implementation of future health promotion initiatives.

Suthida Sangedee

Suthida Sangedee — 2024-01-15

Quasi-experimental research with pretest-posttest design aimed to study effects of a symptom management promotion program combined with social support on medication adherence, and treatment outcomes for newly diagnosed pulmonary tuberculosis patients. Samples of this study were thirty newly diagnosed pulmonary tuberculosis patients admitted to the cohort ward at Maha Sarakham Hospital. The sample for this study was selected using the purposive sampling technique. The instruments used in this study were a symptom management promotion program combined with social support, general information records, knowledge and symptom management measurement, symptom records, medication adherence measurement, follow up records, and sputum culture result records. Data analysis used in this study were descriptive statistics, and the t-test. The results found that knowledge and symptom management scores of participants after utilizing program were statistically higher than pretest score (t = -8.5, p < .05). Every participant experienced at least one adverse effect after taking medication; nevertheless, every side effect was completely treated and recovered (100%). All participants had regularly adhered their medications as prescribed (100%). All participants had followed up with the doctor two weeks after hospital discharge (100%), and 80% of participants had negative sputum culture results. The findings indicate that a symptom management promotion program combined with social support can assist patients in self-managing side effects and enhance treatment outcomes.

Siriphan Siriphan

Siriphan Siriphan — 2024-01-15

Research and development aimed to develop and evaluate the effectiveness of PNU3 NSM mask of preventing COVID-19 infection transmission as well as determine the satisfaction of utilizing PNU3 NSM mask among Thai Muslim men. A purposive sampling was used to select 50 Thai Muslim men. The instruments of this study consisted of 4 parts: (1) demographic data of the samples, (2) PNU 3 NSM Mask water repellency test, (3) PNU3 NSM mask, and 4) the satisfaction measurement towards using PNU3 NSM mask that was validated contents by experts. The index of conformity between the question and the purpose equals 0.80, and the Cronbach's alpha coefficient value of 0.87. Data analysis was used frequency, percentage, average, and standard deviation.

The results of this study found that there were four times that PNU3 NSM was developed to be suitable with Thai Muslim men. Three different types of PNU3 NSM mask after consulting sewing professionals were developed in the first phase of developing the mask. The second phase involved developing the PNU3 NSM mask and testing it with ten people who had the same criteria as the samples. The size and length of the mask strap were adjusted to be smaller and longer. The third phase involved revising and testing the PNU3 NSM mask with samples. The samples suggested lengthening the nose wire and mask strap to better fit with the sample face. The samples gave suggestions to adjust the size of mask strap and nose wire to be longer to be fit with the face. The PNU3 NSM mask was updated in the fourth phase based on the advice of the sample. The result of water repellency of PNU3 NSM mask by the moisture resistance of the fabric surface was determined in the fourth grade, which means it had a single drop of water or was lightly damp. The overall satisfaction rating was significantly high. The convenience of using the mask had the highest satisfaction rating (M= 4.50, SD= 0.670), followed by the mask's suitability (M= 4.48, SD= 0.544), safety when using the mask (M= 4.29, SD= 0.692), effectiveness when using the mask (M= 4.28, SD= 0.767), and attractiveness (M= 4.25, SD= 0.716). Therefore, the development of PNU3 NSM can enhance the effectiveness of preventing COVID-19 infection transmission.

Kiratiya Wongkalasin

Kiratiya Wongkalasin — 2024-01-15

A single group, quasi-experimental, repeated three times measurement aimed to study effects of an end-of-life care program on illness uncertainty and distressing symptoms in patients with lung cancer. Samples of this study were 18 patients who were admitted at Thammasat University hospital. Experimental instrument of this study was an end-of-life care program for patients with lung cancer. Data collection instruments comprised of illness uncertainty instrument and distressing symptoms instrument. The reliability yielded Cronbach’s alpha coefficients of these two instruments were .80 and .72, respectively. Data was analyzed by using descriptive statistics, repeated measures analysis of variance, and the Friedman Test.

The study's findings revealed that the experimental group's average score on illness uncertainty was significantly lower after receiving the program than before receiving the program in both the immediate and follow-up periods (p < .05). Additionally, the experimental group's median score for distressing symptoms was considerably lower after receiving the program than before receiving the program in both the immediate and follow-up periods (p < .05).

The findings of this study suggest that end of life care program can reduce illness uncertainty and distressing symptoms in end-of-life patients with lung cancer.

Tatchai Tanchaitechawut

Warunsuda Sripakdee — 2024-01-15

This study aimed to assess the frequency, severity, and factors contributing to adverse drug reactions among patients with cancer undergoing chemotherapy following discharge from Sungaikolok, Narathiwas province by monitoring, and assessing the severity of adverse drug reactions using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 by pharmacists. While the data on the factors contributing to adverse drug reactions were assessed by using Chi-square test and Fisher's exact test. The results found that out of 44 samples, 23 samples (52.3 %) had a CA colon diagnosis. They underwent 192 cycles of chemotherapy. FOLFOX4 was the most often used chemotherapeutic treatment (55.2 %). The three most frequent adverse drug reactions, with nearly identical severity levels of 1, were fatigue (43.2 %), hair loss (391.9 %), and nausea (38.5 %). The findings of this study indicated that gender, underlying disease, cancer type, age, marital status, stage of cancer, and chemotherapy regimen were all associated with adverse drug reactions. This study was unable to accurately examine the correlated factors contributing to adverse drug reactions due to the limited number of sample size and chemotherapy treatment cycles. It is crucial for pharmacists to follow patients with cancer undergoing chemotherapy because they can review, manage, and monitor for adverse drug reactions that can be prevented or lessened in the severity level. Consequently, further research needs to be conducted in the future.

Supavadee Adisaisakda

Supavadee Adisaisakda — 2024-01-15

The one-group pretest- posttest quasi-experimental study aimed to 1) determine the level of knowledge, caregiver burden, and satisfaction of family caregivers in Muang City, Narathiwas Province, before and after using the bilingual (Thai-Malayu) humanitude caring concept in older adults, and 2) compare the average score of knowledge, and caregiver burden of family caregiver of older adults before and after using the program. The samples of this study were 30 family caregivers of older adults in Muang City, Narathiwas Province. Data was gathered twice: once before and once after using the program for a week. The instruments of this study were demographic data, knowledge measurement, caregiver burden measurement, satisfaction measurement, and manual of caring for older adults. The reliability of instruments were .89, .99, and .89, respectively. Data was analysed by using descriptive statistics and Pair t-test. The results found that the family caregiver of older adults had considerably enhanced of knowledge after using the bilingual (Thai-Malayu) humanitude caring concept in older adults (t=15.05, p<.05). After utilizing the program, caregiver burden of family caregiver of older adults was significantly reduced (t=9.735, p<.05), and the average score of satisfaction with the program was at the high level (X=4.17, S.D.= 0.55).

The results indicate that the bilingual (Thai-Malayu) humanitude caring concept in older adults is effective. The related organization can produce and develop programs to be accessible and easily to understand by using local language to enhance the knowledge of family caregiver of older adults and reduce the caregiver burden. In addition, older adults can receive the appropriate care.

Nanvalai Chaisawat

Nanvalai Chaisawat — 2024-01-15

Participatory action research was conducted with the aims to analyse the current situation, develop a care model for patients with stroke during rehabilitation stage, and evaluate the efficacy of a care model for patients with stroke during rehabilitation stage in Krasaesin Hospital. The four steps were as follows: phase 1, scenario analysis; phase 2, development of the care model; phase 3, application of the care model; and phase 4, evaluation of the care model. The sample for this study was chosen using a purposive sampling strategy. Three sample groups ware 5 patients and 5 caregivers. Patient care providers 15 people, total 25 people’s new cases of patients with stroke, and 10 participants were selected for the study using a purposive sampling technique with new cases of patients with stroke using inclusion and exclusion criteria. Instruments of this study were focus group discussion questionnaires, and in-depth interview questionnaires. The contents of instrument were validated by three experts. The first part's content validity index was 0.88, while the fourth part's was 0.82. Data collection was conducted by focus group discussion, and in-depth interview. Data was analysed by using percentages, average scores, and content analysis. The findings showed that a care model for patients with stroke during rehabilitation stage comprised of patient admission, a home visitation strategy, a multidisciplinary team, and continuity care. Every new case of patient with stroke received a home visit. The home visit team had the highest satisfaction rating (91.78%). Patients with strokes received faster rehabilitation as a result of the care model's clarity, simplicity, and viability in actual practice.Recommendation: The care model for patients with stroke should be applied during the rehabilitation stage in order to encourage patients to obtain rehabilitation and improve their quality of life.

Pissamai Lion

Pissamai Lion — 2024-01-15

This participatory action research aimed to 1) assess the state of care constraints by women pregnant with iron deficiency anemia and 2) create and investigate the efficacy of a model for promoting health literacy for pregnant women with iron deficiency anemia in Yang Sisurat District, Mahasarakham province. Participants in this study included pregnant women with iron deficiency anemia and health care providers who provided prenatal care for pregnant women. There were three processes included the situation analysis process, the action process for developing a model for promoting health literacy, and the study of the model’s efficacy. The instruments included in- depth interview guideline questionnaire, a clinic information record for pregnant women, and promoting health literacy questionnaire. Data analysis used in this study were descriptive statistics and content analysis.

The results indicated that a model for promoting health literacy for pregnant women with iron deficiency anemia included: 1) establishing the structure, function, and accountability of relevant healthcare providers; 2) providing guideline and a manual for caring for pregnant women with iron deficiency anemia; 3) providing health care through a nurse case manager; 4) encouraging collaboration between healthcare providers and family members; and 5) monitoring continuity of care at home. After applying the program, the results found that pregnant women have knowledge related health literacy at the high level (mean = 4.05). The concentrated blood level of pregnant women increased and met the target criterion. Furthermore, there was no postpartum hemorrhage and low birth weight during the postpartum period.

Oranuch Nararak

Oranuch Nararak — 2024-01-15

The purpose of this study was to create a surveillance system for leptospirosis. The process was conducted from January to July of 2023 in Manang district, Satun Province. Three steps were involved in this action research: 1) Research the state of situation and barriers to leptospirosis surveillance, prevention, and control; 2) Create a surveillance system; and 3) Assess the system's efficacy. The instrument utilized in this study was an application included Google form and Google sheet. Data analysis used in this study were number, and percentage.

According to the findings, the developed application had an easily legible report, easily accessible information that could be shared and accessed on a website, and a real time report. The developed application facilitated quick access to plan for disease surveillance, control, and prevention. Health care providers, volunteers, and stakeholders all acknowledged high levels of satisfaction and benefit from the developed system. According to the surveillance system's results, 31 patients had leptospirosis. Twenty-eight patients met the criteria of the surveillance system, whereas twenty-seven patients met the definition and report of the 506 protocols.

The sensitivity of surveillance system was 96.42 and positive predictive value was 90.32. The completeness and accuracy of data were in the good level. Timeliness was 77.77%. The plan for disease prevention can be enhanced using this surveillance system by sharing data with relevant organizations. As a result, this surveillance system ought to be expanded to include additional districts for the purpose of surveillance and preventing leptospirosis.

Boonsurb Sosome

Boonsurb Sosome — 2024-01-15

This descriptive cross-sectional study was aimed to study health literacy and factors predicting blood glucose control level among Thai pregnant women with gestational diabetes. The sample was 171 Thai pregnant women with gestational diabetes, followed up at the prenatal clinic. The research instrument consisted of 2 parts. The firstly was demographic data and obstetrics questionnaires and blood sugar level record. The secondly was the Health Literacy scale, including of health literacy on numeric and Nutbeam’s health literacy concept in which CVI were .92, and .98 and reliabilities, Cronbach’s alpha were .70 and .93 respectively. Data were analyzed by using descriptive statistics and Logistic regression. The results demonstrated the mean score of health literacy on numeric is at a high level (M = 6.80, S.D. = 2.19), health literacy on Nutbeam’s concept is at a high level (M = 3.85, S.D. = .46), the communication to potential improve patient health dimension is the highest score (M = 4.07, S.D. = .36). The access to health data and service was the predicted factors for controlled blood sugar on women with gestational diabetes mellitus (odds ratio = 2.41, p =.04). The recommendation from the results is that multidisciplinary should effectively promote access to health information and service.

Adchara Khammathit

Julaluck Sangngam — 2024-01-15

This one group pre-post test, quasi-experimental study, aimed to determine the effectiveness of the clinical nursing practice guideline to prevent the compartment syndrome among patients, suffering from closed fracture lower leg. The research samples were 10 registered nurses at the orthopedic ward and 15 patients who were diagnosed as a closed facture lower leg.

The experimental instrument was the clinical nursing practice guideline to prevent the compartment syndrome, developed by the researcher. Data were collected by 1) demographic questionnaire, 2) the knowledge and nursing skill questionnaire, 3) the quality of clinical nursing practice assessment, and 4) the satisfaction questionnaire. Wilcoxon Match Paired Test was employed for data analysis. The result revealed that the participants had the knowledge and nursing skills at post intervention significantly higher than baseline (p ≤ 0.05). The participants indicated that the overall quality of clinical nursing practice guideline was at high level (x̅ = 8.20, S.D. = 0.14). Knowledge of nursing care was showed at the highest score while the level of difficulty was indicated at lowest score. The clinical nursing practice guideline was satisfied by the participant at high level (x̅) = 8.70, S.D. = 0.78). In addition, while conducting the clinical nursing practice guideline through the 15 patients, there was no incident of compartment syndrome. The results recommend that the feasibility of CNPG was illustrated, and it should be implemented through the orthopedic department in other hospitals to enhance the quality of nursing care.

Praditporn Pongtriang

Orachorn Lumprom — 2024-01-15

This correlational study aimed to determine the levels and relationships between knowledge, attitudes and caring behaviors towards elderly patients among nursing students. The sample comprised of 260 third-year undergraduate nursing students from three universities in Southern of Thailand. There were four components of data collection included: 1) personal characteristics, 2) gerontological knowledge questionnaire, 3) attitudes towards the elderly, and 4) nursing students’ caring behaviors towards elderly patients. The research instruments’ content validity indexes were 0.98, 0.99 and 1.00. The reliability of the gerontological knowledge questionnaire (rKR-20) was 0.78. The coefficients of Cronbach’s alpha for the questionnaires on attitudes towards elderly patients and caring behaviors towards elderly patients were 0.84 and 0.84, respectively. Data were analyzed using descriptive statistics (frequency, percentage, mean), and Pearson’s correlation coefficients. The results showed that third-year nursing students had moderate level of knowledge towards elderly patients (M = 28.37, SD = 2.88), while their attitudes (M = 197.40, SD = 15.64) and their caring behaviors towards elderly patients (M = 53.00, SD = 6.17) were both at a high level. Pearson’s correlation indicated a substantial relationship between knowledge and attitudes (r = 0.26, p = 0.00) as well as between attitudes and caring behaviors towards elderly patients (r = 0.37, p = 0.00). However, a non-significant relationship between knowledge and caring behavior towards elderly patients was found (r = 0.016, p = 0.79).

The findings indicate that the development of teaching and learning management strategies for nursing students should promote accurate nutrition and prevent physical deterioration in the elderly. The study also provides recommendations for programs to encourage nursing students' favorable attitudes toward behavioral change in the elderly population.

Kittiporn Nawsuwan

Kornurai Baitayeb — 2024-01-15

This research and development aimed to: 1) study the operational situation and participation in Covid-19 Surveillance networks, 2) develop a network participatory model for Covid-19 surveillance and state quarantine, 3) study the effectiveness of the model. The study was conducted between February 2021 and January 2022, including 4 steps as follows. Step 1 was the situation analysis on the operating situation and participation of the networks. Step 2 was the model development. Step 3 was the model experimentation so to study its effectiveness. The sample was 45 participants from networks. Step 4 was a study of the key success factors of the operation from the networks. Quantitative data and qualitative data were collected. The data were analyzed by descriptive statistics, one-sample t-test, and content analysis. The results showed as follows.

1. The participation of the networks in Covid-19 surveillance in Sadao District of Songkhla Province was at a low level in all aspects.
The participation of network partners model in State Quarantine was SADAO Care Model, consisting of 1) Strategy 2) Solidarity) 3) Association4) Assignment 5) Doing 6) Development 7) Assessment 8) Allocation and Benefits 9) Our Best Teamwork and 10) Overcoming Power of Unity.
3. After using the model, an overall mean score of the participation was more than 3.50, with statistical significance at the .001 level.
4. The top three key success factors were providing friendly and caring service, effective coordination of agencies in all sectors as well as the readiness of medical personnel and hotel employees.

The model should be used to set policies, strategies, and action plans for other Covid-19 surveillance and control in the next wave or other emerging diseases, so to strengthen the organization and surveillance networks.

Kantita Krainara

Kantita Krainara — 2024-01-15

The objective of this research was to analyze the effects of individual characteristics, motivation and organizational support on the quality of physician’s medical records in community hospitals at the 11^th public health region. The 216 physicians were selected by stratified random sampling with proportional to size method. The content validity of the questionnaire was certified by three experts with IOC between 0.94 – 1.00, and the Cronbach’s alpha coefficient for reliability was 0.727. Data collection was carried out from 1 November to 30 November 2022. The statistical analyzes were descriptive statistic, point biserial correlation, Pearson’s correlation coefficient and stepwise multiple regression. The results were as follows:

The majority of participants were female, aged between 21 and 30 years, possessed a bachelor’s degree, and worked at the operational level. Overall, the motivation was at a moderate level (x̅ = 3.45), the organizational support was at a moderate level (x̅ = 2.98) and the quality of physician’s medical records was at a high level (x̅ = 3.57). The factors that predicted the quality of medical records of physicians were the motivation factors of success in work and responsibility aspect, and hygiene factors of relationships with colleagues (R² = 0.292).

Therefore, personal and work environment factors affect the quality of physician’s medical records in community hospital at the 11th public health region. It can be used as a guideline for improving the quality of the hospital in order to keep the quality of medical records continuously and in line with the standards in the healthcare network.

Pawalee Niamtaworn

Korakoch Kangwantas — 2024-01-15

Phenytoin is a medication for epilepsy with a narrow therapeutic index. There is not nearly as much at the therapeutic level in children. Therefore, it is very crucial to study the factors affecting the blood level of phenytoin. This study aimed to study factors affecting the blood level of phenytoin in Thai children with epilepsy, aged 1 month to 18 years, who were hospitalized to tertiary hospitals between 2014 and 2018. The cross-sectional study was used to gather electronic data. Data analysis utilized in this study was Multivariate logistic regression. The results found that phenytoin was administered to 275 subjects. A blood level of phenytoin test was administered 107 times to the 59 subjects. The blood level of phenytoin was statistically substantially correlated with gender, age group, comorbidities, and highly protein bound drugs (p<0.05). Phenytoin levels in the blood were associated with male gender, infant group, comorbidities, and highly protein bound drugs. In contrast to the teenage group, the toddler group had a factor associated with the blood level of phenytoin. In conclusion, age group, comorbidities, and highly protein bound drugs should be taken into consideration when administrating phenytoin. These factors affect the blood level of phenytoin, which can become ineffective in controlling epileptic symptoms and medicine safety.

Jeeraporn poreeya

Jeeraporn poreeya — 2024-01-15

This predictive research aimed to study the predictive factors of COVID-19 prevention practices among patients attending infectious disease clinics respiratory system in a community hospital. The data was conducted from March 2021 to March 2022. The sample (n = 347) were the patients who received services at a respiratory infectious disease clinic in a community hospital in the southern region using purposive sampling. Research instruments included the Health Belief Questionnaire for COVID-19 and the COVID-19 Prevention Behavior Questionnaire 2019. Both instruments were tested the content validity by 6 experts and the content validity index of the instruments were 0.97, and 0.82, respectively. In internal consistency of both instruments were 0.75, and 0.72, respectively. Data were analyzed by descriptive statistics and stepwise multiple regression analysis.

The results showed that the COVID-19 prevention behavior was at a high level ( ± S.D. = 102.00 ± 4.93). The perceived risks, the perceived severity of the disease, the perceived benefits of the treatment and prevention, the perceived barriers, and cue to practice action were all at a high level with a mean score and standard deviation of 19.11 (S.D. ± 1.87), 44.93 (S.D. ± 3.65), 22.36 (S.D. ± 1.94), 14.88. (S.D. ± 2.17), 44.37 (S.D. ± 3.35), respectively. The perceived benefits of the treatment and prevention (ß = .92, p. < 0.05) and the perceived severity of the disease (ß = .36, p. < 0.05) were only the factors that could predict the COVID-19 prevention behavior and could explain 52.5 %
(P< 0.05, R² = .525) of variation of the prevention behavior.

The most important one which can lead to improving the COVID - 19 prevention practices among patients attending infectious disease clinics respiratory system in a community hospital.

Tanika Lanwong

Phenpitcha Tinkaew — 2024-01-15

This evaluation research aimed to evaluate readiness preparation and COVID-19 pandemic prevention behavior among hotel employees in a temporary quarantine hotel following readiness preparation training for the first COVID-19 pandemic prevention by using the system theory and Ralph Tyler's basic principles of evaluation. Hotel staff employed in three temporary quarantine hotels who underwent readiness preparedness training for COVID-19 pandemic prevention were chosen using purposive sampling method. 26 hotel employees completed questionnaires, while twelve hotel employees were given in-depth interview. Four instruments were used to collect data: 1) general personal information; 2) readiness evaluation; 3) assessment of infection prevention behavior; and 4) guidelines for in-depth interviews. The content validity of all instruments was validated by three experts was equal to 1. The alpha Cronbach coefficient was used to test the reliability of the readiness evaluation and the infection prevention behavior assessment, with results of 0.93 and 0.96, respectively. The data were analyzed using the mean, percentage, and standard deviation of each item and the total item. Qualitative data was analyzed using content analysis.

The results of this study found that the readiness of hotel employees in COVID-19 infection prevention was at a high level (M = 4.00, S.D. = 0.58), and COVID-19 infection prevention behavior was at a high level (M = 4.30, S.D. = 0.79). As a result, this preparation can support hotel employees ‘readiness and strong COVID-19 infection prevention behavior.

peerawan cheewaiya

peerawan cheewaiya — 2024-01-15

This research and development aimed to develop and evaluate performance appraisal model based on indicators of Narathiwat Provincial Public Health Office. There were three phases included predevelopment model phase, development model phase, and evaluation phase. The population of this study were 4521 officers of all levels employed by the Narathiwat Provincial Public Health Office. There were 357 samples of this study. The study's sample was selected by the accidental sampling method. Instruments utilized in this study were opinion questionnaire, and performance appraisal models with appropriateness and satisfaction levels based on indicators of Narathiwat Provincial Public Health Office, which the researchers have developed and had three experts validate for content consistency. The study's Index of Item Objective Congruence (IOC) values ranged from 0.67 to 1.00. Data were analyzed using mean and standard deviation. The results showed that the two components of the indicator-based performance appraisal model were setting the score criteria level and grouping the indicators from six locations, for a total of 69 indicators, using a four-dimensional spider web diagram. This model’s appropriateness and satisfaction were at the high level (= 3.75, S.D. = 0.79) and (= 3.75, S.D. = 0.80), respectively. When comparing each item, the section with the highest appropriateness score was the template score configuration (= 3.82, S.D. = 0.79); the section with the highest satisfaction score was the section that dealt with the field visit supervision process, and the field visit summary of evaluation results (Exit) (= 3.80, S.D. = 0.82). The performance appraisal model based on indicators, which has high levels of appropriateness and relevant person satisfaction would augment efforts towards target attainment and population health care service accessibility.