Journal of Health Promotion and Environmental Health Research Health Promotion Centre 8 Udon Thani

Development of a consultation model for deciding on kidney replacement therapy under the Gold Card system for patients with end-stage renal disease. Kumphawapi Hospital

2025-03-25T11:17:28+07:00

This research is a research and development study aimed at examining the situation and challenges in making decisions regarding renal replacement therapy under the gold patent system card system for patients with end-stage chronic kidney disease. The objective is to develop a consultation model and evaluate its effectiveness in decision-making for renal replacement therapy under the Universal Coverage Scheme for end-stage chronic kidney disease patients at Kumphawapi Hospital. The study applies the concept and process of shared decision-making by Elwyn et al. (2017) which consists of three key processes: 1) Team Talk 2) Option Talk and 3) Decision Talk. These processes are applied to assist patients in choosing their treatment method based on their experiences and healthcare expertise. The results indicate that after implementing the consultation model, the average knowledge score of the sample group significantly increased at a statistical significance level of 0.05. Prior to using the model, only 6.67% of patients opted for peritoneal dialysis. After implementation, the proportion increased to 23.53% for hemodialysis and 17.65% for peritoneal dialysis. However, it was found that most still refused kidney replacement therapy. Request palliative care which is caused by hidden expenses incurred from travel expenses Various personal expenses, lack of primary caregiver and don't want to be a burden on our caregiver. The consultation model for decision-making regarding renal replacement therapy under the Universal Coverage Scheme for end-stage chronic kidney disease patients at Kumphawapi Hospital can be utilized by healthcare personnel to provide guidance and counseling to patients, caregivers, and families. This enables patients to make informed decisions or plan long-term renal replacement therapy. Additionally, this model can be applied at the early stages of chronic kidney disease (Stage 4) to give patients and their families sufficient time to plan and carefully make decisions before reaching the final stage. This approach can help mitigate complications associated with end-stage kidney disease and reduce the severity of its impact.

The Effectiveness of Health Literacy Promoting Program, Self-Care of Elderly by 3E 2S Ban Chiang Khruea Wat Yai Health Promoting Hospital District, Mueang District, Sakon Nakhon Province

2025-06-05T15:30:22+07:00

This research aims to be a quasi-experimental study.The objective was to evaluate the effectiveness of a health literacy promotion program for self-care in the elderly, following the 3E 2S principles, at Ban Chiang Khruea Wat Yai Health Promotion Hospital in Mueang District, Sakon Nakhon Province. The sample consisted of elderly individuals aged 60 – 69, selected through purposive sampling, with a total of 60 participants determined by a proportion estimation formula. The participants were elderly residents from various villages receiving services at the health promotion hospital. The program involved applying health literacy theory in conjunction with self-efficacy theory, and data was collected using a six-part questionnaire. Data analysis included descriptive statistics such as frequency, percentage, mean, and standard deviation, as well as inferential statistics to compare the mean scores before and after the program using a Paired Sample T-test, with a significance was 0.05

The results showed that 75.0% of the participants were female (45 individuals), with an average age of 65.23 years and a standard deviation of 2.670. After participating in the program, 83.30% of the elderly had high levels of knowledge about the 3E 2S principles, 86.70% had positive attitudes toward self-care based on these principles, 70.00% had high levels of health literacy, 83.30% had high levels of self-efficacy, and 51.70% exhibited high levels of health care behavior according to the 3A 2S principles. The average scores significantly improved after the program (P-value < 0.001).

Effectiveness of Community Participatory Housing Sanitation Management Program Ban Sabcharoen, Village No. 2, Huai Si Siat Subdistrict, Phu Luang District, Loei Province

2025-04-08T10:49:35+07:00

Study on the effectiveness of the community participation in residential sanitation management program Ban Sapcharoen, Huai Si Siat Subdistrict, Phu Luang District, Loei Province The quasi-experimental research design with a single sample repeated measures before and after the experiment aimed to compare the behavior of residential sanitation management of household members. The sample group was calculated using the G*Power ready-made program, resulting in 68 household representatives. Data were collected using a questionnaire between November 1, 2024 and March 2025. Descriptive and inferential statistics and Paired t-test were used.

The results of the research found that most of them were female, aged 41-60 years, had completed primary school, and were farmers. Residential sanitation management behavior in terms of general hygiene, household hygiene behavior, participation in health promotion and environmental sanitation, and household hygiene improved after joining the program. Residential sanitation management behavior in terms of general hygiene, household hygiene behavior, participation in health promotion and environmental sanitation, and household hygiene were significantly different from each other. Creating a vision and awareness, partner management, organizing an action plan for residential sanitation management, and the environment, and changing community and household behaviors, as well as monitoring and evaluation, affected residential sanitation management behaviors for the better. Therefore, there should be a government policy that integrates with the private sector network, communicates, creates awareness and good conscience together, and implements a participatory housing sanitation management program to solve the problems of enabling factors and risk factors for preventing infectious diseases and various nuisances, and establishes local regulations to drive the lacking activities that need to be improved and developed further.

Effectiveness of a telehealth program to follow up on patients with advanced cancer. who have anxiety or depression in Udonthani Cancer Hospital

2025-04-25T10:51:33+07:00

Advance stage cancer patients in palliative care in 2022 expressed anxiety and depression symptoms, with an average prevalence of 38.23%. After initial counseling, subsequent appointment for evaluations and counseling may be delay, the hospital has developed Telemedicine that demonstrating effectiveness in service; however, its application in providing counseling for patients with mental health issues has not been explored. This study aims to assess the effectiveness of utilizing the telehealth program in comparison on anxiety, depression, and satisfaction scores between the experimental and control groups. Employing a quasi-experimental research design, palliative cancer patients experiencing anxiety or depression received counseling sessions from the Department of Mental Health between March 13 and May 1, 2024, via the Telemedicine Program. Evaluation utilized the Thai Hospital Anxiety and Depression Scale (Thai HADS) and a Satisfaction Questionnaire, exhibiting a content validity index (CVI) value of 0.93. Data were analyzed using frequency distribution, percentage, and statistical tests including the Chi-square test, and independent t-test. The results of the comparison of the differences in general data between the two groups were mostly not different. The results of the mean scores of anxiety and depression showed that the two groups were not different (p=0.538, p=0.864). The mean satisfaction scores of the control group and the experimental group were 3.89±0.32 and 4.54±0.21, respectively. When comparing the mean satisfaction scores, it was found that there was a statistically significant difference (p<0.001). In conclusion, the telemedicine program of Udonthani Cancer Hospital can be used to provide consultation to patients with anxiety or depression, and the results are no different from those of regular consultation. In addition, patients are satisfied with the efficiency in saving time and reducing travel costs. In order to provide more efficient services, there should be a development plan to solve technical problems and improve the internet signal system.

A study of the effectiveness of developing a screening model for the population at risk of chronic non-communicable diseases by village health volunteers in the area of BanBangPrang Subdistrict Health Promotion Hospital, Mueang Nakhon Nayok District, Nakhon Nayok Province

2025-05-02T10:27:23+07:00

นักศึกษาวิจัยเพื่อตรวจสอบกลุ่มเสี่ยงโรค
ไม่ติดต่อเป็นประจำเพื่อพัฒนารูปแบบการควบคุมดูแลกลุ่มเสี่ยงโรคไม่ติดต่อระบบควบคุมและเพื่อศึกษาของการพัฒนารูปแบบการควบคุมส่วนต่างๆ กลุ่มเสี่ยงโรคไม่ติดต่อเรื้อรังโดยการตรวจสอบสุขภาพประจำหมู่บ้านในพื้นที่ในโรงพยาบาลส่งเสริมสุขภาพตำบลบ้านบางปรัง อำเภอเมืองนครนายกในนายกเทศมนตรีวิจัยวิจัย (การวิจัยและพัฒนา) ขอรูปแบบการวิจัยเชิงปริมาณร่วมกับ
การวิจัยเชิงคุณภาพ กำหนดขั้นตอนการสำรวจ 3 ระยะกลุ่มตัวอย่างรวมถึงการศึกษาคือการตรวจสอบสุขภาพประจำหมู่บ้านจำนวน 59 คน ที่ได้มาจากกลุ่มตัวอย่างแบบเฉพาะเจาะจงเนื้อหาที่การศึกษาส่วนใหญ่ 2 โดยทั่วไปคือส่วนประกอบและรูปแบบการวิเคราะห์วิเคราะห์ข้อมูลใช้สถิติเชิงพรรณนาและมาตราส่วนการพิจารณาค่า (Rating scale)

ผลการศึกษาเพิ่มเติมปีมีรายงานกลุ่มโรคไม่ติดต่อเป็นเวลานานๆความละเอียดสูงเป็นพิเศษ 10.73 ตรวจสอบสุขภาพ ตรวจสอบสุขภาพที่ได้รับการตรวจสอบสุขภาพทั่วไป 23.33 ไม่ตรวจวินิจฉัยผลการตรวจสอบการเตือนติดตามและไม่มีเอกสารใบส่งตัวตามระบบจากการศึกษาคุณสมบัติและรังสีของการตรวจสอบสุขภาพประจำหมู่บ้านในการสำรวจมีค้นคว้าความรู้อย่างต่อเนื่องใช้ ( = 15, SD. = 2.64) ความรู้เกี่ยวกับและเสี่ยงวิธีปฏิบัติในชุมชนส่วนสำคัญโรคไม่ติดต่อเรื้อรัง จากที่เพิ่มขึ้นมีความรู้ความเข้าใจในพอยต์ ( = 11.66, SD. = 2.58) และผลการทดสอบความรู้โดยเฉพาะอย่างยิ่งความสามารถ
ในการควบคุมแบบสำรวจมีความสามารถในการใช้แบบพื้นที่สาธารณะ ( = 4.92, SD. = 1.48) โดยสามารถใช้ระบบการควบคุมสูงสุดเพียงไดรฟ์ 1.69 ตรวจสอบผลการวิจัย ตรวจสอบและวิเคราะห์ในการตรวจสอบของอาสาสมัครสาธารณสุขประจำหมู่บ้าน มา
วิเคราะห์ด้วยเทคนิค AIC ดำเนินการปรับปรุงไม่ดีของการตรวจสอบสุขภาพประจำหมู่บ้าน และดำเนินการพัฒนารูปแบบการตรวจสอบเพื่อตรวจสอบกลุ่มเสี่ยงโรคไม่ติดต่ออย่างต่อเนื่องผ่านกิจกรรม “ตราปั๊มมหัศจรรย์รู้ทันโรคไม่ติดต่อเรื้อรัง” โดยผู้บริหารระดับสูงของแนวคิดสู่การปฏิบัติโดยเน้นแบบตรวจวินิจฉัยโรคไม่ติดต่อเป็นประจำประเมินภาวะผู้นำสุขภาพกลุ่มเสี่ยงตรวจสอบการควบคุมข้อมูลกลุ่มผู้นำและประธานการส่งต่อการวินิจฉัยยืนยันผลที่มีความสำคัญและส่วนมาตรฐานการทดสอบความรู้โดยการควบคุมความถูกต้องของระบบการตรวจสอบแบบตรวจสอบกลุ่มเสี่ยงโรคไม่ติดต่อเรื้อรัง ( = 6.47, SD. = 1.41) โดยสามารถใช้แบบตรวจสอบสูงสุดในสภา 5.08

Development of "Guidelines for Promoting Health Literacy and Health Behavior in Non-Communicable Disease Risk Population” in the area of Ban Mae Tub Subdistrict Health Promotion Hospital, Doi Tao District, Chiang Mai Province

2025-05-14T15:42:26+07:00

This study employed an action research design with the objective of exploring the current status of knowledge, health behaviors, and levels of health literacy in order to develop a “Guideline for Promoting Health Literacy and Health Behaviors Among Populations at Risk of Non-Communicable Diseases (NCDs)” in the area served by Ban Mae Tub Health Promoting Hospital, Doi Tao District, Chiang Mai Province. The sample consisted of 301 individuals aged 35 years and over who were identified as being at risk of NCDs. The study was conducted in two phases: Phase 1 involved the collection of quantitative data, and Phase 2 focused on developing intervention strategies. The research instrument was a questionnaire validated by experts (IOC = 0.96), with a reliability coefficient (Cronbach’s alpha) of 0.82. Data were analyzed using descriptive statistics, including mean, standard deviation, percentage, and rating scales.
The results showed that participants had an overall low level of knowledge about NCDs (x ̅ = 5.70, SD = 1.50) and a fair level of health behavior (x ̅= 50.26, SD = 4.47). Although participants generally demonstrated correct behaviors in areas such as diet, exercise, smoking, and rational drug use, these behaviors were not performed consistently. Regarding health literacy, the overall level was moderate (x ̅= 86.97, SD = 13.70). Most participants (62.79%) had moderate health literacy, followed by high (19.27%) and low levels (17.94%).
The developed guideline for promoting health literacy and health behaviors in at-risk populations includes enhancing knowledge of NCDs, promoting healthy behaviors, and providing accessible and understandable health information. The guideline emphasizes engaging, service-oriented, and practical activities that are applicable in daily life.

The The Relationship Between Nutrition Literacy, Food Sanitation, and Food Consumption Behavior Among Students in Schools in Bangkok's Bang Khen District

2025-05-18T18:23:16+07:00

The objective of this study was to examine the levels of nutrition and food sanitation literacy, eating behavior, and the relationship between literacy and eating behavior among students in schools under the Bangkok Metropolitan Administration in Bang Khen District.
The sample consisted of 331 students in Grades 4 and 5. The research instrument was a questionnaire assessing nutrition and food sanitation literacy as well as eating behavior, with a reliability coefficient of 0.83. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient to test the relationships. The findings revealed that the students’ nutrition and food sanitation literacy was at a high level (x̄ = 3.86, S.D. = 1.05), while their eating behavior was at a moderate level (75.53%). There was a statistically significant relationship at the .05 level between nutrition and food sanitation literacy and eating behavior. The correlation coefficients for each aspect were as follows: access to nutrition and food sanitation information (r = 0.130), understanding of nutrition and food sanitation information (r = 0.115), evaluation of nutrition and food sanitation information (r = 0.178), and decision-making based on nutrition and food sanitation information (r = 0.195).

These results highlight the importance of promoting nutrition and food sanitation literacy among schoolchildren to develop appropriate eating behaviors and support long-term health.

Keywords Nutrition Literacy, Food Sanitation Literacy, Food consumption behavior