https://he04.tci-thaijo.org/index.php/hpc8Journal/issue/feed Journal of Health Promotion and Environmental Health Research Health Promotion Centre 8 Udon Thani 2024-01-12T13:24:27+07:00 Dr. Arinrada Ladla ar.hpc8@gmail.com Open Journal Systems <p>Journal of Health Promotion and Environmental Health Health Center 8, Udon Thani, is a 3-monthly nursing journal with a policy of publishing articles on health promotion and environmental health. as well as knowledge in science and social sciences The open branches are as follows: Mother and early childhood child School children, teenagers, working people, elderly people, and environmental health and other fields. The target audience is people who are interested. </p> <p><strong>ISSN 2985-1696 (Online)</strong></p> https://he04.tci-thaijo.org/index.php/hpc8Journal/article/view/730 บทบาทของเจ้าหน้าที่สาธารณสุขของกระทรวงสาธารณสุขตามพรบ.การสาธารณสุข พ.ศ.2535 2024-01-12T11:31:33+07:00 Sompob Sutasviriya hpc08@anamai.mail.go.th <p>&nbsp; &nbsp; &nbsp;พระราชบัญญัติการสาธารณสุข พ.ศ. 2535 และที่แก้ไขเพิ่มเติม เป็นกฎหมายที่<u>กระจายอำนาจสู่องค์กรปกครองส่วนท้องถิ่น</u>ในการบังคับใช้กฎหมาย โดยมีวัตถุประสงค์เพื่อใช้เป็นเครื่องมือในการคุ้มครองประชาชนด้านสุขลักษณะและการอนามัยสิ่งแวดล้อม ซึ่งครอบคลุมทั้งกิจกรรม การกระทำทุกอย่าง และกิจการประเภทต่าง ๆ ที่ส่งผลกระทบต่อสิ่งแวดล้อมและสุขภาพอนามัยของประชาชน อีกทั้งปัจจุบันได้มีการปรับปรุงบทบัญญัติกฎหมายตามพระราชบัญญัติการสาธารณสุข (ฉบับที่ 3) พ.ศ. 2560 ขึ้น โดยจุดมุ่งหมายสูงสุดคือประชาชนได้รับการคุ้มครองสุขภาพในด้านการสาธารณสุขและด้านอนามัยสิ่งแวดล้อมอย่างยั่งยืน (ศูนย์บริหารกฎหมายสาธารณสุข กรมอนามัย กระทรวงสาธารณสุข. (2561, หน้าคำนำ)</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; จากวัตถุประสงค์ของพระราชบัญญัติการสาธารณสุข พ.ศ.2535 และที่แก้ไขเพิ่มเติม ได้มีการกระจายอำนาจสู่องค์กรปกครองส่วนท้องถิ่นในการบังคับใช้กฎหมาย ย่อมแสดงว่า <u>อำนาจและหน้าที่หลัก</u>ย่อมเป็นขององค์กรปกครองส่วนท้องถิ่น&nbsp; ส่วนเรา (เจ้าหน้าที่ สสอ./รพ./รพ.สต.) พรบ.การสาธารณสุขพ.ศ.2535 ไม่ได้มีการกำหนดบทบาท(อำนาจ,หน้าที่)ไว้ แต่ได้มีประกาศกระทรวงสาธารณสุขเรื่อง แต่งตั้งเจ้าพนักงานสาธารณสุขตามพระราชบัญญัติการสาธารณสุข พ.ศ. 2535 (ราชกิจจานุเบกษา, 2561) และมีการกำหนดบทบาทหน้าที่ไว้</p> 2024-01-12T00:00:00+07:00 Copyright (c) 2023 วารสารการส่งเสริมสุขภาพและอนามัยสิ่งแวดล้อม https://he04.tci-thaijo.org/index.php/hpc8Journal/article/view/731 The Development Model of Participation to Prevent Road Traffic Accident by Engaging of Home, Temple, and Government Nong Han Sub-district, Udonthani 2024-01-12T11:48:06+07:00 Sorasak Sakunlimmeechai pimkuy@gmail.com นพพร จันทรเสนา aeedy111@hotmail.com ปิยะนุช พรหมสาขา ณ สกลนคร ppromsaka@yahoo.com <p>This action research were to development Model of Participation to Prevent Road Traffic Accident by Engaging of Home, Temple, and Government Nong Han Sub-district, Udonthani. The study consisted of 3 phases: 1) Plan 2) Action<br>3) Observation and reflection. A multi-stage target group and a simple random was used to selected the 376 target group, including member of Home, Temple, and Government. The questionnaires were examined for the validity by the expert. The Cronbach’s alpha coefficient was employed for verifying the reliability. The data collection included both qualitative and quantitative data.&nbsp; The quantitative data were analyzed by descriptive data: frequency, percentage mean, and standard deviation; and content analysis was used for qualitative data. Results of this study were as follows:</p> <ol> <li>Factor of Road Traffic Accident, Nong Han Sub-District, Udonthani: found that the Personal and Environment.</li> <li>The development model consisted of 3 components; (1) Policy<br>(2) Personal and (3) Environment.</li> <li>The evaluation of Development Model Prevent Road Traffic Accident Nonghan sub-district, Udonthani revealed that in the overall average of appropriate and possibility were at the high level ( = 4.59 SD = 0.85)</li> </ol> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Conclusion: The success factor of this model is having a clear policy, integrating the participation of network partners and Enforcement the law.</p> 2024-01-12T00:00:00+07:00 Copyright (c) 2024 วารสารการส่งเสริมสุขภาพและอนามัยสิ่งแวดล้อม https://he04.tci-thaijo.org/index.php/hpc8Journal/article/view/732 Development of Clinical nursing practice guidelines for patients with sepsis in patient department of Kumpawapi Hospital, Udonthani province 2024-01-12T12:13:26+07:00 Jarunee Duangsri hpc08@anamai.mail.go.th <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This Participatory Action Research aimed to develop the Clinical Nursing Practice Guidelines (CNPG) for patients with sepsis in-patient department of Kumpawapi Hospital, Udonthani province during 1<sup>st</sup> July to 31<sup>st</sup> October,2023. The participants consisted of 96 registered nurses in medical ward. This study included 3 phases there were situation study phase, action phase and evaluation phase. Descriptive statistic had been used to analyze qualitative data had been analyzed by using content analysis. The Results &nbsp;revealed that after using the guideline respondents had higher knowledge mean scores than before using the guideline significantly different (p&lt;0.05). Further, Most nurses provided nursing practice appropriately based on the guideline. With 98-100 of respondents had satisfaction at high level. They recommended that the guideline was useful and suit for preventing for more &nbsp;severes sepsis.</p> 2024-01-11T00:00:00+07:00 Copyright (c) 2024 Journal of Health Promotion and Environmental Health Research https://he04.tci-thaijo.org/index.php/hpc8Journal/article/view/734 Nursing care for renal calculi patients with Percutaneous Nephrolithotomy: 2 Case study 2024-01-12T12:26:46+07:00 อ้อย มาตย์วิเศษ Aoymatvises2507@gmail.com <p><strong>Purpose </strong>: The objectives of this study were to compare sign, complication and nursing care for renal calculi patients, and development of this nursing practice guideline renal calculi patients with Percutaneous Nephrolithotomy.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>Study design</strong> : Compare 2 Case study</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>Materials and Methods</strong> : Choose purposive sampling of renal calculi patients with Percutaneous Nephrolithotomy in Urology Surgery Department at Roi Et Hospital. Between September and October 2023. The instruments used in the study consisted of record form by collecting data from the patient's medical records interview and observation. Data were analyzed, compared, and made a nursing plan by using the nursing process.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>Main findings</strong> :</p> <p>Case Study 1, a Thai man, 59 years old, Significant symptoms scheduled for kidney stone surgery, main symptoms of back pain, right waist pain and frequent dark-colored urine were 5 months before coming to the hospital. Preliminary diagnosis Bilateral renal calculi, treated with surgery Right PCNL with DJ stent. Patients who had complications from surgery, namely Anemia from pseudoaneurysm, Septic shock, Rt hydronephrosis, Hypokalemia, were treated with blood transfusions, antibiotics and treated for various complications. Patients were discharged at home for a total of 13 days. Total treatment cost 83,484 baht.</p> <p>Case Study 2, a Thai woman, 58 years old. Significant symptoms scheduled for kidney stone surgery, main symptoms pain in the left side of the waist, burning urine with sediment</p> <p>were 1 month before hospitalization. Preliminary diagnosis Left renal calculi treated with Left PCNL. After the treatment, the patient had no complications. Sell to take home Total treatment 9 days. Total treatment cost 45,662 baht.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>Conclusion and recommendations</strong> : The earlier evaluation and efficiency of nursing care of patients with reduce bed days, expenses, and mortality. The professional nurse and the nursing guidelines need to be clear for patient with postoperative.</p> <p><strong>Keywords: </strong>Nursing care for renal calculi patients, Percutaneous Nephrolithotomy</p> 2023-12-26T00:00:00+07:00 Copyright (c) 2023 Journal of Health Promotion and Environmental Health Research https://he04.tci-thaijo.org/index.php/hpc8Journal/article/view/735 Nursing care of patients with Traumatic brain injury with epidural hematoma: 2 case studies 2024-01-12T12:48:59+07:00 Suthida Chancharas hpc08@anamai.mail.go.th <p>This study was a comparative study of nursing care for 2 patients with Traumatic brain injury with epidural hemorrhage at emergency department and Trauma ward Khon Kaen Hospital, The period from 4 March - 6 April 2023 found that two patients Their ages are &nbsp;26 and 20 years. Use motorcycle vehicles to travel do not use a helmet while ridding. Both patients were involved in road accidents involving motorcycles. Both cases were transported from the scene of the incident to community hospital level M2, Khon Kaen Hospital by rescue vehicle, and the second patient was forwarded to Khon Kaen Hospital through the ER Call Center system. Time period for reaching Khon Kaen Hospital and receiving different services. Patient 1 Onset to ER 30 minutes Onset to CT 40 minutes CT brain Epidural hemorrhage at right temporal received palliative treatment. There were no complications during the hospital stay. Total length of bedtime was 5 days. Patient 2 CT brain found Epidural hemorrhage at Left frontotemporal. Treated by surgery: Left craniectomy to remove clot, complications include lung infection. Total duration of sleep is 12 days. Transfer for treatment to&nbsp; hospital nearest home. Onset to ER at community hospital, 30 minutes. Onset to CT 2 hours. Onset to OR 5 hours 24 minutes. Patient assessment at the scene of the incident. Communication and cooperation. while delivering efficiently Make the injured have access to services from the scene of the accident to the emergency room. Transfer between hospitals and was diagnosed by a quick CT scan of the brain and quickly operated on. For those with brain injuries, the prognosis depends on the time of treatment. And receiving timely treatment will give the patient a chance of survival. and reduce disability. Therefore, nursing patients with brain injuries Nurses must assess symptom changes quickly, accurately, and continuously and be able to assess risk. Complications that may occur to patients in order to provide information for planning nursing care both in the critical phase and in the recovery phase. Practicing nursing according to the guidelines correctly and completely can reduce complications. Hospital stay days can reduce disability and death.</p> 2023-12-27T00:00:00+07:00 Copyright (c) 2023 Journal of Health Promotion and Environmental Health Research https://he04.tci-thaijo.org/index.php/hpc8Journal/article/view/736 Nursing care for critical burn patients: 2 case study 2024-01-12T12:56:20+07:00 Supenthip Thipprasert Supenthip@gmail.com <p>The purpose was to study nursing care for burn patients in critical situations and the role of nursing for burn patients in critical care. They used a case study method conducted in the Burn Unit at Roi Et Hospital between September - October 2023. The sample group consists of 2 patients 1) an adult patient with second-degree burn with 12% TBSA in both legs and 2) a child burn patient who was diagnosed with 2-degree burn with 20% TBSA on the face, neck, chest and left arm, diagnosed with 2-degree burn at leg 12% TBSA. The tools were case study comparison records and data collection using interviews, observations, conversations, and document studies. The results included general information: adult patients living with their older sister's family, no primary caregiver. In the case of children living with their parents and caregivers, the cause of the burns was heat in both cases. While receiving treatment in the burn unit, the same problems were found: burns and loss of skin integrity, loss of water and electrolytes, burning pain, eye irritation, need for nutrients, and anxiety when returning home. The difference between the two case studies was that the child had problems breathing on his own in the first 48 hours, he had to be put on the endotracheal tube with a ventilator, after which he could breathe on his own, and allergic rashes on the body. Medical treatment results: Two patients were improved, In the case of an adult who stayed in hospital for 8 days, the medical expenses were 45,000 baht. For a child to stay in hospital for 15 days, the medical expenses are 75,000 baht. The role of nurses in caring for burns includes nursing administration, nursing practice, and determining and monitoring nursing quality indicators. Therefore, nursing competencies should be developed to provide quality patient care.</p> 2023-12-27T00:00:00+07:00 Copyright (c) 2023 Journal of Health Promotion and Environmental Health Research https://he04.tci-thaijo.org/index.php/hpc8Journal/article/view/737 Nursing Care for Acute Myocardial Infraction : Cases Report 2024-01-12T13:07:18+07:00 Somporn Hongveang hpc08@anamai.mail.go.th <p><strong>Background : </strong>Acute Myocardial Infarction is a critical and emergency condition. It is a disease caused by the coronary artery's blockage a major cause of death and a significant public health issue in Thailand and worldwide. Rapid coronary artery reperfusion can reduce the mortality rate of patients.</p> <p><strong>Objectives :</strong> To study and compare patients with Acute Myocardial Infarction in two case studies regarding causes, symptoms, clinical manifestations, as well as appropriate and prompt nursing care to help reduce mortality rates and complications.</p> <p><strong>Method :</strong> A specific case study of two patients conducted between October 2565 and September 2566.</p> <p><strong>Results :</strong> From the study of two cases of Acute Myocardial Infarction, the first patient, a 47-year-old female, presented with symptoms of chest tightness radiating to the head, shortness of breath, and cold sweats, 20 minutes before arriving at the hospital. She was treated with a coronary angiogram, which was successful in opening the blocked artery, and no complications occurred. Nursing care was provided according to the nursing diagnoses, and all four nursing diagnoses were effectively addressed. The second patient presented with symptoms of sublingual tightness, vomiting, and dizziness 16 hours before coming to the hospital. He received streptokinase for thrombolysis, with low blood pressure as a complication during the infusion. He was transferred to another hospital for further treatment, where a successful coronary artery angioplasty was performed, and no complications occurred. Nursing care was provided according to the nursing diagnoses, and all four nursing diagnoses were effectively addressed.</p> <p><strong>Conclusion : </strong>As a professional emergency nurse, it is crucial to have knowledge and understanding of the disease's pathophysiology, skills, and experience to make rapid decisions, manage specific problems, and provide appropriate nursing care When a patient has a life-threatening condition. Knowledge of medication management and vigilance for potential complications in patients are essential to prevent complications and improve survival rates.</p> 2023-12-27T00:00:00+07:00 Copyright (c) 2023 Journal of Health Promotion and Environmental Health Research https://he04.tci-thaijo.org/index.php/hpc8Journal/article/view/738 Nursing Care of Pneumonia Patients with Acute Respiratory Failure Receiving High-Flow Nasal Cannula Therapy: A Study of 2 Cases 2024-01-12T13:14:58+07:00 Phunnee Areeaeua hpc08@anamai.mail.go.th Naiyanee Jantawaree hpc08@anamai.mail.go.th <p><strong>Objective </strong>:To study nursing care for pneumonia patients with acute respiratory failure treated with a high-flow nasal cannula.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>Study design</strong>: Comparative study of 2 patients with pneumonia with acute respiratory failure treated with High-flow nasal cannula admitted to Roi Et Center Hospital from September to October 2023. Data were collected from medical professionals. Patient records and 11 health status assessment forms by Gordon analyze data to determine nursing diagnoses. Plan nursing action and evaluate nursing outcomes, including critical, semi-critical, and preparation for discharge home.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>Results</strong>: Patient 1 had a history of asthma. The second patient has a history of high blood pressure. and chronic kidney disease There was a history of being bedridden for 1 year. Both patients were admitted with fever, cough with phlegm, and shortness of breath. Patient 1 was treated in critical condition. They were put on a ventilator for two days, after which both patients received treatment with a high-flow nasal cannula to increase oxygen in the body. The nursing diagnosis is the same. Gas exchange is reduced due to lung infection and mucus expulsion is ineffective because sticky mucus cannot be coughed out on its own. until symptoms improve There is no hypoxia. and can be safely sold back home</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>Conclusions</strong>: High-flow nasal cannula treatment in pneumonia patients with acute respiratory failure can help treat patients with mild hypoxia and prevent re-intubation. Therefore, nurses need to have knowledge, skills and close monitoring of symptoms. To prevent oxygen depletion and complications</p> 2023-12-27T00:00:00+07:00 Copyright (c) 2023 Journal of Health Promotion and Environmental Health Research https://he04.tci-thaijo.org/index.php/hpc8Journal/article/view/739 The Development of Model for Post-operative Care in Recovery room at Kumphawapi Hospital, Udonthani 2024-01-12T13:24:27+07:00 Kesorn Hamthaisong hpc08@anamai.mail.go.th Nopporn Chantharasena aeedy111@hotmail.com Arinrada Ladla hpc08@anamai.mail.go.th <p>The purposes of research were to create the development of Model for Post-operative Care in Recovery room at Kumphawapi Hospital, Udonthani. The study consisted of 4 phases: 1) Plan 2) Action 3) Observation and 4) reflection. A simple random was used to selected the multidisciplinary teams target group consisting of Anesthesiologist, Nurse Anesthetist and Nurse Aide. The questionnaires were examined for the validity by the expert. The Cranbach’s alpha coefficient was employed for verifying the reliability and it was 0.88&nbsp;&nbsp;&nbsp; The data collection included both qualitative and quantitative data. The quantitative data were analyzed by descriptive data: frequency, percentage mean, and standard deviation. Results of this study were as follows:</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Phase 1 Situation of Post-operative Care in Recovery at Kumphawapi Hospital, Udonthani. found that not comprehensive implementation of practice. lack of Assessment and monitoring, Symptom management, Record and Discharge.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Phase 2 The development model consisted of 4 components. (1 ) Assessment and monitoring (2 ) Symptom management (3 ) Nursing Documentation and (4) Discharge to ward</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Phase 3 and 4 The evaluation of the Model for Post-operative Care in Recovery room at Kumphawapi Hospital, Udonthani. revealed that in the overall average of appropriate and possibility were at the high level ( &nbsp; = 4.58) and all items were at the high level. The assessment of satisfaction the multidisciplinary team was satisfied with the high level ( &nbsp; = 4.80) and the satisfaction of patients and care givers toward the system was also at the high level. It was agreed that the Model for Post-operative Care in Recovery room was appropriate for using in the organization.</p> 2023-12-27T00:00:00+07:00 Copyright (c) 2023 Journal of Health Promotion and Environmental Health Research