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

Situation Miraculous Subdistrict of 1,000 days Plus to 2,500 days in Health Region 8

kanyarat soimalai — 2024-09-30

Abstract

The Situation Miraculous Subdistrict of 1,000 days Plus to 2,500 days in Health Region 8. This was a Cross-sectional survey. To study the situation of driving the operation of Miracle Subdistrict 1,000 days plus to 2500 days. Studying in subdistricts that participate in the drive to operate Miraculous Sub-districts 1,000 days Plus to 2500 days in Health Region 8, 2023 Totaling 644 subdistricts. The sample group is the network partners that drive the operation of Miracle Subdistrict 1,000 Days Plus to 2500 days. The data was collected by a self-assessment form according to the Amazing Subdistrict criteria: 1,000 days plus to 2500 days (SD2500). Statistics used to analyze the data include descriptive statistics. Data collected from October 2022 to September 2023. The results of the study found that There are 244 sub-districts that participated in the assessment and certification to be miracle sub-districts for 1,000 days plus 2,500 days accounting for 93.48% and when separating the self-evaluation in each component It was found that there were 186 sub-districts with scores of 80 points or more according to component 1, integrated driving mechanism accounting for 76.22%, Component 2 Improving the quality of public health services and social services in 207 sub-districts accounting for 84.83%, Component 3 Improving the quality of early childhood development centers in 210 sub-districts accounting for 86.06% and component 4 community and family participation 221 sub-districts accounting for 90.57%. Summary of the results of the evaluation of subdistricts certified as miracle subdistricts for 1,000 days plus 2,500 days, with scores of 80 or more in every component, totaling 172 subdistricts accounting for 70.49%, The results of the study will be used to develop a model and expand the operation area of Miracle Subdistrict 1,000 days Plus to 2500 days in Health Zone 8 according to the area context.

Factors Associated With Febrile Neutropenia In Hematologic Malignancy Patients Receiving Chemotherapy At NongKhai Hospital

kannika kosila — 2024-09-30

ภูมิหลัง: ผู้ป่วยมะเร็งทางโลหิตวิทยาเป็นกลุ่มที่มีความเสี่ยงสูงต่อการเกิดภาวะไข้จากเม็ดเลือดขาวต่ำ ทำให้อัตราการนอนโรงพยาบาลสูงขึ้น เพิ่มค่าใช้จ่ายในการรักษา และมีโอกาสเสียชีวิตมากกว่าผู้ป่วยทั่วไป วัตถุประสงค์: เพื่อศึกษา (1) ปัจจัยที่มีผลต่อการเกิดภาวะไข้จากเม็ดเลือดขาวต่ำในผู้ป่วยมะเร็งทางโลหิตวิทยาที่ได้รับยาเคมีบำบัด (2) อุบัติการณ์ ภาวะแทรกซ้อน และอัตราการเสียชีวิตของผู้ป่วยมะเร็งทางโลหิตวิทยา วิธีการศึกษา: เป็นการศึกษาเชิงพรรณนา โดยเก็บข้อมูลย้อนหลังของผู้ป่วยที่มีภาวะไข้จากเม็ดเลือดขาวต่ำภายหลังได้รับยาเคมีบำบัดในผู้ป่วยมะเร็งทางโลหิตวิทยาในโรงพยาบาลหนองคาย ระยะเวลา 3 ปี ตั้งแต่ 1 มกราคม พ.ศ. 2564 ถึง 31 ธันวาคม พ.ศ. 2566 เปรียบเทียบตัวแปรจัดกลุ่มโดยใช้สถิติ Chi-square test หรือ Fisher’s exact test (95% CI, p<0.05) แล้วนำเฉพาะปัจจัยที่มีนัยสำคัญทางสถิติมาวิเคราะห์ต่อโดยใช้สถิติ Multiple logistic regression ผลการศึกษา: มีผู้ป่วยที่เข้าเกณฑ์การศึกษาทั้งหมด 160 ราย ได้รับยาเคมีบำบัดทั้งหมด 747 ครั้ง มีภาวะไข้จากเม็ดเลือดขาวต่ำทั้งหมด 101 ครั้ง มีผู้ป่วยเสียชีวิต 18 ราย คิดเป็นอัตราการเสียชีวิตร้อยละ 11.3 ปัจจัยที่มีผลต่อการเกิดภาวะไข้จากเม็ดเลือดขาวต่ำในผู้ป่วยมะเร็งทางโลหิตวิทยาที่ได้รับ ยาเคมีบำบัดได้แก่ เพศชาย ความสามารถในการใช้ชีวิตประจำวันระดับ 3-4 และการได้รับยาเคมีบำบัดตั้งแต่ 4 ครั้งขึ้นไป (p<0.05) สรุปผลและข้อแนะนำ: ควรเฝ้าระวังและติดตามผู้ป่วยที่มีปัจจัยดังกล่าวข้างต้นอย่างใกล้ชิด พิจารณาให้ยาปฏิชีวนะแบบครอบคลุมเชื้อและยากระตุ้นเม็ดเลือดขาวในระยะเริ่มแรกในผู้ป่วยที่ไม่มีข้อห้าม เพื่อลดการเกิดภาวะแทรกซ้อนและอัตราการเสียชีวิต

Effects of using a self-management support program to change behavior To slow down kidney deterioration for diabetic patients in public health service centers 2 Udon Thani Municipality

Chuthamath Kaewbandit — 2024-09-30

Abstract This quasi-experimental research has the objective To study the effect of using a self-management support program to change behavior to slow down kidney deterioration in diabetic patients in Public Health Service Center 2, Udon Thani Municipality, on diabetic patients who are unable to control their blood sugar levels from a sample of 50. Individuals were specifically selected according to specified characteristics, divided into control groups and experimental groups, 25 people each, matched according to the following characteristics: (1) age difference not exceeding 5 years (2) different hemoglobin A1C values. Not more than 2 percent and (3) the kidney deterioration stage is at the same stage. The control group received normal care. The experimental group received a self-management support program to enhance self-management skills along with a behavior modification support model. With the 5A technique, evaluate results before and after the experiment in the week 1 and 12 weeks used a self-management behavior assessment which tested for reliability with a Cronbach's alpha coefficient of .74 and measured clinical outcomes including: Blood sugar levels, hemoglobin A1C levels, blood pressure, serum creatinine levels, and glomerular filtration rate were measured using tools that have been validated according to hospital standards. Descriptive statistics were used for general data analysis. Hypothesis testing uses paired t-tests and independent t-statistics in cases where the data pass preliminary agreement. For data that did not meet preliminary agreement, the Mann-Whitney Test and Wilcoxon Signed Ranks Test were used.

The results of the research found that the experimental group after receiving the self-management support program had higher scores. Self-management behavior was significantly higher than the control group (p<.05). As for the mean clinical results between the control group and the experimental group after participating in the self-management support program, there was no significant difference. Statistically (p>.05), but within the experimental group It was found to be significantly different (p<.05) among diabetes clinics. Therefore, the self-management support model has been used to further develop self-management behaviour.

The factors of Health literacy related to liver fluke disease prevention behavior among working-age individuals in Kanthararom District Sisaket Province

worathon busabong — 2024-09-30

This study aims to investigate factors related to health knowledge and their association with liver fluke disease prevention behaviors among working-age individuals in Kantararom District, Sisaket Province. The study population consists of working-age individuals aged 15-59 years residing in Kantararom District, Sisaket Province. A systematic random sampling method was employed, with a sample size of 399 individuals. Data were collected using a researcher-developed questionnaire. Data analysis included frequency distributions, percentages, means, standard deviations, and Pearson correlation coefficients. The results of the study found that the majority were female, 67.20 percent, were 51-59 years old (43.90%) an average age of 46.03 years, and most had completed primary education and bachelor's degrees (43.10%). Most of them do not have any chronic diseases. Most of the main occupations 71.90% are farmers, average monthly income is less than 3,000 baht(46.90%) are knowledgeable about overall health, have relationships with the behavior to prevent liver fluke disease in the working age population in Kanthararom District, Sisaket Province (r=0.156, p= 0.002), divided into each area Knowledge about prevention of liver fluke disease, self-management Practical aspects regarding liver fluke disease prevention has a relationship with behavior Prevention of liver fluke disease in the working age population In Kanthararom District, Sisaket Province. (r=0.240) (r=0.190) (r=0.157), (p<0.001).

Therefore, to promote appropriate prevention behaviors against liver fluke disease, it is essential to enhance and elevate public health awareness. This will foster suitable preventive practices against liver fluke disease in the future.

Evaluation of the Physical Performance of Chemical Indicators in the Sterilization Process under the Operation of the Pre-Vacuum Pump System of the Steam Sterilizer

Tussanee Nimnaparoj — 2024-10-03

Quality and safety in medical services are crucial for healthcare. This study aims to evaluate the physical performance of chemical indicators in the sterilization process under pre-vacuum pump systems in steam sterilizers at central supply units that inspect and maintain medical equipment quality. The study involved testing steam sterilizers at six hospitals across Thailand, representing different regions of the country. The testing method utilized the Bowie-Dick Test (BDT) sheets, CHAMBER brand, model BDS122, following the Hallow load test principle, with 360 sheets tested. The performance of chemical indicators in the sterilization process was assessed under vacuum pump operation in nine steam sterilizers, with 40 test sheets per machine. Post-experiment, the physical change of chemical indicators from blue to dark black was observed. This result indicates that the chemical indicators met all parameters, including pressure, time, and temperature, with 100% compliance. Therefore, the study concludes that the tested steam sterilizers from all brands effectively eliminate microorganisms, as designed according to ISO 11140-4 standards. The study also confirms the design compliance with ANSI/AAMI ST79 and EN285 standards based on the Hallow load test principle. These findings prove the effectiveness of steam sterilizers, ensuring quality assurance and occupational safety in hospitals.

Factors Associated with Blood Sugar Level Control and Diabetic Nephropathy of Diabetes Mellitus Types II Primary Care Unit 4, Medical Division, Nakhon Udon Thani Municipality

Khruakeaw saenmanot — 2024-09-30

This retrospective study aims at investigating the factors associated with blood sugar level control and diabetic nephropathy of diabetes mellitus types II at Primary Care Unit 4 (Kao Chan), Medical Division, Nakhon Udon Thani Municipality. The samples of this study were 144 patients with types II diabetes who receive medical treatment at diabetes clinic at Primary care unit 4 (Kao Chan). The data from Hosxp system were analyzed and data collection was recorded using two parts of data which were 1) Patients with types II diabetes’ personal information form, and 2) data of patients with types II diabetes taken from laboratory. SPSS for Windows was used in data analysis as descriptive statistics. The findings revealed that age, occupation, gender, and types of diabetes medicines treatment had a significant relationship between blood sugar level control and diabetic nephropathy of diabetes mellitus types II from Primary Care Unit 4 (Kao Chan), Medical Division, Nakhon Udon Thani Municipality.

Keywords: Patients with types II diabetes, blood sugar level control, diabetic nephropathy of diabetes mellitus types II

Effectiveness of Environmental Health Development in Prisons under the Royal Prison Project: Sharing Happiness, Doing Good for the Nation, Religion, and King in Sakon Nakhon Province, Fiscal Year 2024

อุบล ณิชชาชัยกุล — 2024-09-30

The Royal Prison Sharing Happiness, Doing Good for the Nation, Religion, and King Project was initiated by the great kindness of His Majesty the King and Her Majesty the Queen who have a great vision and believe that good physical and mental health is important for the quality of life of prisoners. Sakon Nakhon Province has 2 prisons and the results of the assessment of environmental health surveillance in prisons did not pass some environmental standards in prisons and there were complaints from people living near Sakon Nakhon Provincial Prison. This research aimed to assess the effectiveness of the development of environmental health work in prisons under the Royal Prison Sharing Happiness, Doing Good for the Nation, Religion, and King Project in Sakon Nakhon Province. The sample group consisted of 32 officers responsible for developing environmental health work in prisons in Sakon Nakhon Province, 657 inmates in prisons, and 4 prison commanders and hospital directors. The research instruments consisted of qualitative and quantitative measurement instruments. Data were analyzed using content analysis and descriptive statistics. The results of this study found that the assessment of environmental health surveillance in prisons by the Department of Health for both prisons in Sakon Nakhon Province The average results of both evaluations were at the A level (excellent level) and passed the standard criteria for basic necessities for prisoners. As for the satisfaction assessment of officers and prisoners with environmental health in prisons, they were at the level of being dissatisfied with environmental health in prisons and not very satisfied with environmental health in prisons. In summary, both prisons in Sakon Nakhon Province have developed environmental health work in prisons and passed the standard criteria for basic necessities for prisoners at the A level (excellent level). However, the satisfaction of officers and prisoners with environmental health in prisons was at the level of being dissatisfied with and not very satisfied with environmental health in prisons.

Keywords: Environmental Health, The Corrections Department's Happiness Sharing Project, Doing Good for the Nation, Religion, and King, The effectiveness of the development of environmental health work in prisons, Prison

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*Public Health Specialist Position, Sakon Nakhon Provincial Public Health Office

Effectiveness of a comparative study of care for patients with schizophrenia With a program to enhance stress management skills with the Mindfulness Therapy Program (MBTC) in the psychiatric ward Nongbualamphu Hospital

Bualoy Seanlamul — 2024-10-03

The purpose of this study is to compare stress Proportion of drug deficiency Proportion of returning sickness Proportion of relapse and basic life skills of patients with schizophrenia. In the group that received a program to enhance stress management skills with the group receiving the mindfulness therapy program (Mindfulness Based Therapy and Counseling: MBTC). The sample group were caregivers of schizophrenia patients admitted for psychiatric treatment. Nongbualamphu Hospital, 46 people, divided into 2 groups of 23 people each. One group received a program to strengthen skills in managing stress and a mindfulness therapy program. and another group received a mindfulness therapy program. Data were collected using questionnaires; Including a stress self-assessment form and a competency assessment form regarding basic skills needed for daily life for caregivers of schizophrenia patients. Data were analyzed using descriptive statistics. and repeated measures analysis of variance.

The results of the study, after 28 days and 3 months of experimentation, found that the mean stress score in the group receiving the mindfulness therapy program was significantly lower than the group receiving the stress management skills enhancement program (p < .05). As for the mean ability scores regarding basic skills needed for daily living among caregivers of schizophrenia patients, in the group receiving the mindfulness therapy program After 28 days and 3 months of experimentation, it was significantly higher than the control group (p < .05). And found that the group that received the mindfulness therapy program The stress scores were averaged after the experiment. It was significantly lower than before the experiment (p <.05). After receiving the mindfulness therapy program immediately, the incidence of re-admission in both groups was not different. But after 3 months had passed, the group receiving the mindfulness therapy program found that There was a lower incidence of re-admission than the group receiving the stress management skills promotion at a statistical significance of 0.05. Conclusion: The Mindfulness Therapy Program (MBTC) can be applied to the counseling process. To help reduce stress develop peace of mind Living a more peaceful life in caregivers of people with schizophrenia and helps reduce the rate of re-admission better than programs that enhance stress management skills

Effectiveness of application of innovation to promote breast self-examination of women at risk in the Srichomchuen 3 community, Public Health Service Center 2, Makkhaeng Subdistrict, Mueang Udonthani District, Udonthani Province

Nareerat Kamjunla — 2024-09-30

This quasi-experimental research aimed to study the effects of using the innovative breast self-examination reminder application on health beliefs and breast self-examination behaviors of 30 women at risk in Srichomchuen Community 3, Public Health Service Center 2, Makthaeng Subdistrict, Mueang Udonthani District, Udonthani Province. The research instruments were the breast self-examination reminder application package, the health belief questionnaire, consisting of breast cancer risk perception, breast cancer severity perception, breast self-examination benefit perception, breast self-examination ability perception, and breast self-examination accuracy questionnaire. The content validity was examined by 3 experts. The CVI value of the questionnaire was between .80-1.00 and the Cronbach's alpha coefficient was tested at .845, .817, .923, .847, .842, and KR-20 at .743, respectively. Data were analyzed using the mean, standard deviation, and Paired t-test.

The results of the research found that after using the innovative breast self-examination reminder application, the sample group had higher scores on breast cancer risk perception, breast cancer severity perception, Perceived benefits of breast self-examination, perceived ability in breast self-examination, accuracy of breast self-examination and breast self-examination behavior increased significantly at the .05 level.

A Study of Production Process and Quality of Water Supply in Nongtum Subdistrict Municipality, Mueang District, Khon Kaen Province

Benjawan Jantapol — 2024-09-30

The objectives of this research are to study the production process and quality of water supply in Nongtum Subdistrict Municipality, Moo 1, Moo 3 Moo 6 and Moo 11. The assessment of the water supply production process is conducted through site observation and interviewing with system administrators. Raw water quality was assessed based on three characteristics, physical, chemical and biological. The quality of water supply in each process of production including process of adding chemical and chlorine to disinfect germs and bacteria were examined. 21 parameters including Turbidity, Apparent color, pH, Total dissolved solids, Hardness, Sulfate, Chloride, Nitrate, Nitrite, Fluoride, Iron, Manganese, Copper, Zinc, Lead, Total chromium, Cadmium, Arsenic, Mercury, Total coliforms bacteria, Escherichia coli and residual chlorine were investigated conformed with the drinking water quality standard criteria, Department of Health, 2021. According to the result, the assessment of 21 water supply quality parameter, for Surface water supply of Moo 1 and Moo 3,4 are acceptable. The residual chlorine content in water supply of is equal to 1.0 mg per liter which is match the recommendations of the World Health Organization. The quality of groundwater water supply in Moo 6 have total dissolved solids, hardness, chloride, manganese, coliforms bacteria, Escherichia coli and the quality of surface water supply in Moo 11 was a color and coliform value exceeding the standard. The residual chlorine content in water supply of both station is less than 0. 2 mg per liter which is below the standard criteria of drinking water. It was found that quality of water supply production process in Moo 1 was rated as excellent with average score of 90 percent in Moo 3 and Moo 11 were rated as good with average score of 86 and 82 percent and in Moo 6 was rated as fair with average score of 64 percent.