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

Effects of the dental health promotion program on knowledge and practices in preventing periodontal disease among elderly people with diabetes in Kham Phra village Hua Taphan District, Amnat Charoen Province

เมชาวี ทรัพย์สมบัติ — 2025-02-04

This quasi-experimental study aimed to compare the knowledge and preventive practices regarding periodontal disease between elderly individuals with diabetes in the experimental and control groups, before and after receiving a dental health promotion program. The study was conducted in Kamphra Village, Huatatphan District, Amnat Charoen Province. The sample size was calculated using a formula for comparing the means of two independent groups, with 32 participants in each group. Data were collected using a questionnaire with a reliability coefficient of 0.75. The data were analyzed using descriptive statistics and inferential statistics, with Independent-Samples T-Test.
The results showed that, after the intervention, the experimental group had a significantly higher mean score in knowledge about periodontal disease prevention compared to the control group mean difference = 2.84, (95% CI: 2.10 to 3.58;p=0.046). Additionally, the experimental group exhibited significantly higher mean scores in preventive practices compared to the control group mean difference (9.66, 95% CI: 7.76 to 15.54; p<0.001). These findings emphasize the importance of promoting dental health to enhance both knowledge and preventive practices related to periodontal disease in elderly individuals with diabetes.

Factors Predicting Mortality Rate within 30 Days of Patients Presenting with Upper Gastrointestinal Bleeding at NongKhai Hospital

Jamrus Pongpit — 2025-02-04

Background: Upper gastrointestinal bleeding is a common emergency in medical practice. According to statistics from NongKhai Hospital for the period 2016 to 2020, the mortality rate was 5.0%. Consequently, inadequate or delayed initial assessment and treatment can significantly increase the mortality rate. Objective: To study (1) factors predicting mortality rate within 30 days of patients presenting with upper gastrointestinal bleeding at NongKhai Hospital. (2) the incidence and causes of upper gastrointestinal bleeding. This retrospective descriptive study collects data from the medical records of patients presenting with upper gastrointestinal bleeding at NongKhai Hospital for 3 years from 1 October 2018 to 30 September 2021. The factors predicting mortality rate within 30 days of patients presenting with upper gastrointestinal bleeding at NongKhai Hospital were analyzed using Univariate analysis and only statistically significant factors (p<0.05) were further analyzed using multiple logistic regression. Results: A total of 780 eligible patients were included in this study with 37 patients having succumbed resulting in a mortality rate of 4.7%. The factors predicting mortality rate within 30 days of patients presenting with upper gastrointestinal bleeding at NongKhai Hospital include male gender, liver cirrhosis, corticosteroid use, INR greater than 1.5, PTT greater than 35 seconds, AST greater than 5 times the normal value, hospital stay longer than 7 days, rebleeding within 48 hours, and complications (p<0.05). Conclusion and recommendations: Patients presenting with upper gastrointestinal bleeding along with the aforementioned risk factors should be closely monitored and surveillance to reduce the risk of complications and in-hospital as well as post-discharge mortality.

Effects a Program to Promote Self-Management of Patients with Type 2 Diabetes Uncontrol Blood Sugar Levels in Pho Talat Kaeo Subdistrict, Tha Wung District, Lopburi Province

Jirapon Tongpae — 2025-02-04

Diabetic patients in the Phothalad Kaew Subdistrict, Tha Wung District, Lopburi Province, have failed to control their blood sugar levels within the target set by the Ministry of Public Health, resulting in complications. This quasi-experimental research aimed to examine the effects a program to promote self-management of patients with type 2 diabetes uncontrol blood sugar levels in Pho Talat Kaeo Subdistrict, Tha Wung District, Lopburi Province. The sample consisted of 80 Type 2 diabetes patients who could not control their blood sugar levels. They were divided into an experimental group of 40 people, who received the self-management promotion program for Type 2 diabetic patients in Phothalad Kaew Subdistrict, Tha Wung District, Lopburi Province, and a comparison group of 40 people, who received standard healthcare services. The experiment was conducted over eight weeks, and the mean scores between the experimental and comparison groups before and after the experiment were compared using the t-test statistic. The research findings showed that, after the intervention, the experimental group had significantly higher mean scores in overall self-management behaviors, including diet, exercise, medication adherence, and emotional management, compared to both their pre-intervention scores and the comparison group (p-value < 0.001). The mean blood sugar levels, indicated by HbA1c, were significantly lower than before the intervention and compared to the comparison group (p-value < 0.001). Therefore, this program can be adapted for use in other communities with Type 2 diabetes patients who are unable to control their blood sugar, to improve diabetes management efficiency in communities.

The study of the performance of proactive village health volunteers

Gerawan ็Hasaro — 2025-02-04

This research aimed to study the performance of proactive village health volunteers, the provision of primary health care services by proactive village health volunteers, and the guidelines for improving the performance of proactive village health volunteers. The study of the performance of proactive village health volunteers is mixed method research conducted between October 2023 and September 2024. The qualitative study area was selected using a multi-stage sampling method, with 1 province per region, 1 district per region, and 1 sub-district per region, and areas that volunteered for the research team to collect data. The quantitative data used data from the village health volunteers reporting their performance results via the Smart Aor Sor Mor Application in September 2024. The qualitative data used semi-structured interviews, including data collection related to the study issues (annual performance reports, public health operations exchange meetings), and the quantitative and qualitative data were collected, understood, and grouped according to issues according to the study framework. The data was then presented for content analysis and causal linkages of the data. The results of the study found that.

The results of the overall analysis of the performance of proactive village health volunteers At a high level (mean = 2.49, SD = 0.99, minimum 0.00, maximum 3.00), it was found that the proactive VHV who were able to report the form (Aor Sor Mor 1) and screen the health of the elderly, along with surveying mosquito larvae via the Smart Aor Sor Mor Application the most were VHV aged 50-59, totaling 23,187 people, or 39.61 percent, and had been working for 11-20 years, totaling 19,242 people, or 32.87 percent, including primary school students, totaling 31,290 people (53.45 percent). The results of the elderly health screening (9-dimensional regression) and the mosquito larva survey can be analyzed by relevant agencies and used for health surveillance and warning. In addition, pregnant women, the elderly, and the vulnerable groups who cannot help themselves are mostly satisfied with the basic health services provided by VHV because they are capable of providing basic health services, including basic health screening. (measure blood pressure, body mass index, finger prick blood test to find blood sugar level) introduce 3 A 2 S, mosquito larvae management, community waste management and want VHV to coordinate to refer to Doctor 2 and Doctor 3 and related agencies to help the vulnerable group who cannot help themselves.

Suggested development guidelines 1) Develop a VHV performance reporting system using the VHV registration database of the Department of Support and Synthesize to present a geographic information system. 2) Promote the potential and increase the knowledge of VHV that is consistent with the problems of the continuous area. 3) Promote and support the district public health office to be the point of managing the data of VHV performance to link the health issues of the District Quality of Life Development Committee (PHC) and integrate related agencies to develop the potential and increase the knowledge of VHV.

MISS The effect of nutrition promotion program for children aged 2-5 years with malnutrition in Health Region 8

Phattraporn Choosorn — 2025-02-04

This research was a quasi-experimental study with a pretest-posttest design comparing two groups. The experimental group received a nutrition promotion program for children aged 2-5 years with malnutrition, which was developed by the researcher to fit the local context and cater to caregivers who are grandparents or elderly people. The study was conducted in Kusuman District, Sakon Nakhon Province, from November 2021 to November 2022. The sample consisted of 63 participants from Kusuman District, divided into an experimental group of 31 and a comparison group of 32, selected through simple random sampling. Data collection was performed using questionnaires, weight measurement, height measurement, and nutrition status charts for children aged 2-5 years. The data were analyzed using descriptive statistics, inferential statistics, Paired t-test, and Independent t-test, with the significance level set at 0.05. The results showed that the weight and height of children in the experimental group changed significantly (P-value = 0.0003 for weight, P-value < 0.0001 for height). When comparing the nutritional status between the experimental and comparison groups, it was found that the experimental group had a significant increase in height (P-value < 0.05), but no significant difference in weight. Additionally, the knowledge of caregivers in the experimental group significantly improved (P-value < 0.0001), and the nutrition knowledge of caregivers in the experimental group was significantly higher than that of the comparison group (P-value = 0.0035). Recommendations The findings indicate the effectiveness of the program in improving both the nutritional status of children and the nutrition knowledge of caregivers. It is recommended that the program be extended for long-term studies to evaluate its impact on other areas. Furthermore, the program should be expanded to cover a wider area and target population, with the curriculum developed to suit the specific needs of caregivers in different regions to ensure sustainable results.

The effects of using the nursing process in conjunction with empowerment on the vision ability, infection rates, and satisfaction of cataract surgery patients at Kumphawapi Hospital

Nicha Budtaheung — 2025-02-05

Single-group quasi-experimental research measures only after the experiment. To study the effects of using the nursing process together with empowerment on vision ability, infection, and satisfaction of cataract surgery patients. In Kumphawapi Hospital Between 1 August 2024 - 31 October 2024, a total of 45 people. The tools used in the research include: Using the nursing process together with empowerment Visual Ability Record Form Eye infection record form and satisfaction assessment form Data analysis using frequency, percentage, mean, and standard deviation. The research results found that

Most of the patients after surgery had normal vision, 42 people, accounting for 93.33 percent. The incidence of infection after cataract surgery was found that 100 percent had no symptoms of infection after cataract surgery. and overall satisfaction with the service was at the highest level (Mean = 4.95, SD = 0.22)

Therefore, applying the nursing process together with empowerment to the vision ability, infection, and satisfaction of cataract surgery patients is used. Can be used from the beginning by nursing personnel who are responsible for admitting patients Emphasis is placed on proactive nature of care and patient participation. If you are an elderly patient or unable to communicate Caregivers or relatives should be encouraged to participate in learning. It will help encourage cataract surgery patients to have better self-care habits. Patients gain confidence and are able to take care of themselves effectively after cataract surgery without complications and there was no post-operative infection. Satisfaction in providing services And in the initial history taking and physical examination, there should be a thorough, comprehensive evaluation. If you find a group at risk of infection or a group with a high blood pressure level of more than 180/90 mmHg. and a blood sugar level of more than 180 mg%, report to the doctor for treatment first. To prevent patients from having infection or complications after surgery.