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

Lifestyle Medicine

Krisada Sirichaisit; Tanisa Anuyahong — Mon, 24 Jun 2024 00:00:00 +0700

Lifestyle Medicine is a medical field that emphasizes the prevention and treatment of diseases, utilizing scientific evidence or observational evidence to modify individuals' and communities' behaviors and lifestyles. It comprises six core pillars: nutrition and diet, physical activity, stress management, quality sleep, avoidance of substance abuse such as smoking and alcohol consumption, and fostering positive social relationships. Its goal is to promote health and prevent chronic Non-Communicable Diseases (NCDs), including helping individuals with NCDs to revert from poor health status to normalcy by addressing the underlying causes of these health issues.

Currently, Lifestyle Medicine is increasingly recognized due to studies and research demonstrating its benefits in reducing the risk of various NCDs such as heart disease, diabetes, obesity, and cancer. This approach focuses on empowering patients to take more responsibility for their health. It includes medical consultation and supportive care in a friendly and proactive manner to enable sustainable and effective changes in behaviors and lifestyles. Therefore, the success of Lifestyle Medicine depends on patient engagement, support from healthcare providers, and access to essential resources.

Impact of advance care planning on the End-of-Life Care in the inpatient ward, Sam Roi Yod Hospital, Sam Roi Yod District, Prachuap Khiri Khan Province

Pitchakorn Janglin — Mon, 24 Jun 2024 00:00:00 +0700

This research is a quasi-experimental research using a posttest-only design with nonequivalent groups to compare satisfaction with services. And compare the quality of life of terminally ill patients before and after using the integrated end-of-life care model. The results were measured once 2 weeks after the planned discharge. Compare before and after the experiment using Independent t-test statistics and compare the difference in mean scores. The sample group totaled 30 people, consisting of a pre-experiment group and a post-experiment group of 15 people each.

The results of the study found that average score of overall nursing service satisfaction between before and after using the integrated end-of-life care model The group before the experiment had different mean scores than after the experiment. Statistically significant (p-value 0.001; 95%CI: -26.53 to -19.61) mean post-discharge quality of life score for overall quality of life. Between before and after using the integrated end-of-life care model, it was found that the pre-experiment group had different mean scores than after the experiment. Statistically significant (p-value 0.001; 95%CI: -47.56 to -26.57) it can be seen that advance care planning affects care at the end of life in this ward. It can increase service satisfaction and improve the quality of life of patients.

Development of guidelines for preventing the spread of drug-resistant bacteria in Chaiwan Hospital

Chanthima Chaosakhai — Sat, 01 Jun 2024 00:00:00 +0700

This Participatory Action Research aimed to Development of guidelines for preventing the spread of drug-resistant bacteria in Chaiwan Hospital province during 15^st October, 2023 to 31^st December, 2023. The study sample consisted of 59 personnel at Chaiwan Hospital involved in caring for patients with drug-resistant infections. 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 research results found that after carrying out the activity Guidelines for the care of patients with drug-resistant infections have been developed. Knowledge scores on caring for patients with drug-resistant infections increased. Results of observation of correct practice It was found that most were able to perform better according to the guidelines. The level of satisfaction of nursing staff with using the guidelines is 98-100% with a high level of satisfaction. Most believe that guidelines for developing guidelines to prevent the spread of drug-resistant germs in Chaiwan Hospital It can be used to prevent the spread of drug-resistant infections.

Heath Literacy of Development Promotion and Nutritional in Children aged 0-5 years of Parents of Early Childhood at Sapphaya District, Chainat Province

Nawapron Padonprai — Mon, 24 Jun 2024 00:00:00 +0700

The objective of studying Heath Literacy of Development Promotion and Nutritional in Children aged 0-5 years of Parents of Early Childhood at Sapphaya District, Chainat Province to study the level of heath literacy in promoting development and nutritional and to study factors that influence heath literacy in promoting development and nutritional status nutrition in children aged 0-5 years of parents raising children and to present guidelines for developing heath literacy in promoting development and nutritional status in children aged 0-5 years of parents raising children. In the area of Sapphaya District Chainat Province. The sample size were parents raising children aged 0-5 years living in Sapphaya District. Chainat Province, numbering 292 people. The research instrument was a questionnaire consisting of 5 parts, 73 questions, using multi-stage random sampling, and data were analyzed using descriptive statistics, including mean: ( ) percentage, standard deviation, rating scale and multiple linear regression analysis with a statistically significant level of 0.05.

The results of the study found that parents who care for children aged 0-5 years in the Sapphaya District area Chainat Province There are behaviors promoting development and nutritional status in children aged 0-5 years overall at a fair level ( = 44.01, SD = 7.89). There is a level of knowledge in promoting development in children aged 0-5 years overall. It is at a fair level ( = 93.95, SD = 22.43) and the overall level of nutritional knowledge in children aged 0-5 years is at a fair level ( = 90.87, SD = 23.37). The factors that are Influences on knowledge in promoting development in children aged 0-5 years of parents raising children are age ( = -0.299,t = -0.510, p-value = 0.001) , average monthly income ( = 3.44 ,t = 2.37, p-value = 0.18), family characteristics ( = 1.46 ,t = 2.13, p-value = 0.34) and sources of knowledge and methods for raising children aged 0-5 years ( = 0.27 ,t = 2.58, p-value = 0.10) with statistical significance at 0.05.

The Efficacy of Utilizing the First 1000 Days of Life Manual for Implementing the Miracle First 1000 Days of Life Project in Health Region 9

Mon, 24 Jun 2024 00:00:00 +0700

The aims of this research and development study were 1) To develop a manual of the first 1,000 days of life to implement the Miraculous Project 1,000 First Days of Life in Health Region 9; 2) To study the efficacy of utilizing the First 1,000 Days of Life Manual for implementing the Miracle First 1,000 Days of Life Project in Health Region 9. The study areas included Nakhon Ratchasima, Chaiyaphum, Buriram and Surin province. The 217 Child and Family Care Team (CFT) in health region 9 were selected by simple random sampling and 37 experts by purposive. Data were collected from questionnaires and focus groups discussions between January and June 2022. Quantitative data were analyzed using percentage, mean, standard deviation, and chi-square test. Content analysis was used in qualitative data.

Results: The quality inspection of the First 1,000 Days of Life Manual in the Miraculous First 1,000 Days of Life Project from experts in appropriateness and consistency of the content were appropriate at a high level ( = 3.71, S.D. = 0.78). The IOC value is equal to 1 that can be used. The CFT were satisfied with the First 1,000 Days of Life Manual in overall at the highest level ( = 3.86, S.D =0.86). After using the Manual, the prevalence of early antenatal care visit, the prevalence of 5 antenatal care visits, the prevalence of exclusive breastfeeding for 6 months, the prevalence of children aged 9 months-2 years received iron-fortified liquids, the prevalence of appropriately development children aged 0-2 years, and the prevalence of proportional heigh for weight children aged 0-2 years were significantly increased at the 0.05 level. The prevalence of low birth weight infant (less than 2,500 grams) was significantly decreased at the 0.05 level. There was no statistical difference in the prevalence of anemia in pregnant woman.

Conclusion: The First 1,000 Days of Life Manual in health region 9 is effective in implementing the Miraculous First 1,000 Days of Life Project. Thus, the results should be expanded to be used in other areas.

HEALTH SITUATION AND FACTORS RELATED TO BODY MASS INDEX AMONG WORKING AGE POPULATION AGED 15-59 YEARS IN REGIONAL HEALTH AREA 8

Yutthana Chanaphan, Tanisa Anuyahong — Mon, 24 Jun 2024 00:00:00 +0700

This research is a cross-sectional analytical study was to determined the health situation and related factors to body mass index among working age population aged 15-59 years in regional health area 8. The sample group was 2,017 people of working age aged 15-59 years were selected by multi-stage random sampling. and using a self-assessment questionnaire is a tool for collecting data. study during the month January-May 2021. Data were analyzed descriptive statistics. and inferential statistics analyzed the relationship by chi-square test, the level of significance was set at 0.05. The study found that The sample consisted of 1,313 females (65.10 %), with a normal body mass index. (42.84 %) with underlying disease accounted for 13.70 % and had 4 health behaviors as follows Part 1 : Consumption behavior Eat 5 servings of vegetables per day for 4 or more days per week 79.12 %. Part 2 : More than or equal to 150 minutes of physical activity per week 73.18 %. Part 3 : Behavior of deep sleep 7-9 hours per day from 3 days or more per week 91.32 % and Part 4 : oral care behavior Brush your teeth before bedtime with fluoride toothpaste every day for at least 2 minutes, 71.79 %. The results of the analysis of factors that correlate with individual body mass index were gender, age, waist circumference, and the presence of congenital disease. It was found to be correlated with working-age body mass index. statistically significant at the 0.05 level (p-value <0.001), (p-value =0.007), (p-value =0.007) and (p-value <0.001), respectively. by health behavioral factors vigorous movement behavior physical activity greater than or equal to 150 minutes per week and cancer risk behaviors, smoking, were associated with working-age body mass index. statistically significant at the 0.05 level (p-value = 0.027) and (p-value = 0.020).

Recommendations from the results of this study People of working age should be encouraged to exercise behavior at an adequate level. and reduce smoking behavior This will affect the change in BMI. Action research should be carried out in order to obtain a model or develop a health and exercise promotion model for working age 15-59 years, Health Region 8 that is suitable for the context of the area.

Waste management of local government organizations Health Regional 9

Somrut Nairam — Mon, 24 Jun 2024 00:00:00 +0700

The objective of this cross-sectional survey research was to investigate the sewage management situation and to compare the sewage management of municipalities and Subdistrict Administrative Organizations (SAOs) in Health Area 9. 305 samples divided into 93 municipalities and 212 Subdistrict Administrative Organizations. Data were collected by using an online questionnaire which the researcher further adjusted from the Department of Health with convenience sampling method. Descriptive statistics were used to analyze general data. The t-test and chi-square test were used to analyze the differences in sewage management between municipalities and Subdistrict Administrative Organizations.

The results of the study found that the sewage management scores of the municipalities and Subdistrict Administrative Organizations were statistically significantly different (p<0.05). The municipalities had an average score for sewage management of 3.88 points, while the Subdistrict Administrative Organization had an average score for sewage management of 3.05 points. 90.30% of the municipalities have issued their ordinances to control sewage management and 91.40% of them provided the transport services. Only 2.15% of them had the sewage treatment systems. For the Subdistrict Administrative Organizations, 80.49% of them have issued the ordinances, 83.49% of them provided sewage transport services, and had a sewage treatment system with 2.83%.

Sewage management of local government organizations tends to be improved. However, the sewage treatment plant is not sufficient, there is still illegal dumping of sewage in those area of municipality and Subdistrict Administrative Organizations. Therefore, the local administrative organizations did not have the ordinances. They should issue their laws and regulations to control and supervise sewage management and also enforce effective compliance with local ordinances. Beside this, they should support the budget for the construction of sewage treatment system.

Development of screening model to search for tuberculosis and latent tuberculosis in people exposed to tuberculosis in Non Sang District Nong Bua Lamphu Province

Supawadee Donjanla — Mon, 24 Jun 2024 00:00:00 +0700

This action research aimed to study develop model for preventing tuberculosis infection among people contact with disease in their households and study effectiveness of preventing tuberculosis infection model among people in contact with the disease in the household, Non Sang Hospital, Non Sang District, Nong Bua Lamphu Province. Between January and June 2024, sample group consisted of 114 household contacts of tuberculosis-infected patients. Tools used were questionnaires: general information CVI = 1, knowledge KR20 = 0.94, tuberculosis prevention behavior alpha = 0.89. Data were analyzed using statistics: descriptive statistic, Wilcoxon signed ranks test, and Paired t-test.

Result: was found that develop model for preventing tuberculosis infection among people contact with activities as follows: 1) Potential development Village health volunteers and their networks 2) training housemates 3) Introduce to household contacts and 4) evaluate results. After development had average knowledge increased statistically significant (Z = -4.220, p <.001). Mean overall behavior to prevent tuberculosis infection increased significantly (t=-4.829, p<.001). Greatest increase was staff support (t=-3.209, p=0.002), followed by aspect of mucus contact (t=-2.748, p=0.007) and least in area of seeking knowledge and advice (t=-2.113, p=0.037) respectively.

Conclusion: Development service system to search for new and recurrent tuberculosis patients among household contacts, after development, there was increase in behavior to prevent tuberculosis infection.