ปัจจัยนิเวศวิทยาเชิงสังคมที่มีความสัมพันธ์กับการปรับตัวและสุขภาวะด้านจิตใจของประชาชนวัยทำงานในชุมชนเมืองในสถานการณ์ แพร่ระบาดของโควิด-19

Puttaporn  Onkhamsee; Wanna Sanongdej Sanongdej; Sukanya  Tantiprasoplap

doi:10.60099/jtnmc.v38i01.260876

Authors

Puttaporn Onkhamsee Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Wanna Sanongdej Sanongdej Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Sukanya Tantiprasoplap Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University.

DOI:

https://doi.org/10.60099/jtnmc.v38i01.260876

Keywords:

COVID-19, resilience, social-ecological factors, psychological well-being

Abstract

Introduction: The COVID-19 is an emerging infectious disease that has become a pandemic, affecting working people in urban communities who often carry the primary responsibility for their families. To overcome this crisis, it is crucial for them to develop resilience. Therefore, there is a need for a study that examines the social-ecological factors associated with resilience and psychological well-being in working people.

Objectives: 1) To describe resilience and psychological well-being in working people, 2) to investigate associations of social-ecological factors at individual, family, and community levels and resilience and psychological well-being in working people, and 3) to investigate the association between resilience and psychological well-being among working people in urban communities during the COVID-19 pandemic.

Design: Descriptive correlational design.

Methodology: The study included 368 working people residing in the seven communities in Bangkok. A purposive sampling was used to recruit participants who met the inclusion criteria. The sample size was determined based on an effect size of 0.2, a power of .95, and a significance level of .05. Data collection instruments included a demographic questionnaire, the Walsh Family Resilience Questionnaire, the Conjoint Community Resiliency Assessment Measurement, the Connor-Davidson Resilience Scale 10, and the Mental Health Continuum-Short Form. Instruments were tested for content validity and reliability, achieving a content validity index of 1.0 and a good reliability with Cronbach’s Alpha Coefficient of .91-.95. Data were collected between September and October, 2022. Descriptive statistics, Point-biserial correlation, and Spearman’s rank correlation coefficient were used for data analysis.

Results: The family resilience and psychological well-being levels were high, while community resilience level was moderate and individual resilient level was low. Social-ecological factors associated with resilience included the COVID-19 detection (r = -.110, p = .035), time since COVID-19 detection (r = -.125, p = .016), monthly income (r = .118, p < .024), family resilience (r = .517, p < .001) and community resilience (r = .377, p < .001). Factors associated with psychological well-being included number of health problems (r = -.121, p < .020), family resilience (r = .229, p< .001), and community resilience (r = .414, p < .001). Additionally, individual resilience was positively associated with psychological well-being (r = .397, p < .001).

Recommendations: Based on the study findings, it is recommended that nurses prioritize promoting family and community resilience among working people who have been recently detected with COVID-19, have more health problems, and lower income levels. This may help them develop and maintain resilience during the crisis and ultimately lead to better psychological well-being

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