Effects of an Insecticide Exposure Prevention Program on Exposureand Blood Cholinesterase Levels in Thai Farmers

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Sukanda Worapitpong, RN, MNS
Suchinda Jarupat Maruo, RN, PhD
Nareemarn Neelapaichit, RN, DrPH
Jintana Sirivarasai, PhD
Noppawan Piaseu, RN, PhD, APN/NP


OBJECTIVE: This Quasi-experimental research aimed at investigating the effects ofan insecticide exposure prevention program on exposure and blood cholinesteraselevels of farmers.

MATERIALS AND METHODS: The conceptual framework was guided by theDonabedian and the RAMA models. Through convenience sampling with inclusioncriteria, the sample included 49 radish farmers exposed to Organophosphate consistingof an experimental group (n=25) and a control group (n=24). The experimental groupparticipated in a 12-week insecticide exposure prevention program that included:Raising awareness at the individual, family and community levels, Aiming at targetoutcome, Mobilizing change and innovation, and Assuring synergy involved homevisits and assessments by health teams. The control group received a guide book forfarmers and routine nursing care. The data were collected from April to July, 2016. Thedata were analyzed using Descriptive statistics and Inferential statistics including Pairedt-test, Independent t-test, Chi-square test, and Mann Whitney U test.

RESULTS: The results revealed that after the program, the experimental group hadlower insecticide exposure level than the control group with statistical significance(p < 0.001). There was no statistical difference in blood cholinesterase level before andafter the program (p > 0.05) and between the experimental group and the control group(p > 0.05).

CONCLUSION: The results suggest that community nurse practitioners apply theprinciple of raising awareness, aiming at target outcome, mobilizing change andinnovation as approaches for the insecticide exposure prevention program in the“farmers’ health clinic”, along with outcome monitoring for sustainability.


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Worapitpong S, Maruo SJ, Neelapaichit N, Sirivarasai J, Piaseu N. Effects of an Insecticide Exposure Prevention Program on Exposureand Blood Cholinesterase Levels in Thai Farmers. BKK Med J [Internet]. 2017Sep.20 [cited 2020Jun.7];13(2):41. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/221931
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