Thai Journal of Public Health and Health Education

Effects of LINE Official Account–Based Information and Emotional Support Program on Knowledge and Coping Abilities among Diabetic Patients with Microvascular Complications

Pornpimol Chaisa, Sakda Pramthaisong, Sudawan Sanmorya — Sat, 06 Dec 2025 00:00:00 +0700

This study was a two-group pretest–posttest quasi -experimental design aimed to evaluate the effectiveness of the supportive information and emotional program using LINE official account application on knowledge and coping abilities in diabetes patients with microvascular complications. The participants were patients receiving healthcare services at the Ban Khlong health promotion hospital in Phitsanulok province from April to July 2024. The Sixty-six participants, were selected by purposive sampling and divided into the experimental and control group, 33 in each group. The control group received usual nursing care, while those in the experimental group received the supportive information and emotional program using LINE official account application. Knowledge and coping abilities score were used to evaluate the effectiveness of the program. The measurements were taken before the program, at the 2th and 4th weeks after completion of the program. The data were analyzed based on frequency, percentage, mean, standard deviation, chi square, independent t-test and repeated measures ANOVA. The level of statistical significance was set at p value<.05.

The results found that the majority of the control and experimental groups were female, accounting for 72.70% and 69.70%, respectively. The average age was 65.73years (S.D.=8.63) and 65.30 years (S.D.=8.84) respectively in the control and experimental group. The findings revealed that the mean knowledge and mean coping abilities score of the experimental group were not only significantly higher than before receiving the program but also higher than the control group's scores at weeks 2 and 4 post-intervention (p-value<.0001). The findings of this study suggest that the supportive information and emotional program using LINE official account application can be used to increase positive outcomes diabetes patients with microvascular complications.

The results of the study showed that 1) The mean knowledge score of the subjects after the experiment was significantly higher than before receiving intervention (p value<.05) 2) The mean coping abilities score of the subjects after the experiment was significantly higher than before receiving intervention (p value<.05)The findings of this study suggest that a program to supportive information and emotional using LINE official account application can be used to increase positive outcomes diabetes patients with microvascular complications. Future studies should measure clinical outcomes and measure short-term and long-term outcomes

Factors Associated with Game Addiction Protection Among Children in Primary School

Sat, 06 Dec 2025 00:00:00 +0700

This descriptive research aimed to investigate factors associated with resilience to gaming addiction among primary school students. The sample was comprised of 115 students from grades 1–6 at a school in Lat Lum Kaeo District, Pathum Thani Province, who were selected through simple random sampling. Data were collected from January to March 2022. The research instruments included a general information questionnaire, the ST-5 Stress Assessment Scale, the Game Addiction Screening Test (GAST), and the Child Resilience to Gaming Addiction Scale. Data were analyzed using descriptive statistics and Pearson’s correlation coefficients.

The results revealed that most students had been playing online games for 1–2 years, typically 4–6 times per week, with each session lasting 4–5 hours, primarily between 4:01 p.m. and 8:00 p.m. They mostly played at home or in dormitories with friends, spending 51–100 baht weekly. The most popular game genres were action, fighting, and shooting games, such as Special Forces and PUBG. The main purposes of playing were entertainment and stress relief. Approximately 33.05% of the students exhibited a high risk of gaming addiction. Factors significantly correlated with resilience to gaming addiction included gender, age, grade point average (GPA), and stress level. Male students tended to exhibit higher levels of gaming enthusiasm and addiction risk than females. Students aged 8–9 years, the largest subgroup, showed greater game preoccupation than the other age groups (r = .200, .237, p < .05, respectively). Students with higher GPAs demonstrated better self-control over gaming behaviors (r = .673, p < .001). Conversely, students with higher stress levels tended to rely more on online games for emotional release, resulting in lower resilience to gaming addiction (r = −.778, p < .001). Notably, those with high stress levels exhibited the lowest capacity for self-protection from gaming addiction. These findings can inform the development of educational programs designed to enhance resilience to gaming addiction and implement stress-reduction initiatives for primary school students.

Developing a Happy Organization Operating Model: Rayong Provincial Public Health Officea happy organization operating model: Rayong Provincial Public Health Office

Raengchai Suksila, Sarut Moonsarn — Sat, 06 Dec 2025 00:00:00 +0700

The purpose of this study was to study, develop, and evaluate a model for a happy workplace operation at the Rayong Provincial Public Health Office, which included comparing the outcomes related to the working environment and the nine dimensions of happiness based on the Happinometer criteria among personnel before and after the model’s implementation. To achieve this, a research and development (R&D) design was employed. The study population consisted of 157 public health personnel and the data was collected between July and December 2024.The research applied the participatory framework of Kemmis & McTaggart, structured into three phases: 1) problem and needs analysis, 2) development of organizational happiness strategies, and 3) outcome evaluation. Data collection tools included: 1) In-depth interviews for qualitative data, 2) the 9-dimension Happinometer for quantitative data, and 3) Guidelines for Fostering Happiness. Qualitative data were analyzed using content analysis, while quantitative data were analyzed using descriptive statistics and paired t-tests.

The findings were divided into three phases. Phase 1 revealed that public health personnel happiness was low (51.0%), with unclear policies, activities that did not meet actual needs, and lack of personnel engagement being commonly referenced by the participants. Phase 2 developed a framework for organizational happiness based on the “9 Dimensions of Happiness” from the Happinometer. The Phase outcomes 3 showed improvements in the Happy body and Happy work-Life dimensions, while Happy relax, Happy heart, Happy family, Happy society, and Happy money dimensions showed no significant changes. Additionally, the work environment remained unchanged before and after implementation. This study recommends integrating a happiness policy emphasizing Happy body and Happy work-Life and improving unchanged dimensions, such as Happy relax, Happy heart, Happy family, Happy society, and Happy money, into the strategic plan. Annual evaluations should be conducted to refine the approach according to the local contexts and needs.

Efficacy of Ya-ta-pra-sen in Relieving Low Back Pain at Khlong Khwang Sub-district Health Promoting Hospital Sai Noi District Nonthaburi Provinceof Ya-ta-pra-sen for Relieving for Low Back Pain at Khlong Khwang Sub-district Health Promoting Hospital Sai Noi District Nonthaburi Province

Sat, 06 Dec 2025 00:00:00 +0700

This research was a quasi-experimental, pretest-posttest design study comparing the before and after experiment pain levels of patients with low back pain. The objectives were 1) to compare the average of pain levels of patients with lower back pain who received health services from the Wat Khlong Khwang Hospital before and after using the Ya-Ta-Pra-Sen emulsion roller; and 2) to compare the average of tissue hardness levels of patients with lower back pain who received health services from the Wat Khlong Khwang Hospital before and after using the Ya-Ta-Pra-Sen emulsion roller. The sample in this study included 30 patients who were selected by purposive sampling and the participants used the roller for low back pain twice a day for 7 days. Research tools included 1) the Ya-Ta-Pra-Sen emulsion roller and 2) a lower back pain assessment form using the Numerical Rating Scale (NRS), and tightness recording form using an Digital WE algometer. Cronbach’s Alpha Coefficient was calculated to be 0.82. Data was collected from July 2023 to March 2024. Data were analyzed using frequencies, percentages, means, standard deviations (S.D.), and Paired t – tests.

The results of the study found that the averages of the pain levels of and the tissue hardness levels of the low back were significantly different before and after using the Ya-Ta-Pra-Sen emulsion roller among people receiving the treatment at Khlong Khwang Subdistrict Health Promoting Hospital at a level of 0.05 (p<0.05). The findings show that the Ya-Ta-Pra-Sen emulsion roller can relieve lower back pain effectively and that it could be used to develop commercial products in the future.

The results of the study found that the average of the pain levels of lower back pain levels was significantly different between before and after using the Ya-Ta-Pra-Sen emulsion roller among people receiving Khlong Khwang Subdistrict Health Promoting Hospital at a level of 0.05 (p<0.05) and the averages of tissue hardness level was significantly different between before and after using the Ya-Ta-Pra-Sen emulsion roller among people receiving Khlong Khwang Subdistrict Health Promoting Hospital at a level of 0.05 (p<0.05). The findings shown that the Ya-Ta-Pra-Sen emulsion roller could relieve lower back pain effectively and it could be used to develop commercial products in the future.

Keywords: Ya-ta-pra-sen, roller, emulsion, low back pain

A Comparison of the Effectiveness Between Medical Tattooing and Traditional Thai Royal Massage on Muscle Pain Levels in Patients with Upper Back Pain

Rungrawi Rakdaeng — Sat, 06 Dec 2025 00:00:00 +0700

This quasi-experimental research employed a two-group, pretest-posttest design to compare the effectiveness of k and traditional Thai Royal massage on muscle pain levels in patients with upper back pain. A purposive sampling method was used to recruit 74 participants, who were divided equally into an experimental (n=37) and a control group (n=37). Inclusion criteria included individuals diagnosed with Lom Plai Patakat Syndrome, types 4 and 5, and aged between 20 and 65 years old. The experimental group received medical tattoo treatment, while the control group received traditional Thai Royal massage therapy. Data were collected from February 2025 to May 2025 using general information questionnaires, pain level assessment forms, and satisfaction evaluation forms. Data analysis was performed using frequency distributions, percentages, means, and standard deviations. A comparison of the effects of the medical tattooing and traditional and Thai Royal massage was conducted using Mann–Whitney U tests and the Wilcoxon Signed-Rank tests to analyze differences between, and within groups, respectively. The results were considered statistically significant at the .05 level (p < .05).

The results showed that pain scores after medical tattooing were significantly lower than before treatment and significantly lower than those in the traditional Thai Royal massage group (p <.05). additionally, participants reported a high level of overall satisfaction with the service. Medical tattooing is an effective method for reducing upper back muscle pain and can be considered a suitable alternative or complementary therapy to traditional Thai royal massage within the primary healthcare system.

Accelerating Access to Perinatal Care through Telehealth in Preventive Health Benefit Packages

Piyaphan Trakultip, Parinee Hongsuwan, Wanshana Cheenduang — Mon, 10 Nov 2025 00:00:00 +0700

This research and development study aimed to explore the situation and develop, implement, and evaluate a Telehealth model to improve access to health promotion and disease prevention benefit packages in Health Region 2. The study was conducted in three phases: Phase 1 explored service accessibility among pregnant women and parents of children aged 0-5 years (n=14); Phase 2 developed and piloted a Telehealth model to improve access to health promotion and disease prevention among pregnant women and parents of children aged 0-5 years (n=27); And Phase 3 evaluated the Telehealth model from the perspective of the pregnant women and their spouses (n=6). Quantitative data were collected using questionnaires on rights awareness, intention to use services, and satisfaction, while qualitative data were obtained through focus group discussions. Quantitative data were analyzed using descriptive statistics and Wilcoxon Signed-Rank Tests, while the qualitative data were analyzed using thematic analysis. The results for Phase 1 revealed that participants showed positive attitudes toward health services and emphasized the important role of community members, such as village health volunteers and teachers, in facilitating access. In Phase 2, the “MorAnamai” LINE application was developed. After implementation, rights awareness through Telehealth showed no statistically significant differences among pregnant women (p=.099) or parents (p=.700). However, the intention to use services increased significantly among both groups (pregnant women, p=.001; parents, p=.002). In Phase 3, the evaluation highlighted the importance of user behavior, local context, and community networks in Telehealth development. The Telehealth model developed in this study has potential to enhance access to health promotion and disease prevention benefit packages. It is recommended that the model be adapted for other target groups in accordance with specific contexts and needs, and continuously developed to ensure effectiveness and sustainability in improving access to health services.

The Development of Anesthetic Nursing Practice Guidelines for Hepatectomy in Sunpasitthiprasong Hospital : Enhanced Recovery After Surgery,ERAS

Tue, 30 Sep 2025 00:00:00 +0700

This research and development study aimed to examine the current nursing practices for patients undergoing liver surgery under general anesthesia and to develop and evaluate a set of nursing practice guidelines to promote postoperative recovery. The study integrated Soukup’s evidence-based development framework, the Enhanced Recovery After Surgery (ERAS) concept, and King’s Goal Attainment Theory. The study was conducted in two phases: Phase I involved analysis of the situation and development of the guidelines; Phase II evaluated the effectiveness of the implemented nursing guidelines. The participants included 34 liver surgery patients (17 in the intervention group and 17 in the control group) and 78 professional nurses. Research instruments consisted of: (1) the developed nursing practice guideline and (2) outcome evaluation tools, including a perceived feasibility questionnaire, a nurse satisfaction scale, pain assessment, bowel function assessment, and early mobilization records. Data were analyzed using descriptive statistics (frequencies, percentages, means, and standard deviations) and inferential statistics (Chi-square tests and Independent t-tests).

Results demonstrated that the intervention group reported significantly lower pain levels (t=-4.715, p<.001), better bowel function (t=3.711, p<.004), and earlier postoperative mobilization (t= 3.082, p<.001) than the control group. Moreover, 97.44% of nurses perceived the guideline as highly feasible for implementation, and 93.59% expressed high satisfaction. This indicates that the developed nursing guidelines can be adopted as a standardized protocol for liver surgery care to enhance care quality, reduce care variability, and improve health system efficiency.

Prevalence and Associated Factors of Depression among the Elderly with Non-communicable Disease at Somdejprapiyamaharajrommaneeyakhet Hospital and Its Subdistrict Health Promoting Hospital Network, Kanchanaburi Province

Eakasit Phuphitchatanat, Nattanan Phuphitchatanat — Thu, 09 Oct 2025 00:00:00 +0700

This study aimed to examine the prevalence and factors associated with depression among older adults with non-communicable diseases (NCDs) in the service area of Somdejprapiyamaharajrommaneeyakhet Hospital and its subdistrict health-promoting hospital network in Kanchanaburi Province, Thailand. The sample consisted of 150 older adults aged 60 years and above selected through systematic random sampling between May - June 2024. Research instruments included a general information questionnaire, a health information questionnaire, the Barthel Activities of Daily Living (ADL) Index, and the Thai Geriatric Depression Scale (TGDS-30). Data were analyzed using descriptive statistics, Chi-square tests, and Fisher’s exact tests.

The results demonstrated that the prevalence of depression among the participants was 48.0%, with the majority presenting at a mild level (34.67%). All participants (100%) were functionally independent according to the Barthel ADL Index. Factors significantly associated with depression included occupation (p=.002), gastrointestinal disease (p=.047), musculoskeletal disorders (p=.011), chronic obstructive pulmonary disease/asthma (p=.018), sleep problems (p<.001), memory impairment (p=.003), difficulty eating (p=.002), difficulty moving (p=.023), non-participation in community activities (p=.001), lack of regular income (p=.010), and lack of emotional support (p<.001). The study highlights the importance of integrating mental health screening into chronic disease management and incorporating socioeconomic and community support measures to prevent and reduce depression in older adults.

Development of Health Care Behavior Modification Model to the 3E. 2S. of Elderly with Hypertension in Mueang Chachoengsao District Chachoengsao Province

Sat, 11 Oct 2025 00:00:00 +0700

This research aimed to develop of health care behavior modification model to the 3E. 2S. of elderly with hypertension in Mueang Chachoengsao District Chachoengsao Province. Used a mixed-methods research, there are 3 phases: Phase 1: Study factors affecting in behavior change health care to the 3E. 2S. It consists two types of research: 1) quantitative research, the samples group of 400 elderly people aged 60 years and over, stratified random sampling, used an interview form, descriptive statistics and stepwise multiple regression were used, 2)qualitative research, the samples group of 400 elderly people aged 60 years and over, caregivers, community leaders, public health officials, public health volunteers, nurses, number of people: 19, used in-depth interviews, triangulate data and explain findings. Phase 2: develop of health care behavior modification model on phase 1, 12-week activities. Phase 3: evaluating the used of health care behavior modification model, quasi-experimental research, the two group pretest-posttest design, select a specific sample group, by matching the sample groups to have similar characteristics, namely: the experimental group of 30 people and the comparison group of 30 people.

Research results It was found that after the experimental model, the experimental group had a mean score for health care behavior modification to the 3E. 2S. (p-value=.041) at the .05 level of statistical significance. The comparison group had a mean score for health care behavior modification after the experimental that was not different from before the experimental. It showed that the model can be used as basic information for planning and increasing the potential for caring the elderly regarding behavior change in health care to the 3E. 2S.