UBRU Journal for Public Health Research

Faculty of Public Health, Ubon Ratchathani Rajabhat University

Faculty of Public Health, Ubon Ratchathani Rajabhat University — Mon, 29 Apr 2024 00:00:00 +0700

Quantity and composition of solid waste, and behavior of household solid waste management in the Srirattana Sub-district Municipality, Sisaket Province

Mon, 29 Apr 2024 00:00:00 +0700

This cross-sectional descriptive research aimed to study the quantity of solid waste composition and the behavior of household solid waste management in Sirattana sub-district municipality, Sirattana district, Sisaket Province. The population is people living in the Srirattana sub-district municipality, Sirattana district, Sisaket province of 8 communities, 1,095 households, and a sample size of 235 people. Data collection on household waste management behavior was collected using questionnaires and simple random sampling by collecting waste volume data from municipal records and separating the physical components of solid waste using the quartering method. Then quantitative data were analyzed using frequency distribution, percentage, mean, and standard deviation.

The results of the study found that the average amount of solid waste was 53.01±5.31 tons/month. The lowest volume in March 2023 was 43.32 tons and the highest in February 2023 was 57.61 tons. Data analysis found that the average solid waste density in all 8 communities was 111.57±43.90 grams/liter. The most common proportion of solid waste components was organic waste at 52.48% and followed by plastic waste at 27.26%. As for solid waste management behavior, it was found that most had correct solid waste management behavior at a moderate level of 62.13%. When considering the details of each waste management behavior, it was found that the waste separation process that people do most regularly is separating paper, glass bottles, and plastic bottles to sell as recycled waste or reuse at 70.21%. As for solid waste disposal, people dispose of organic waste by making it into compost or feeding animals, which is only 17.87 percent of the people who do it regularly. In addition, there are some people who regularly use the burning method to dispose of foam, plastic bags, and leaf scraps of 2.55%.

In conclusion, the results of this study found that solid waste management requires information on solid waste composition to plan solid waste management. Including providing information on correct waste management will be able to increase the correct waste management behavior of the people.

Study of medical records quality audit results of hospitals in Health Service Region 5

Uthai Thabthong, Pitchwara Janyam, Watcharawan Teerawat, Eakachai Jaimook — Mon, 29 Apr 2024 00:00:00 +0700

This research aimed to 1) analyze situations and problems of medical record audit 2) review the medical record summary by doctor 3) examine medical record coding by coders 4) compare adjusted relative weight (AdjRW) value before and after medical record audit by National Health Security office. Subjects were divided into 2 groups including 4 doctors and 2 coders for focus group analysis and 100 inpatient medical records for auditing which was audited by National Health Security office and randomly selected. The research tools were focus group questions and a medical record audit form validated by 3 experts resulting a content validity value of 1.00. The data were collected and analyzed using content analysis, frequency, percentage and Wilcoxon signed-ranks test. The results were as follows;

Focus group analysis revealed the main problem of medical record audit was a heavy workload of doctors including examining patients in OPD, IPD and ARI clinic as well as administrative and hospital quality assurance. Medical record audit committee was set up as a part of medical record audit system in this hospital. The coders were responsible for selecting and checking medical record. In case the error was detected, the medical records were returned to the physicians for further amendment. The common problems from medical record audit were incomplete diagnosis summary and insufficient details on disease on the progress note. Moreover, many newly graduated doctors were lack of knowledge on criteria of each health fund.
The results from medical record summary review in one hospital in health region 5 showed 72% of correct principal diagnosis and 28% of incorrect principal diagnosis which were inaccurate (25%) and unspecific (3%). Medical coding by coders from this study exhibited 86% of correct principal diagnosis coding while 14% of which were incorrect with 14% of inaccurate principal diagnosis coding.
The comparison of AdjRW value before and after medical records quality audit resulted in the average AdjRW value of 2.45 (SD=2.69) and 2.33 (SD=2.47), respectively which were not significantly different (P<0.05).

In summary, medical record audit from this study suggested that there was an inaccuracy in medical record summary and coding. Therefore, the medical record audit system needs to be improved.

The caregiving burden in primary caregiver of school-age children with specific learning disabilities

Uraiwan Tiengsomboon — Mon, 29 Apr 2024 00:00:00 +0700

This research is a cross-sectional descriptive study. The objective was to study the emergence of feelings of caregiving burden in primary caregivers of school-age children with specific learning disabilities (SLD). The sample size was determined using Krejci and Morgan tables and stratified random sampling. In order to get a sample of people to be the main caregivers. There are 280 school-age children with SLD under supervision who are studying in grades 1-6 of inclusive schools in Sisaket Primary educational service Area 1-4. Data were collected using a self-administered questionnaire, including a personal information questionnaire for primary caregivers and school-aged children with SLD and a questionnaire on perceptions of caregiving burden in primary caregivers. The data collection period is December 2022 to March 2023. The statistics used in data analysis include percentage, mean, and standard deviation.
The results of the study found that the majority of primary caregivers were female (73.2%) by related to the child's mother (51.1%) and aged between 40-58 years (52.5%). The Primary caregivers feel a burden in caring for school-age children with SLD. It was at a moderate to severe level (55.85 %) Summary from the research results found that Primary caregivers feel the burden of caring for school-aged children with SLD. It is at a moderate to severe level. Therefore, agencies, health teams or those involved need to be aware of the burden felt by primary caregivers in caring for children with SLD to plan further assistance for families and school-aged children with SLD.

Mobile phone usage behavior on risk of developing nomophobia disease among undergraduate students, Faculty of Public Health, Ubon Ratchathani Rajabhat University

Mon, 29 Apr 2024 00:00:00 +0700

This survey research aimed to study behavior of mobile phone usage behavior on nomophobia among undergraduate students in the Faculty of Public Health. Ubon Rajabhat University. A relationship between knowledge, attitude and behavior was also identified. The samples were 260 undergraduate students in the Faculty of Public Health. Ubon Rajabhat University., recruited by stratified random sampling. The research instruments consisted of personal data, knowledge, attitude and behavior of mobile phone usage behavior on nomophobia questionnaire. The reliabilities of research tools were 0.92. Data were analyzed using descriptive statistics and Pearson correlation coefficient. the results showed that students spent more than 6 hours a day on mobile phone. 83.85 percent of the sample had risk behavior from mobile phone use. The most of them had a high level of behavior (76.92), a moderate level of attitude (67.30) and a high of knowledge (62.30). Knowledge and attitude of mobile phone usage behavior on nomophobia among students had a statistically significant relationship with behavior of mobile phone usage behavior on nomophobia (p<.001). Moreover, Knowledge had a statistically significant relationship with attitude of mobile phone usage behavior on nomophobia (p<.001). The study highlights that knowledge and attitude related to risk behavior on nomophobia. Educators, therefore, should encourage knowledge and change mobile phone usage attitude and behavior for decreasing a risk of nomophobia among students.

Factor related to herbal use decision for illness symptoms treatment during pandemic of Coronavirus-2019 disease among people in NaO Sub-District, Mueang District, Loei Province

Mon, 29 Apr 2024 00:00:00 +0700

The objectives of this study were to study knowledge, attitudes, and to study factors related to the decision of herbal use for illness symptoms treatment during pandemic of Coronavirus-2019 disease among people. The sample consisted of 243 residents of NaO Sub-district, Mueang District, Loei Province. The research instrument was a questionnaire. Descriptive statistics were used to analyze personal data, knowledge, and attitudes. The relationships were analyzed by using Chi-square statistic.

The results showed that most of the samples had knowledge about herbal use at a high level (69.1%) and attitudes towards herbal use at a moderate level (58.0%). Factors related to the decision of herbal use for preventing COVID-19 disease were average monthly income (c²=8.848, p=0.012), receiving news from health officer (c² = 16.180, p <0.001) and community broadcast tower (c²=4.833, p=0.028), sore throat (c² = 3.938, p=0.047), and attitudes (c²=17.904, p <0.001).

The results indicated that income, receiving information about herbs (health care providers, and community broadcast tower), and attitudes were related to the decision to herbal use for illness symptoms treatment during the pandemic of Coronavirus-2019 disease. Therefore, relevant agencies should organize activities to encourage people to have positive attitudes toward herbs. In particular, the health care provider may use to community broadcast tower to give information in order to increase the decision of herbal use to treat their diseases.

The development of a model for promoting health behaviors in risk groups for diabetes prevention in the community, Na Dun Subdistrict, Na Dun District, Maha Sarakham Province

Jirachaya Kumchan, Chaloemporn Namyota, Adisorn Wongkongdech — Mon, 29 Apr 2024 00:00:00 +0700

The purpose of this research is to develop a model for promoting health behavior in groups at risk for diabetes prevention in the community in Na Dun Sub-district, Na Dun District, Maha Sarakham Province. The sample group was a group at risk for diabetes with blood sugar FBS between 100-125 mg/dl. The sample group (Krejcie & Morgan, 1970) of this study consisted of 105 people and the model development group of 43 people, totaling 148 people. The tools used It is a health literacy assessment form based on the 3E 2S principles of people at risk for diabetes. Health Behavior Questionnaire Satisfaction assessment form Data collection methods used questionnaires and interviews. Data were analyzed using descriptive statistics. Displays percentage, mean, and standard deviation values. Inferential statistics using comparison of means (Paired t-test)

The results of the study of the developed model and the evaluation results after the development process revealed that the sample group had a level of knowledge. Increased with statistical significance at the level<0.001 And there was a significant increase in health behavior scores at the <0.001 level. There was a very good level of satisfaction after participating in the activity.

It can be concluded that the model for promoting health behavior in groups at risk for diabetes prevention in the community can create better health behavior and health literacy. Suggestions can be developed to apply in solving health problems of other non-communicable diseases in the community.

The process of participating in the prevention and control of hand, foot, and mouth disease of Ban Tha Tum Child Development Center, Tha Tum Subdistrict, Mueang District, Maha Sarakham Province

Natruja Chaikhampa, Adisorn Wongkongdech, Chaloemporn Namyota — Mon, 29 Apr 2024 00:00:00 +0700

This action research to develop a model for prevention and control of hand, foot, and mouth disease in Ban Tha Tum Child Development Center, Tha Tum Subdistrict, Mueang District, Maha Sarakham Province. Target group By purposive selection, a total of 143 people were selected. The instrument used to collect data was a knowledge questionnaire. Disease prevention and control behavior Participation in disease prevention and control Surveillance, prevention and control of disease and child behavior observation form Conducted between August - October 2023. Data were analyzed using descriptive statistics. Presented with percentages, means, standard deviations, medians, and frequency distributions. to analyze basic data

Results of the study: When comparing before and after the development of the hand, foot, and mouth disease prevention and control model, it was found that in the area of knowledge, the difference in mean scores before and after the research was 1.41 points at the p-value <0.001 level of statistical significance. In terms of behavior for prevention and control of hand, foot, and mouth disease, the non-difference in mean scores before and after the research was 0.19 points at the statistical significance level p-value = 0.63. As for children's behavior in disease prevention and control Hand, Foot, and Mouth has a difference in mean scores before and after the research equal to 1.01 points at the p-value <0.001 statistical significance level. Participation in disease prevention and control. The difference in mean scores before and after the research was 1.32 points at the statistical significance level p-value = 0.013 and disease prevention and control surveillance. The difference in mean scores before and after the research was 1.32 points at the statistical significance level p-value = 0.033 after teachers, child caretakers, parents, and other stakeholders participated and played a role in developing the model. Preventing and controlling hand, foot and mouth disease can reduce the incidence of sick children. When comparing data for the same period in the past 5 years.

In summary, the success factors of the operation include the participation of network partners. Surveillance, prevention and control of hand, foot and mouth disease and monitoring, evaluating and summarizing operational results.

Development of health promotion model in the prevention of malaria of the personnel of the 23rd Ranger Regiment Task Force in the Thai-Cambodian border

Chairat Kulviwat, Monthicha Raksilp — Mon, 29 Apr 2024 00:00:00 +0700

The aims of this action research are to: (1) Study the malaria prevention context of the 23^rd Ranger Regiment Task Force. (2) Developed a health promotion model in the prevention of malaria. (3) Study the effectiveness of a health promotion model in the prevention of malaria. Try in 38 ranger of the 23rd Ranger Regiment task forces, 25 healthcare worker and using a health promotion model in prevention of malaria, which the model was consisting of activities (1) education, (2) health promotion model practice, (3) reverse demonstration. This action research using questionnaires, behavioral observation and data is processed using descriptive statistics and paired T-test.

Results from the analyzed data show that: (1) The context of the 23^rd Ranger Regiment Task Force located in Thai-Cambodian border area that to hard to Accessed to Army health system. the ranger not awareness for personal prevention. (2) The development of health promotion model in the prevention of malaria was developed and applied to the ranger forces through education and reverse demonstration by the healthcare worker team (3) The mean score of knowledge, attitude, health prevention behaviour and participation higher than before using the model. Statistically significant at the .05 level.

In conclusion, this form of health promotion Make ranger forces aware for malaria personal prevention and should continue to be expanded to other units.

Effects of the health literacy promotion program on health viewing behavior of the elderly type 2 diabetes, Kut Khao Pun District, Ubon Ratchathani Province

Ruchadaporn Khukaeo, Monthicha Raksilp — Mon, 29 Apr 2024 00:00:00 +0700

This quasi-experimental research The objective was to study the effect of health literacy programs on health care behaviors of elderly people with type 2 diabetes who were selected from multiple-stage sampling according to the selection criteria. Aged 60 years and over, both males and females, had blood glucose levels before the last breakfast of 126 mg/dl or more. 60 people were in the experimental and control groups. The tools used were the program to promote health literacy on health care behaviors of the elderly with type 2 diabetes with a content accuracy value of 1.00, and the health literacy assessment and health care behavior assessment for the elderly with type 2 diabetes with confidence values (Cronbach's alpha) of 0.86 and 0.89, respectively. The knowledge test has a confidence value (KR-20) of 0.86, analyzing data using statistics, frequency, percentage, average, standard deviation, paired t-test and Independent t-test.

The results of the study showed that: Before the trial, the intervention and control groups had an insufficient overall health literacy average score.(Mean=45.37, S.D.=4.59; Mean=45.36, S.D.=3.81, respectively) After the experiment, the experimental group The average overall health literacy score was good (Mean=79.46, S.D.=6.46), and the control group had an insufficient average score (Mean=45.19, S.D.=4.80). Before the trial, the experimental and control groups had insufficient overall average scores on health behaviors. (Mean=37.23, S.D. = 4.24; Mean=36.06, S.D.=2.27, respectively) After the experiment the intervention group had a good overall average score on health behavior (Mean=57.80, S.D.=3.70). Control group section There is an inadequate overall health behavior average score. (Mean=36.00, S.D.=1.96). After the experiment The intervention group found that the average score of health literacy and behavioral health after the trial was higher than before the trial and statistically significantly higher than the control group at .01
In conclusion, the program can be used to develop health literacy and health care behaviors of the elderly with type 2 diabetes to be well-versed in health and appropriate health care behaviors, as well as to be able to behave as healthier people

Evaluation of the nitrates in processed meat products sold in Bangkok and Chiang Mai, Thailand

Mon, 29 Apr 2024 00:00:00 +0700

Nitrate or nitrate salt plays a vital role in preserving processed meat by preserving its red color and acting as an antimicrobial agent, thereby extending its storage period. The dosage of nitrate is a determining factor in its potential to either provide benefits or become toxic. Excess nitrate can cause tissue oxygen deficiency, anemia, and central nervous system damage, including myocardium or cancer. In Thailand, the acceptable threshold for nitrate concentration in processed meat is restricted to 500 mg/kg.
The objective of this study was to examine whether the processed meat sold in markets located in Bangkok and Chiangmai, Thailand. We identified the presence of nitrate in 100 processed meat samples through the utilization of the GT-Nitrate Rapid test kit (Bsmartsci, Thailand).
The findings indicate that a mere 3% of processed meat may have surpassed the permissible threshold for Nitrate. Our findings indicate that the processed meat available in the markets surrounding Bangkok and Chiangmai, Thailand, is considered to be safe. Nevertheless, this study employs the rapid test method to screen for nitrate levels in processed meat. Hence, it is imperative to employ the conventional techniques to validate the findings