Factors Predicting of Allergic Symptoms Preventive Behaviors among School-Age Children
Preeyanuch Nitirungruang Noraluk Ua-Kit

ABSTRACT
Allergic symptoms are chronic illness among school-age children. They must have appropriate allergic symptoms preventive behaviors. The purpose of this predictive correlational research was to study the predicting factors of allergic symptoms preventive behaviors among school-age children. The study sample included of 241 school-age children out-patients with allergy clinic, 4 tertiary hospitals in Bangkok Metropolitan, a stratified random sampling. The instruments used for data collection were the demographic data, knowledge, perceived symptoms, indoor environment, outdoor environment, social support and allergic symptoms preventive behaviors. The data were analyzed by using descriptive statistics, Pearson's product moment correlation, and multiple regression analysis. The results revealed that: The mean score of allergic symptoms preventive behaviors among school-age children were at a high level ( X = 44.32 ,S.D. = 6.10). Social support, indoor environment, outdoor environment and perceived symptoms were positively related to allergic symptoms preventive behaviors among school-age children (r = .42, .23, .21, and .17 respectively, p-value < .05) While, knowledge was not related to allergic symptoms preventive behaviors among school-age children (r = .07, p-value > .05). Social support, indoor environment, outdoor environment and perceived symptoms and knowledge were predictors for allergic symptoms preventive behaviors. Variables accounted for 20.5% of the variance in allergic symptoms preventive behaviors among school-age children (R2 = .205, p-value < .05). The result enhanced understanding of how to develop the exacerbation allergic symptoms preventive intervention program among school-age children, focusing on familyparticipation and management indoor environment at home.

Keywords: Preventive behaviors / Allergic symptoms / School-age children

Effects of Information Motivation and Behavioral Skills Model on Sexual Health behaviors in Male Secondary School Students
Sriphan Thavonrut Punyarat Lapvongwatana Natkamol Chansatitporn

ABSTRACT
Healthy sexual health behaviors in adolescents can protect risky sexual behaviors such as sexual intercourse without using a condom. The purpose of this quasi-experimental study was to examine the effects of an Information Motivation and Behavioral Skills model on sexual health behaviors. Samples were male secondary school students selected by simple random sampling: 43 for the experimental group and 45 for the comparison group. Data were collected by using self-administered questionnaires: knowledge, attitude, self-efficacy skills, decisional making skills about sex and sexual health, and sexual health behaviors. Data were analyzed by percentage, mean, standard deviation, independent t-test, Repeated Measures ANOVA and ANCOVA. Results showed that the experimental group had total scores of sexual health behaviors at a high level that was higher than those at pre-test and higher than their in the comparison group. The mean scores of knowledge, attitude, self-efficacy skills, decisional making skills and sexual health behaviors were higher than those in the comparison group (p-value < .05). At immediately after the experiment and the follow-up periods, the mean scores of knowledge, selfefficacy skills, and decisional making skills were significantly higher than at pre-test (p-value < .05). In the follow-up periods, the mean scores of sexual health behaviors were significantly higher than at pre-test (p-value < .05). The mean scores of knowledge, self-efficacy skills, and decisional making skills showed its sustainability at the follow-up periods. The IMB model will be successful on sexual health behaviors if the behavioral skills are given intensively by responsible teachers and parents. To facilitate the promotion of sexual health behaviors, further study is needed to motivate positive attitude towards behavioral skills and sexual health behaviors.

Keywords: Information Motivation and Behavioral Skills Model/ Sexual Health Behaviors/ Male Secondary School Students

The Effectiveness of Spiritual Well-Being Promoting Program on Perceived Self- Efficacy for Continuous Breast-Feeding of Teenage Mothers at Home
Waroonwon Phakoat Suparp Thaithae

ABSTRACT
The purpose of this quasi-experimental research was to conduct a study of the effectiveness of spiritual well-being promoting program on perceived self-efficacy for continuous breast-feeding of teenage mothers at home. The 60 samples were teenage mothers 14 -19 years old, the first period after birth that dribble with breast- feeding continuously at home in Bangkok. The sample was equally divided into 30 experimental group and 30 comparison group with the select of the specific sample. The experimental group received a spiritual well-being promoting program on perceived self–efficacy of teenage mothers after birth. The comparison group used a calendar media from the way of baby love. The equipment were collected by a questionnaire on perceived self–efficacy for continuous breast–feeding and spiritual well–being of breast–feeding of teenage mothers at home questionnaire. Data were analyzed using frequency, percentages, means, standard deviations, Independent t-test and Repeated Measures ANOVA. The result revealed that after spiritual well–being promoting program teenage mothers in the experimental group had higher scored in spiritual well-being on perceived self-efficacy for continuous breast-feeding at home in the post-test higher than the pre-test and better than the comparison group at the .05 level of significance. (p-value < .05) The results of this study suggest that the research should integrate health social services academic empirical and proactive empirical tactical nursing care network, including the establishment of teenage mothers health center according to maternal and child nursing care focusing on health promotion in normal and risk post-partum mothers. The goal is to excellent development of urban community and prepare to ASEAN community by coordinating with the government hospital, private sector, educational institution and religion organization. This should be done by adding channels to the home health services approach teenage mothers in body in mind sustainability, focusing on enhancing maturity in terms of life skills and well-being in the lives of teenage mothers in order to live with wisdom and to sacrifice personal happiness for children and family.

Keywords:Spiritual Well-being Promoting Program/ Perceived Self-efficacy/ Continuous Breast- feeding Mothers at Home

Prevalence and Risk Factors of Acute Low Back Pain among Nurses in Singburi Hospital
Chuliporn Sopajareeya Surintorn Kalampakorn Punyarat Lapvongwatana Chukiat Viwatwongkasem Oisaeng Hong

ABSTRACT
Nursing is a high risk low back pain (LBP) profession. LBP impacts on nurses' health and ability to work and on the economic, labor force, and quality of care. The prevalence and risk factors of acute LBP among hospital nurses was reported in several countries, while it was limited in Thailand. The purpose of this study was to determine the prevalence and risk factors of acute LBP among nurses by applying the PRECEDE-PROCEED model as its study framework. The samples were 265 nurses working at the Nursing Department of Singburi Hospital for at least 1 year. Self-administered questionnaires were used for collecting the data on site. Data were analyzed by frequency distribution, percentage, mean, standard deviation, and logistic regression. The results of the study revealed that the prevalence of acute LBP based upon the nurses' report in the past seven days was 36.6%. Logistic regression analysis indicated that having history of previous diseases related to LBP (OR= 4.45; 95% CI=1.46-13.54) and moving patients in bed without assistance (OR= 2.33; 95% CI=1.32-4.09) were the significant risk factors of acute LBP among nurses (p-value < .01). The findings of risk factors of acute LBP among nurses are useful for developing LBP preventive factor-based interventions.

Keywords: Prevalence/ Risk factors/ Acute low back pain/ Nurses

Work-related Health Problems of Hospital Workers in ChaoprayaAbhaibhubejhr Hospital, Prachinburi Province
Apuntree Prayunvong

ABSTRACT
Understanding work-related health problems of hospital workers is important in improving health care system of the hospital personnel which is the human resource development policy of the hospital. The objectives of this study were to examine the workrelated health problems of workers in Chaopraya Abhaibhubejhr hospital and explore the relationships between work-related health problems and personal factors and working factors. Subjects were 433 hospital workers in Chaopraya Abhaibhubejhr hospital. Data were collected using self-administered questionnaire. Statistics used were frequency, percentage, and stepwise multiple regression analysis. Results showed that 78.3 % of workers in Chaopraya Abhaibhubejhr hospital experienced work-related health problems and most work-related health problems reported were shoulder pain and back pain. It was found that exposure to occupational hazards, receiving occupational health information, and income had significant relationship with work-related health .05). These factors altogether could also explain 11.2% of work-relate<problems (p-value health problems among hospital workers. Findings suggested that work-related health problems especially musculoskeletal disorders as well as health hazards at work should be regularly monitored. Health and safety information should also be disseminated to hospital workers at all level.

Keywords: Work-related health problems / occupational hazards/ hospital workers

The Study of Predictive Factors' Complications of Diabetes Mellitus Client in Community under King's Nursing Theory
Jiraporn Dechma Vanida Durongritichai Wichuda Kijtorntham

ABSTRACT
The survey research objectives was to examine the predictive factors of complication of Diabetes Mellitus patients in community under King's Nursing Theory. The sample included 300 diabetes types 2 patients with complications, aged of 35 years or higher, in Nakornchaisri, Nakornprathom province. The questionnaire was enquired about personal information, and heath behaviors related to individual, interpersonal, and social system in King's Nursing Theory. The data were analyzed by Mean, Standard deviation, and stepwise regression analysis. The results have shown that respondents mainly were female, age ranged between 56-65 years, primary school level, unemployed, income ranged 5,001-10,000 baht monthly, family member ranged 3-5 persons. A length of sickness with diabetes was 1-5 years. The diabetes patients had the highest level of health behaviors for preventing complication in interpersonal level, followed by individual and social level, respectively. The studied complications of Diabetes Mellitus patients were blood sugar level, eye complication, renal complication, nervous complication, and footsore. The predictive factor for blood sugar level was patient's care ability in diabetes complications. When patient's care ability in diabetes complications increased in 1 point, the blood sugar can be reduced 2.337 points. It can explain the changing of blood sugar by 3.0%. The predictive factor for eye complication from diabetes was a length of diseases. When a length of disease was one point or higher, the eye complication was increased 0.009 point. It can explain eye complication by 1.5%. The predictive factors for renal complication were economic status and length of disease. If the economic status of diabetic patients improved 1 point, the rental complication increased by 2.538 point. It can explained the renal complication by 9.8%. When a length of disease increased by 1 point , the rental complication increased by 0.018 point, while the length of disease can explain the onset of renal complication by 11.9 %. The predictive factor for nervous complication and footsore included age and perception of family member's role in diabetes management and stress. When the age increased for one point, the nervous complication was increased by 0.007 point. It can explain the nervous complication by 2.6%. While the family member's role in diabetes management increased by 1 point, the nervous complication was decreased by 0.016 point. It can explain the nervous complication by 4.2%. When the diabetes patients' stress increased by 1 point, the nervous complication increased by 0.116 point., It can explain the nervous complication by 5.5%.

Keywords:

Applying Research-based Learning Model into the Course of Public Health Research
Nihra Kitreerawutiwong Orawan Saetan

ABSTRACT
Research-based learning helps students develop critical thinking, analyzing, synthesizing, and creating new knowledge. This study aimed to develop research-based learning model and to evaluate effectiveness of the model. Population of this action research included the 87 senior public health undergraduate students, who were enrolling in Academic Year 2010 at Naresaun University. The instruments were: competency assessment questionnaire, oral presentation skill assessment form, poster presentation skill assessment form, and satisfaction assessment questionnaire. The competency and satisfaction assessment questionnaires were a 5-point Likert scales. Three experts validated a face content validity. The Cronbach's alphas of the competency and satisfaction assessment questionnaires were 0.82 and 0.77, respectively. The descriptive statistics included of percentage, mean, standard deviation, median, minimum, and maximum. Wilcoxon signed rank test was used to analyze data. The results showed that the students had a significant difference of pre and post competency after they received research-based learning (p-value < .001). The range of oral presentation scores was 74.2 – 95.8, and the range of oral presentation scores was 75.2 – 97.3. The average score of students' satisfaction was good (4.19 out of 5). The results illustrated that the research-based leaning model enhanced research skills of students, who attended the public health research course (course number: 554471).

Keywords: Research-based learning/ Effectiveness/ Student centered