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Volume 28 No.2 (May - August 2014)

The Associations tetween Health Literacy Related to Obesity and Health Behaviour : Eating and Exercise in Overnutritional Children, Bangkok
Araya Tipwong Jarunee Numpoon

ABSTRACT
The purpose of this study was to investigate health literacy related to obesity , eating and exercise behaviours , and associations between health literacy related to obesity and eating and exercise behaviors of Grade 7 (Matthayom 1) overnutritional students in Bangkok. Ninety participants were purposively recruited to participate in this research. Questionnaires were used to assess participants' general information, health literacy related to obesity, eating and exercise behaviors. By utilizing statistical analysis, According to the health literacy related to obesity, access skill had the highest average score than decision skill respectively. Eating and exercise behaviors scores were high. Decision skill in health literacy related to obesity was significantly correlated to eating behavior at p-value < .05. Self management skill and media literacy skill were significantly correlated to exercise behavior at p-value < .01and p-value < .05 respectively.

Keywords: Health literacy; eating and exercise behaviors; overnutritional children


Predictive Factors for Dating Violence among Vocational Male Students, Bangkok, Thailand
Penprapa Sutumma Naruemon Auemaneekul Sunee Lagampan Arpaporn Powwattana

ABSTRACT
This research is a cross-sectional study aimed to examine the prevalence of and predictive factors for dating violence among vocational male students in Bangkok, Thailand. The sample were 437 students who study in vocational school (1st – 3rd year). The data were collected in 8 weeks, by a set of self-administered questionnaires. Data were analysed using stepwise multiple regression analysis.
The results showed that most of the student intented to commit dating violence at moderate level (47.8%), where as most of the student committed dating violence at mild level (52.2%). The results from the stepwise multiple regression analysis revealed that the factors composed of anti-social behavior, subjective norms, self-control, self- esteem, and perceived behavioral control could account for the predictors of an intention to commit dating violence behavior at 40 %. The factors composed of an intention to commit dating violence, subjective norms, ages, self - esteem, attitude toward violence, and anti-social behavior could account for the predictors of dating violence behavior at 69 %.The study recommend the result as the basic information for policy driven to promote the anti dating violence campaign in school.

Keywords: Dating violence; the theory of planned behavior; predictive factors


Alcohol Consumption Prevention with Family Participation Program in Early Adolescents
Phakamat Saikhamfoo Arpaporn Powwattana Sunee Lagampan Wonpen Kaewpan

ABSTRACT
This quasi-experimental research aimed to study effect of alcohol consumption prevention with family participation program in early adolescents. The study group is junior high school 1-2 in opportunities education school from Lampang province extended opportunities education school. The experimental and control group was randomly selected as 30 persons per group. Study duration was 8weeks which was divided to experiment for 4 weeks and follow up for 4 weeks. The study applied Health Belief Model with family participation to enhance perceived self-efficacy and alcohol consumption prevention. Collecting data by self-administered questionnaire including perceived susceptibility of drinking alcohol, perceived severity of drinking alcohol, perceived benefits of no drinking alcohol, perceived barriers of no drinking alcohol, self -efficiency for avoid from drinking alcohol and how to protect themselves from drinking alcohol. Data were analyzed by using percentage, Average arithmetic mean. Standard deviation Independent t-test, Repeated Measure One-way ANOVA and Paired T-test. Result indicated that follow-up period, experimental group had average score of perceived susceptibility of drinking alcohol, perceived severity of drinking alcohol, perceived benefits of not drinking alcohol, perceived barriers of not drinking alcohol, self -efficacy for avoid from drinking alcohol and how to protect themselves from drinking alcohol not differed from before experiment (p-value > .05), and did not higher than those in comparison group both after and follow-up period.(p-value > .05) The result of research addressed that application of Health Belief Model with family participation might not have effect to prevent early adolescence from drinking alcohol.

Keywords:Early adolescent; alcohol consumption prevention; family participation


The Development of Health Partnership for Injury Prevention of School-Aged Children in Community
Yupin Saraung Vanida Durongritichai Jariyawat Kompayak

ABSTRACT
This action research examined the process and impact of partnership development on injury prevention in the school-aged children in Moo 4, Tambol Ta-Maka, Amphur Ta-Maka, Kanchanaburi, THAILAND. The primary sample group of the study was school-aged children from six to twelve year old. The secondary sample group was the children's guardians, licensed practical nurses working in the hospital or village, primary health care personnel, policemen, community leaders, volunteer spirit (disables people), teachers, and student leaders. Data from structured interview and in-depth questions were accumulated and analyzed by Chi-square statistics, Paired t-test, and content analysis. The outcome of the study revealed most of the school-aged children are girls in average of 8.8 year old without congenital disorder. In overall score, their injury prevention behavior score is medium level. The guardians are primarily parents, who are females in average of 41.6 year old. The score of injury prevention behavior emphasized to the children was medium level. We found the outstanding statistical significant factor of childhood injury is the children's age, which is between six to eight years old. There are three stages of the partnership development for school-aged children's injury prevention: 1) establishment of partnership through the stakeholders' involvement starting from the beginning of the project. 2) System setup for supporting partnership activities, both through formal and informal meeting. We have found community teamwork is crucial for cooperative and supportive action in order to achieve the target. 3) Continuing education of the partnership. Group's brainstorm and periodical evaluation would bring about improvement and effectiveness. Three creative campaigns ("Safe Home", "White School", and "Accident-Free Community") were selected and run in the community. The outcome from partnership development was evaluated in comparison between pre- and post-project data. We have found the significant decrease of childhood injury rate as well as the increase of injury prevention behavior score was found (X = 68.38, S.D. = 3.87 comparing to X = 67.25, S.D. = 4.87). For the future study, analyze of community valued role is highly suggested to performed and proposed to the executive. This information would strongly promote community partnership. Safety of their children would be seriously considered. Besides, the hospital could take part by analyzing the root course and setting policies for prevention of school-aged children injury. The drive force from commune via community policy would effectively lead to systemic management and sustain childhood injury-free community for their children.

Keywords: Partnership development; school-aged children; injury prevention


Factors Related to Preventive Behaviors from Chemical Hazards among Hairdressers in Bangkok
Pornkaew Luengumporn Ann Jirapongsuwan Surintorn Kalampakorn Sara Arphorn

ABSTRACT
This research is a cross-sectional descriptive study aimed to examine the factors related to preventive behaviors from chemical hazards among hairdressers in Bangkok by applying the Protection Motivation Theory. There were 380 subjects, selected by multiple stratified random sampling. The data were collected by interview, and data analysis was done by using descriptive statistics, t-test, One-way ANOVA, Pearson's Correlation Coefficients. The results showed the most frequency of health problems regarding chemical used was in respiratory system (49.85%). Their preventive behaviors from chemical hazards were at a high level (79.5%). The differences in gender, education, adequacy of income, preventive welfare, self experience in suffering from contacting and the underlying disease affected the hairdressers' preventive behaviors with statistical significant (p-value < .05) Perception of severity and the susceptibility for chemical hazards, response efficacy and self-efficacy expectancy to preventive behaviors from chemical hazards were positively related to preventive behaviors from chemical used (r =.121, .145, .172, .305, p-value < .05) Stepwise multiple regressions revealed that ventilation, self-efficacy, providing personal protective equipment, providing waste disposal and illness can predict preventive behaviors from chemical hazards among hairdressers 30.8 %
The health organizations should pay attention to the hairdressers' health classified as selfemployed workers. The checkup program for hairdressers should be provided. The system and equipment regarding chemical hazard prevention in hairdressers' salon should be supported. Also the self-efficacy expectancy to preventive behaviors from chemical hazards among the hairdressers should be increased.

Keywords: Preventive behaviors from chemical hazards; hairdressers; protection motivation theory


Factors Predicting Sexual Assertiveness in Young Adult Women
Kasara Sripichyakan Apirach Indarangkura Na Ayutthaya Siriyaporn Jansarika

ABSTRACT
Women have sexual health problems due to the difficulties in asserting their sexual rights. This study aimed to identify factors of sexual assertiveness (SA) in young adult women. The subjects were recruited from family planning clinics located in Nakorn Sawan province, and Chiang Mai province through a convenience sampling technique. Research instruments included a general and reproductive characteristics data sheet, general assertiveness scale, sexual awareness scale and sexual assertiveness scale (The Cronbach's alpha coefficient values=.66, .68, .72). Sample size was 289 (average age = 33.3). Through a Chi-square test, a low level of SA was found in the women with the following characteristics: young age, lower education than bachelor degree, low personal income, working in a non-government sector, residing in Nakorn Sawan province, rural lifestyle, young at the first sexual intercourse, getting married, relationship dissatisfaction, being mentally, physically, or sexually abused by a partner, low general assertiveness, or low sexual awareness. Through logistic regression, provincial residence, mental partner abuse, and sexual awareness were able to predict SA (OR=2.9, 0.3, 6.7) with a predicting power of 78.1%. It is suggested that young adult women with low SA should obtain SA skill-training. To reach these women, the women may be assessed from risk factors found in this study.

Keywords: Factors; general assertiveness; sexual awareness; sexual assertiveness; and young adult women


The Development of a Clinical Nursing Practice Guideline for Caregiver of Uncontrolled Hypertensive Elderly Patients
Yupa Suthimanus Vanida Durongritichai Taweesak Kasiphol

ABSTRACT
The objective of this study was to improve the capacity of nursing care of uncontrolled hypertension patients. This study applied the knowledge from the Application of Evidence-Based Practice in The United States of America, by starting with finding causes of uncontrolled hypertension patients in Kae-Nog community, Nonthaburi, Thailand. Then, the researcher searched for related evidence by searching for key words from the data base. After that, the researcher evaluated the reliability of the evidence. The researcher finded 16 related articles published in 2007-2011: 4 articles of Experimental Research; 3 articles of Quasi-Experimental Research; 1 article of Research and Development; 7 articles of Descriptive research; 1 article of Quantitative and Qualitative Research. After analyzing and synthesizing results and data by evaluating the reliability of the evidence with Melnyl and Fineout-Overholt level, the practice guideline for increasing the capacity of nursing care of uncontrolled hypertension patients was created combined with : 1) knowledge and capability evaluation form of caregivers combined with 1. general information of caregivers, 2. knowledge about hypertension, food, exercise, complications, stress management, medication, risk factors for blood pressure control, medical appointment record forms of patients, 3. evaluation of self-perception, 4. evaluation of knowledge and capacity of caregivers separated in three levels; high, middle, and low level. 2) caregivers' manual grouped by knowledge and capable perception of evaluation levels. 3) the document to record the symptoms and progress of patients 4) the record book for nurses visiting the uncontrolled hypertension elderly form. The practice guideline was evaluated by three experts prior to experimenting with 31 uncontrolled hypertension elderly. After the application of practice guideline for four weeks, the researcher founded that caregivers had better knowledge about taking care of the uncontrolled hypertension elderly. The statistical significant value was at 0.05. The results showed that the practice guideline was simple and friendly user. Nurses were satisfied with guideline. It is recommended that the researcher should arrange session to explain how to use practice guideline, and monitor caregivers continuously..

Keywords: Nursing care of uncontrolled hypertension patients; elderly person; capacity of caregivers; practice guideline