Pathumthani Health Sciences Journal

2025-11-05T14:34:19+07:00

สารบัญบทความประจำปีที่ 6 ฉบับที่ 2

The effects of educating patients with cardiovascular disease on the warfarin to control INR levels in outpatient wards, Kho Wang Hospital

2025-05-10T19:08:52+07:00

This quasi-experimental research aimed to examine the effects of patient education on warfarin use for INR (International Normalized Ratio) control among patients with cardiovascular diseases, there were compared before and after the intervention. The sample consisted of 40 patients diagnosed with cardiovascular diseases who were receiving warfarin therapy and followed up at Kho Wang Hospital. Data were collected using a questionnaire and an INR recording form. The data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation. A paired t-test was employed to compare patients' knowledge before and after education, and Repeated Measures ANOVA was applied to analyze INR levels.
The result showed that 70.00% of the participants were female, 77.50% were older than 60, 75.00% had attained primary education, and 97.50% were agricultural. All participants had a history of warfarin use. When comparing the results before and after the educational intervention, the mean knowledge score increased from 7.40 (SD = 1.61) to 8.50 (SD = 1.26). Additionally, the mean score of warfarin use behavior improved from 3.92 (SD = 0.42) to 4.26 (SD = 0.31) following the intervention. The analysis revealed that patient education on warfarin use was significantly associated with improved behavior and INR control at p-value< 0.05 level.
Therefore, continuous education on warfarin use should be promoted, particularly among older adults with cardiovascular diseases, to ensure appropriate INR control

Project Evaluation of Development Program to Enhance Skills, Knowledge, and Capacity of Infection Control Personnel, Pathum Thani Hospital, Fiscal Year 2024

2025-07-18T23:05:43+07:00

This evaluative research aimed to assess the project on developing the skills, knowledge, and capacity of infection control personnel at Pathum Thani Hospital for the fiscal year 2024, using the CIPP (Context, Input, Process, Product) evaluation model. The sample consisted of 43 registered nurses who participated in the project. Data were collected between May and September 2024. The research instrument was a questionnaire developed by the researcher based on a literature review. Data were analyzed using descriptive statistics, paired t-tests, and content analysis. The results revealed that all participants were female, with a mean age of 38.10 years. Most participants (20.93%) worked in internal medicine wards.
The evaluation showed that the program's relevance and appropriateness in all CIPP dimensions were rated at the highest level: context = 4.79, S.D. = 0.43), input (= 4.64, S.D. = 0.54), process (= 4.69, S.D. = 0.56), product = 4.77, S.D. = 0.53), and overall program assessment (= 4.72, S.D. = 0.50). Among these, the context dimension received the highest mean score. Although the program was found to be consistent and appropriate, the findings suggested that the training duration should be extended. The post-training knowledge of participants was significantly higher than pre-training levels (p-value < .001). Overall satisfaction with the program was also rated at the highest level (= 4.72, S.D. = 0.48). It is recommended that infection control training programs be continuously implemented in hospitals.
Training duration should be increased, and consistent budgetary support should be provided to ensure continuity. These improvements would allow participants to gain sufficient hands-on experience and contribute to the long-term sustainability and capacity development of infection control personnel.

Antibacterial activity of Rosa damascena Extract against Acne- Inducing Bacteria (Cutibacterium acnes)

2025-08-06T14:57:33+07:00

This study aimed to evaluate the antibacterial activity of crude ethanolic extract from Rosa damascena petals against Cutibacterium acnes, an anaerobic bacterium that plays a significant role in the pathogenesis of inflammatory acne, a common dermatological condition in the general population. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) were determined using the broth macro-dilution method at concentrations of 200, 100, 50, 25, 12.5, 6.25, 3.125, and 1.5625 mg/mL. The crude extract was obtained using 95% ethanol, yielding 6.41% (w/w) of the dried petal weight.
The results revealed that the extract exhibited both inhibitory and bactericidal effects against C. acnes with MIC and MBC values of 6.25 mg/mL. In comparison, tetracycline a commonly used antibiotic in acne treatment demonstrated significantly lower MIC and MBC values of 0.9375 µg/mL, indicating superior antibacterial efficacy. However, prolonged use of antibiotics may contribute to the emergence of resistant bacterial strains.
Therefore, R. damascena extract presents a promising natural alternative for the development of anti-acne skincare products or therapeutic agents. Utilizing plant-derived antimicrobials may help reduce dependency on antibiotics and mitigate the risk of antibiotic resistance, offering long-term benefits to public health.

Factors associated with safe motorcycle riding skills of students, Faculty of Allied Health Sciences, Pathum thani University

2025-10-03T22:43:07+07:00

This cross-sectional study aimed to examine factors associated with safe motorcycle riding skills among students of the Faculty of Allied Health Sciences, Pathum Thani University. The sample group consisted of 146 individuals. Data were collected using a questionnaire that included personal information, knowledge of traffic laws (with a KR20 of 0.85), and motorcycle riding skills (with a reliability of 0.88). The data were analyzed using descriptive statistics, including frequency, percentage, and standard deviation, and the chi-square statistic was used to analyze relationships.
The study found that the knowledge factor was statistically and significantly associated with students' safe motorcycle riding skills (p-value < 0.05). The research findings indicate that relevant agencies can use this as a guideline to establish policies that promote knowledge of safe traffic laws within the university, raising students' awareness of safe motorcycle riding. This in turn will lead to better and safer riding skills among students.

A Study of Factors Associated with Hospitals’ Compliance with COVID Free Setting Measures During the COVID-19 Pandemic in Thailand: A Case Study of Ministry of Public Health Hospitals

2025-10-11T21:39:35+07:00

Thailand adopted the COVID Free Setting (CFS) measures to control three major risk domains: environment, personnel, and customer during the global COVID-19pandemic. High-risk venues involving gatherings, such as hospitals, were required to conduct safety assessments. This survey research employed a multi - method data collection approach, which comprised a cross-sectional study to analyze factors associated with hospital compliance with COVID Free Setting (CFS) measures and to identify measures that could not be implemented. The qualitative component further examined the driving mechanisms behind the CFS measure through the PIRAB strategy to formulate future recommendations. Data were obtained from the self-assessment results of 9,276 hospitals under the Ministry of Public Health, collected via the Thai Stop COVID Plus digital platform. Statistical analyses included the Fisher’s Exact test to examine associations and cross-tabulation to describe frequency distributions.
The results showed a statistically significant association (p<0.05) between hospital type and accreditation level under the GREEN and CLEAN Hospital Standard (GCH) with compliance with COVID Free Setting (CFS) measures. Hospital type was significantly associated with overall measures and all domains of compliance with CFS measures, while GCH accreditation was significantly associated with overall compliance, environment domain, and personnel domain, but showed no significant association with the customer domain. A small proportion of hospitals which were 0.2% of hospitals, reported difficulties in implementing daily staff screening, and 0.1% surface disinfection, and enforcement of Universal Prevention for COVID-19 and DMHTA, while 0.1% of large hospitals lacked adequate ventilation and 0.4% of small hospitals did not conduct pre-procedure COVID-19 testing before undertaking high-risk procedures. The Partnership Investment Regulation Advocacy and Building capacity (PIRAB) strategy was considered an appropriate mechanism to drive implementation for hospitals. It is suggested that the type of hospital and its ventilation systems should be considered when formulating measures, and CFS measures should be integrated into GCH standards.

Prioritization of Preparedness Factors for Emergency Response to Battery Electric Vehicles (BEVs) in Fire Stations of Lat Krabang District

2025-10-20T12:19:44+07:00

Safety in the use of electric vehicles (EVs) is extremely important. Therefore, this study aims to assess the level of emergency response preparedness for electric vehicles at fire stations in the Lat Krabang district and to analyze the prioritization of factors affecting such preparedness. The study employed a survey questionnaire and data analysis of firefighting personnel, combined with an inspection of equipment inventories. The results indicated that personnel have extensive firefighting experience and have received a high level of training regarding electric vehicles. However, certain types of equipment and model-specific emergency response guides for EVs are still lacking. The prioritization assessment revealed that standards and operational procedures are the most critical factors, followed by equipment and technology, and finally personnel readiness. This reflects the strength of fire stations in terms of personnel, but also highlights limitations in equipment and information systems that need improvement to enhance the effectiveness of EV emergency responses comprehensively. The study underscores the necessity of developing standards and operational procedures covering all EV models, as well as specialized equipment such as high-voltage cutters, insulated gloves, and battery support devices, in order to improve the safety and efficiency of emergency response to electric vehicle incidents.