Journal of Vongchavalitkul university

Community Participation in Long Term Care for Bedridden Patients in the Ban Suan Municipality District

Natnicha Maneesuwan, Suriya Fongkerd — Wed, 20 Dec 2023 00:00:00 +0700

วัตถุประสงค์:การวิจัยนี้มีวัตถุประสงค์เพื่อศึกษาการมีส่วนร่วมของชุมชนในการดูแลผู้ป่วยติดเตียงระยะยาวในเขตเทศบาลบ้านสวน

วิธีการวิจัยผู้ให้ข้อมูลในการวิจัยเชิงคุณภาพประกอบด้วย 4 กลุ่ม คือ กลุ่มที่ 1 : ผู้ดูแล 8 คน และอาสาสมัคร 2 คน; กลุ่มที่ 2 : อสม. จำนวน 10 คน กลุ่มที่ 3 : ผู้นำชุมชน 8 คน และบุคลากรด้านสาธารณสุข 2 คน กลุ่มที่ 4: ผู้ดูแลครอบครัว 10 คนได้รับเลือกเป็นผู้ให้ข้อมูลหลัก รวบรวมข้อมูลโดยใช้วิธีอภิปรายกลุ่ม เครื่องมือที่ใช้คือการสัมภาษณ์แบบกึ่งโครงสร้าง

ผลการวิจัยพบว่า ชุมชนมีส่วนร่วมในการดูแลผู้ป่วยติดเตียงระยะยาวในเขตเทศบาลบ้านสวน การมีส่วนร่วมหลัก 3 ประการ ได้แก่ 1) การมีส่วนร่วมของครอบครัว ได้แก่ การเตรียมอาหารสำหรับผู้สูงอายุ การทำความสะอาดร่างกาย การฟื้นฟูสุขภาพของผู้สูงอายุ และการดูแลสุขภาพผู้สูงอายุ 2) การมีส่วนร่วมของหน่วยงานด้านสุขภาพ ได้แก่ การให้บริการดูแลสุขภาพขั้นพื้นฐาน ให้คำแนะนำ ให้คำปรึกษา การสอนให้ความรู้และประสานงานกับหน่วยงานอื่น ๆ และ 3) การมีส่วนร่วมขององค์กรปกครองส่วนท้องถิ่นและพันธมิตรเครือข่ายชุมชนโดยจัดให้มีบริการสังคมแก่ผู้ป่วยติดเตียงและครอบครัวตามสิทธิสวัสดิการของรัฐเพื่อให้มีคุณภาพชีวิตที่ดีพร้อมทั้งประสานงานกับพันธมิตรเครือข่ายเพื่อมีส่วนร่วมในการดูแลผู้ป่วยติดเตียงในระยะยาว ผู้ป่วยในชุมชน

Nutrition Status and Results of Techniques Creating to Increase Fruit and Vegetable Consumption for Students: A Case Study in an Elementary School of Nakhon Ratchasima Province

Paspisit Pholsripradist, Thitima Rayaphet — Wed, 20 Dec 2023 00:00:00 +0700

Objective: This study aimed to evaluate nutritional status and to study the results of strategies or techniques applying to promote an increasing of vegetable and fruit consumption at lunch.

Methods: The research was a participatory action research design. The target group were 84 students studying in kindergarten to elementary class in academic year 2022. Three instruments used in this study were (1) weighing scale, and height measuring device for nutritional status assessment; (2) the evaluation form for vegetable and fruit consumption behavior of student; and (3) AICE technique to increase participation of related person. Data were analyzed using descriptive statistic and Fisher’s exact test.

Results: The results showed that the average age of the students was 9 years old. The nutritional status before and after the study were displayed. Seventy three point eight (73.8%, before) and 76.2% (after) of the students were in normal range, 13.1% and 11.9% were obese, 10.7% and 9.5% were thin, and 2.4% were in short stature level. Regarding the vegetable and fruit consumption, it was found that before the study, 48.8% of the students did not consume, whereas, 38.1% consumed but insufficient, and only 13.1% consumed sufficiently. After creating and implementing the 9 techniques to encourage more vegetable and fruit consumption, the rate of students not consuming fruit and vegetable decreased to only 33.3%, the rate of insufficient consumption increased to 50.0%, and sufficient consumption increased to 16.7%. However, the increasing of fruit and vegetable consumption was not statistically significant different. Therefore, to continually improve in consumption behavior of students, it is necessary to bring health related technology to be used as well, The improvement intervention included the determination of problems resolutions or individual development resolutions along with social or environmental development. The improvement intervention should be conducted with regard to the important factors such as monitoring, control, duration, continuity, and cooperation of stakeholders.

Potential Development of Patients with Diabetes Mellitus in Complication Prevention Using the Four-Es Principle (Emotion, Eating, Exercise and Elimination) in Nongpluang Sub-District, Chakkarat District, Nakhon Ratchasima Province

Chiratthawat Maipluang, Tongtip Salawongluk — Wed, 20 Dec 2023 00:00:00 +0700

Objectives: The purposes of this research were to study 1) the community context related to the self-care of diabetic patients, 2) the potential development process, and 3) the results of potential development for patients with diabetes mellitus in complication prevention using the Four-Es principle (Emotion, Eating, Exercise and Elimination) in Nongpluang sub-district, Chakkarat district, Nakhon Ratchasima province

Methods: The selected two groups of key informants in this action research were 15 people in a plan development group and 27 people in a potential development group. The research tools consisted of knowledge, self-efficacy, self-efficacy expectations and preventing complications behavioral questionnaires. The reliability of the questionnaires were 0.86, 0.89, 0.78, 0.89respectively. The statistics used were descriptive statistics: paired t-test and qualitative data analysis.

Results: Findings of the study showed that:

1.The community context revealed that 4.39% of diabetic patients had kidney complications, 32.26% had risk behavior for diabetes-related complications. The studied community was ready to develop their potential.

The development process generated 3 potential development plans, taking 24 hours, consisting of 1) workshop plan, 2) knowledge exchange plan, and 3) lesson learned plan.
Results of the implementation of potential development plan revealed that after participating in the potential development plan, the behaviors score according to Four-Es Principle of diabetes patient was found to be statistically significant higher than the behavior score before participated in potential development (p<0.01), and knowledge, self-efficacy, self-efficacy expectations scores were also higher than before participated in potential development plan. The accumulation of blood glucose after participated in the potential development plan was significantly lower than before participating in the potential development plan (p<0.05).

The Association between Knowledge and Behavior in Household Waste Management of People in Ban Khlong Phai

Wed, 20 Dec 2023 00:00:00 +0700

Objectives: The objectives of this research were to study 1) the level of knowledge and behavior of household waste management, 2) the relationship between the knowledge and behavior of the household waste management of the people in Ban Klong Phai, Klong Phai Sub-district, Sikhio District, Nakhon Ratchasima Province.

Methods: The data of this cross-sectional descriptive research were collected from 259 samples using a questionnaire incorporated demographic data, knowledge in waste management and behavior in waste management (4 aspects). Data analysis was done by descriptive statistics and Pearson’s product moment correlation coefficient.

Results: The study showed that knowledge of participants was rated at a low level (𝑥̅= 5.23, S.D. = 0.80), household waste management behavior was at a moderate level (𝑥̅= 1.37, S.D. = 0.37). The overall analysis found that knowledge was significantly associated with participants waste management behavior at 0.05 level (r= 0.16, 95% CI 0.047 to 0.279). The relationships of knowledge and waste separation in the aspects of 1) collection, 2) reuse, and 3) disposal behavior were statistically significant at 0.05 level (r= 0.21, 95% CI 0.080 to 0.038, r= 0.15, 95% CI 0.033 to 0.276, r= 0.19, 95% CI 0.070 to 0.318) respectively. There was no relationship between knowledge and management behavior in the aspect of waste reduction. Therefore, knowledge in waste management should be prepared and provided to the people. The local agencies should organize knowledge activities to reduce household waste for the people to increase effective waste management in the community.

Effect of Saline Water on Consolidation Behavior of Reconstituted Clay

Aniroot Suksan — Wed, 20 Dec 2023 00:00:00 +0700

Objective: This study presents the evaluation of the effect of saline concentration on the consolidation behavior of reconstituted clay in Nakhon Ratchasima Province.

Method: The saline water was the sodium chloride (NaCL) solution at 0.5, 1.0, and 1.5 M was used as pore fluid. The clay was reconstituted by mixing with distilled water and saline water at the anticipated concentrations. The 1-D consolidation test and soil consistency limit were performed to evaluate the effect of saline water. The initial water content for consolidation samples was desired at 1.5-2.0 times their liquid limit.

Results: The result showed that the increase in the concentration of saline water caused the decrease of liquid limit while the concentration of saline water had a marginal effect on the plastic limit. The coefficient of consolidation (C_v) increased when saline water was as pore fluid. The linear relationship was found in the void ratio versus the logarithm of effective vertical stress. The compression index (C_c) decreased with increasing saline water concentration. The permeability increases with the increased concentration of saline water compared to the same void ratios. The normalization by the void ratio at the liquid limit indicated that all clay with saline water as a pore fluid fit a unique permeability relationship

Development of High voltage distribution line Fault Locating Application on Mobile Device

Chompoo Suppatoomsin, Suphakit Thanaekkapong, Sureeporn Meehom — Wed, 20 Dec 2023 00:00:00 +0700

Objective: This research proposed the development of a mobile application to locate faults in 22 kV high voltage transmission lines.

Methods: A case study at Dan Khun Thot Substation, Nakhon Ratchasima province, along 37 kilometers distance from Phanchana Village, Dan Khun Thot District, Nakhon Ratchasima province to Huay Yai Jiw Village, Thep Sathit District, Chaiyaphum province was used for the development. This system developed to locate faults by calculated impedance from current and voltage at the time of the short circuit, then collected this impedance to database of application. While the short circuit occurs, PEA officer entered recording data from recloser, which specify fault types and fault current to application. The application checked and compared data to database, then displayed results as latitude and longitude coordinates for PEA officer.

Results: The testing results have shown that the developed application is practical, with an average overall error rate of approximately 2.19 percent.

Guidelines for Managing Feeder System along the Route of the Nakhon Ratchasima Mass Transit System by Simulating a Case Study of the New Klang Plaza Station.

supagrid prewthaisong — Wed, 20 Dec 2023 00:00:00 +0700

Objective: This study aimed to study the secondary public transportation system that supports being a feeder for passengers into the new Khlang Plaza Station by using Monte Carlo simulation methods.

Methods: The area used for the study located in front of the Klang Plaza Department Store, Mueang District, Nakhon Ratchasima Province. The data retrieved was used in a simulation to find the number of people using the minibus service in each time period and plan bus management to efficiently pick up and drop off passengers at the light rail stations. The study was conducted from 1-7 June 2021.

Results: The results of the research found that, during the morning rush hour, the number of minibuses that were able to pick up passengers at the light rail station was 61.36 percent. During the normal time, the number of minibuses that could pick up passengers at the light rail station was 100 percent. During the evening rush hour, the number of minibuses that could pick up passengers at the light rail station was 82.75 percent.

New Approach to Health Care for Patients with Non-Communicable Diseases By Using the Principle of 8 practices (Ya 8 Khanan)

Wed, 20 Dec 2023 00:00:00 +0700

This article aims to present concepts and foundation knowledge of self-care practices for patients with chronic non-communicable diseases (Non-Communicable Diseases: NCDs), especially patients with high blood pressure and diabetes using the principles of taking care of one's health according to the 4 E. concept : Eat, Exercise, Emotions, and Eliminate toxins. They include 8 methods of practices : 1) Emotion management 2) Eating 3) Exercise, 4) Drinking water, 5) Hand and foot massage, 6) Gua sha, 7) Hand and foot soak, and 8) Use of herbs. The empirical evidence from previous research results stated that there was a positive effect on patients who continuously practice such methods. The result showed a reduction of complications in patients with chronic non-communicable diseases. Some patients could reduce their medication and some patients could stop taking medicine.

These methods of practice are called Ya 8 Khanan. The reason for the name "8 doses of medicine" is that taking care of one's health for patients with chronic non-communicable diseases with these 8 methods of practices has a beneficial effect in reducing illness and It can also help the patients recover from the illness. The result was similar to be treated by medicine. In addition, the 8 methods of practices has no side effects which is different from modern medicine. Therefore, Ya 8 Khanan can be considered as a new health care innovation to deal with illnesses from chronic non-communicable diseases. Therefore, patients with chronic non-communicable diseases or related health personnel can use these methods of practices to Health Prevention and improve the health condition.