แบบฟอร์มสำหรับส่งบทความเข้าคลังความรู้
วันที่บันทึก : 28 พฤษภาคม 2557
ผู้บันทึก : นางวันดี แก้วแสงอ่อน
กลุ่มงาน : การพยาบาลผู้ใหญ่
ฝ่าย : -
ประเภทการปฏิบัติงาน: การนำเสนอผลงานวิจัย
วันที่ 22 พฤษภาคม 2557 ถึงวันที่ 24 พฤษภาคม 2557
หน่วยงาน/สถาบันที่จัด : มหาวิทยาลัยสงขลานครินทร์ วิทยาเขตปัตตานี
สถานที่จัด : ณ โรงแรมภูเก็ต เกรชแลนด์ รีสอร์ท
เรื่อง : การนำเสนอผลงานวิจัยระดับนานาชาติ
รายละเอียด
The Preparedness of Tambon Health Promoting Hospital
for Elderly Care Supporting.
Pimpawan Rueangphut
Boromarajonani College of Nursing Nakhon Si Thammarat,
Mueang, Nakhon Si Thammarat, Thailand.
ying.pim@hotmail.com
Wandee Kaewsaeng-on
Boromarajonani College of Nursing Nakhon Si Thammarat,
Mueang, Nakhon Si Thammarat, Thailand.
Wandee129@yahoo.com
Abstract
The Objective of this study was to describe the opinions of elderly towards the Preparedness of Tambon Health Promoting Hospital for Elderly Care Supporting. Two hundred and seventy-eight subjects in 9 villages of Nakean district, Mueang , Nakhon Si Thammarat were randomly selected. The findings revealed that the opinions of elderly towards the Preparedness of Health Promoting District Hospital for Elderly Care Supporting were at high level ( 4.15,SD 0.58). The highest was health care supporting ( 4.20, SD 0.56),the lower was social supporting( 4.11, SD 0.67). The health care supporting items found that the Tambon HealthPromoting Hospital provide media of disease to prevent disease in community was lowest, the lower were Knowledge to prevent the accidents in elderly ( 4.06, S.D 0.84). The social supporting items found that the hotline health care was lowest ( 3.77, S.D 1.17), the lower which, were broad or poster of health care for elderly ( 3.83, S.D 1.04), Box comment/problem management (3.91,S.D 0.91), Consulting Room for elderly care (3.99,S.D 0.96). This finding confirmed that the Tambon Health Promoting Hospital should supporting in health care information, such as: hotline health care, broad/poster of health care, providing adequacy of resources, such as: consulting room, garden for relaxation, box comment and problem management for the elderly in the community.
Key word: Preparedness, Tambon HealthPromoting Hospital , Elderly Care
1. Introduction
The elderly populations of Thailand are increasing rapidly. These demographic changes are a direct result of the success of socio-economic development that has led to declines in mortality rates at all ages and reductions in fertility. Therefore, making best use of the limited resources available for health care will require an emphasis on training of professional staff and volunteers, but with integration of health care for elderly people with established health services, particularly the existing primary health care systems.
Public health refers to all organized measures to prevent disease, promote health, and prolong life among the population as a whole. Its activities aim to provide conditions in which people can be healthy and focus on entire populations, not on individual patients or diseases. Thus, public health is concerned with the total system and not only the eradication of a particular disease. The three main public health functions are 1) assessment and monitoring of the health of communities and populations at risk to identify health problems and priorities 2) formulation of public policies designed to solve identified local and national health problems and priorities 3) to assure that all populations have access to appropriate and cost-effective care, including health promotion and disease prevention services. (WHO,2007)
The Thailand Government and the Ministry of Public Health (MOPH) were policy to reform the health system to be effective and quality standards by raise the Public Health to be Tambon Health PromotingHospital. The objective of the Tambon HealthPromoting Hospital is primary service and parish development of health system, quality standards and more potent include health promotion, emphasis on proactive health service that people can access it thoroughly and equally. The Tambon Health PromotingHospital focus on health promotion, prevention and control disease, policing, rehabilitation Including the management of health risk factors (Ministry of Public Health, 2013)
The Nakean subdistrict is located in Mueang of Nakhon Si Thammarat province in the southern part of Thailand, which has population 11,303, a total of 1,034 elderly, and 2 Tambon HealthPromotingHospital. The Boromarajonani College of Nursing Nakhon Si Thammarat joined with Nakean Subdistrict Administration Organization(SAO) and Tambon Health Promoting Hospital of Banmaunghuotalang and Tambon Health Promoting Hospital of Bantungnod training Health Volunteers and caregivers to promote and support health care for the elderly in community. The objective of this study was survey the opinions of elderly towards the preparedness of Tambon HealthPromoting Hospital for elderly care supporting. The issue of preparedness of Tambon HealthPromoting Hospital for elderly is crucial, which will guide prepare to Tambon HealthPromoting Hospital for elderly care.
2. Method
Data were randomly selected from 278 subjects of elderly in 9 villages of Nakean sub district, Mueang District, Nakhon Si Thammarat (Krejcie and Mogan,1970), survey on opinions of elderly on the preparedness of Tambon HealthPromoting Hospital in supporting of the elderly. The core questionnaire includes questions about demographic, preparedness of Tambon HealthPromoting Hospital in supporting of the elderly, and recommend to improvement, which in 2013. All instruments were developed by the researcher. Questionnaire was evaluated for its content validity by 3 experts, tested for its face validity by 10 elderly volunteers and approved for its internal consistency and try out to 30 elderly in community and yielded an Cronbach alpha coefficient of 0.96. The data were analyzed by using mean, and standard deviation.
3. Results
Table 1 Presents demographic sample characteristics. Of the elderly in grades 60 to 69, about 61% were female, 26% were married, 42% live with child, 61% were healthy, and 59% were not participate to any club.
Table 1 Description of sample characteristics
| Characteristic | Number | Percentage |
| Sex
Male Female Age group 60-69 70-79 80+ Status Single Married Separate/Divorce Households Mate Child Mate and Child Sibling/ cousin Health Healthy Have disease Participation to club No yes |
108 170
159 80 39
7 155 116
43 118 111 6
169 109
164 114 |
38.9 61.1
57.2 28.8 14.0
2.5 55.8 41.7
15.5 42.4 40.0 2.1
60.8 39.2
59 41 |
The opinions of elderly towards preparedness of Tambon HealthPromoting Hospital for elderly care supporting were high level ( 4.2, SD 0.58). Examination categorized of elderly care supporting to health care supporting (table 2), and social supporting (table 3). Considering some items of health care supporting, the policing of screening elderly disease were highest level (4.39, S.D 0.70) and the prevention to providing pamphlet of disease were lowest level ( 4.03, S.D 0.77). Similar to items of social supporting, the participation of support family to realize elderly value were highest level ( 4.38, S.D 0.66) and the information of hotline health care were lowest level ( 3.77, S.D 1.17).
Table 2 Health care supporting
| Preparedness | (SD) |
| Promotion
Exercise Hygiene care Appropriate eating Shearing stress Prevention/Control disease Encourage cleaning eating Educate of hygiene care Providing media of disease Knowledge to prevent accident
Policing Individual consult Screening elderly disease Express entrance of elderly Support fee for elderly Home visit for elderly illness Proving medicine for primary care Refer to hospital Monitoring to patients Rehabilitation Knowledge for rehability Home care Training rehability program |
4.16(0.79)
4.17(0.81) 4.22(0.73) 4.17(0.72) 4.12(0.76)
4.16(0.62) 4.37(0.70) 4.19(0.77) 4.03(0.77) 4.06(0.84)
4.24(0.60) 4.15(0.81) 4.39(0.70) 4.21(0.85) 4.34(0.89) 4.26(0.72) 4.17(0.81) 4.28(0.72) 4.12(0.80) 4.19(0.68) 4.22(0.78) 4.14(0.74) 4.21(0.79) |
Table 3 Social supporting
| Preparedness | (SD) |
| Information
Hotline health care Proving of health care knowledge Broad/Poster of health care Elderly’s Right Educate facilitator for elderly care Educate volunteer for elderly care
Adequacy of Resources Ambulance service Consulting Room for elderly care Personal responsible for elderly care Garden for elderly relaxation Facility for elderly Area for elderly participation Seat for elderly in hospital Box comment/ problem management
Participation Elderly recommend to elderly project Support family to realize elderly value Training facilitator for elderly care Co-operating to Institute Co-operating to Community Co-operating to Organization |
4.06(0.70)
3.77(1.17) 4.18(0.74) 3.83(1.04) 4.24(0.95) 4.13(0.74) 4.23(0.74)
4.07(0.67) 4.17(0.89) 3.99(0.96) 4.14(0.74) 3.91(0.96) 4.13(0.86) 4.17(0.80) 4.13(0.74) 3.91(0.91)
4.21(0.62) 4.04(0.79) 4.38(0.66) 4.24(0.71) 4.23(0.69) 4.21(0.81) 4.12(0.82) |
4. Discussion
The opinions of elderly towards preparedness of Tambon Health Promoting Hospital for elderly care supporting were high level due to the issue of health public policy and health impact assessment (HIA) were first raised in Thailand in 2000 and had been raised in the reform process, which reinforced the concept of healthy public policy as promoted by the Ottawa Charter for Health Promotion. The nation of healthy public policy received good public response in combating the problems forced by Thai society and was incorporated into the nation health system reform framework (Decharut and Kuametha,2010). After that the Ministry of Public Health and Province Health Office were implemented and capacity strengthening activities, focus on service mind, environment, cooperation of networking, and practice on discipline and regulation (Chuchai, Somsak, Supakit,Et all. ,2009). Our results are consistent with several studies that reporting the Tambon HealthPromoting Hospital were compliance, which, improving the structure, service, and management emphasized to promoting, preventing, policing, rehabilitating, training volunteers for elderly care, cooperating network to provide care for elderly. Service covering all segment of the elderly, managed care, access to services, including manual of practice guideline and standard service for elderly. (Prasert,2012; Wanapa and Ladda, 2010, Worachart,2010). The policy implementation to health managers at provincial and district level were capable of translating policies into successful programs on the ground, they were pragmatic and had the flexibility to adapt national policy to the local context, managers had a broad scope of authority in managing financial and human resources according to the government and MOPH regulations.
When we considering the opinions of elderly to health care supporting categories of the preparedness of Tambon Health Promoting Hospital for elderly care supporting were found that, the promoting items and the prevention items were lowest, specially of providing media of disease and knowledge to prevent accident. And the policing items were highest, specially the screening elderly disease and support fee for elderly. Relative to Thailand had the Universal Health Insurance Coverage (UC) policy implemented in 2001 offers a package of health-care interventions at public facilities to all Thai citizens, the so-called populist policies, advocating for the rights and interests of ordinary people in rural areas to obtain political advantages. (Walaiporn, Viroj, Supon, Et all., 2011).
The social support is one of the important factors to maintained the well-being in the aged ,the social supporting categories show that the opinions of elderly to information were lowest and adequacy of resources were lower, specially information of hotline health care, broad or poster of health care, consulting room, garden for elderly relaxation, and box comment and problem management. Consistent with the study of Prasert,(2012) found that the elderly were participated in activities of supporting elderly of hospital.
5. Conclusion
This study, with a representative sample of elderly, adds to finding confirmed that the Tambon Health Promoting Hospital should supporting in health care information, such as: hotline health care, broad/poster of health care, providing adequacy of resources, such as: consulting room, garden for relaxation, box comment and problem management for the elderly in the community.
Reference
Journal
[1] Krejcie,R.V.,&Morgan,D.W. (1970). Determining Sample Size for Research Activities. Education and Psychological Measurement., 30, 607-610.
Book
[2] Chuchai,S., Somsak,C., Supakit,C.,Et all. (2009). Manual of Service of Tombon Health Promoting Hospital. Bangkok: The War Veterans Organization.
[3] Decharut,S., & Kuametha,R. (2010). Health impact assement in Thailand: a learning tool for addressing Health in All Policies. In Llona.K&Kevin.B (Ed). Implementing Health in All Policies Adelaide 2010. Deparment of Health, Government of Aouth Australia.
[4] Ministry of Public Health. (2013). Report of Policy and Strategy of Ministry of Public Health. Online Book retrieved 21, June,2013, from http://ict4.moph.go.th/reportm/index.php?option=com_content&view=article&id=51:2010-09-16-18-24-34&catid=36:2010-09-16-18-04-44&Itemid=57
[5] Prasert, P. (2012). Potential of Tombon Health Promoting Hospital in Kham Sakaesaeng District, Nakhon Ratchasima Province. Local Government. College of Local Administration. Khon kaen University.
[6] Wanapa,S., & Ladda, D. (2010). Guideline in Elderly Service. Bangkok: Sahamit.
[7] Walaiporn,P., Viroj,T., Supon,L.,Et all. (2011). Why and How did Thailand Achieve Good Health at Low Cost. In Dina,B., Martin,M., &Anne,M (Ed). Good Health at Low Cost 25 Years on What make a Successful Health System. United Kingdom: Chalesworth Press.
[8] Worachai,J. (2010). The Roles of Health Center Offices in Health Promoting Tambon Hospital, District Inspector 12. Faculty of Public Health. Burapha University.
[9] World Health Organization. (2007). World Organization 2007. Geneva: World Health Organization.
(475)