Suranaree Journal of Health Science

THE COMPLIANCE TO MEDICATION, SOCIAL SUPPORT AND QUALITY OF LIFE OF HEMODIALYSIS PATIENTS WITH HIV AND HEPATITIS IN SELECTED HEALTHCARE FACILITIES IN BALI, INDONESIA YEAR 2022

I Wayan Antariksawan — 2024-07-23

Background: Patients living with HIV/AIDS who are undergoing hemodialysis therapy have compliance-related issues regarding their medications and social supports, which affect their quality of life. Objectives: The study aims to determine the medication compliance, effect of social support, and quality of life level of hemodialysis patients with HIV and hepatitis in selected healthcare facilities in Bali, Indonesia. Method: Patients with HIV/AIDS undergoing hemodialysis were selected from healthcare facilities in Bali. This design permitted the researcher to gain an understanding of the phenomena, and personal values of this population through the use of both surveys and interviews and intended to find the relationship between medication compliance, patients’ social support, and patients’ quality of life which are all anchored on a four-point Likert scale. This research used a weighted mean for the assessment of the patients. Descriptive statistics were used to describe and analyze the information gathered. Pearson product moment coefficient correlation was used to determine significant differences and relationships between variables. Results: Regarding the medication compliance, social support, and quality of life of hemodialysis patients, there was a statistically significant relationship between medication compliance and social support (p-value 0.001), which implies that a decrease in medication compliance would minimally diminish social support. There is a significant relationship between medication compliance and quality of life (p-value 0.000), which implies that an increase in medication compliance would moderately improve quality of life. Furthermore, it depicted that there is a statistically significant relationship between social support and quality of life (p-value 0.029), which implies that a decrease in social support for maintaining a medication regimen would minimally diminish quality of life. Conclusion: The statistical analysis showed a significant relationship between self-assessed medication compliance, social support, and quality of life of patients with HIV and hepatitis in selected healthcare facilities in Bali.

THE EFFECTS OF USING A DIABETES MANAGEMENT APPROACH TO ACHIEVE REMISSION ON HEMOGLOBIN A1C AND BODY MASS INDEX IN TYPE 2 DIABETES PATIENTS AT THE DIABETES CLINIC, LAM THAP HOSPITAL, KRABI PROVINCE

Thitiyapond Doiprakob — 2025-01-20

This quasi-experimental research employed a single-group, pretest-posttest design to compare the mean values of glycated hemoglobin (HbA1c) and body mass index (BMI) in patients with type 2 diabetes before and after implementing the diabetes remission care guidelines (Remission Service) at the Diabetes Clinic, Lam Thap Hospital, Krabi Province. The study was conducted over 12 and 24 weeks. The sample was selected using purposive sampling, consisting of 21 patients diagnosed with type 2 diabetes, aged 18 years and older, who had been diagnosed within the last 10 years (ICD-10 codes E10-E14), had received continuous care for at least 6 months, and were treated with oral hypoglycemic agents. The research instruments were adapted from the Remission Service Guidelines of the Department of Disease Control, combined with self-management concepts. Data analysis included frequency, percentage, mean, standard deviation, and One-way repeated measures ANOVA.

The results showed that after the implementation of the diabetes remission care guidelines, average HbA1c levels at 24 weeks were significantly lower than before (p =.000). BMI at 24 weeks was not significantly lower than before (p = .639).

In conclusion, the diabetes remission care guidelines were effective in controlling average HbA1c levels and BMI in type 2 diabetes patients. It is recommended that patients follow these guidelines to better control their diabetes, reduce medication use, prevent complications, and potentially achieve diabetes remission. Further studies should be conducted to assess the impact on BMI and to add additional weight management strategies.

DEVELOPMENT OF MODELS AND STANDARDS FOR HEALTH TOURISM TO MODIFY ADDICTIVE BEHAVIOURS IN THAILAND

Chureeporn Sianglam — 2024-12-25

This research is both qualitative and action-based, aiming to analyze the current situation and opportunities for developing health tourism to modify addiction behaviors and promote the country's health economy. It also provides recommendations for the systematic management of Behavioral Tourism to support the Thailand Medical Hub. The research methodology consists of a literature review related to Behavioral Tourism, alongside action research involving stakeholders in the study area. Qualitative research methods, including focus group discussions and in-depth interviews, were also utilized to gather comprehensive insights. The research findings highlight critical theoretical concepts applied to modifying addictive behaviors, as well as models and guidelines for establishing Behavioral Tourism standards in Thailand. Key aspects include reinforcing factors for behavior modification, processes and techniques for behavior change, and the relationship between addiction treatment perception and the general public's service demands. Furthermore, the study emphasizes the importance of continuous care processes, the development of service providers, and the promotion of Thai entrepreneurs. It offers policy recommendations, suggesting that the Department of Health Service Support establish guidelines for educating entrepreneurs in systematic management, enhancing their knowledge and skills, and designing business models that foster private sector collaboration for sustainable development.