Sisaket Journal of Research and Health development

Synthesis of nursing roles in developing COPD clinic service systems in community hospitals : A review based on the COPD Service Plan framework

นายบุญทิต อสิพงษ์ — 2025-11-26

Chronic Obstructive Pulmonary Disease (COPD) is a major public health problem in Thailand. The morbidity and mortality rates are increasing continuously, affecting patients' quality of life and burdening the healthcare system. The Ministry of Public Health has therefore established the COPD Service Plan as a guideline for the systematic development of the healthcare system. It has five main goals: reducing mortality, reducing hospital readmissions, improving patient quality of life, developing healthcare network, and developing personnel potential. This article aims to review and synthesize the role of nurses in developing the COPD clinic service system in community hospitals using the 3P framework: Purpose, Process, and Performance. The review results indicate that the role of nurses in the care process for COPD patients is at the heart of clinic operations. It consists of patient assessment and screening using standardized tools to classify disease severity; planning for continuous care and follow-up by applying case management and home visit concepts; pulmonary rehabilitation and health behavior promotion to increase respiratory efficiency; coordinating the healthcare network between community hospitals, subdistrict health promoting hospitals, and communities to ensure continuity of care; and developing the service system and personnel potential through training, development of clinical practice guidelines, and evaluation of nursing service quality. These processes are directly linked to the outcome of the COPD Service Plan, which is reducing mortality. Reduce hospital readmissions and improve patient quality of life. Policy recommendations from the review indicate the need to support resources, tools, information systems, and develop the competencies of nurses to have expertise in respiratory diseases in order to be able to drive the operation of chronic obstructive pulmonary disease clinics in community hospitals effectively, comprehensively, and sustainably, in line with the policy of developing the health service system of Thailand.

Effects of a Competency Development Program for Family Caregivers of Dependent Elderly in Nong Kha Sub-district, Phayuh District, Sisaket Province.

sukhontip arunkamonphat — 2025-10-14

This quasi-experimental study aimed to examine the effects of a capacity-building program for caregivers of dependent elderly in NongKha Sub-district, Phayu District, Sisaket Province. The participants were primary family caregivers of dependent elderly residing in the catchment areas of Ban NongKha Health Promoting Hospital, NongKha Sub-district, and Ban Samrong Health Promoting Hospital, Phrom Sawat Sub-district, both located in Phayu District, Sisaket Province. The participants were purposively selected and divided into two groups: the experimental group and the comparison group, with 33 participants in each group. The experimental group received a capacity-building program for caregivers of dependent older adults developed by the researcher, while the comparison group received standard health care services according to the Ministry of Public Health guidelines. The intervention was conducted during June-August 2025 over a 12-week period. Data were collected using structured interviews and assessments covering caregivers’ knowledge, caregiving skills, caregiver competency, caregiver burden, caregivers’ quality of life, family participation in elderly care, older adults’ ability to perform activities of daily living (ADL), and satisfaction with the care received by the dependent elderly. Data were analyzed using descriptive statistics, including frequency, percentage, mean, standard deviation, and median. The differences within and between groups were analyzed using the paired t-test and independent t-test, with a significance level set at 0.05.

The results indicated that, after the intervention, the experimental group showed significant improvements in mean scores of caregivers’ knowledge, caregiving skills, caregiver competence, caregiving burden, quality of life, family participation in caregiving, dependent elderly ADL, and dependent elderly satisfaction with care, compared to the comparison group (p < 0.05). In particular, the mean caregiving burden score in the experimental group was significantly lower than in the comparison group (p < 0.05). These findings suggest that the caregiver capacity-building program for dependent elderly in Nongkha Sub-district, Phayu District, Sisaket Province, effectively enhances caregivers’ competence, promotes the health of dependent elderly, and increases satisfaction with the care provided.

Effectiveness of the care model for dependent elderly by community participation at Ban Sriudom Sub-district Health Promoting Hospital responsibility area, Kantharalak District, Sisaket Province

Nopparat Daengton — 2025-10-24

This quasi-experimental research aimed to study the effectiveness of a community-participatory care model for dependent elderly people in the service area of Ban Sri Udom Sub-district Health Promoting Hospital, Kantharalak District, Sisaket Province. A two-group pretest-posttest design was employed. The sample group consisted of 60 individuals, purposively selected and divided into two groups: an experimental group (n=30) and a control group (n=30). The experimental group received the community-participatory care model for dependent elderly people, while the control group received standard care for dependent elderly people. The study duration was 8 weeks. Data were collected using a personal information questionnaire, the Activities of Daily Living (ADL) assessment form, and the Quality of Life (QOL) assessment form. Statistical analysis used the paired t-test to compare within-group results and the independent t-test to compare between-group results. The research findings indicated that, after the intervention using the community-participatory care model for dependent elderly people, the experimental group showed statistically significantly higher mean scores for Activities of Daily Living (ADL) and Quality of Life (QOL) compared to scores before the intervention and compared to the control group, at a significance level of 0.05 (p = 0.018 and p < 0.001).

The results suggested that the developed community-participatory care model for dependent elderly people can enhance the capacity to care for dependent elderly individuals, aligned with the context of the Ban Sri Udom Sub-district Health Promoting Hospital service area. This positively impacts the quality of life and health of the elderly, addresses long-term aging society planning, and can be continuously applied in other areas throughout all stages of illness. The model promotes recovery, reduces complications, lowers hospital readmission rates, decreases healthcare costs, and ultimately improves the quality of life for dependent elderly individuals.

THE OUTCOMES OF CATARACT SURGERY AT UTHUMPHONPHISAI HOSPITAL,SISAKET

Tamonwan Sorawet — 2025-10-28

Cataract is a leading cause of blindness worldwide, particularly among the elderly. Surgery is the mainstay of treatment to effectively restore visual function. The two commonly used surgical techniques are phacoemulsification and extracapsular cataract extraction (ECCE), which differ in their outcomes and procedural complexity. This study aimed to compare visual outcomes and postoperative complications between phacoemulsification and ECCE cataract surgeries at Uthumphonphisai Hospital, Sisaket Province, during fiscal years 2021–2023. This was a retrospective analytic study that reviewed medical records of 224 patients who underwent cataract surgery. Visual acuity was assessed using logarithm of the minimum angle of resolution (logMAR) before surgery and at 1 week and 1 month postoperatively. The outcomes between ECCE and phacoemulsification groups were compared using the Friedman test, Mann–Whitney U test, and Chi-square test, with a significance level set at p < 0.05.

The results demonstrated a statistically significant improvement in median visual acuity (logMAR) from 1.60 (IQR 1.0–1.9) preoperatively to 0.33 (IQR 0.16–0.54) at 1 month postoperatively (Z = 12.789, p < 0.001, r = 0.855). Patients who underwent phacoemulsification showed significantly better postoperative visual outcomes than those who underwent ECCE at both 1 week and 1 month (p < 0.001). The most common complications were corneal edema (3.1%) and posterior capsule rupture (1.8%), with no serious complications such as endophthalmitis observed.

Both surgical techniques effectively restored vision, with phacoemulsification yielding significantly superior outcomes compared to ECCE. However, as this was a retrospective study without adjustment for confounding factors, the results should be interpreted with caution. Further prospective studies with long-term follow-up are recommended to confirm these findings and guide improvement of cataract surgery services in community hospitals.

Development for mental crisis patient under the integrated and seamless of Emergency medical system Nonkhun distric Sisaket province

panida sankong — 2025-11-13

This research is a Research and Development (R&D) study aimed at developing an integrated emergency medical service model for psychiatric emergency patients in Non Khun District, Sisaket Province. The study sample included psychiatric emergency patients, healthcare personnel, and relevant staff. The research was conducted over a period of 10 weeks using research instruments such as questionnaires, observation forms, and interview guides. Data were analyzed using descriptive statistics, including mean, percentage, and standard deviation, as well as qualitative content analysis.

The issue of psychiatric emergency patients is a critical concern affecting the healthcare system and societal safety, especially in remote areas with limited resources. Non Khun District, Sisaket Province, faces challenges in managing psychiatric emergency patients due to its remote location, difficult transportation, and shortage of specialized medical personnel. These factors contribute to delays in emergency care and patient transfers, leading to potential violence and harm to patients, families, and communities. In some cases, such incidents have resulted in fatalities. Therefore, developing a care model tailored to the context of remote areas is essential to ensure rapid and effective treatment access.

Development the efficiency of hospital wastewater treatment system in Sisaket province

สิรินญา ปาทาน — 2025-11-27

Background and significance The public health consumer protection work has a mission to monitor/inspect/supervise the advertising of health products and services, as well as develop a media risk management system within Sisaket Province. In addition, there is a policy to promote/prevent, and protect consumers. People are protected from consuming health products and services. There is safety in advertising channels from the media. Advertising that exaggerates, claims properties, deceives, and misleads consumers, causing them to lose money and harm their health. Receive substandard and inappropriate health products and health services. Objective: To study the situation of advertising health products and services/develop strategies to monitor and manage illegal advertising effectively in Sisaket Province. Research regulations Action research Duration June 2023 - July 1, 2024 Study population 80 radio stations, 401 private health care facilities, 8 online platforms Statistics used Number/Percentage Operation Study the problem Search for information Review the literature Plan Create a network to manage advertising, create tools to collect information/report illegal advertising within the province Communicate policies to those responsible for the work and networks to use the developed tools. Develop and expand the Dashboard tools to analyze, classify, and distribute the frequency and statistics of the occurrence of health product and health service advertising events within the province, leading to the supervision/monitoring and management of health product and health service advertising problems in the area.

Study results Coverage of health product advertising surveillance via radio and illegal health services via media 100% Blocking media and pressing Report on 8 online media platforms (Facebook, Line, Twitter, Instagram, YouTube, Shopee, Lazada, TikTok) Total radio media, signs, and printed media 684 pieces Health products at risk of being illegal 376 pieces (54.97%) and health services at risk of being illegal 308 pieces (45.03%) In 2022, 8 pieces were prosecuted/5 pieces of advertising were ordered to be suspended (via radio) In 2023, 6 pieces were prosecuted/6 pieces of advertising were ordered to be suspended 1 (Radio) In 2024, 2 pieces of legal action was taken/advertisement was ordered to be suspended (in progress) and 12 health service establishments were ordered to be suspended, and 7 were in the process of being prosecuted. Managing the problem of illegal health product advertising on radio broadcasting. Illegal advertising of health products in risk groups decreased in 2023 by 70% and in 2024 by 66.7%. Conclusion and recommendations: Managing illegal advertising requires many factors: policies, executives, networks, tools, operational guidelines, and law enforcement. Regulatory agencies should strictly enforce the law, regularly inspect advertisements, and take action against those who violate the law. Public relations and communication. Advertising awareness and cooperation of entrepreneurs should be self-regulatory. Advertising should be correct, not exaggerated, and not inappropriate.