Health Science Journal of Nakhon Ratchasima College

The association between PM2.5 particulate matter levels and the number of patients with air pollution-related diseases in Muang Nakhon Ratchasima District, Nakhon Ratchasima Province

2026-04-02T10:52:54+07:00

This ecological time-series study aimed to develop a model linking PM2.5 levels to the number of patients with air pollution-related diseases in Muang Nakhon Ratchasima District, Nakhon Ratchasima Province. Retrospective monthly data from 2022 to 2025 (44 months) were collected, with PM2.5 concentrations obtained from CAMS Global Reanalysis and patient records from the Health Data Center (HDC). Relationships were analyzed using Generalized Linear Models (GLM) with a Log-link function, utilizing Quasi-Poisson and Negative Binomial distributions. The results showed an average PM2.5 concentration of 30.40 µg/m³, exceeding Thailand's annual national standard. The model revealed that PM2.5 significantly influenced patient numbers (p < 0.05) in respiratory conditions; for every 1 µg/m³ increase in PM2.5, the Incidence Rate Ratio (IRR) increased for bronchitis by 3% (IRR = 1.03, p = 0.043) and chronic rhinitis by 2% (IRR = 1.02, p = 0.036). For pneumonia, while the overall model fit was significant (p < 0.001), PM2.5 was not a significant independent predictor (p = 0.315). In conclusion, the developed model quantitatively identifies the health risks associated with PM2.5 in the study area. Public health and local authorities should utilize these IRR values to prepare medical resources, implement proactive risk communication, and plan health surveillance during high pollution periods to ensure community safety and well-being.

Factors Associated with Successful Return of Spontaneous Circulation (ROSC) after Advanced Life Support (ALS) in Emergency Patients at Thasala Hospital

2026-05-15T09:26:20+07:00

This cross-sectional descriptive study aimed to investigate factors associated with survival among cardiac arrest patients who received cardiopulmonary resuscitation (CPR). The sample consisted of 80 cardiac arrest patients who were treated in the emergency department. Data were collected using a structured data collection form. Descriptive statistics were used for data analysis, and associations were examined using the Chi-square test and logistic regression analysis.

The results showed that most patients were male, with a mean age of 61.48 years, and had underlying diseases. The majority of cardiac arrest cases occurred out-of-hospital, and initiation of CPR was delayed for more than 4 minutes. The survival rate after resuscitation was 37.50%. Factors significantly associated with survival included location of arrest, witnessed status, time to initiation of CPR, initial cardiac rhythm, and duration of resuscitation (p < 0.05). In contrast, personal factors and healthcare system factors were not significantly associated with survival. Multivariate analysis revealed that initial cardiac rhythm and duration of resuscitation were significant predictors of survival. Patients with a shockable rhythm had a higher likelihood of survival, whereas prolonged resuscitation duration was associated with decreased survival. Therefore, early initiation of CPR, improvement of emergency medical services, and enhanced access to advanced life support should be promoted to reduce resuscitation time and improve survival outcomes among cardiac arrest patients

Development of an Integrated Home-Based Care Model for Dependent Older Adults through Home Visits and Holistic Nursing at Ban Siri Phatthana Health Promoting Hospital, Nam Om Subdistrict, Kho Wang District, Yasothon Province

2026-06-02T10:33:56+07:00

This study employed a research and development (R&D) design with the objectives of developing an integrated home-based care model for dependent older adults that combines home visits and holistic nursing care, and evaluating the effectiveness of the developed model. The study was conducted at Ban Siripattana Health Promoting Hospital, Nam Om Subdistrict, Kho Wang District, Yasothon Province, Thailand. The sample consisted of 46 dependent older adults. The research instruments included the integrated home-based care model for dependent older adults combining home visits and holistic nursing care, an Activities of Daily Living (ADL) assessment, a Quality of Life (QOL) assessment, and a satisfaction questionnaire regarding the care model. Data were analyzed using descriptive statistics including frequency, percentage, mean, and standard deviation. The Wilcoxon Signed-Rank Test was used to compare outcomes before and after the implementation of the model.

The results showed that after the implementation of the developed care model, dependent older adults had significantly higher scores in Activities of Daily Living and Quality of Life compared to those before the implementation at the .05 level of statistical significance. In addition, the overall satisfaction of older adults with the care model was at the highest level. The developed care model promoted comprehensive care for older adults covering physical, psychological, and social aspects, and supported the participation of families and communities in caring for older adults. The findings of this study can serve as a guideline for developing community-based care systems for dependent older adults and for supporting appropriate health service delivery within the local context.

The Effectiveness of Aromatherapy Sachets on Pain Reduction and Patient Satisfaction among Post-Abdominal Surgery Patients in the Surgical Department, Maharaj Nakhon Si Thammarat Hospital

2026-05-14T14:22:08+07:00

This quasi-experimental study aimed to evaluate the effectiveness of aromatherapy sachets as an adjunct to standard treatment on pain levels and patient satisfaction among postoperative abdominal surgery patients. A total of 60 participants were recruited and equally assigned into two groups: a control group (n = 30) and an experimental group (n = 30). Data were collected using a structured questionnaire developed by the researchers. Descriptive statistics were used to summarize the data, and differences between groups before and after the intervention were analyzed using an independent t-test

The results showed that the pre-intervention pain scores were not significantly different between the two groups (t = 0.94, p = 0.350). Following the use of aromatherapy sachets after abdominal surgery, at 4 hours postoperatively, the mean pain scores in the control and experimental groups were 7.53 ± 1.41 and 7.27 ± 1.11, respectively, with no statistically significant difference (t = 0.81, p = 0.419). However, during 8–48 hours postoperatively, the experimental group demonstrated significantly lower mean pain scores compared to the control group at the 0.05 level of statistical significance. Regarding satisfaction, the experimental and control groups had mean satisfaction scores of 4.41 ± 0.83 and 3.30 ± 0.21, respectively. The difference between the groups was statistically significant (t = -7.10, p = 0.001) at the 0.05. Therefore, aromatherapy sachets should be considered as an adjunct to standard postoperative care in patients undergoing abdominal surgery, as they may help reduce pain and enhance the effectiveness of pain management in the postoperative period.

Editorial note

2026-07-01T15:58:48+07:00

วารสารวิทยาศาสตร์สุขภาพ วิทยาลัยนครราชสีมา ปีที่ 5 ฉบับที่ 1 กำหนดเผยแพร่เดือนมกราคม ถึง เดือนมิถุนายน พ.ศ. 2569 ประกอบด้วยบทความวิจัยจำนวน 4 เรื่อง โดยดำเนินการทุกขั้นตอนตามเกณฑ์คุณภาพของศูนย์ดัชนีการอ้างอิงวารสารไทย (Thai-Journal Citation Index Centre: TCI)

ทั้งนี้ เพื่อให้การเผยแพร่ผลงานทางวิชาการเป็นที่รู้จักกว้างขวางมากยิ่งขึ้นจึงขอความร่วมมือจากทุกท่านช่วยประชาสัมพันธ์ อนึ่ง วารสารวิทยาศาสตร์สุขภาพ วิทยาลัยนครราชสีมา ขอขอบพระคุณผู้มีส่วนเกี่ยวข้องทุกท่านที่ช่วยแนะนำเพื่อปรับปรุงคุณภาพของวารสาร ให้มีความสมบูรณ์ ซึ่งคณะผู้ดำเนินงานวารสารวิทยาศาสตร์สุขภาพ วิทยาลัยนครราชสีมา จะพัฒนาคุณภาพให้ได้รับการรับรองมาตรฐานในระดับที่สูงขึ้นต่อไป