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ปที ี่ 4 ฉบับที่ 1 มกราคม - มิถุนายน 2563

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The office of disease prévention and control 5, Ratchaburi province Journal : Volume 4 NO. 1 Jan-Jun 2020

9 5 ^ v n e m i n *j l
T h e O ffice o f Disease P révention and C o n tro l 5, R atchaburi Province Jo u rn a l

ïlvi 4 atfuvi 1 JJfinmi - Sninm j 2563 Volume 4 No.l Jan - Jun 2020 ISSN : 2539-6676

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aniim j / w 'u s m a 'iïu Contents / Original Articles

mi^n^a^laaMmttjamiavilyriaWifkliP) 12 Prevalence of Nontuberculous mycobacteria in health
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TWÏlfitmTOa1^fnviYÎ 5 Tmkutbsiîna! 2562 région 5th in 2019

fJflfjfTkî Im im îï 7VI.3J. Suparerk Komolsiri

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mm mm Sareeya Youngphueng

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mûmiu^mffumvwhm 5mvnmivm TheofficeofDiseasePréventionandControl 5Ratchaburi

'ü is a v iS w s iT 'ü iii.n 'â s jn iia ^ 'u lrii^ iJ ln 'b n ^ a m i 25 The Effectiveness of Counselling Service Program on

iJ fm iJ a a w wIn P in i^ia ^ m w a ^ m\i b a n a1îja o fn i Improvement of the Health Behaviors in Metabolic
m en lu an Syndrome Patients

rîu v w m? m d Ravinun Nuchasilp
nm iyim a tiT im fjM m yT Petchaburi Rajabhat University

wa <tia'î nT51vias“üm viaçs)pintn iTia ? m -3f m u 40 The Effect of Psychoeducation to improve selfcare

a n a jT s a l'U fm p m a P im a ^ a T u fi) wOa a 5 pi in v i abilities in with schizophrenia at Somdetphaphutaleardla
vv Hospital, Samutsongkhram Province.

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ta ïw a n a-avtQpiaajviia-îPiTnu Sansanee Poolphol
a Psychiatrie and Dru§s TaskGroup

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hjmivimmmmzm1sLmmi Somdetphaphutaleardla Hospital

wa “üa \J■ïufvïua ïïti a uu nra a pim ^piu ia >3 54 The effects of a self-management support program to
i i s, delay kidney impairment from diabètes mellitus in patients
withuncontrolled blood sugar levels
m a^sjaalpiiaaijtiJw iJaai.'uivtai'U 'm ijaoajnTa Jaruwan Siriwattanasakul
Out Patient Department
fism s m j'u im a tm a a m è i Amphawa Hospital
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iJaaavhuiaibsaviBwa^aTniTulvnTaflnTj 67 Predicting Factors of Infectious Waste Management
a/ Effectiveness in thePublic Health Services,
PrachuabKhirikhan Province
:ua a a fî m ? a1u a a ou u1 fn i a n5 1teua *1) Renoo Muangkliang
PrachuabKhirikhan Provincial Health Office
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nm ïzvim vim m u m vn ilh fl i Epidemioloçy Division, Department of Disease Control_

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êneth-a d u Fischl MA, Dickinson GM, S cottn GB. Evaluation o f Heterosexual partner,
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The office of disease prévention and control 5, Ratchaburi province Journal : Volume 4 NO. 1 Jan-Jun 2020

Abstract

N ontube rcu lous m ycobacteria (NTM) are bacteria n a tu ra lly fo u n d in w a te r and soit. NTM
are m ore th a n 160 d iffe re n t species. T he m o s t o f NTMs are n o t pathogens. For 10 year periods,
th e prevalence o f NTM infections are increasing w o rld w id e . T he m o st co m m o n o f NTM disease
hâve lung sym p to m s . Flow ever, th e p re v a le n c e o f NTM in fe c tio n is fe w s tu d ie d in T hailand.
T h e re fo re , th e s tu d y is to in ve stig a te th e p re v a le n c e o f NTM in fe c tio n in h e a lth région 5th o f
Thailand. The sputum from suspected TB patients w ere detected at laboratory o f th e office
o f Disease P révention and C o n tro l 5 * Ratchaburi province during O cto b e r 2018 -S e p te m b e r
2019. A to ta l o f 5,802 sam ples w ere analyzed fo r M ycobacteria tuberculosis (MTB) and NTM
using m o le cu la r m e th o d . We fo u n d 2,722 (46.9%) MTB, 135 (2.3%) NTM and 2,945 (50.8%)
non MTB and NTM. The m ost causative NTM species w ere M ycobacterium abscesses (47
sam ples; 34.8%) M ycobacterium avium (30 sam ples; 22.3%) and M ycobacterium in tra ce llu la r
(22 sam ples; 16.3%). The d istrib u tio n o f NTMs w ere fo u n d in each province. We fo u n d th a t
th e highest p ré v a le n t o f NTMs (38 sam ples; 28.1%) in Ratchaburi province. T he second
prevalence o f NTMs (37 sam ples; 27.4%) in Kanchanaburi province. T he th ird prevalence
o f NTMs (18 sam ples; 13.3%) in Suphanburi province. M. abscessus was fo u n d th e highest
in fïve p ro v in c e s such as N a k h o n p a th o m , S a m u tsa kh o n , R a tch a b u ri, P h e tc h a b u ri an d
P rachuapkhirikhan p ro vin ce . M. in tra c e llu la re w as fo u n d th e highest in tw o provinces such as
Kanchanaburi and Suphanburi province. M. abscessus, M. avium and M. in tra ce llu la re w ere
fo u n d in h e a lth région 5th a il ye a r ro u n d . T h e b e n e fit o f th is s tu d y c lo u d be p ro v id e d th e
e p id e m io lo g y d a ta o f NTM in h e a lth région 5th o f T hailand.

Key words :

i Nontuberculous mycobacteria Prevalence

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The office of disease prévention and control 5, Ratchaburi province Journal : Volume 4 NO. 1 Jan-Jun 2020

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The office of disease prévention and control 5, Ratchaburi province Journal : Volume 4 NO. 1 Jan-Jun 2020

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vmfmuvma' a^un^nmla^nuRTURsufoRvî 5 QTïaTïQvianaauR'ï'àn'oaîn [a u iR a fiu R ].
2561 [aURUlda 6 5.R. 2562]; 7(1): 309-18.
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adm in /Jo u rn a l/2 5 6 1 V o l7 N o l_ 3 1 .p d f
t) v v *4 d , i sr € t/tsK «/ 5. Becton, Dickinson and Company. United
IvwmatiQwusmüuilismm! wVQ^WTOtmc1u

v*invhuitluaaTsa«-us H iu Tamau

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6. Bodle EE, Cunningham JA, Della-Latta

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The office of disease prévention and control 5, Ratchaburi province Journal : Volume 4 NO. 1 Jan-Jun 2020

w m ém iam j Original Article

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nao^'ù'îanqyanfm iîjpnîyan

The Effectiveness of Counselling Service Program on Improvement of the Health
Behaviors in Metabolic Syndrome Patients

TJWW ■UTJPtaü iv\.îi. (fn5l?tusjwm?iw4) Ravinun Nuchasilp, M.Sc.(Public Health)
jjvrâvm aaintm giym tjl Petchaburi Pajabhat Unïversity*

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Abstract
This quasi-experimental research aims to study 1) Compare the results o f the

counseling services program on improvement o f the health behavior in the experimental group
and the comparison group during the experiment. 2) Compare the results o f the counseling
program on behavior modification in the experimental group and the comparison group
before and after the experiment. Sample were patients in the group o f patients who received
medical treatm ent at a com m unity hospital in région the 5,h o f health service area. Data were
collected during Deœmber 2018 - December 2019. The sample consisted o f 60 patients,
They were divided to experimental group 30 subjects and comparison group 30 subjects.
The experimental group received counseling program based on the transtheoretical or Stage
o f Change M odel w ith empowerment. During 12 months to collect data 2 times before and
after the experiment w ith a questionnaire. Data were analyzed by using descriptive statistics
such as percentage, mean, standard déviation, and statistical test to analyze the différence
o f thé mean scores within the group and find the différence o f the mean scores between
the groups such as t-test and Bonferroni test,
results o f the study found that

1. The comparison o f the différences between the average scores o f the proces
leading to change in risk behavior And the readiness o f the process o f health behavior change
After joining the program for 12 and 24 weeks, it was found th a t the experimental group had
a higher average score than before joining the program. Statistically significant (p<.001) while
the control group had the mean score o f the process leading to change in risk behavior After
participating in the program 12 weeks lower than before participating in the program with
statistically significant (p<.05) but after joining the program for 24 weeks, the average score

The office of disease prévention and control 5, Ratchaburi province Journal : Volume 4 NO. 1 Jan-Jun 2020

was no different from before joining the program. And the experimental group had the mean
score; thé process leading to change in risk behavior. And the readiness o f the process o f
health behavior change Signifîcantly higher than the comparison group (pc.OOl) at the end
o f the 24* week

2. The comparison o f the différences between the average scores o f body mass index,
waist circumference, blood pressure, blood sugar level before breakfast In the experimental
group before and after joining the program for 12 weeks and for 24 weeks, it was found
th a t after joining the program The experimental group had an average body mass index,
waist circumference, high blood pressure (Systolic), blood sugar levels before breakfast.
Signifîcantly decreased (p <0.001) and when comparing the triglycéride mean values Before
and after joining the behavior m odifîcation’program, there were no significant différences. For
the comparison group, it was found that before and after joining the behavior modification
program had no différence.

3. Comparative results o f différences in the average score o f m etabolic syndrome
After participating in the program for 12 and 24 weeks, it was found that the experimental
group had an average score o f m etabolic syndrome. Better than before joining the program
Statistically significant (p <0.001), w hile the control group had an average score o f m etabolic
syndrome After joining the program for 12 weeks, it was signifîcantly lower than before
joining the program (p <0.05), but after joining the program for 24 weeks, there was no mean
différence from before joining the program. And the experimental group had the mean
scores o f m etabolic syndrome. Better than the comparison group with statistical significance
(p <0.001) at the end o f th e project in the 24* week

Key words :

WrmdfmilaEJ'U The Effectiveness of Counselling Service Program/

wqÂnTàïJOTnWwOiEjnaiJQnmvmmTAjan Improvement of the Health Behaviors/Metabolic

Syndrome Patients

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{jaaafiTÜiawruhJ Æ un ai m illym u ym a sn mi jvifia a ^ nai uas 30 fiu

2 . l ï ^ u u i i a i d u i a a ^ a j s a f i a n v i n ^ vt v i n m j i <u eji O ü««i <4 «; i c
tvnnu n m ilu 60 fm I,?n5fmiaanena?n4ifiafm
t/

vilain n rm 100 Saanfupiaifrôasnmjtü

3. iK w tjt'îjjJutpiînaL'B atîw a’îivin n iJvila amu-iunau (cluster random) am 3 fa v m 'rtn a
v

c£ê i i i«l d s> V d d
jn n n fi 150 îiaanfufiaifrâapiwuhJ uam tlun aiuY m aa^u asnai m 'ib tim viaiiJ h n s

41 I d 14 d d %fdd
4. isèmtiimi HDL enfm 40 2aannlinieiiiaaanaanm invm nüiY iafim aanwvY iiJfisum i

ifiBaentuu&na vtlaehfm 50 Saantijflai.fiBâeii {Jaam fa^tuisaua^n'hiJfm u a s ifa m ia iifi
VV

t u w M E p v i f m a f l f l n i a ^ f m m a a w n i j f i a i f i 'ï (m atching pair) fis u u u fla a m ^ T ja -îfia 'îJ

i ici d Si V d id <u
e n s n i a i ai m f t u - s ï a s n s n a ü ^ 'i ï a a 1 î l u a s i n f u vifiaa^uasnam ibam vm m viU fm m Y ni.vm ijn'u

TjBm ituI^w tntnami m j tm ^tilrm aTii/riY m 5 VHaa^nai ua'Ufiii) 30 fi

v

nai u ehatm mvmfiimnmia^na<upnath*

tfia m tQ ifin s îM a T U 'ia v iP ia a u w Q a fn ? iilp ifn ? i4 inguwntôfliîh (Inclusion Criteria)

■V 1 . i t l'uuw 'L l 'i a / i 'n s m f n t 'u a n l î ji . a n s a 'a m f i 'w C i

Power tanalysis fhiQaa 2 fiau ffad

fKaviBym d (effect size) = (p2 - p l) ^auaQivhnmasannfm 90 wumuw?tu«u,rm

SD uas?ama9ivhmju,asinnfrin 80 wjumuw'ïtu

nasthfhavÆma dleffect size) mtîlflpm'u Polit, WVi£y4

D., & Humgle.r, B.P. (1991) 4,5 in r îîjm v iu fitm i 2. jKtoàai^îMan 2 tia fia îjfnijjm jtaifà

a°Timvifiaau power = .80 msauuaaimij .05 tvhmjvilainnn'h 130/85 2aaaw‘nbaviîiuWJ

The office of disease prévention and control 5, Ratchaburi province Journal : Volume 4 NO. 1 Jan-Jun 2020

vt

2 ?sa u i sa trih an a lu la a a v eusa a a nv m 1 . 2 ) m i m s t m m o i u n aain n i i t J a a m ' d a ^

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w m stnum iiiJaym iila-uftunanTàïJW &inala

t/ v

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a n fm 50 Saanfjjaaia?aa?T,i!WV!fy-3 lu ia u annman m a n q a fm u inaiaaamtJmsasaam

n n ia in a a a n i8 '3 a n n m a a - 3 \b s a n 2 v iw ,n m n nniiaaanjftam sasfow am lam n earlier stage2 3

ClaJinu 12 iaau i4TjannaiJvlm,ï'33jIa‘ï''ann‘3aaa) vv
3. uanamiia 35-60 îl
‘truaa'ulauri miWa’ufoîkyvn (precontemplation)

a/ i a/

tm & ia W w la (contemplation) uasmnalaiian

4. aifa^am iaijTiai'an'i'ïnn^aaiiasm i'îij (préparation)

nan^iiaaaaisüsnanm nonninaa 1.3) m absm iianniinnnviw i aa lîl'U fm

5. Sm ifmmv aQfvunan aantm ui aaaiîhj a a a n m a s f m W f m ii^ W U (M o tiv a tio n a l

tlna uasanimaan'u ■vk iiasiîtmai'anlviyla Interviewing : M Danfi'qaanm ylvrulfn^iHnw

1.4) ■y'Ufm l'M aQ'UJtf'aaiviaa aa

lalaw avftitunnfîaü ibsnauaia m s ’ua'U fniH am iniaaiviaaw 'vLlaa W a o im a

. 1. ia1a-32aviKl,ufmviaaa<! aa Tibum u l l n i î n ' y s t i a ' î a ' u i a ' î ’ï a a w i i i n ^ s i j a ' u n i - ï a ^ q i w

n m a a m rm 'ü ln w mnaa-3 a oa 4 a «* «a i| a/44
v rmaa'u rm v n n a n m i iiasiaanianism iv) iayu
aj
v

àavhmj ïam bsqnaanm im aaYiqw ) ‘truaaufm n n i W a 0i ,ü 1n 'W 'i,l ,ü iin lt ) 'î) q ! m t ) a - 3 a t J ia - 3 'la
*4
inJaaminJawqani'jiJ (Transtheoretical Model
1.5) m m Tsaaanu aa âaanuwaanu

(TTM)/Stage o f Change Model) ib sn a u à n a m a ^ ïn tjT a y ijm n ^ a îja /a n in w a v im y m a lQ n n 'ï

v fmq mîl'iiUJ'la âotiTU 2 af-3 aa anJanwi 12
nas mJaTMvî 24
5 miaa-u laun

44 14 «4

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l’üâyuu.TJa^Viqam'suatianvj (stages of change) T s n m i n m a ' i m s j ' w a iaiia

m a \ b s i 2 u a n n ï j m a i i t j a M Î b a n n a a l i J w a 3 i A v i ,u v ia 4 a i'u n n ia ,ua3jâH a0'iiC ,unn,jâ a ü a in

VV a tu s n m ifn ^ a la s 'ïiîJ fn iiâ a a î'U îJ 'U 'tfa tia 'î

iim Pre-contem plation: \2 w v in itlm lq jv n a iu s m n ’tnaanaa'ï jjm n v m a m n tfïïf]iY m 'u 1

Contemplation : T uffnîlqjvn iiaêfaaîbjiiiJ ^ai a a in m n m n 3 J # a 3 vJ a a ia a iia -3 a^Ci
■dfuviqân^ijj Préparation : ilin n ^n w ts fm *4

I I S4 l . \ b s m j w i n a i # a 4 m i 8 3 i a a ,i b s a < i a <ua-3
a ai a
tlfm ila tm n q a n 'n a j ilw è m îh m n a Action :
fm p în w im w m ia s tia a m u r^ n fla T u n m Q a a
i l i i t J g i B a i i i i i w w a ' i - a l T l ’u n 'ii'd T u iiJ a a 'u v iq lin 's 'à iJ
2 . i l i i s t fa3 j n aaî j a 9 a a n 4 ? i i a '3 T i a aa,Ll,3 s a '3 a ,îia-3
Maintenance : a n îm a tlfltfa a n m iw u m n 'îK
v
lu n n T Ü îm n J a y u w q â n iiiM a a n 'W a y 6 la a n
fm a fr n i nn-mwu tja a n n m iim a ltim fM tJ ma-î
Relapse : nâ îiliJn isvh w q a n ,n m a iJ (anaifîa
n n i^ in n ‘ttaviünaija'3aan-3 iia s u a v m n a fn iv h
«S M I A <^V] J4.

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n arm u

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tV

3. inuiTui^auariaufm viaaa^ flïlunaij n is u iu n iiu ia n n iifla y u u fla ^ w q a n im ^ E n

viaaauiasnamflBtimflEJiJ TaaWim'uaa'uanîj a iiu w ia m ia ^ u a a u m iifla a m iiJ a -n s v m ^

inainwauvavnlïJ nisuTurnTthavmiiflamaiitla^ na8uviaaa'îiiasfia8 îjitllouwa'u iiansuîaEJ t-test
lias Boferroni test
wqwnT5ulunaunn?sunvwnin,u iia s a n y 'v n a ij
m TwtfnfllviBwm ^ium ^atj (Protecting the
14 J Rights of Research Participants)

na ^tfutoau m i ifl a eju ntla -3wqSn i i ua m w vv

v mrîaEjaf^fl m um iaufslimnanjsnTSiJfm
alasiium iiaaluuw ms ia^aojsw En'inaa'iaa'f
m1 aEnnu wnamiasviawaaa'î u v m n a n a ü ? n ,« a /]iw <ü‘3‘u1 iv f a la ^ n v s

4. m^aanaa'àiîja'imimj

nanviaaa^

l^ f1liiin iu m iaaulm TÜ lfm n lu mQJ «J l,

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«u v
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8J 8J 8

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87 7

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M8

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M

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1 1/ M i 0/ i o V%
na'uènam-ai tvutu 60 au wna'uyiaaa-3
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n a1 u a i u au la f u I f l i i i n ^ u n i i a a u ln n T U t n 'b n u a s n a8 u itlla u iu a u na*1uviaaa^, iflmvmvm<uk
8

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8

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«u
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Taam^iianimai'uia vnanfaaas aniaaa nas faaas 66.7 la-sawn aa viflia/iiannuaEi/raiîm

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wqanTâuwfliaa^smaTÏ'uan iians'wiam'n
nas Taa îfaaas 30.0 nas 3.3 aiwa^au laanau
8

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m

The office of disease prévention and control 5, Ratchaburi province Journal : Volume 4 NO. 1 Jan-Jun 2020

im s f'u n flm V ïT S T W fm 'U T u n ty f a y a t 6 .6 wan7ii\Jiym viy\jfl97m wnçnw04flsiii3ij

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îb s m jfn ififm n a 'a a fl 00 ib s a y flfT b n fa y a s v ia w n iiiih h iin 'ï î j 12 nas 24 a ikT w w im

hj h na'iJviaaa^fjasiujm affon^sinijnoT iha'fm
h hj
73.3 ‘àa-ia-s. ui aa jjsyajflnwTAbTJ nas iJInVmVnfll
iiJ a y u u,il a -3wç\fi f m u i»ay -3a4frin n au m i 1 y
fayas io nas 6.6 emia'iau ïflynaus èhyiflaa-a
T ib iifn y a y'i-râ ijya ifla jym a a ê î (p< .001)
fiQ ^ lv iü jS iiy lm Q a y p ia i.lîa 'U 'u a y ri'ii 1 0 ,0 0 0 m v i

fayas 80.0la-îfMin atbsvm-i 10,001 -15,000 invt t u m s w n a m i J i y u w o u y a s i i u m Q a y n i s i n u r m

uasinnfm 15,000 mvi fayas 13.3 nas fayas uia'm sitla ym iiJa 4 w q fln T ïm a y4 v ia ^ m r ia j

6.7 pnjjîhmj l o ^ f m 12 mJenw a in iir ia m ^ iiQ y h b iifn y

ttoayiay^aima^najjviaaa-? m_m ainivil ay'n'35,iïya0im i)vra a a li (p< .05) iifl'ifla4i<r m y

fayas 46.7 uasmja-n idy*! lalasamieanasaa Iib u m y 24 mJfl'W yasiim aaaalm ianflo-iann

fayas 80.0 ^amaoifimnam fayas 93.3 ria m ^ iiQ .y h b iin iy ffaiiaPMluw'iruYi 1 uasnay

i «J al « fV oV v i a a a ^ y a i i a a y a s i i u m a a y n i s u o u m T i h HaJ f1m
anamnanoyirminaiwayas 93.3 aanma^my
i-«Uayuitla-fflaISn'â'ïuay'î aHJ^m onaHu'tJlyiim y'u
aoyQGfmia'u fayas 66.7 SïifliJisa'ièn fayas ■ a/

60.0 îbi&iiyliJaaoimynina fayas 73.3 nas a ü ^ S tfy ^ n m y v m a a M p < .001) lijaauaa

nuyi ?ayas 63.4 24 04uam'l‘uem'i4'vi 2

«rm -avl l iiily m v iy tja a o m ifln ç îh ^ a ^ a s iim iia a y n is T n u m y û o a m ^ iiJ a y m iJ a -iv iq iîm m a y 'i

^a^na'yviaaa^iiasnam 'U lyijm y'u n a m ia s iia ^ m ^ m iQ y lA b iin 'â y 12 a ile n ii nas

24 àll^iTM (m ylu n a u )

fiaHw phiaayasuyunistnum iitlaym nJai flQnuuflnw'ttflsu.’U'u

(M ± S.D.),

riawiaaa-id) viàwaaa-a vra4Yi0aa4 . (1) - (2) (1) - (3)

12 3110711(2) 24 mJflTMÜ)

nauviaaa-3 .2.81 ± 0.08 3.28 ± 0.08 3.35 ± 0.07 -.472*** -.538***

namillymviy'u 2.96 ± 0.23 2J9 ± 0.26 2.98 ± 0.35 -175* -.020

vmnyivmH : Bonferroni test *fp < .05, ** p < .01, ***p .< .001
(l) : riautfnrniÏTbiiniJj (2) : v ia im i'iîiù b u fn ij 12 mJaTw (3) : w&m'nuTtbuniiu 24 mlami

iisaisHitfnriuiîosiniFntjrçHTsFm 5 intrus : tlfi 4 ovun 1 «nsiFin - ûtpnim 2563

w ir u v i 2 i\J la m o y ijfn iy u w n e n 4 fl0 4 fis u u w 0 0 a n iis iJ iu n i? a îi3 n i? iiJ a y u u iJ 0 4 y iq 0 fm y i? iE )4

isvm 4nm ivifla04uasnam il1ym viyu r io m a s T i& n iim iiy ïiJ iiin 'ï y 12- a tJflio lias
24 a t ln o (n=30)

O0OlflT51oIlJsUO7O 03H0710304 oaoiOlmjivÎEnj t-test p-value
o a iiîiiiio T O iu o io 12 a itoio • 2.81 ± 0.43 2.96 ± 0.23 -1.734 .090
o & m iio ïtb iio 'ïo 24 mJ0io 3.28 ± 0.41 2.79 ± 0.26 5.550 .000*
3.35 + 0.37 2.98 ± 0.35 3.944 ' .000*

* o o a a io q jo ^ a c w m s m j .001

w q m iiiiJ lE jm T ia u fm y u a n w ^^fis iiiru îf iT jr m 12 m J a io e n n ii n a m ^ i i i y ü b i i n i y

■ Vi

iQ a y 0 'n y n f0 y H j0 4 ^ ,u w 0 y fm i\J a ü 'u u iJ a 4 0EÎi4yijyâifiqjvii4aâ0 (p < .05) u w m s w h riy

n q fin T sya u fn rt o & i'tm iy U b iin 's y 12 lias Tibunisi 24 atJflio yflsiiumaaEilsjii0n0i4ain

24 m Jfiio ym iin q V o 0 a 0 4 yfisu m iia a E )fm y rio m 'thiiohbiin 'ïy 04iia04‘l‘U0T5i47i 3 nas

v

m € y u 0 4 w w 0 u m ,ïi'Uaouu\Ja4nqwnT^qumrf n q yvi0 a 0 4 yfiiia a o 0 su yu ia a o 0 '3 iyn i0 yu 0 4

a - if n 'i r i a y m 'ï'i y T i J 'ï i i n ^ y 0 0 i4 y i4 É J îîifï'£ \j •Sii00ym ,ïiiJayyuiJa4viq0n‘ï ,5yq*ofnvi a 4 n ii
hi v
nayiiJlyijiviyiJ0Eji4yyyai0qjvii4aa0 (p < .001)
vn^aali (p < .001) luD iusvinayi'ülyiJivîy'u
IV i<
•v
lyoauaHaïfw niitum JaioTÎ 24 fl4iia?i4tutmi47i 4
y a s 111111103 ejf m y v n 0 y u 0 4<S'y0 0 U f m

n Ja a ,ùiiiJa4viq0fV 5,5 y a im iT i o a 4 i‘U T 5 iy

stout! 3 i,U lü m v io u fm y u 0 n w i4 H 0 4 fis u u m a â y fn iy m 0 y ,ù04tfij00,ufmi'UaEJ'uiiiJa4

vsq w n ^yq u /n n u04fiayvi0a04uasnq,y iiJ ly ,uivîyu r io m a s o & n i^ i’tm iy t'ib iir i'ïy

12 a tlfn o nas 24 a i ln o (a ia lu n a y )

' oao fh ia a E jfls u tn jo 'ïs u iu o is iiJ â m jiit^ 011011000140211110

(M ± S.D.)

000710304(1) 034710304 7134710004 (1) - (2) (1) - (3)

12 3tl01O(2) 24 30010(3)

030710304 2.71 ±0.08 3.18 ± 0.08 3.25 ± 0.07 -.462*** -.438***

oaynJlyyioay 2.86 ± 0.23 2.89 ± 0.26 2.78 ± 0.35 -185* -.010

00101710 : Bonferroni test *p < .05, ** p < .01, ***p < .001

(DifiouirmioTibuo-ïo d h o & iîh 'h o îtb iio io 12 âiJoio (3):034miioTil?iio?o 24

31J01O

The office of disease prévention and contrat 5, Ratchaburi province Journal : Volume 4 NO. 1 Jan-Jun 2020

nqwnTïjjqn/nvi «vrii'înqjjviw aO 'îusïnqm illyuviy'u nam aajvt& m im riajTtJm fi'ïi]

12 mJflTw US" 24 mJflTW (n=30)

riauwh'niJÏibun'Sîj naiuviRaa^ nqmifêamvimj t-test p-value
2.71 ± 0.33 2.86 ± 0.28 -1.634 .080

na-awTïOjjTtJiufiiiîj 12 m k™ 3.18 ± 0.31 2.69 ± 0.24 4.550 .000*.

vi&im?iijTibu.mîJ 24 â ik ™ 3.45 ± 0.39 2.78 ± 0.38 3.744 .000*

* îhlüaof^vraacîflmsmj .001 '

wsmiL'ülyumBtjfmiuiPinpin-aiia'aRsu'U'u adnaStjyjînpîqjvii-aanS (p < .05) uavra-amiiaj

iQaa/m smenï'uan v i& m r ia jk b u n 'n j 12 uas Iib u rra j 24mJ^iwîlf!iî!a'uuQa0,l3juwnm'30inri0'u

24 •,win,indî1Jvi«00'3Spiî!U,u'uiQ 00/m îi m ioiiï'ib u fn ij d, 5 uatrauivitêiaa^
c* a ddv t I â/ i r , i AV _o v d i d, <?• A a «r
iiiw ilTj0n«m jm ifi0um ,5iîim?uniîJ atn-nnjojnflqj ajfliia a yfltu u m Q a o /m îu iJR m m n sm lfl'ïiJ

> v

v m a rifl (p < .001) tw floisfinqm O lam vÎE nj P t^ n Q in q iiL ili0 iJ iv Î0 ij0 y ,n'35‘U0anfîcyvin'3

Sfsiî!i,itJ'ui>a00fnQ«LîJ^iîti0n?‘u k ‘ï^ vm4i#i‘f r î j emfi p < .001 24

ïm -a fm 12 mJ^iTM m n o n ria u ^ n T ia jIilm fi'ïij flmeif^luenTi-i'M 6 .

«nn-avi 5 ’ u J la m w o tJ flQ n m fln e n ^ a ^ fitu ijm a a y /n o u jjm îiJ fln ^ tiT ifliîJ ^ n a îJ v*ie m a -a u a ;;
n a m illtjm vm ’u ria m a a m & m im io a jT iM in 'à îj 12 mJfl-rw uas 24 & J fl™ (n it/l,unaîj)

nay riniaayflsimumQîaypntiiân pnim^nwi'aflîai'utj

(M ± S.D.)

riaviviflaa-ad) vra-aviRaa-a vm^YiRgia-a (l) - (2) (l) - (3)

12 ^ 0 0 ^ (2 ) 24 mto™(3)

nmm?lf)34 2.61 ±0.04 3.08 + 0.06 3.15 ±0.02 -.442*** -.518***

naîJUJla'Ulvia^ 2.86 ± 0.33 2.59 ± 0.36 2.68 ± 0.45 -155* -.030

mnaivifl : Bonferroni test *p < .05, ** p < .01, ***p < .001

(l) : riam tm 'îjjîibufnii (2) : vt& m -nuïtbufnjj 12 m k™ (3) : vtm m ^uIiJianîu 24 àftk™

çmn-avi 6 ii ll a m v î y i j f l i m i f l n f l 'n ^ a w i u j m a a a f m s u j f l i ï 'i m n ^vm 'anq'ajviflaa'H i.aï:

nqm'üIti'ui.fÎEi'u nam taîîvm ^m sm riîjT iliun 'ïîJ 12 mJ^nw nas 24 mJeiTw (n=30)

na'umioajT'üiuniîj nauviflaa-a na%mtJlaiJwau t-test p-value
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The office of disease prévention and control 5, Ratchaburi province Journal : Volume 4 NO. 1 Jan-Jun 2020

Abstract
The purposes ofth is Quasi-experimental research usingthe one group pretest-posttest

design were: to compare selfcare behaviors o f schizophrenia patients before and after received
the psycho-éducation program. Twenty patients with schizophrenia who received outpatient
services at Somdetphaphutaleardla Hospital, who m et the inclusion criteria.The experimental
group received the psycho-éducation program was used. Six sessions o f psycho éducation
program were conducted. The contents o f the treatm ent included : 1) establishing relationship
and group joining, 2) knowledge on schizophrenia, 3) causes o f relapse and prévention,
4) warning signs and symptoms management, 5) médication management, and 6) learning
how to selfcare and seek help when encountered abnormal symptoms. T-test was used for
data analysis.

Major findings were as fo llo w : The selfcare behaviors o f schizophrenia patients
after participated in the psycho-éducation program, was significantly higher than before the
experimental at p-value 0.05

tbsil'usî'imu Key words :
4/ Schizophrenia, selfcare behaviors of
schizophrenia, psycho - éducation
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