§≈`π`°æàÕ ·¡à§ π‡°àß „π‚√ß欓∫“≈ àß ‡ √`¡ ÿ¢ ¿“æ ®.™≈∫ÿ√`

Transcription

§≈`π`°æàÕ ·¡à§ π‡°àß „π‚√ß欓∫“≈ àß ‡ √`¡ ÿ¢ ¿“æ ®.™≈∫ÿ√`
Vol. 23 No. 2 Apr. - Jun. 2006
J Prapokklao Hosp Clin Med Educat Center 75
π‘æπ∏åµâπ©∫—∫
§≈‘π‘°æàÕ·¡à§π‡°àß„π‚√ß欓∫“≈ à߇ √‘¡ ÿ¢¿“æ
®.™≈∫ÿ√’
®‘µ√“æ√ ∏π∫¥’ æ.∫.*
πÿ™®√‘π∑√å æŸ≈ «— ¥‘Ï æ¬.∫.*
∑‘æ¬å«√√≥ ∫”√ÿß®‘µµå æ¬.∫.*
Abstract
Parenting Class in Health Promoting Hospital, Chonburi province
Jitraporn Tanabodee M.D.*
Nuchjarin Poolsawat B.Ns.*
Tipwan Bumrungjit B.Ns.*
* Health Promoting Hospital, Regional Health Promotion Center 3, Chonburi Province,
Thailand.
J Prapokklao Hosp Clin Med Educat Center 2006;23:75-81.
Objective
To evaluate the knowledge and attitude of pregnant women and their husbands
before and after health education program regarded prenatal and perinatal care in
parenting class. The satisfaction of the health education model was also evaluated.
Material and Method This study was a single group pretest post-test design. Pregnant women
with their husbands, got 3 times of health education regarded prenatal and
perinatal care including exercise until delivery at Health Promoting Hospital from
1 June 2004 to 30 April 2005. There were three collecting data forms : The
examination form for knowledge and attitude evaluation before and after health
education, the satisfaction form and the questionnaire form. The data were
analyzed by mean percentage, standard deviation, Paired - samples t-test.
Results
Fifty-seven couples of pregnant women and their husbands who enrolled the
entire study got post-test knowledge and attitude scores 16.3 and 17.9 respectively,
which were significant higher than pretest score (11.3 and 12.8 respectively). The
satisfaction score was in high level. The low birth weight rate was 3.5 percent.
The birth asphyxia rate was 35.1 per 1000 livebirths. The knowledge and
attitude questions which the least people got right answer were : At the 32 weeks
gestational age and more, the fetus moves at least 10 times per day. And
wearing popular tight-fit clothes, has no bad effect to pregnancy.
Conclusion
Pregnant women and their husbands got more knowledge and positive attitude
of prenatal and perinatal care from health education. The low birth weight rate
was not over than 7 percent. Therefore, we should apply this program to get
the best benefit.
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J Prapokklao Hosp Clin Med Educat Center 77
Vol. 23 No. 2 Apr. - Jun. 2006
§«“¡√Ÿâ·≈–∑—»π§µ‘ ·∫∫∫—π∑÷°¢âÕ¡Ÿ≈∑—Ë«‰ª
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¡“µ√∞“π paired sample t-test
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26 - 30
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9
27
12
8
1
16
2
36
3
15.8
47.4
21.0
14.0
1.8
28.1
3.5
63.1
5.3
2
16
18
21
0
0
2
50
5
3.5
28.1
31.6
36.8
0
0
3.5
87.7
8.8
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16
15
16
6
4
28.1
26.3
28.1
10.5
7.0
6
12
31
7
1
10.5
21.0
54.4
12.3
1.8
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πâÕ¬°«à“ 2,500 °√—¡®”π«π 2 §π ∑“√°¡’§à“ APGAR
score ∑’Ë 1 π“∑’ ‡∑à“°—∫ 7 À√◊յ˔°«à“ ®”π«π 2 §π
¥—ßÈ π—πÈ Õ—µ√“∑“√°·√°‡°‘¥πÈ”Àπ—°πâÕ¬ ‡∑à“°—∫ √âÕ¬≈– 3.5
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38
19
47
10
55
2
44
5
8
√âÕ¬≈–
66.7
33.3
82.5
17.5
96.5
3.5
77.2
8.8
14.0
35.1 : 1000 °“√‡°‘¥¡’™’æ
3. ¢âÕ¡Ÿ≈§«“¡√Ÿâ ∑—»π§µ‘¢ÕßÀ≠‘ßµ—Èߧ√√¿å
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§«“¡√Ÿâ ·≈–∑—»π§µ‘°Õà π‰¥â√∫— ÿ¢»÷°…“∑’ÀË ≠‘ß µ—ßÈ
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Õ¬à“ßπâÕ¬ 10 §√—Èß µàÕ«—π ·≈– ¡’§«“¡‡¢â“„®«à“°“√
«¡‡ ◊ÈÕºâ“√—¥µ—«µ“¡ ¡—¬π‘¬¡∑’ˬ◊¥‰¥â∫â“߉¡à¡’º≈‡ ’¬µàÕ
°“√µ—Èߧ√√¿å ‡∑à“°—∫ √âÕ¬≈– 56.5 ·≈– 62.3 ¢ÕßÀ≠‘ß
µ—ßÈ §√√¿å·≈– “¡’∑∑Ë’ ”·∫∫∑¥ Õ∫°àÕπ°“√„Àâ ¢ÿ »÷°…“ 69
§Ÿà µ“¡≈”¥—∫
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°“√„Àâ ÿ¢»÷°…“
§«“¡√Ÿâ·≈–∑—»π§µ‘
§–·π𧫓¡√Ÿâ°àÕπ„Àâ ÿ¢»÷°…“
X
11.3
S.D.
16.3
2.2
§–·ππ∑—»π§µ‘°àÕπ„Àâ ÿ¢»÷°…“
12.8
2.4
17.9
p-value
-14.0
0.000
-11.8
0.000
2.4
§–·π𧫓¡√ŸâÀ≈—ß„Àâ ÿ¢»÷°…“
§–·ππ∑—»π§µ‘À≈—ß„Àâ ÿ¢»÷°…“
t-test
2.2
Vol. 23 No. 2 Apr. - Jun. 2006
J Prapokklao Hosp Clin Med Educat Center 79
5. ¢âÕ¡Ÿ≈§«“¡æ÷ßæÕ„®¢ÕßÀ≠‘ßµ—ßÈ §√√¿å·≈–
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„Àâ ÿ¢»÷°…“ Ÿß°«à“°àÕπ°“√„Àâ ÿ¢»÷°…“Õ¬à“ß¡’π—¬
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Sukomal P. ·≈–§≥–3 æ∫«à“À≠‘ßµ—Èߧ√√¿å·≈– “¡’ 48
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Vol. 23 No. 2 Apr. - Jun. 2006
®‘µ„® ∑—°…–°“√ªØ‘∫—µ‘¢ÕßÀ≠‘ßµ—Èߧ√√¿å·≈– “¡’ ®“°
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¢÷πÈ µàÕ‰ª
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¢Õ¢Õ∫§ÿ≥ºŸâÕ”π«¬°“√»Ÿπ¬åÕπ“¡—¬∑’Ë 3 ∑’Ë
π—∫ πÿπ°“√∑”«‘®—¬ §ÿ≥√—µπ“ ‡æ™√æ√√≥ §ÿ≥§«√æ‘»
“¬¿—∑√“πÿ √≥å ∑’Ë„À⧔™’·È π– ·≈–‡®â“Àπâ“∑’Ë‚√ß欓∫“≈
à߇ √‘¡ ÿ¢¿“æ ∑ÿ°∑à“π∑’Ë ‰¥â ≈–‡«≈“‡¢â“√à«¡ª√–™ÿ¡
·≈– Õπ ÿ¢»÷°…“„π‚§√ß°“√®π ”‡√Á®≈ÿ≈à«ß‰ª¥â«¬¥’
‡Õ° “√Õâ“ßÕ‘ß
1. ¢âÕ¡Ÿ≈Õπ“¡—¬·¡à·≈–‡¥Á°ª√–‡∑»‰∑¬ 2545. °√¡
Õπ“¡—¬ °√–∑√«ß “∏“√≥ ÿ¢
2. ∂‘µ‘ª√–®”ªï 2546 ·≈– 2547. √“¬ß“πº≈ß“π·≈–
∂‘µ‘‚√ß欓∫“≈ à߇ √‘¡ ÿ¢¿“æ »Ÿπ¬åÕπ“¡—¬∑’Ë 3
3. Sukomol P, Sukomol C, Luxitanonta K,
Monswasdi P. The effectiveness of social
support from husband on Pre-natal care, postnatal care and child health care of health
promotion center region 4 . Ratchaburi: World
Health Organization; 1991.
4. Abundis R, Abernathy M, Ghee A, Durazo L,
Luna RA. The use of focus groups in
developing prenatal health education
materials. Food and nutrition bullentin 1990
June [cited 2005 APR 1]; 12(2): [9 screens].
Available from: http://www. Unu.edu/unupress/
food.
J Prapokklao Hosp Clin Med Educat Center 81
5. Nichols MR. Adjustment to new parenthood :
attenders versus nonattenders at prenatal
education classes.Birth 1995;22(1):21-6.
6. Chumnijarakij T, Chitinand S, Quamkul N,
Viputsiri O, Limpongsanurak S, Thaineau V,
et al. Maternal risk factors for low birth
weight newborns in Thailand. J Med Assoc
Thai 1992; 75:578-583.
7. πƒ∑∏‘Ï Õâπæ√âÕ¡. °“√»÷°…“¬âÕπÀ≈—ß ‘∫ “¡ªï
‡°’ˬ«°—∫∑“√°πÈ”Àπ—°µ—«πâÕ¬∑’Ë ‚√ß欓∫“≈æ√–π— Ë ß ‡°≈â “ . «“√ “√°ÿ ¡ “√‡«™»“ µ√å 2537;33:
181-91.
8. The WHO Reproductive Health Library,
No 3. Geneva: World Health Organization, 2000
9. ‡¬◊ÕÈ π µ—ππ‘√π— ¥√. ¿“«–·Õ æ‘°‡´’¬„π√–¬–‡®Á∫§√√¿å
§≈Õ¥·≈–‡¡◊ËÕ·√°‡°‘¥. „π : π‡√»√ ÿ¢‡®√‘≠.
∫√√≥“∏‘°“√. Theme çNew Trends in O&Gé.
æ‘¡æå§√—Èß∑’Ë 1. °√ÿ߇∑æ¡À“π§√ : ¿“ææ‘¡æå, 2548:
93-102.
10. Pelowski A, Finer NN. Birth asphyxia in the
term infant. In: Sinclair J, Lucey J, editors.
Effective care of the newborn infant. Oxford :
Oxford University Press, 1992:263-6.

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