Umaporn Boonyasopun

The HIV/AIDS epidemic in Indonesia: Does primary health care as a prevention and intervention strategy work?

The continuing increase in the number of people living with HIV/AIDS (PLWHA) in Indonesia is impacting on society. Various policies and strategies have been adopted and implemented to tackle this epidemic including primary health-care (PHC) initiatives. This paper describes the current HIV/AIDS epidemic in Indonesia and highlights a range of prevention and intervention initiatives introduced to limit the spread and impact of this disease factors, such as the characteristics of high-risk groups, the decentralization policy in the health sector, and the lack of skilled human resources and supplies in health centres have been identified as influencing access to health-care services among high-risk groups. Revitalization of a PHC approach coupled with adequate fiscal, infrastructure and human resources if addressed will increase of PLWHA and other risk groups to health care.

Effect of an empowerment-based nutrition promotion program on food consumption and serum lipid levels in hyperlipidemic Thai elderly.

This quasi-experimental study examined the effects of an empowerment-based nutrition promotion program on food consumption and serum lipid levels among hyperlipidemic Thai elderly. Fifty-six experimental subjects received the program; 48 control subjects maintained their habitual lifestyle. The statistical methods used were the t-test, Z-test, and chi2/Fishers exact test. After the program, the consumption of high saturated fat, cholesterol, and simple sugar diets was significantly lower for the experimental group than for the control group. The percentage change of the serum total cholesterol of the experimental subjects was significantly higher than that of the control subjects. The number of experimental subjects that changed from hyperlipidemia to normolipidemia significantly increased compared to that for the control subjects. The implementation of this program was related to an improvement in food consumption and serum lipid levels among hyperlipidemic Thai elderly and, therefore, has implications for practice.

A causal model of lifestyle modification behaviors in Thai adults with hypertension

This was a descriptive research aiming at investigating the quality of life of the Royal Thai Navy College of Nursing’s (RTNCN) personnel. There were 325 samples which were from the executives, nursing instructors, supporting staff and nursing students in the academic year 2014. The research tool was the World Health Organization Quality of Life assessment (WHOQOL - BRIEF - THAI) and the reliability of which was tested using the Cronbach’s Alpha with the result at 0.91. The statistics applied in this study were descriptive statistic. The results were as follows: 1) The Quality of Life in the aspects of physical health, psychological state, environment and overview of Quality of Life were mainly at moderate level (66.77, 54.77, 45.54, 75.38 and 57.85 percent respectively); and 2) Analyzing the Mean, it was found that QOL in all aspects of the personnel was at moderate level.

Transition in Stroke Patients: Conceptual Analysis

Stroke patients experienced the event of non-disable person to disable one. After having a stroke, they got many changes. Physical, social, emotional and spiritual adjustment needs to be addressed for the stroke patients. They underwent transition during recovery and rehabilitation process. This conceptual analysis is important to reveal the basic element of the transition concept in stroke patients make definitions and terminology associated with it. There were several themes that associated with the concept of transition in stroke patients, such as changes in the temporal order of life (daily routines and activities), change in sense of self and the experience of time, change in connectedness, and change in community integration. This concept analysis will help nurses or health provider during taking care of stroke patient to make the best service for them. The model presented here may useful for nurses and other health professional to develop intervention programs to promote quality of life of stroke patients.