Chulalongkorn University Theses and Dissertations (Chula ETD)
Other Title (Parallel Title in Other Language of ETD)
ผลของเครื่องมือบนเว็บต่อความรู้ และการปฏิบัติงานของพยาบาลชุมชนต่อการควบคุมเบาหวานในระดับสาธารณสุขมูลฐานในประเทศเมียนมา: การวิเคราะห์ความคุ้มค่าและการศึกษากึ่งทดลอง
Year (A.D.)
2024
Document Type
Thesis
First Advisor
Sathirakorn Pongpanich
Faculty/College
College of Public Health Sciences (วิทยาลัยวิทยาศาสตร์สาธารณสุข)
Degree Name
Doctor of Philosophy
Degree Level
Doctoral Degree
Degree Discipline
Public Health
DOI
10.58837/CHULA.THE.2024.1255
Abstract
Background: Along with rising prevalence, diabetes has emerged as a global public health problem which triggers economic burden, especially among developing countries. Optimizing knowledge and performance of health care workers at primary health care (PHC) level is pivotal for the success of diabetes control programs. Web-based diabetes tools are one of the innovative solutions to improve knowledge and performance among health care providers. However, evidence-based intervention study indicating the effect of web-based tools on diabetes among community nurses has not been conducted in Myanmar before. Objective: This study aimed to demonstrate the integrated effects of web-based diabetes knowledge and diabetes registry tools on knowledge and performance of community nurses and cost-effectiveness of intervention on diabetes control programme at PHC level in Naypyitaw, Myanmar.Methodology: Quasi experimental study with intervention and control group was applied to two purposively selected townships from October 2022 to April 2023. 96 eligible community nurses were selected according to the inclusion and exclusion criteria and 48 were assigned to each group. The intervention included baseline survey, training on application of web-based tools, monthly follow-up on utilization of web-based tools and endline survey. Knowledge and performance scoring and programme cost were the outcome variables. Variation of sociodemographic variables was measured by Chi squared test, variation of mean outcomes was measured by independent t-test, paired t-test, correlation between outcomes was measured by Pearson’s correlation test and the effect of intervention was measured by multiple linear regression models. Measurement tools were developed according to the National Diabetes Control Guideline. Cost effectiveness analysis was conducted by using WHO-CHOICE Analysis for Diabetes. Results: 96 community nurses enrolled in the study and 95 participants completed the study (48 for intervention and 47 for control). The mean knowledge scoring was improved from 85.81 to 99.23 (P
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Recommended Citation
Thar, Kyi, "Effect of web-based tools on knowledge and performance among community nurses on diabetes control at primary health care level in Myanmar: a cost-effective analysis and quasi experimental study" (2024). Chulalongkorn University Theses and Dissertations (Chula ETD). 74222.
https://digital.car.chula.ac.th/chulaetd/74222