The objectives of this research were: 1. to study the general state towards elderly health promotion of Tamakham sub-district municipality in Muang district, Kanchanaburi, 2. to study the demand relationship of elderly health promotion of Tamakham sub-district municipality, 3. to study the problems, obstacles and suggestions on the elderly health promotion of Tamakham sub-district municipality.
The research methodology was the mixed methods research by quantitative research with the sample group as the 296 elderly persons in Tamakham sub-district municipality. The tool for data collection was the questionnaires that had the reliability test at 0.982. The statistics for data analysis are frequency, percentage, mean, standard deviation, with one-way analysis of variance, t-test and F-test, tested the Pearson’s correlations coefficient and qualitative research was in depth interview from 12 key informants. The data analysis was by the descriptive content analysis.
The findings of research were as follows:
1. The elderly health promotion of Tamakham sub-district municipality had the demand in health promotion in overall was at the middle level ( = 3.37, S.D. = 0.163) and when considered in each aspect, it found that it was at a high level in all aspects as following, 1) Housing aspect ( = 3.63, S.D. = 0.404), 2) Safety aspect
( = 3.71, S.D. = 0.391), but, 3) Physical aspect ( = 2.96, S.D. = 0.302), 4) Educational aspect ( = 3.37, S.D. = 0.324), 5) Recreation aspect ( = 3.17, S.D. = 0.282) were at the middle levels and elderly health promotion of Tamakham sub-district municipality in overall was at the middle level ( = 3.31, S.D. = 0.246), when considered in each aspect, it found that it was at the middle level as following, the Health responsibility aspect (
= 3.40, S.D. = 0.425), Exercising aspect ( = 3.25, S.D. = 0.365), Nutrition aspect ( = 3.32, S.D. = 0.402), Interpersonal relationship aspect ( = 3.32,S.D. = 0.423), Spiritual development aspect ( = 3.29, S.D. = 0.426), Stress management aspect ( = 3.31, S.D. = 0.407).
2. The demand of elderly has the positive relationship with elderly health promotion in overall was at the middle level (R = .476**), when considered in each aspect, it found that demand of elderly health promotion was low level as following the Health responsibility aspect (r = .109), Exercising aspect (r = -.029), Nutrition aspect (r = -.014), Interpersonal relationship aspect (r = -.034), Spiritual development aspect (r = -.043) , Stress management aspect (r = -.028) were high levels.
3. Problems and obstacles to elderly health promotion of Tamakham sub-district municipality province are when the elderly have the fever, they do not go to see the doctor immediately. They will wait until they are very serious condition to meet the doctor that the doctors can not help them in the proper time and advising will be effect. The exercise, lack of knowledge for readiness of physics to exercise safely, lack of academicians to give the knowledge and examine the health before exercising activity, lack of knowledge of safety eating and pure water or fruits for the health benefit by classifying the disease group of patients, lack of advise about the suggestion for giving the support to elderly from family, neighbors and psychologists.
The suggestions to elderly health promotion, should give the knowledge about the disadvantage of medicine and to set up the team of health check in the village such as to have monthly health check for four times especially on Saturday and Sunday for contacting properly. To exercise, should give the knowledge for physical preparation for proper exercise with physical state such as joint pain of elderly that should exercise properly and avoid from the dangerous exercise, should give the knowledge for nutrition such as set food that the heart attack patients should avoid some food including advantage of pure water and some disease of elderly that should avoid drinking much water by classifying the disease group of patients to have the knowledge on the same direction and to give the advise about the guideline for incentive or support from the members of family such as to take the elderly to go for making merit, dialogue with family members or talking with the neighbours and government agencies should set up more activities in the community.
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