Objective: A study of job-seeking anxiety, resilience quotient and family influence on career decision-making is apparently lacking; especially in regards to the impact of the financial crisis during the COVID-19 pandemic, and other factors, such as the political climate currently in Thailand. This study aimed to determine job-seeking anxiety, resilience quotient and family influence on career decision-making and related factors among senior, undergraduate university students.Materials and Methods: A cross-sectional descriptive study was conducted in a university in Southern Thailand; from May to October, 2020. Two hundred and seventy-one participants completed questionnaires regarding personal and parental demographic characteristics, resilience, family influence scale, job-seeking self-perception and job-seeking anxiety. Results: The prevalence of job-seeking anxiety among participants was low (40%), moderate (50%) and high (10%). In univariate analysis, factors significantly associated with job-seeking anxiety were: female gender (p=0.03), effects of the COVID-19 pandemic, economics and the current, political situation Thailand (p=0.03), resilience quotient (p<0.001) and job-seeking self-perception (p<0.001). The predictors of job-seeking anxiety, from multivariate analysis, were: resilience quotient (β = -1.169, P<0.001) and job-seeking self-perception (β = 2.232, P<0.001). Conclusion: Our study provided evidences that a significant proportion of senior, undergraduate students had experienced job-seeking anxiety, with the protective factor of job-seeking anxiety being individual resilience quotient. This information could be used as an effective management strategy for providing mental health promotion, and prevention for senior, undergraduate university students.
Background Prior knowledge of stroke is associated with decreased prehospital delay in acute stroke events. Knowledge and attitude toward stroke vary in each country. This study was conducted to evaluate attitude and knowledge of stroke in a rural community in southern Thailand.Methods A survey was conducted among people living in Koh Mak Distinct, Phatthalung Province, Thailand. Univariable analysis was tested by Chi-square, Fisher's exact, Rank sum or Kruskal-Wallis test. Linear and logistic regression were used to determine factors associated with the knowledge score and level of attitude toward stroke.Results Among 247 participants, most were Muslim and the median age was 54.0 years. The median (Q1, Q3) score of stroke risk factors was 5 (2, 7) (full score: 9). Participants who knew about stroke, had an acquaintance diagnosed with stroke, and had a high level of attitude had significantly higher scores. Two-thirds of the participants had a low-to-moderate level of attitude. Furthermore, most high-risk participants (99/113) had a low to no chance awareness of their risk to stroke. The median (Q1, Q3) score of stroke warning symptoms was 6 (3, 7) (full score: 10). The participants who had received education via the Face Arm Speech Time (FAST) campaign demonstrated a significantly higher proportion of correct answers to the symptoms mentioned in the FAST acronym.Conclusion Most participants in this community had insufficient knowledge, low-to-moderate level of attitude, and underestimated their risk to stroke even in the high cardiovascular risk participants. The FAST acronym may help people memorize the typical warning symptoms of stroke.
Background: Diabetes mellitus (DM) is a common noncommunicable disease. Several gastrointestinal symptoms such as diarrhea, chronic constipation, and fecal incontinence are often observed in DM patients; among these, chronic constipation is the most commonly reported. Given the growing prevalence of diabetes-associated chronic constipation, the problem of laxative prescribed without diagnosis of constipation among type 2 diabetes patients has been found in the primary care unit. Therefore, it should attend to investigate the rate and factors associated with laxative prescription in type 2 diabetes. Objective: To evaluate the rate and factors associated with laxative prescription in type 2 diabetic patients at the primary care unit and general practitioner outpatient clinic at Songklanagarind Hospital. Results: Overall, 386 patients diagnosed with type 2 diabetes were enrolled (55.7% female; mean age, 63.3 years; median duration of type 2 diabetes, 7 years; median visit in 5 years of each patient, 44 visits). Prevalence of laxative prescriptions was 16.6%. Rate of laxative prescriptions was 1.7% within 5 years. Patients with no diagnosis constipation according to ICD-10 about 81.2%. The statistically significant factors associated with laxative prescriptions in diabetic patients were age, number of hospital visit in 5 years, duration of type 2 DM disease, height, diastolic blood pressure, hemoglobin, hematocrit, serum uric acid, and glomerular filtration rate. Conclusions: Most laxative prescribed diabetic patients were without written diagnosis of constipation. Factors associated with laxative prescriptions were age, number of hospital visit, duration of type 2 DM disease, height, diastolic blood pressure, hemoglobin, hematocrit, serum uric acid, and glomerular filtration rate.
Background Disruptive behaviors are commonly found in children with attention deficit-hyperactivity disorder (ADHD) and affect the mental health of parents. However, a study of the direct and indirect effects between disruptive behaviors in children with ADHD and parental anxiety and coping strategies is apparently lacking. Objective To examine the direct and indirect relationship between disruptive behaviors in children with ADHD and parental anxiety and coping strategies as a mediator. Method A cross-sectional study was conducted at King Chulalongkorn Memorial Hospital, Thailand between March 2015 and January 2016. Participants comprised 200 parents whose children were diagnosed with ADHD by physicians. Participants completed questionnaires regarding sociodemographic characteristics including The Thai Hospital Anxiety and Depression Scale, The Swanson, Nolan and Pelham (SNAP-IV): parent form (Thai version), and The Coping Scale Questionnaire (Thai version). Results The direct path between disruptive behaviors and anxiety was significant (b = 0.21, P = 0.002). Moreover, a significant indirect path was found between disruptive behaviors and coping behavior with escape–avoidance (β = 0.20, P = 0.005), and an indirect path was found between escape–avoidance and anxiety (b = 0.31, P <0.001). Conclusions Health care professionals should evaluate the use of coping strategies by parents of children with ADHD and encourage the parents to use a positive strategy for coping with the disruptive behaviors of their children.
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