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Abstract Risk Factors Causing Persistence of Stress after Flood Disaster Stress in Ang Thong Province

Surapun Wichitnak*, Somtawin Sintuprasit*, Pajaree Saralook*, Jutamad Padungyat*

*Pamok Hospital, Pamok District, Ang Thong Province

Following a flood disaster in 2006, the victims suffered both physical and mental affliction because of the loss of their property and loved ones. Post-disaster stress per- sisted in some persons. We, therefore, conducted this study to determine what risk fac- tors are related to the maintenance of postflood disaster stress on people in Pamoke dis- trict. We also studied the relationship between remainder stress and socio-demographic factors, health status and psychosocial factors. The subjects comprised 61 people who suffered stress from a flood in 2006 in Pamok district. General Health Questionnaire 12 Plus R (GHQ-12 Plus-R) was used for this study. The frequency, percentage, odds ratio (OR) and Chi-square test were used to analyze the data. The results showed that the risk factors for post-flood disaster stress were age over 60 years and lacking income.

Key words: stress, flooding disaster

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Chi square =.ÛÚ §à“æ’ >.ı (.ı˜) √«¡ ÒÙ Ù˜ ˆÒ

§«“¡ —¡æ—π∏å°—∫ ¡“™‘°¿“¬„π∫â“π‰¡à¥’ „™à ı ˆ ÒÒ

OR ( ˘ı% CI ) = Û.¯ (.˜¯ to Ò¯.˘) ‰¡à„™à ˘ ÙÒ ı

Chi square =Ú.Ùı §à“æ’ >.ı (.ÒÚ) √«¡ ÒÙ Ù˜ ˆÒ

µ‘¥∫ÿÀ√’ËÕ¬Ÿà „™à Ú ˆ ¯

OR ( ˘ı% CI ) = Ò.ÒÙ (.ÒÙ to ˜.ˆ¯) ‰¡à„™à ÒÚ ÙÒ ıÛ

Chi square =.˘ §à“æ’ >.ı (.˜ˆ) √«¡ ÒÙ Ù˜ ˆÒ

µ‘¥‡§√◊ËÕߥ◊Ë¡·Õ≈°ÕŒÕ≈åÕ¬Ÿà „™à Ò Ù ı

OR ( ˘ı% CI ) = .¯Û (˘ı%CI invalid) ‰¡à„™à ÒÛ ÙÛ ıˆ

Chi square =.Òı §à“æ’ >.ı (.˜) √«¡ ÒÙ Ù˜ ˆÒ

µ‘¥ “√‡ æµ‘¥Õ◊Ëπ Ê Õ¬Ÿà „™à   

OR =  ‰¡à„™à ÒÙ Ù˜ ˆÒ

‰¶- ·§«√å, §à“æ’ √«¡ ÒÙ Ù˜ ˆÒ

Ò¯ı

 ”À√—∫¢—ÈπµÕπ¢Õß°“√«‘‡§√“–Àåªí≠À“π—Èπ ·∫àß°≈ÿà¡

µ—«Õ¬à“߇ªìπ Ú °≈ÿà¡ ‰¥â·°à°≈ÿà¡»÷°…“ ·≈–°≈ÿࡧ«∫§ÿ¡

À≈—ß®“°∑’Ë¥Ÿ Theoretical web of causation^(ˆ) ·≈â«∑”„Àâ

∑√“∫«à“‚√§∑’Ë®–∑”°“√·°âªí≠À“π—Èπ¡’ªí®®—¬‡ ’ˬߵ—«„¥∫â“ß, µ—«·ª√·µà≈–µ—«‡À≈à“π—Èπ∑“ß«‘∑¬“°“√√–∫“¥‡√’¬°«à“ exposure.

®“°π—Èπ°Á‡ª√’¬∫‡∑’¬∫√–À«à“ß°≈ÿà¡»÷°…“°—∫°≈ÿࡧ«∫§ÿ¡«à“

·µà≈–°≈ÿà¡¡’ exposure °’Ë√“¬ ‰¡à¡’ exposure °’Ë√“¬ ·≈â«

π”¡“‡¢â“µ“√“ß∑’Ë Ú.

«‘®“√≥å·≈– √ÿª

®“°º≈°“√»÷°…“„πª√–‡¥ÁπºŸâ ŸßÕ“¬ÿ activity theory^(˜) π—ÈπÕ∏‘∫“¬„π‡™‘ß≈∫∂÷ߧ«“¡√Ÿâ ÷°æ÷ßæÕ„®„π™’«‘µ∑’Ë≈¥≈ß. °“√

·¬°µ—«ÕÕ°®“° —ߧ¡‡æ√“–¡’¢âÕ®”°—¥∑“ß∑√—欓°√ à«π∫ÿ§§≈

‡™àπ ¡’‡√’ˬ«·√ßπâÕ¬‰¡à “¡“√∂ √â“ߺ≈º≈‘µ‰¥â¥’‡∑à“°—∫§π„π

«—¬Àπÿà¡ “« À√◊Õ°“√∑’ˇÀÁπ«à“µπ‡ÕßÀ¡¥§ÿ≥§à“·≈–Õ“®∑”„Àâ

‡°‘¥ªí≠À“ ÿ¢¿“殑µµ“¡¡“.  à«πªí≠À“√“¬‰¥âπ—Èπ Õ¥§≈âÕß

°—∫º≈°“√»÷°…“¢Õß Avisor WR.^(¯) ∂÷ߺ≈°√–∑∫¢Õß°“√‰¥â

√—∫§à“µÕ∫·∑πµË” ®–¡’ªí≠À“ ÿ¢¿“殑µ Ÿß°«à“°≈ÿà¡∑’Ë¡’√“¬‰¥â  Ÿß·≈–¡—Ëπ§ß.  ”À√—∫¢âÕ®”°—¥¢Õߺ≈°“√«‘®—¬§√—Èßπ’È §◊Õ∑’¡ºŸâ

«‘®—¬¡’‡«≈“‰¡à¡“°æÕ‡π◊ËÕß®“°µâÕߪؑ∫—µ‘ß“πÀ≈—°∑’Ë√—∫º‘¥™Õ∫

·≈–ª√–™“°√°≈ÿࡵ—«Õ¬à“ß¡’®”π«ππâÕ¬ ‰¡à “¡“√∂‡ªìπ µ—«·∑π„π¿“æ√«¡¢ÕߺŸâª√– ∫Õÿ∑°¿—¬∑ÿ°°≈ÿࡉ¥â ·≈–¥Ÿ®“°

§«“¡√à«¡¡◊Õ∑’ˉ¥â√—∫·≈–¢âÕ§”∂“¡∫“ߢâÕ‡°’ˬ«¢âÕß°—πªí≠À“

 à«πµ—«¡’º≈°√–∑∫°—∫§«“¡√Ÿâ ÷° Õ“√¡≥å ´÷Ëß°≈ÿࡵ—«Õ¬à“ß

∫“ß à«πÕ“®¬—߉¡àæ√âÕ¡∑’Ë®–‡ªî¥‡º¬¢âÕ¡Ÿ≈∑’ˇªì𧫓¡®√‘߉¥â.

 ”À√—∫¢âÕ‡ πÕ·π–§«√¡’°“√®—¥°≈ÿà¡ π—∫ πÿπ∑“ß —ߧ¡

·≈–§«√¥”‡π‘π°“√‚¥¬Õ“»—¬§«“¡√à«¡¡◊Õ°—∫Õߧå°√∑’ˉ¡à„™à Àπ૬ߓπ¢Õß√—∞ (NGO) À√◊ÕÀπ૬ߓπ¢Õß√—∞„π à«π∑’Ë

µ‘¥°“√æπ—πÕ¬Ÿà „™à Ò ı ˆ

OR ( ˘ı% CI ) = .ˆı (.Û to ˆ.˜¯) ‰¡à„™à ÒÛ ÙÚ ıı

Chi square =.Ú §à“æ’ >.ı (.˘) √«¡ ÒÙ Ù˜ ıÒ

¡’ªí≠À“ ÿ¢¿“æÕ◊Ëπ Ê Õ¬Ÿà „™à ÒÛ ÙÒ ıÙ

OR ( ˘ı% CI ) = Ò.˘ (.Ò˘ to Ùı.¯ˆ) ‰¡à„™à Ò ˆ ˜

Chi square =.Ò §à“æ’ >.ı (.˘Ú) √«¡ ÒÙ Ù˜ ˆÒ

 ¡“™‘°„π∫â“π¡’ªí≠À“ ÿ¢¿“æÕ◊Ëπ Ê Õ¬Ÿà „™à ˘ ÛÚ ÙÒ

OR ( ˘ı% CI ) = .¯Ù (.ÚÒ to Û.ıÛ) ‰¡à„™à ı Òı Ú

Chi square = . §à“æ’ >.ı (.˘ı) √«¡ ÒÙ Ù˜ ˆÒ

¡’ªí≠À“Õ◊Ëπ°àÕππÈ”∑à«¡ (¬°‡«âπªí≠À“ ÿ¢¿“æ) „™à ˘ Ú¯ Û˜

OR ( ˘ı% CI ) = Ò.ÚÚ (.ÛÒ to ı.Û) ‰¡à„™à ı Ò˘ ÚÙ

Chi square =. §à“æ’ >.ı (Ò.) √«¡ ÒÙ Ù˜ ˆÒ

¡’ªí≠À“Õ◊ËπÀ≈—ßπÈ”∑à«¡(¬°‡«âπªí≠À“ ÿ¢¿“æ) „™à ˘ Ú¯ Û˜

OR ( ˘ı% CI ) = Ò.ÚÚ (.ÛÒ to ı.Û) ‰¡à„™à ı Ò˘ ÚÙ

Chi square =. §à“æ’ >.ı (Ò.) √«¡ ÒÙ Ù˜ ˆÒ

√“¬‰¥âµË”°«à“ Ú,ı ∫“∑µàÕ‡¥◊Õπ·≈–√Ÿâ ÷°«à“√“¬‰¥â‰¡àæÕ„™â „™à Ò Ò˜ Ú˜

OR ( ˘ı% CI ) = ı.¯¯ (Ò.ÚÛ to ÛÒ.ˆ¯) ‰¡à„™à Û Û ÛÛ

Chi square = ı.Ú˘ §à“æ’ <.ı (.Ú) √«¡ ÒÙ Ù˜ ˆÒ

µ“√“ß∑’Ë Ú (µàÕ) ¢âÕ¡Ÿ≈ ∂‘µ‘«‘‡§√“–Àå‚¥¬‚ª√·°√¡ ”‡√Á®√Ÿª STATCALC

µ—«·ª√ ªí®®—¬‡ ’Ë¬ß °≈ÿà¡»÷°…“ °≈ÿࡧ«∫§ÿ¡ √«¡

Ò¯ˆ

°√¡ ÿ¢¿“殑µ °√–∑√«ß “∏“√≥ ÿ¢. æ‘¡æå§√—Èß∑’Ë Ò °√ÿ߇∑æ¡À“π§√

: ‚√ßæ‘¡æå™ÿ¡πÿ¡ À°√≥å°“√‡°…µ√·Ààߪ√–‡∑»‰∑¬ ®”°—¥; ÚıÙ¯.

Ú. »Ÿπ¬å “√ π‡∑» °Õß·ºπß“π °√¡ ÿ¢¿“殑µ, ÚÙ µÿ≈“§¡ ÚıÙ˘.

Û. ·∫∫‡ πÕ‚§√ß°“√ à߇ √‘¡ ÿ¢¿“殑µ‡æ◊ËÕæ—≤π“§ÿ≥¿“æ™’«‘µ¢ÕߺŸâ ª√– ∫Õÿ∑°¿—¬ªï ÚıÙ˘ ®—ßÀ«—¥Õà“ß∑Õß (Mental Health Promo- tion for Quality of life of Flooding People in 2006 Angthong Province).

Ù.  ”π—°ß“π “∏“√≥ ÿ¢®—ßÀ«—¥Õà“ß∑Õß. ‡Õ° “√ √ÿªº≈¿“«– ÿ¢¿“æ

®“°Õÿ∑°¿—¬ ªï ÚıÙ˘. Õà“ß∑Õß:  ”π—°ß“π “∏“√≥ ÿ¢®—ßÀ«—¥;

ÚıÙ˘.

ı. ∏π“ π‘≈™—¬‚°«‘∑¬å, ®—°√°ƒ…≥å  ÿ¢¬‘Ëß, ™—™«“≈¬å »‘≈ª°‘®. §«“¡‡™◊ËÕ

∂◊Õ‰¥â ·≈–§«“¡·¡àπµ√ߢÕß General Health Questionnaire ©∫—∫

¿“…“‰∑¬. «“√ “√ ¡“§¡®‘µ·æ∑¬å·Ààߪ√–‡∑»‰∑¬ ÚıÛ˘; ÙÒ:Ú- Ò˜.

ˆ. Buchman TG. The community of the self. Nature 2002; 420:246- 51.

˜. ª√’™“ Õÿª‚¬§‘π. ¡‘µ‘∑“ß —ߧ¡·≈–«—≤π∏√√¡¢ÕߺŸâ ŸßÕ“¬ÿ. °“√

ª√–™ÿ¡«‘™“°“√§√∫√Õ∫ Ú ªï  —ߧ¡»“ µ√å °“√·æ∑¬å·≈–

 “∏“√≥ ÿ¢ ‡√◊ËÕß —ߧ¡»“ µ√废⠟ßÕ“¬ÿ‰∑¬„π∑»«√√…Àπâ“, «—π∑’Ë Û- Ù ∏—𫓧¡ ÚıÛ˘ ≥ ‚√ß·√¡‡Õ .¥’. Õ‡«π‘« °√ÿ߇∑æ œ.

¯. Ali J, Awison WR. Employment transitions and psychological distress: the contrasting experiences of single and married moth- ers. J Health Soc Behav 1997; 38:345-62.

‡°’ˬ«¢âÕß ´÷ËßÕ“®Õ¬Ÿà„π√Ÿª°“√®—¥ √√Õ“™’æ∑’˙૬„Àâ‡æ‘Ë¡√“¬‰¥â.

 à«π„π¥â“π∫ÿ§≈“°√§«√‰¥â√—∫°“√æ—≤π“‡æ◊ËÕ®–‰¥â„Àâ°“√™à«¬

‡À≈◊Õ¥Ÿ·≈„π√“¬∑’Ëæ∫«à“¡’§«“¡º‘¥ª√°µ‘¥â“𮑵„®‰¥âÕ¬à“ß

‡À¡“– ¡·≈–¡’ª√– ‘∑∏‘¿“æ. ªí®®—¬‡ ’ˬß∑’Ëæ∫®“°°“√»÷°…“

§√—Èßπ’È∑“ߺŸâ√—∫º‘¥™Õ∫ß“π¥â“π ÿ¢¿“殑µ “¡“√∂𔉪„™â ª√–‚¬™πå„π°“√§âπÀ“ºŸâª√– ∫Õÿ∑°¿—¬∑’Ë¡’§«“¡‡ ’ˬߵàÕ ªí≠À“ ÿ¢¿“殑µ‡æ◊ËÕÀ“∑“ߙ૬‡À≈◊ÕµàÕ‰ª.

°‘µµ‘°√√¡ª√–°“»

‡®â“Àπâ“∑’Ë ∂“π’Õπ“¡—¬, Õ“ “ ¡—§√ “∏“√≥ ÿ¢ª√–®”

À¡Ÿà∫â“π, ºŸâπ”™ÿ¡™π∑ÿ°µ”∫≈„π‡¢µÕ”‡¿ÕªÉ“‚¡° ·≈–

ª√–™“™π™“«Õ”‡¿ÕªÉ“‚¡°∑’ˇ ’¬ ≈–‡«≈“Õ”π«¬§«“¡ –¥«°

„À⧫“¡√à«¡¡◊Õ„π°“√»÷°…“«‘®—¬§√—Èßπ’ȇªìπÕ¬à“ߥ’.

‡Õ° “√Õâ“ßÕ‘ß

Ò. Weinstein BA. º≈°√–∑∫∑“ß ÿ¢¿“殑µ®“°¿—¬æ‘∫—µ‘ ·≈–∫“¥·º≈

∑“ß®‘µ„®∑’Ë¡’µàÕ∫ÿ§§≈·≈–™ÿ¡™π : Õߧ姫“¡√Ÿâ·≈–°“√™à«¬‡À≈◊Õ.

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