Electronic ISSN 2287-0237

VOLUME

EFFECTS OF AN INSECTICIDE EXPOSURE PREVENTION PROGRAM ON EXPOSURE AND BLOOD CHOLINESTERASE LEVELS IN THAI FARMERS

SEPTEMBER 2017 - VOL.13 | ORIGINAL ARTICLE
OBJECTIVE:

This Quasi-experimental research aimed at investigating the effects of an insecticide exposure prevention program on exposure and blood cholinesterase levels of farmers.

MATERIALS AND METHODS:

The conceptual framework was guided by the Donabedian and the RAMA models. Through convenience sampling with inclusion criteria, the sample included 49 radish farmers exposed to Organophosphate consisting of an experimental group (n=25) and a control group (n=24). The experimental group participated in a 12-week insecticide exposure prevention program that included: Raising awareness at the individual, family and community levels, Aiming at target outcome, Mobilizing change and innovation, and Assuring synergy involved home visits and assessments by health teams. The control group received a guide book for farmers and routine nursing care. The data were collected from April to July, 2016. The data were analyzed using Descriptive statistics and Inferential statistics including Paired t-test, Independent t-test, Chi-square test, and Mann Whitney U test. 

RESULTS:

The results revealed that after the program, the experimental group had lower insecticide exposure level than the control group with statistical significance (p < 0.001). There was no statistical difference in blood cholinesterase level before and after the program (p > 0.05) and between the experimental group and the control group (p > 0.05). 

CONCLUSION:

The results suggest that community nurse practitioners apply the principle of raising awareness, aiming at target outcome, mobilizing change and innovation as approaches for the insecticide exposure prevention program in the “farmers’ health clinic”, along with outcome monitoring for sustainability.

Keywords:

insecticide exposure prevention program, insecticide exposure, blood cholinesterase, farmer

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