Page 122 - The 8th Graduate Integrity Conference Proceeding

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Research Proceedings in The 8 Graduate Integrity Conference: April, 2017

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ให้มีสองระดับและปลายราวจับให้โค้งวกลงด้านล่าง เพ่มพ้นท่เฉพาะสาหรับวีลแชร์ในส่วนโถงพักคอย ตามท่กฎกระทรวงฯ
พ.ศ. 2555 กาหนดลักษณะ หรือการจัดให้มีอุปกรณ์ ส่งอานวยความสะดวก หรือบริการในอาคาร สถานท่ หรือบริการ
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สาธารณะอื่น เพื่อให้คนพิการสามารถเข้าถึงและใช้ประโยชน์ได้ก�าหนดไว้
ค�าส�าคัญ: แพทย์แผนไทย โรงพยาบาล ผู้สูงอายุ
Abstract

Traditional Thai Medicine of several public hospitals tend to develop in a positive way. However,
according to the observations of Traditional Thai Medicine units in hospitals, it was found that there were
many issues relating after-service. This research aimed to study problems and suggest approaches on improving
Thai massage environment and age friendly features in Traditional Thai Medicine clinics in hospitals in Nakhon
Pathom Province and Ratchaburi Province.

This research was a qualitative research which was the case study of Center-level hospital, Community-
level hospital, and Tambon Health Promoting Hospital. The observation form for facilities based on standards
of Traditional Thai Medicine in hospitals was used to collect data. The results of observation were analyzed
and compared with standards of facilities in terms of Traditional Thai Medicine clinics in hospitals.

According to the observations of Traditional Thai Medicine clinics in 3 levels of hospitals compared

with the standards, it was found that 3 hospitals provided standardized examination rooms, proportionated
medicine storages, and a general massage room with 50-cm bed space. There was no ventilating fan and
personal storage for patients in general massage rooms with herbal compress treatment, herbal sauna rooms,
herbal sauna tents, and rooms for hot salt pot compress therapy. These three hospitals did not provided age
friendly features, such as parking lots, ramps for wheelchairs, and had incorrect accessible signs. Regarding
the area of Thai traditional medicine, there was no signs indicating room’s direction and no sign around ramp.
Plus, accessible restrooms were under standard, the height of the information counters were not suitable for
wheelchair users, and the size of stair handrails and risers and threads of the stairs were under standard.
The waiting areas for Traditional Thai Medicine patients were sufficient but there was no designated waiting

area for wheelchair users.

All three hospitals should improve their Traditional Thai Medicine clinics as follows; installing ventilat-
ing fans in massage rooms, herbal sauna rooms, herbal sauna tents, and rooms for hot salt pot compress
therapy, expanding the size of herbal sauna room’s doors to 90 cm., arranging the bed space at least 80
cm. in the general massage rooms, adding a glass window on each door at the eye level, changing ceiling
materials to waterproof materials in herbal sauna rooms, installing humidity-resistant lights, installing emergency
bells, providing steam pipe insulation, increasing lockers for patients, according to Traditional Thai Medicine
and Integrative Medicine Promoting Hospital Standard (TIPhS), and providing accessible parking spaces and
accessible parking signs. In addition, the slope of a ramp should be 1:12 and warning blocks sized 30 cm.
at the ramp-up and ramp-down should be provided. Accessible signs indicating the direction to facilities should

be added. An accessible sign should be provided on the restroom’s doors. Emergency signals in accessible
restrooms should be installed, including foldable handrails. The height of the information counters should be

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