Appendices Compiled

61
APPENDIX 1
Ethical Clearance Certificate
MARIANO MARCOS STATE UNIVERSITY

University Research Ethics Review Board
City of Batac 2906 Ilocos Norte
ETHICAL CLEARANCE CERTIFICATE
Reference Number: 2017-103
Research Title: HEALTH BELIEFS AND EXTENT OF PRACTICE OF PUBLIC UTILITY

DRIVERS ON PREVENTION OF VEHICULAR ACCIDENTS
Nature of Research: UNDERGRADUATE THESIS
Lead Researcher: JERICO MALAQUI ET. AL.
On behalf of the University Research Ethics Review Board (URERB), an Ethical Clearance is
granted with respect of the undertakings contained in the above-mentioned research project and
research instrument. The researcher may therefore commence with the research as per date of
this certificate, using the reference number indicated above.
Please note that the lead researcher shall inform URERB by submitting a post approval protocol
package within 7 days on any serious adverse events (URERB Form 5.1), amendments (URERB
Form 5.2), protocol violation/deviation (URERB Form 5.3), and early protocol termination
(URERB Form 5.4) from the approved research protocol.
Likewise, progress report (URERB Form 5.5) or final reports (URERB Form 5.6) shall be
submitted after one year or when the study terminates, whichever comes first, to the URERBs.
This ethical clearance shall be valid from 19 October 2017 to 19 October 2018.
CERTIFIED TRUE AND CORRECT: APPROVED:
(Sgd.) FEDERICO V. NAGTALON (Sgd.) RYAN DEAN T. SUCGANG

Member-Secretary Chair

c/o College of Health Sciences
Contact Details:
URERB Secretariat
Tel. No. 63-670 1920
Email: urerb@mmsu.edu.ph
Website: www.mmsu.edu.ph
62
APPENDIX 2.1
Letter to the Dean
October 25, 2017
October 25, 2017
DR. MANOLITA S. CRISOSTOMO

Dean, College of Health Sciences
Mariano Marcos State University
Greetings!
We, the BSN Level IV Section B, Group 3 (Cluster 2) students are currently
conducting a research study titled, HEALTH BELIEFS AND EXTENT OF PRACTICE
OF PUBLIC UTILITY VEHICLE DRIVERS ON THE PREVENTION OF VEHICULAR
ACCIDENTS in partial fulfilment of the requirements in Nursing Research 191.
Anent this, the group represented by the undersigned would like to ask
permission to conduct the said study with Prof. Rosemarie G. Asuncion as our adviser.
I hope this request merits your favorable response.
Thank you very much and God bless!
Respectfully yours,
(Sgd.) JERICO A. MALAQUI

Group Representative
Noted:
(Sgd.) ROSEMARIE G. ASUNCION

Research Adviser
63
APPENDIX 2.2
Letter of Request to the City Mayor of Laoag City
October 25, 2017
HON. CHEVYLLE V. FARIÑAS

City Mayor
Laoag City
Madam:
Greetings!
We, the undersigned BSN Level IV Section B, Group 3 (Cluster 2) students are currently
conducting a research study titled, HEALTH BELIEFS AND EXTENT OF PRACTICE OF
PUBLIC UTILITY VEHICLE DRIVERS ON THE PREVENTION OF VEHICULAR ACCIDENTS.
In connection to this, the group would like to humbly request your good office to allow us
to conduct the aforementioned study in your locality, specifically to male jeepney drivers travelling
in the following jeepney terminals: Laoag-Gabu, Laoag-Calayab/Suba, Laoag-La Paz, Laoag-
Navotas, Laoag-Caaoacan, Laoag-Dibua, and Laoag-San Mateo. Rest assured that the identity
of the respondents will be treated with utmost confidentiality and all information gathered will be
utilized solely for academic purposes.
We hope this request merits your favorable response.
Thank you very much and God bless.
Very truly yours,

(Sgd.) SHEENA MARIE MACATUMBAS
(Sgd.) BIANCA MONTES
(Sgd.) NEVA JANE A. PADRON
(Sgd.) ARVEE CAEZAR F. VIZCARRA
Student Researchers
Noted:

Research Adviser
(Sgd.) TERESITA ANN O. TINIO

Clinical Coordinator
(Sgd.) ELMER A. SANTOS

Department Chairman
(Sgd.) MANOLITA S. CRISOSTOMO

Dean
64
APPENDIX 2.3
Letter of Request to the President, Gabu-Laoag Operators and Drivers Association
October 25, 2017
MR. MARIONITO RAQUINO NEREZ

President
Gabu-Laoag Operators and Drivers Association
Sir:
Greetings!
Anent this, the group would like to request permission to conduct said study in your
organization, specifically to the jeepney drivers who will be chosen as our respondent. Rest
assured that the identity of the respondents will be treated with utmost confidentiality and all
information gathered will be utilized solely for academic purposes.
Very truly yours,

Student Researchers
Noted:

Research Adviser
65
APPENDIX 2.4
Letter of Request to the President, Laoag-Calayab Suba
Operators and Drivers Association
October 25, 2017
MR. ELLIAS LLACUNA

President
Laoag-Calayab Suba Operators and Drivers Association
Sir:
Greetings!
Very truly yours,

Student Researchers
Noted:

Research Adviser
66
APPENDIX 2.5
Letter of Request to the President, Lapaz-Laoag
October 25, 2017
MR. ROBERTO ALONZO

President
Lapaz-Laoag Operators and Drivers Association
Sir:
Greetings!
The undersigned BSN Level IV Section B, Group 3 (Cluster 2) students are currently
Very truly yours,

Student Researchers
Noted:

Research Adviser
67
APPENDIX 2.6
Letter of Request to the President, Laoag-Navotas
October 25, 2017
MR. ELISIO CORPUZ

President
Laoag-Navotas Jeepney Operators and Drivers Association
Sir:
Greetings!
Very truly yours,

Student Researchers
Noted:

Research Adviser
68
APPENDIX 2.7
Letter of Request to the President, Laoag-San Mateo
October 25, 2017
MR. ARJIN PAULINO

President
Laoag-San Mateo Jeepney Operators and Drivers Association
Sir:
Greetings!
Very truly yours,

Student Researchers
Noted:

Research Adviser
69
Appendix 3
Informed Consent Document

INFORMED CONSENT DOCUMENT
Health Beliefs and Extent of Practice of Public Utility Vehicle
Title of Research Drivers on the Prevention of Vehicular Accidents
Name of Researcher/ Macatumbas S.M., Malaqui J.A., Montes B., Padron N.J.A.,
Principal Investigator Vizcarra A.C.F.
Purpose and Background

I am aware that the research study intends to obtain data from me to meet the
following objectives: 1) identify the socio-demographic profile of the respondents as to
age, civil status, educational attainment, and length of service, 2) determine the
respondents’ health beliefs along healthy lifestyle and early detection and screening, and
3) determine the extent of practice of health beliefs along healthy lifestyle and early
detection and screening.
Procedures
I am aware that this study is non-experimental since it includes description,
recording, analysis, and interpretation of the Health Beliefs and Practices of Public Utility
Vehicle Drivers on the Prevention of Vehicular Accidents. It is quantitative in nature since
its purpose is to determine the relationship between variables under study. Also, data are
collected with the use of structured checklist type questionnaire. Furthermore, it is
descriptive in nature since it is undertaken in order to observe, describe, and document a
certain aspect of a phenomenon, behavior, or situation as it naturally occurs.
I recognize that my involvement in this research study includes answering a
questionnaire for at least 10-15 minutes. I recognize that I will be one of the respondents
of the study.
I am fully aware that the results of the study will be available at the College of
Health Sciences library. I have access on the results provided I have acceptable reasons
like conducting another research wherein the results may be used as related studies
Risks and Inconveniences

I am aware that my participation in the study does not entail physical harm,
risks, or negative consequences.
70
Direct Benefits
I am aware that there will be expected benefits to the community, to the society
and contributions to scientific knowledge. I am aware that this study will contribute to the
body of literature regarding the importance of practicing health beliefs necessary for the
prevention of vehicular accidents. Furthermore, by increasing the respondents’ extent of
practice of health beliefs on the prevention of vehicular accidents as to healthy lifestyle
and early detection and screening, health problems that may develop due to vehicular
accidents will be minimized.
Compensation
I acknowledge that my participation is completely voluntary and I would not be
receiving any compensations of any kind, but I will gain a deeper understanding on the
health beliefs and practices necessary for the prevention of vehicular accidents.
Provision for Injury or Related Illness

I am informed that I will not be given free treatment in case of injury or illness
incurred as a result of participating in the study.
Voluntariness/Withdrawal of Participation
I am aware that my participation is voluntary and will not involve any monetary
payment. More so, I will also be given the right to withdraw anytime I will feel
uncomfortable during the process.
Confidentiality
I further acknowledge with confidence that my identity will be kept confidential.
In addition, I give my consent for the dissemination of the results of the study to provide
insights on the Health Beliefs and Practices of Public Utility Vehicle Drivers on the
Prevention of Vehicular Accidents.
Contact Person
I recognize that I am also free to ask questions relevant to the study to the
representatives of the researchers whose number appear across the name.
MALAQUI, JERICO A. 09279360198
MONTES, BIANCA 09551760002
I am aware that this informed consent was approved by the University Ethics
Review Committee and if there are grievances and complaints, I can contact:
URERB Chair: Prof. Ryan Dean T. Sucgang
Address: Mariano Marcos State University, College of Health Sciences, City of
Batac
E-mail: mmsuerc@gmail.com
Tel: (077) 600-0486/ (077) 670-1920
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Consent
I have read and understood the above information and had been
given the opportunity to consider and ask questions on the information
regarding the involvement in this study. I have received a copy of this
informed consent document.
______________________ _________________ _________________

Participant’s Name Signature Date Signed
Witness or Legal Guardian’s Signature (only when participant cannot read or

sign)
____________________ _______________ ______________

Name of Witness/Guardian Signature Date Signed
72
Appendix 4
Letter to the Respondent
October 25, 2017
Dear Respondent,
Greetings!
We, the BSN Level IV Section B, Group 3 (Cluster 2) students are currently conducting a
research study titled, HEALTH BELIEFS AND EXTENT OF PRACTICE OF PUBLIC UTILITY
VEHICLE DRIVERS ON THE PREVENTION OF VEHICULAR ACCIDENTS in partial fulfilment
of the requirements in Nursing Research 191.
In connection to this, we would like to request for your response to the items in the
attached questionnaire and our follow up questions deemed necessary to elicit pertinent data for
the accomplishment of the study. Your participation will contribute much in the realization of this
endeavor. Rest assured that your identity will be kept with utmost confidentiality and information
gathered will be solely used for academic purposes.
We anticipate with deep gratitude your favorable response to this request.
Thank you very much and God bless!
Very truly yours,

Student Researchers
Noted:

Research Adviser
73
Appendix 5
Questionnaire for Respondents

College of Health Sciences
Department of Nursing
City of Batac
QUESTIONNAIRE
Direction: Please provide the necessary information by filling out the spaces provided
and by checking the corresponding information.
I. SOCIO-DEMOGRAPHIC PROFILE
Name (Optional): __________________________________ Age: ________
Civil Status:
 Single
 Married  Widowed
 Separated  Others, please specify:
__________________
Family Monthly Income:

 120,000 and above
 100,000 to 120,000
 50,000 to 100,000
 10,000 to 50,000
 10,000 and below
Educational Attainment:
 College Graduate
 College Level
 High School Graduate
 High School Level
 Elementary Graduate
 Elementary Level
Length of Service:
 1-5 years
 6-10 years
 11-15 years
 16-20 years
 20 years and above
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II. HEALTH BELIEFS OF RESPONDENTS ON THE PREVENTION OF VEHICULAR

ACCIDENTS
Direction: Please put a check (√) mark under the number that corresponds to your
answer for each item regarding your health beliefs on the prevention of
vehicular accidents.
Legend:
5 –Strongly Agree
4 - Agree
3 - Undecided
2 -Disagree
1 – Strongly Disagree
HEALTH CONCEPTS AS TO PREVENTION OF

HEALTH BELIEFS
VEHICULAR ACCCIDENTS
I. HEALTHY LIFESTYLE
5 4 3 2 1
A. BALANCED DIET
1. Having a good nutrition by eating a well –
balanced diet is important in preventing vehicular
accidents.
2. A poor nutrition has an impact on the drivers’
concentration and ability to focus.
3. The ability in decision making is affected when
there is poor nutrition.
4. Fatty and sugary foods can contribute to fatigue.
5. Drinking 7 – 8 glasses of water improve focus
while driving.
6. Eating fruit and healthy snacks can boost energy
and alertness.
7. Skipping meals can lead to loss of
concentration.
B. PROMOTING REST AND SLEEP
8. Sleeping for 7 – 8 hours is important to prevent
9. Lack of sleep can contribute to fatigue when
driving.
10. Lack of sleep can affect vision, mood and ability
to focus in driving.
11. To help improve focus at the rest of the day, take
a nap for 30 minutes when there is time and
space.
12. It is safe not to continue driving when feeling
sleepy.
13. Regular exercise improves the quality of sleep.
C. AVOIDING VICES
14. Taking drugs like marijuana can lead to vehicular
accident.
15. Driving under influence of alcohol can affect the
75
ability to focus hence can result to vehicular

accident.
16. Alcohol and drugs affect driver’s judgment of
speed and distance.
17. Alcohol and drugs make drivers over-confident
that can lead to risky behavior while driving.
18. Alcohol and drugs reduce field of vision of
drivers.
D. CONTROLLING EMOTIONS
19. The best precondition for safe driving is having a
good mood.
20. There is a fewer accident when drivers are happy
while driving.
21. Accidents are prevented when drivers keep their
emotions cool while others can’t.
22. Drivers should remain calm and simply slow
down for a few seconds when there is vehicle
swerving in front of lane.
23. Drivers with difficulty in controlling their temper
have higher risk of causing an accident.
24. Drivers should let go of any negative feeling that
start to creep in when other drivers are irritating
to prevent accidents.
25. It’s not the driver’s responsibility to manage how
other drivers behave.
E. PRACTICING SPIRITUALITY
26. Praying before driving can prevent the

occurrence of vehicular accident.
27. Putting rosary beads in jeepney can prevent
28. Doing the sign of the cross before driving can
prevent the occurrence of vehicular accident.
II. EARLY DETECTION AND SCREENING
A. DRUG TESTING
1. Submitting one’s self to drug testing should be
done before the issuance of driver’s license.
2. Drivers should continuously know the schedule of
drug testing, its values and its purposes.
B. VISUAL ACUITY TEST
3. Visual acuity test should be done prior to the
issuance of the driver’s license.
4. Having poor visual acuity can affect the ability of
the driver to visualize the road.
C. BLOOD PRESSURE MONITORING
5. Maintaining normal blood pressure is important
for the efficient function of overall health and
wellbeing.
6. Drivers should always monitor blood pressure
since high blood pressure leads to heart attacks
and strokes.
76
7. To prevent vehicular accidents, drivers should

avoid driving when blood pressure is
uncontrolled.
III. EXTENT OF PRACTICE OF RESPONDENTS ON THE PREVENTION OF VEHICULAR

ACCIDENTS
Direction: Please put a check (√) mark under the number that corresponds to your answer
for each item regarding your extent of practice on the prevention of vehicular
accidents.
Legend:
5 – Always
4 – Often
3 – Sometimes
2 – Rarely
1 – Never
EXTENT OF PRACTICE AS TO PREVENTION OF

EXTENT OF PRACTICE
VEHICULAR ACCCIDENTS
I. HEALTHY LIFESTYLE
5 4 3 2 1
A. BALANCED DIET
1. I eat a well – balanced diet
2. I avoid eating fatty and sugary foods
3. I drink 7 – 8 glasses of water
4. I eat fruit and healthy snacks
5. I don’t skip meals.
B. PROMOTING REST AND SLEEP
6. I sleep 7 – 8 hours.
7. I take a nap for 30 minutes when there is time
and space.
8. I don’t continue driving if I feel sleepy.
9. I regularly exercise.
C. AVOIDING VICES
10. I don’t take drugs like marijuana.
11. I don’t drink alcohol before driving.
D. CONTROLLING EMOTIONS
12. I precondition myself to have a good mood when
driving.
13. I feel happy while driving.
14. I keep my emotions cool while others can’t.

15. I remain calm and simply slow down for a few
seconds when there is vehicle swerves in front of
lane.
16. I let go any negative feeling that start to creep in
77
when other drivers are irritating.

17. I think that it’s not my responsibility to manage
how other drivers behave.
E. PRACTICING SPIRITUALITY
18. I pray before driving.
19. I put rosary beads in my jeepney.
20. I do sign of the cross before driving.
II. EARLY DETECTION AND SCREENING
A. DRUG TESTING
1. I submit myself for drug testing before the
issuance of driver’s license
B. VISUAL ACUITY TEST
2. I submit myself for visual acuity test prior to the
issuance of the driver’s license.
C. BLOOD PRESSURE MONITORING
3. I maintain a normal blood pressure for the
efficient function of my overall health and
wellbeing.
4. I avoid driving when my blood pressure is
uncontrolled.
78
Appendix 6
Informed Consent Document (Iloko)

PAMMALUBOS
Dagiti Pammati iti Salun-At ken Kasansan ti Pinangaramid dagiti
Paulo ti Panangsukisok Agmanmaneho ti Lug-lugan a Pampubliko tapno Malapdan dagiti Aksidente
Ti Lugan
Nagnagan dagiti Macatumbas S.M,, Malaqui J.A., Montes B., Padron N.J.A.,
Agsukisok Vizcarra A.C.F.
Gagem ken Pakasaritaan

Siaannugotak a mangipaay ti ania man nga impormasyon para kadaytoy nga
panagadal tapno maaramid dagiti sumaganad nga panggep: 1) maamwan dagiti pammati
iti PUV drivers maipanggep iti salun-at tapno maprebentaran iti aksidente, 2) maamwan
iti kinasansan nga pinangpraktis dagiti pammati iti PUV drivers maipanggep iti salun-at
tapno maprebentaran iti aksidente.
Pannakaipakat
Maawatak nga daytoy nga panagsukisok ket mangiiswat ti non-experimental gapo
ta agusar ti description, recording, analysis, interpretasyon Dagiti Pammati iti Salun-At ken
Kasansan ti Pinangaramid dagiti Agmanmaneho ti Lug-lugan a Pampubliko tapno
Malapdan dagiti Aksidente Ti Lugan. Ken iti datos nga maala ket agusar babaen ti
naaramid nga structured checklist type questionnaire. Kas nayun na, descriptive daytoy
nga panagadal gapo ta daytoy ket naisayangkat tapno agobserba, mangiladawan ken
mangi-dokumentar ti maysa nga pasamak, galad, wenno sitwasyon. Nayun na pay,
maipakita iti naun-uneg nga pannakaawat kadagiti pammati ken panagpratis kadagitoy
nga pammati iti PUV drivers maipanggep iti salun-at tapno maprebentaran iti aksidente.
Maawatak nga dagiti agsuksukisok ket makasapol iti 198 nga respondents.
Ammok nga daytoy nga pannakairamab kadaytoy nga panagsukisok ket addaan iti
saludsod nga masungbatan iti 10-15 minutos. Pammaneknek nga maysanak nga responde
kadaytoy nga panagadal.
Siaannugotak nga iti resulta daytoy nga panagadal ket masarakan idiay College of
Health Sciences library. Mabalin ko nga maala iti resulta ken sisasaganak nga agsungbat iti
aniaman nga gapuna ti panagiyawat iti kastoy nga panagadal. Mapakaamwan nakto ti
result daytoy nga panagadal ken adda iti acceptable mga rason ko nga mangisayangkat
pay ti additional nga panagadal maipanggep kadaytoy nga panagsukisok.
79
Risgo ken Dadduma pay

Kanayunan kadaytoy nga pannakipartisipar ko ket awan ti mapasamak nga
didigra ken madi nasayaat nga pagtungpalan na.
Alisto a Pagsayaatan
Mamatiak nga adunto iti maitulong na iti aglawlaw ken kadagiti maseknan. Ken
kas adda iti kapanunutan kadagiti pammati maipanggep iti salun-at ken kasansan ti
panangaramid kadagitoy tapno maprebentaran iti aksidente.
Pannakabayad
Maawatak nga iti innak pannakipartisipar ket boluntaryo ken diak umawat ti
aniaman nga klase ti panagsubad, ngem innak maaddaan iti naun-uneg nga
pannakaawat kadagiti pammati maipanggep iti salun-at ken kasansan ti panangaramid
kadagitoy tapno maprebentaran iti aksidente.
Pannakairam ti Banbanag para iti Pannakasugat wenno Aniaman a kita ti Sakit

Maawatak nga haan nak nga maikkan iti libre nga pagpaagas nu adda man ti
rumwar nga madi nga pagteng a kas resulta ti pannakipartisipar kadaytoy nga panagadal.
Panagtulong/Panagsanod a Makiraman
Maawatak nga ti innak pannakipartisipar ket boluntaryo ken diak umawat ti
aniaman nga klase ti panagsubad. Kas nayun na, adda karbengak nga mangibabawi ti
inak pinagpartisipar ti aniaman na nga awan ti pannusa.
Pannakailemmeng ti Kinatao
Maawatak nga iti impormasyon a maala kadaguiti respondante ket agtalinaeed
a limed wenno confidential kas pinangipakita iti pinagyaman ken respeto. Ngarod,
dagitoy ket maaramat laeng para iti panagadal. Iti panangipresentar ti kadagiti datos, iti
kinasiasinno dagiti agsungbat ket saan a maipakita ngem adda alyas a mausar, ken dagiti
sabali pay nga impormasion kas kuma pagtaengan, tawen ken dadduma pay nga
personal nga impormasion ket saan nga maipresentar. Malaksid kadayta, dagiti
nasungbatan a kuestionario ket idulin dagiti agsukisok bayat iti lima nga tawen ken
kalpasan na ket mapuuran wenno ma-shred dagitoy tapno maipakita ti kina
konfidensial.
80
Tattao a Maawagan
Maawatak nga nawaya nak nga agsaludsod mainaman kadaytoy nga panagsukisok
kadagiti mangibagi ti grupo nga nagparangan iti numero nga kabatog ti nagan.
MALAQUI, JERICO A. 09279360198
MONTES, BIANCA 09551760002
Maawatak nga ti pammalubos ket naaprobanan ti University Research Ethics Review
Board ken nu adda man iti rumswat nga reklamo, mabalin ko nga kontaken ni :
URERB Chair: Prof. Ryan Dean T. Sucgang
Address: Mariano Marcos State University, College of Health Sciences, City of Batac
E-mail: mmsuerc@gmail.com
Tel: (077) 600-0486/ (077) 670-1920
Pammalubos
Imaldit ko daytoy pirmak nga mangibaga nga naawatak nga naimbag itit
panggep daytoy nga panagsukisok, ken iti pannakipartisipar ko ken ti naaramat
nga panagkolekta.
______________________ ________________ _________________

Nagan ti Responde Pirma Petsa ti pinagpirma
Saksi wenno pirma iti mangay-aywan (nu ti maseknan ket haan nga makabasa
weno makasurat)
______________________ __________________ ________________

Nagan ti Responde Pirma Petsa ti pinagpirma
81
Appendix 7
Letter to the Respondents (Iloko)
Oktubre 25, 2017
Patpatgenmi nga pagayam,
Kablaaw!
Dakami nga estudyante iti Mariano Marcos State University, College of Health Sciences
BS Nursing Level IV-B, Group 3 (Cluster 2) ket agdama nga mangsaysayangkat iti panagsukisok
maipapan iti research study da nga napaulwan, “Dagiti Pammati iti Salun-At ken Kasansan ti
Pinangaramid dagiti Agmanmaneho ti Lug-lugan a Pampubliko tapno Malapdan dagiti
Aksidente Ti Lugan” a kas paset ti panagadal para iti Nursing Research 2.
Ken maysa pay, dakami ket agkiddaw ti napudno nga sungbat kadagiti nailanad nga
saludsod iti naikabil nga questionnaire ken sungbat iti pasaruno nga saludsod mi. Ti
pannakipartisiparyo ket makatulong iti pannakaamiris kadaytoy nga gakat. Amin ket
maipasigurado nga iti kinasiasinno ket agtalinaed nga konpidensyal ken dagiti inpormasyon nga
maadaw ket agserbi laeng para iti panagadal mi.
Antisiparanmi iti agyaman iti mayat ken napudno nga sungbat yo kadaytoy nga
kalikagum mi.
Agyaman kam unay ken Dios ti agngina.
Very truly yours,

Student Researchers
Noted:

Research Adviser
82
Appendix 8
Questionnaire for Respondents (Iloko)

College of Health Sciences
Department of Nursing
City of Batac
PANAGSALUDSOD
Pangalagadan: Pakipan dagiti napapateg a banbanag babaen ti panangisurat kadagitoy
iti nailatang a lugar ken babaen ti panangadal a naimbag kadagitoy a banbanag.
.
I. KASASAAD
Nagan (Mabalin nga ipan wenno saan):______________________Tawen:_________
Estado:
 Awanan asawa
 Naasawaan  Nabalo
 Nakisina  Dadduma pay (pakisurat
ditoy):____________________
Binulan nga masapulan iti pamilya:

 120,000 agpangato
 100,000 agingga 120,000 nga piso
 10,000 agpababa
Kangatwan nga naturpos panggep iti edukasyon:

 Nakaturpos iti Kolehiyo
 Haan nga nakaturpos iti Kolehiyo
 Nakaturpos iti High School
 Haan nga nakaturpos iti High School
 Nakaturpos iti Elementarya
 Haan nga nakaturpos iti Elementarya
Kabayag iti Serbisyo:

 1 inggana 5 nga tawen
 20 nga tawen agpangato
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II. PAMMATI ITI SALUN-AT KADAGITOY BABAEN KADAGITI MAPAGSALUDSUDAN A

MANGITUNDA ITI PANNAKATUBENG DAGITI AKSIDENTE TI LUGAN.
Pangalagadan: Pakikwi-it ti bilang ti sungbatyo ti tunggal maysa maipanggep ti Pammati iti
Salun-at kadagitoy iti pannakatubeng dagiti aksidente ti lugan.
Pangibasaran:
5 – Sumarurongak unay
4 – Sumarurongak
3 – Awanan pagtaktakderan
2 – Kumontra
1 – Kumontra unay
Kapanpanunotan Iti Salun-At A Mangtubeng Pammati Iti Salun-At

Kadagiti Aksidente Ti Lugan
I. Nasalun-At A Panagbiag 5 4 3 2 1
A. Umno A Taraon
1. Maaddaan iti nasayaat a nutrisyon babaen iti
pannangan ti umno a taraon a mabalin a
mangpababa kadagiti aksidente ti lugan.
2. Mangipaay iti salun-at ti nasayaat a nutrisyon iti
epekto ti panangiturong ken kabaelan a
mangipamaysa iti nasalun-at a panagbiag.
3. Mabalin a maapektaran ti panag-desisyon no
nababa ti nutrisyon ti bagi.
4. Mangipaay dagiti nataba ken nasam-it a makmakan
iti alisto a pannakabannog.
5. Mapasayaat ti panagmaneho ti lugan no makainom
iti 7-8 a baso ti danum.
6. Mapatibker ti kinapigsa ken kinaalisto babaen ti
pannangan iti bungbunga ken nasalun-at a meryenda.
7. Pababaen ti panangipamaysa ti aniaman nga
araramid no maliwliwatan ti pannangan.
B. Panaginana Ken Turog
8. Iti panagturog ti 7 – 8 nga oras ket importante
tapno maliklikan iti disgrasya iti panagmaneho iti
lugan.
9. Iti kurang ti turog ket mabalin nga makatulong nga
makarikna iti pagkabannog.
10. Iti panagkurang iti turog ket makaapektar iti
panagkita, panagrikna, ken panagpokus iti
panagmaneho.
11. Tapno makatulong iti panagpokus, iridep iti 30 nga
minuto no adda iti oras ken espasyo.
12. Natal-talged nga isardeng ti pangamaneho no
marikna ti pannakailibay.
13. Ti assided a panag-ehersisyo papintasen na ti
pannaturog.
84
Kapanpanunotan Iti Salun-At A Mangtubeng Pammati Iti Salun-At

Kadagiti Aksidente Ti Lugan
C. Pananglaksi Kadagiti Bisyo 5 4 3 2 1
14. Mangiparnuay iti aksidente ti luganiti panagaramat
iti maipawil nga agas a kas iti marihuana.
15. Maapektaran ti panangipamaysa ti panagmaneho
no nakainom ti arak ti agmanmaneho.
16. Maapektaran ti panangtantya ti kapardas ken
kaadayona no ti agmanmaneho ket addaan
“alcohol” ken maipawil nga agas iti darana.
17. Agbalin ti agmanmaneho a nangato unay ti
panagtalek na iti kabaelan na no adda “alcohol” ken
maipawil nga agas iti darana a mangparnuay iti
ugali a saan nga nasimbeng.
18. Pababaen dagiti “alcohol” kn maipawil nga agas ti
simbeng ti panagkita ti maysa nga agmanmaneho.
D. Panangtiped Ti Rikna
19. Mangipaay ti nasimbeng a rikna iti natalinaay a
panagmaneho.
20. Bumaba dagiti aksidente no dagiti agmanmaneho
ket naragsak bayat ti pangamanmanehoda.
21. Pagtalinaeden ti nasimbeng a rikna.
22. Agbalin a natalinaay ken naalumamay iti
sumagmamano a Segundo no adda dagiti di
mapakpakadaan a kuti dagiti lugan iti sango.
23. Dagiti agmanmaneho a narigat a mangtiped iti
panagpungtot ket ad-adda nga asideg iti aksidente.
24. Saanen nga ik-ikkan iti dakkel a kaipapananan
dagiti makapapungtot a banbanag a gapuanan
dagiti sab-sabali nga agmanmaneho.
25. Saanen a bibiangan ti panag-ugugali dagiti
sabsabali nga agmanmaneho.
E. Panangpatibker Ti Pammati
26. Mabalin a malapdan dagiti aksidente ti lugan baben
iti panagkarkararag.
27. Mabalin a malapdan dagiti aksidente ti lugan
babaen iti panangipan ti rosary iti uneg ti lugan.
28. Mabalin a malapdan dagiti aksidente ti lugan no
lagipen ti panagkuros kasanguanan nga agmaneho.
Kapanpanunotan Iti Salun-At A Mangtubeng
Kadagiti Aksidente Ti Lugan Pammati Iti Salun-At
II. Nasapa Nga Panangtakuat Ken Panangpasardeng

5 4 3 2 1
A. Panangtingiting Iti Maiparit Nga Agas
8. Masapul nga adda pannakalisamen ti bagi iti
85
maiparit nga agas kasanguanan a maikkan iti

lisensya para agmaneho.
9. Ikkaten dagiti agmanmaneho a maduktalan nga
agar-aramat ti maipatawid nga agas; no kayat a
makissayan ti kaso ken matmatay iti aksidente,
rebbeng laeng nga adda panangiksamen iti maiparit
nga agas.
B. Pannakaeksamen Iti Kinasimbeng Ti Panagkita
10. Masapul nga agpaeksamen ti kinasimbeng ti
panagkita kasanguanan a maited ti lisensiya nga
agmaneho.
11. Maapektaran ti nababa a panagkita ti kabaelan ti
agmanmaneho a mangkita a nalaing ti kalsada a
daldalyasatenna.
C. Agtultuloy A Panangammo Ti Kangato Wenno Kababa Ti Dara
12. Ti pinang-mentenar ti normal a kangato ti dara ket
napateg iti umno a kinasalun-at ken kasasaad.
13. Dagiti agmanmaneho nga addaan nangato ti
darana mangitunda iti atake ti puso ken dadduma
pay a klase ti atake ket rumbeng laeng nga assideg
ti pannakakita ti kangato wenno kababa ti dara da.
14. Saanen nga agmaneho no nangato ti dara tapno
malapdan ti pannakaaramid ti ad-adu pay nga
aksidente ti lugan.
III. KASANSAN TI PINANGARAMID KADAGITOY BABAEN KADAGITI

MAPAGSALUDSUDAN A MANGITUNDA ITI PANNAKATUBENG DAGITI
AKSIDENTE TI LUGAN.
Pangalagadan: Pakikwi-it ti bilang ti sungbatyo ti tunggal maysa maipanggep ti
Kasansan ti Pinangaramid kadagitoy iti pannakatubeng dagiti aksidente ti
lugan.
Pangibasaran:
5 – Kankanayon
4 – Masansan
3 – Sagpaminsan
2 – Dadduma
1 – Saan a pulos
Kapanpanunotan iti salun-at a mangtubeng Kasansan ti Pinangaramid

kadagiti aksidente ti lugan
I. Nasalun-at a Panagbiag 5 4 3 2 1
A. Umno a Taraon
1. Mang-manganak ti umno a taraon
2. Liklikak ti mangan iti nataba ken nasam-it a
makmakan.
3. Umininom nak iti 7-8 a baso nga danum.
86
4. Mangmangannak ti bungbunga ken nasalun-at a

meryenda.
5. Haan ko liwliwatan ti mangan.
B. Panaginana ken Turog
6. Matmaturogak Iti 7 – 8 nga oras tapno maliklikan iti
disgrasya.
7. Iridridep ko iti 30 nga minuto no adda iti oras ken
espasyo.
8. Ag-eehersisyo nak.
C. Pananglaksi kadagiti Bisyo
9. Haan nak nga agususar ti maiparit nga agas kas iti
marijuana.
10. Haan nak nga umininom iti arak sakbay nak
agmaneho.
D. Panangtiped ti Rikna
11. Addaan nak iti nasimbeng a rikna nga
mangitalinaay ti panagmaneho.
12. Naragsakak no agbyabyahe nak.
13. Pagtaltalinaedek iti nasimbeng a rikna.
14. Natalinaay ken naalumamay nak iti
sumagmamano a Segundo no adda dagiti di
mapakpakadaan a kuti dagiti lugan iti sango.
15. Ikonkontrol ko ti riknak kabayatan iti

panagmanmanehok.
16. Haan ko nga ik-ikkan iti dakkel a kaipapananan
dagiti makapapungtot a banbanag a gapuanan dagiti
sab-sabali nga agmanmaneho.
17. Haan ko nga bibiangan ti panag-ugugali dagiti

sabsabali nga agmanmaneho.
E. Panangpatibker ti Pammati
18. Agkarkararag nak sakbay iti panagmaneho.
19. Ikkak ti rosaryo ti lugan ko.
20. Agkuros nak kasanguanan ti panagmaneho.
87
Kapanpanunotan iti salun-at a mangtubeng

Kasansan ti Pinangaramid
kadagiti aksidente ti lugan
II. Nasapa nga Panangtakuat ken
Panangpasardeng 5 4 3 2 1
A. Panangtingiting iti Maiparit nga Agas

21. Mapanak agpadrug testing kasanguanan a
maikkan iti lisensya para agmaneho.
B. Pannakaeksamen iti Kinasimbeng ti Panagkita
22. Mapan nak agpaeksamen ti kinasimbeng ti
panagkitak kasanguanan a maited ti lisensiya
nga agmaneho.
C. Agtultuloy a Panangammo ti Presyon ti Dara
23. Imenmentenar ko ti normal a kangato ti
presyon iti darak tapno addaan ti umno a
salun-at ken kasasaad.
24. Liklikak ti agmaneho no nangato ti presyon ti
darak.

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61

MARIANO MARCOS STATE UNIVERSITY

ETHICAL CLEARANCE CERTIFICATE

Reference Number: 2017-103

Research Title: HEALTH BELIEFS AND EXTENT OF PRACTICE OF PUBLIC UTILITY

Nature of Research: UNDERGRADUATE THESIS

Lead Researcher: JERICO MALAQUI ET. AL.

CERTIFIED TRUE AND CORRECT: APPROVED:

(Sgd.) FEDERICO V. NAGTALON (Sgd.) RYAN DEAN T. SUCGANG

University Research Ethics Review Board

October 25, 2017

October 25, 2017

DR. MANOLITA S. CRISOSTOMO

I hope this request merits your favorable response.

Thank you very much and God bless!

(Sgd.) JERICO A. MALAQUI

(Sgd.) ROSEMARIE G. ASUNCION

October 25, 2017

HON. CHEVYLLE V. FARIÑAS

We hope this request merits your favorable response.

Thank you very much and God bless.

Very truly yours,

(Sgd.) JERICO A. MALAQUI

(Sgd.) ROSEMARIE G. ASUNCION

(Sgd.) TERESITA ANN O. TINIO

(Sgd.) ELMER A. SANTOS

(Sgd.) MANOLITA S. CRISOSTOMO

October 25, 2017

MR. MARIONITO RAQUINO NEREZ

We hope this request merits your favorable response.

Thank you very much and God bless.

Very truly yours,

(Sgd.) JERICO A. MALAQUI

(Sgd.) ROSEMARIE G. ASUNCION

October 25, 2017

MR. ELLIAS LLACUNA

We hope this request merits your favorable response.

Thank you very much and God bless.

Very truly yours,

(Sgd.) JERICO A. MALAQUI

(Sgd.) ROSEMARIE G. ASUNCION

October 25, 2017

MR. ROBERTO ALONZO

We hope this request merits your favorable response.

Thank you very much and God bless.

Very truly yours,

(Sgd.) JERICO A. MALAQUI

(Sgd.) ROSEMARIE G. ASUNCION

October 25, 2017

MR. ELISIO CORPUZ

We hope this request merits your favorable response.

Thank you very much and God bless.

Very truly yours,

(Sgd.) JERICO A. MALAQUI

(Sgd.) ROSEMARIE G. ASUNCION

October 25, 2017

MR. ARJIN PAULINO

We hope this request merits your favorable response.

Thank you very much and God bless.

Very truly yours,

(Sgd.) JERICO A. MALAQUI

(Sgd.) ROSEMARIE G. ASUNCION

MARIANO MARCOS STATE UNIVERSITY

Purpose and Background

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