https://he01.tci-thaijo.org/index.php/JRTAN/issue/feed Journal of The Royal Thai Army Nurses 2020-05-01T22:10:43+07:00 พันเอกหญิง ผศ. ดร. สายสมร เฉลยกิตติ saisamorn2006@hotmail.com Open Journal Systems <p><img src="/public/site/images/drsaisamornc/announcement20-13.jpg"></p> <p>วารสารพยาบาลทหารบกเป็นวารสารวิชาการและงานวิจัยที่เกี่ยวข้องกับการพยาบาล การศึกษาพยาบาล การส่งเสริมสุขภาพ สาระในวารสารพยาบาลทหารบก บทความวิชาการ บทความวิจัย บทความพิเศษ และปกิณกะ ซึ่งแต่ละฉบับอาจมีเนื้อหาดังกล่าวหลากหลายที่แตกต่างกันไปจัดพิมพ์เผยแพร่ปีละ 3 ฉบับ มกราคม-เมษายน พฤษภาคม-สิงหาคม กันยายน-ธันวาคม</p> <p><span style="font-size: 110%;"><strong>ISSN 1513-5217 (Print) </strong></span></p> <p><span style="font-size: 110%;"><strong>ISSN 2651-2181 (Online) </strong></span></p> https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241559 Editorial Note 2020-04-23T18:29:34+07:00 สายสมร เฉลยกิตติ saisamorn2006@hotmail.com 2020-04-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/206997 The Wooden Massage Roller : Healthy Innovation from Palmyra Palm for Elderly People with a Muscle Pain 2020-04-25T13:53:29+07:00 Phasit Sirited phasit2530@gmail.com Ratchadawan Jitpornkulwasin phasit2530@gmail.com Mukda Phadungyam phasit2530@gmail.com Jintana Sinthusuwan phasit2530@gmail.com Sorasak Thongphet phasit2530@gmail.com <p>This article aimed to present an important concept about elderly people and their health problems. The Wooden Massage Roller was a healthy innovation and was developed from health problems of elderly people with a muscle pain that is the common problem in the community. Benefits of innovation and achievement conditions were a guideline for the development of innovation relating to public health promotion. A community could manage health effectively and sustainably. As a part of active learning, such case-based study took a more pragmatic approach to create health innovation and subsequently also serves as a basis for further innovative development.</p> 2020-04-18T17:35:22+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241365 The Servant Leadership: New Paradigm for Nurse Administrators 2020-04-18T17:49:44+07:00 Punyanut Phimchaisai punyanutphim@gmail.com Anucha Marien punyanutphim@gmail.com Muntana Taewaphokinkul punyanutphim@gmail.com Porntip Kawinsuporn punyanutphim@gmail.com <p>At present, the concept of servant leadership is one of the most attention-grabbing concepts from the academic leaders of the 21st century. Servant Leadership is a leadership theory that focuses on cooperation, trustworthiness, compassion and the use of moral authority. Servant Leadership is the heart of the Christian faith. “JESUS CHRIST” is the first to propose the concept of Servant Leadership. The source of Servant Leadership can be discovered or studied in the Holy Bible. For example, Jesus Christ had told the disciples in Matthew 20: 26-28 that “But it shall not be so among you but whosoever will be great among you, let him be your minister. And whosoever will be chief among you, let him be your servant.” mentions that “Servant leadership must be those who had self-conscious, self-esteem, love the freedom, and 2 Consists of 10 principles were as follows 1) Listening 2) Empathy 3) Healing 4) Awareness 5) Persuasion 6) Conceptualization 7) Foresight 8) Stewardship 9) Commitment to the growth of people, and 10) Building community. It is seen that a servant leader is a spiritual service provider before, decide consciously to serve others even better. The goal of leading for development the growth of people in the organization, and increase the participation of members and teamwork.</p> 2020-04-21T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/202336 Role of Home Care Nurses for Older Adults with End Stage Cancer 2020-04-25T13:53:30+07:00 Pinyo Utthiya tan.pinyoamb2557@gmail.com <p>Cancer is a globally critical problem in public health, due to it severity including the burden of this disease affecting life quality of patients and their families. When progressing to final stages of cancer, patients are suffered physically, mentally, emotionally, socially and spiritually. Their capability of self-care is decreased, especially in the elderly who appear to be more suffered, demanding more attention and care than other groups of patient. Caring elderly cancer patients at home induces anxiety and uncertainty to the family, effect to decrease QOL of patient and family. In order to provide continuous home care for elderly patients with terminal cancer and maintain their quality of life, that’s why home care nurses from Home Health Care Nursing takes the important role on this patient group starting from hospitalization until peacefully death including roles in planning for discharge, home visit, scheduled phone visit to offer care consult and refer to community health facilities. until their death with dignity, as well as to follow up with the family in handling the situation of loss after patient’s death. This article aims to role of home health care nurse for older adults with end stage cancer care at home.</p> 2020-04-18T18:32:45+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/203234 Role of Palliative Care Nurses in Tertiary Hospitals 2020-04-25T13:53:31+07:00 Nittaya Subwongcharoen nidsub@hotmail.com Teepatad Chintapanyakun bigchin1986@gmail.com <p>The significant notion of palliative care is to establish comfort, diminish of pain, and relief of suffering, which encompassed the holistic, spiritual, and humanize care to the patients. Promoting death-with-dignity to the end-of-life patients and their family members are significant concerns either before and after the death of those patients. Integrating comprehensive care—physical, psycho-social, and spiritual care—are not only necessary to understand the nature of the deaths, but imperative to enhance the good life and the good dead. Hence, either before or after the death, nursing’s roles as a coordinator or peer supporter in alleviating physical or spiritual suffering and providing holistic care are vital keys to strengthen the quality of palliative care.</p> 2020-04-19T15:18:01+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/220472 Home Blood Pressure Monitoring: Nurses’ Role for Hypertension Control Management in Patients’ Receiving Antihypertensive Medication 2020-04-25T13:53:32+07:00 Werayuth Srithumsuk jackrn12@gmail.com Onouma Thummapol onoumathm@au.edu <p>This academic paper aims to review the available literature and guidelines regarding role of nurses in home blood pressure monitoring (HBPM) for the management of hypertension. HBPM plays an important role in the control and management of hypertension by offering more convenient means than an ambulatory blood pressure monitoring and being cost-effective. HBPM can aid in the diagnosis of white-coat hypertension and masked hypertension, as well as prediction of risks for cardiovascular diseases, stroke, and end stage renal disease. Generally, the measurement of home blood pressure will take place twice daily, ideally in the morning and evening. For each blood pressure recording, two consecutive measurements with at least 1-minute interval are recommended. It has been found that an upper-arm blood pressure measurement is the most widely used and have produced more accurate readings. The HBPM average of the SBP ≥ 135 mm Hg and/or DBP ≥ 85 mm Hg, is considered abnormal. Nurses play a critical role in educating patients about hypertension and its consequences, the importance of HBPM, and the necessary self-monitoring skills that include selecting an appropriate home blood pressure monitor, preparing and monitoring blood pressure, recording the results, and caring for a monitor. Therefore, it is imperative for nurses to possess a holistic and comprehensive knowledge in order to give advice and effectively care for patients. This demonstrates the quality of nursing care and affects the quality of life of patients, contributing to the reduction of disability rates and death associated with high blood pressure.</p> 2020-04-19T15:31:22+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/170844 Community Nurse Practitioner’ Role in Caring Family Caregivers of Bedridden Patients 2020-04-25T13:53:33+07:00 Suriya Fongkerd familynursing2526@gmail.com Sunun Sinsuesatkul suvittawat_55@hotmail.com Seubtrakul Tantalanukul suvittawat_55@hotmail.com <p>Caregiving to bedridden patients in family is set to become a major problem in future. As a family member who must to take a role of “Caregiver” for fulfilling the need of patient care at home. The data interviewing Caregives, in this article retrived from Suriya Fongkerd’study. It was called “The Self-Health Care Experiences Of Caregiver’s Older Adults With Bedridden Patients” (Suriya Fongkerd, 2019) The result found that caregivers must go for jobs to earn their living. Most of the times, caregivers at home and exclusive responsibilities lead to accumulative stress and deterioration of caregivers’ health as well. The effect of deterioration of caregivers’ health will affect the quality of care for bedridden patients. Therefore, bedridden caregivers are at risk that health personnel should pay attention and take into account. In this article, the author presents the factors that cause burn out caregivers. The effects of burn out caregivers will negatively affect bedridden patients. To understand the context of the burden caregivers who have direct experiences and stating fatigue, It is a challenge for community nurse practitioners who play a role as health promotion, support and management of health problems for both caregivers and patients who had limited care.</p> 2020-04-19T15:42:48+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/215040 Group Therapy in Psychiatric Patients 2020-04-25T13:53:33+07:00 Juthamas Thongpradab juthamas.tho1993@gmail.com <p>Psychiatric illness is an important problem which has a tendency to increase an incidence rate. Psychiatric illness are the deviate of cognitive, emotional and behavioral, it is a chronic disease, frequent relapses and have an affects on patients, families, and society. Psychiatric nurses have an important role to do the group therapy that is considered a form of psychosocial treatment, which is a role that psychiatric nurses can act independently to improve the self-care potential of psychiatric patients to be able to live peacefully in society. This article aims to present about group therapy, form of group therapy, the nature of group therapy, good characteristics of therapist, the role of leader of the group therapy, the process of group therapy, problems and solutions of group therapy and case study.</p> 2020-04-19T15:53:26+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241382 A Feasibility Study of the Parental Sensitivity Intervention on Attachment and Self-Efficacy of Mothers and Fathers of Preterm Infants 2020-04-20T11:26:25+07:00 Kulwara Phianching nujjaree@buu.ac.th Nujjaree Chaimongkol nujjaree@buu.ac.th Yunee Pongjaturawit nujjaree@buu.ac.th <p>This pre-experimental design with pretest-posttest and follow-up measures aimed to determine the feasibility of the parental sensitivity intervention by comparing mother-infant attachment, maternal self-efficacy, father-infant attachment and paternal self-efficacy among mothers and fathers in the care of preterm infants. A pre-experimental design with pretest, posttest and follow-up measures was employed. The participants were recruited through a purposive sampling method with four triads of mother, father and preterm infants who were admitted to a sick newborn ward at a hospital in Thailand. The research instruments for data collection included the Postpartum Bonding Questionnaire and the Maternal/Paternal Confidence Questionnaire with Cronbach’s alpha reliability of 0.73 and 0.75, respectively. The parental sensitivity intervention contained four sessions with 60-90 minutes per session. Descriptive statistics and Friedman test were used to analyze the data.</p> <p>The results found that a significant difference over the three time measures of the outcome variables. Mother-infant attachment, mother’s self-efficacy, father-infant attachment and father’s self-efficacy at posttest and follow-up periods were better than those at pretest (p&lt;.05). These findings indicate that the parental sensitivity intervention would be appropriate and feasible for further implementation.</p> 2020-04-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/189497 Development of an International Nursing College Model in Thailand 2020-04-25T13:53:34+07:00 Urai Nirotnun uraini@hotmail.com Apipa Prachyayapruit uraini@hotmail.com Pateep Methakunavudhi uraini@hotmail.com <p>The purposes of this study were 1) To analyze situation of international nursing education in Thailand. and the good practices of nursing education management in overseas. 2) To analyze the need assessment for preparation to be an international nursing college in Thailand 3) To develop an international nursing college model in Thailand. and 4) To propose policy recommendations and practices for international nursing education management in Thailand. The samples were comprised of nursing instructors, international nursing students and Thai nursing students in international bachelor program in nursing, and experts in international nursing education. The research instruments were content analysis form and questionnaires. The data were analyzed by using frequency, percentage, mean, standard deviation and Modified Priority Needs Index (PNI<sub>modified</sub> ) analysis. The research findings were as follows;</p> <p>1) The undergraduate international nursing education in Thailand was established as faculties under public and private university, as that stated vision on internationalization and have collaborations with International academic institutes. The good practices for nursing education management in overseas were comprised of the philosophy of being the world leader in education, research and academic services, the missions to integrate scholarship, research, education and practice and the teaching -learning management based on evidence-based practice, inter- professional education, web-based online learning, simulation based-learning.</p> <p>2) Remarks from need assessment in preparation for establishing international nursing colleges in Thailand from the perspectives of both nursing instructors and students were as follows: 1) Arranging student exchange with overseas academic institutions, 2) Study in abroad as a part of the educational program, 3) Arranging joint program with international academic institutions, 4) Setting flexible financial and budget management to promote International nursing education management, 5) Arranging faculty exchange with international institutions.</p> <p>3) An international nursing college model in Thailand composed of rationale, philosophy, vision, missions, goals, organization structures, and 3 important components. The first component was national and institutional enable factors. The national factors were: 1) Building alliances, 2) Income generation and commercial trade, 3) National enable and institutional collaboration and 4) Social and cultural development and mutual understanding. The institutional enable factors were: 1) International profile and reputation, 2) Quality enhancement and international standards, 3) Student and staff development and 4) Research and knowledge production. The second component was educational management which included curriculum, teaching and learning methods, students, and instructors. The third component was administration and management included resources, building, budget and finance and supporting staff.</p> <p>4) Policy recommendations for an international nursing college management in Thailand should focus on: 1) Organization structures and international standard, 2) Memorandum of agreement, 3) Cost analysis, income generation and budget, 4) Faculty preparation, curriculum management, teaching and learning method, staff and environment preparation.</p> 2020-04-20T10:23:21+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241414 Health Promoting Behavior in Pregnant Migrant 2020-04-20T11:25:36+07:00 Kanjana Srisawad kanjana.sri@stou.ac.th Ekkasit Aksorn kanjana.sri@stou.ac.th <p>The research objective was to study the health promoting behavior in pregnant migrant. There were 190 samples of pregnant migrant consisting of the Republic of the Union of Myanmar Royal, Cambodia and Lao People’s Democratic Republic. The research tools were demographic questionnaire and health promoting behavior in pregnancy measures. Data were analyzed by descriptive statistics. The research found that; The health promoting behaviors of pregnant migrant were overall at a moderate level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 2.60, SD = .32), When considering each aspect, it was found that Stress management was at a moderate level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 2.84, SD = .41), followed by interpersonal relations at a moderate level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 2.76, SD = .28), Nutrition was at a moderate level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 2.59, SD = .26), Responsibility for health is at a moderate level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 2.51, SD = .32), Spiritual development is at a moderate level ( = 2.50, SD = .36) and Physical activity is at a low level ( = 2.45, SD = .31)</p> 2020-04-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/203190 Working with Multi-generation Colleagues: Perspectives of Generation Z Nurses 2020-04-25T13:53:35+07:00 Satawat Wongthai satawat.w@student.chula.ac.th Areewan Oumtanee areeday@yahoo.com <p>This qualitative study aimed to describe experiences of generation&nbsp; Z nurses in &nbsp;working with multi-generation colleagues. The hermeneutic phenomenology of Heidegger was applied as research methodology. Study participants were 12 registered nurses who were younger than 27 years old and had been working as a full-time nurse at least 3 years in the university hospital. The data were collected by using in-depth interview, voice record, observation and field-note. Study data were analyzed by using content analysis of van Manen method (1990).</p> <p>The findings of this study are consisted of themes as follows: 1) Learning to approach different generations of doctors, 2) Searching appropriated way to approach with a head nurse, 3) Learning and adapting with multi-generation of staff nurses, 4) Assigning and controlling jobs of multi-generations of practical nurses and 5) Using negotiation with vociferous wards’ maids.</p> 2020-04-20T11:41:14+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241438 The Effects of Self-Efficacy Promotion Program of Caregivers for Prevention Fall of Patient with Parkinson’s Disease 2020-04-21T00:19:28+07:00 Kamolwan Boonpang kbyingkb@gmail.com Taweesak Kasipul kbyingkb@gmail.com Chadapa Prasertsong kbyingkb@gmail.com <p>The research aimed to examine the effects of self-efficacy promotion program of caregivers for prevention fall of patient with Parkinson’s disease. Thirty outpatient samples were Parkinson’s disease caregivers who visited Parkinson clinic at the Chulalongkorn Center of Excellence for Parkinson’s Disease &amp; Related Disorder of King Chulalongkorn Memorial Hospital. The samples were devided into 2 groups, which were fifteen persons on the experimental group and fifteen persons on the control group who received regular nursing care. Data were collected by using a self-efficacy of Parkinson’s disease caregiver’s questionnaire, which had Cronbach’s alpha at 0.98. Knowledge of caregivers in preventing falls was also applied as an instrument which had Kuder-Richardson (KR-20) at 0.96.</p> <p>The research results found that before experiment, the experimental group who attended the training program and the control group, who received regular nursing care had no different on self-efficacy and knowledge on preventing fall in Parkinson’s disease. After experiment, the experimental group and control group had perceived self-efficacy and knowledge of the caregivers to prevent fall of patient with Parkinson’s disease had significantly different. Suggestion: the effects of self-efficacy promotion program of caregivers for prevention fall of patient with Parkinson’s disease can improve self-efficacy and knowledge for the Parkinson’s patient caregivers.</p> 2020-04-26T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241439 Cultural Competency Development for Nurses at Samutsakhon Hospital 2020-04-21T00:20:55+07:00 Piyachat Sujaritthum piyachat687@hotmail.com Pattaya Kaewsarn piyachat687@hotmail.com Pragai Jirojanakul piyachat687@hotmail.com <p>The purpose of this research and development were: (1) to study the current situation regarding to cultural competency of professional nurses in Samutsakhon Hospital, (2) to develop a cultural competency development program for professional nurses, and (3) to evaluate the developed cultural competency development program. The participants were professional nurses in Samutsakhon Hospital divided into 2 groups. The first group was 210 nurses acquired by a Stratified Random Sampling to explore current situation. The second group was 41 of that 210 nurses whose involved in the program and did a test for the effectiveness of the program. Research tools consisted of 2 categories: 1) cultural competency development program and 2) cultural nurses competency questionnaires. Its content validity IOC was 0.85. The Cronbach’s alpha reliability coefficients was 0.93. Data were analyzed by using descriptive statistics and paired t-test.</p> <p>The findings revealed that 5 cultural aspects: (1) Cultural awareness, (2) Cultural knowledge, (3) Cultural skills, (4) Cultural encounter, and (5) Cultural desire, among professional nurses in Samutsakhon Hospital were on a moderate level. In addition, those 41 participants had shown themselves with significantly higher level in 5 cultural aspects after completing the program. Those participants felt highly satisfaction with the program. In conclusion, this program could enhances cultural competency among those professional nurses in Samutsakhon Hospital for doing their nursing intervention to all multicultural clients appropriately and effectively.</p> 2020-04-26T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241481 The Effectiveness of Mindfulness Meditation in Relieving Chronic Pain in Older Adults: A Systematic Review 2020-04-21T19:18:46+07:00 Ampicha Nawai ampicha@bcnc.ac.th Sutthida Phongphanngam ampicha@bcnc.ac.th Matanee Radabutr ampicha@bcnc.ac.th Saifon Saritdikul ampicha@bcnc.ac.th Tawee Rearungchom ampicha@bcnc.ac.th <p>Chronic pain is a common problem that affects older populations. It is a common condition that does not completely respond to medical treatment. Consequently, in recent years many alternative treatments have been suggested. Among them, mindfulness meditation is receiving growing attention. The purpose of this paper is to review studies that has determined whether mindfulness mediation can relieve chronic pain in older adults. The PRISMA model guided a systematic literature search method. A literature search was undertaken using MEDLINE, CINAHL, Ovid, and ProQuest. The search terms were “mindfulness meditation,” “mindfulness-based intervention,” “meditation,” “chronic pain,” “arthritis,” “older,” and “aged or elderly.” The search included articles written in English published during the period of 2003 thru 2018.</p> <p>This systematic literature review search yielded 35 articles through an electronic database search effort. Nineteen articles were evaluated for relevancy after removing duplicates. Three studies were then selected for the present review. Two articles were randomized control trials, and only one article was a pretest-posttest experimental study. All reviewed studies showed that mindfulness meditation interventions led to improvement in pain acceptance, physical functioning, quality of life and well-being in patients with chronic pain. There is not yet sufficient evidence to show that mindfulness meditation techniques are more effective than other non-specific interventions. More research is needed to investigate mindfulness meditation interventions in longer follow ups.</p> 2020-04-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/215161 Experience of Generation Z Nursing Professional Do Not Like the Department of Worked 2020-04-25T13:53:36+07:00 Chutchavarn Wongsaree chutchavarn.wo@ssru.ac.th Supaluk Phunthong chutchavarn.wo@ssru.ac.th Sudthicharat Jantiya chutchavarn.wo@ssru.ac.th <p>This descriptive qualitative research aimed to describe experience of generation Z nursing professional do not like the department of worked using Edmund Husserl phenomenology approach. Key informants were 26 generation Z nursing professional do not like the department of worked. Recruited by purposing sampling and snowball method from a public hospitals and private hospitals in Bangkok, Thailand. Data were collected through in-depth interviews, observations, and tape record. Clolaizzi approach and Atlas ti 6.1 program for content analysis was used to analyze data in this study.</p> <p>Research results: Experience of generation Z nursing professional do not like the department of worked could be categorized into 5 major themes: 1) Even though do not like the department of worked must do it first because there is no right to choose, that is, the informant accepts funding to work after graduation therefore had to work in the department that the hospital provided. 2) Patiently work in a department that doesn’t like it first, hoping to move to work in the department that you like. 3) Even though it is a department that he does not choose, he is willing to continue working because he sees the opportunity to advance in his duties. 4) Friends are influential to the ideas and decisions of generation Z nurses in choosing work after graduation. and 5) The misunderstandings of people in the department are the factors that cause generation Z nurses to resign faster.</p> 2020-04-21T23:42:52+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241486 Potential of Elderly Caregivers Associated with Isan Cultural Context 2020-04-22T00:04:41+07:00 Parichat Rattanaraj parichat_puk@hotmail.com Kotchapong Sarakan parichat_puk@hotmail.com Paiwan Kotta parichat_puk@hotmail.com <p>The purposes of this descriptive research were to 1) study and compare the potential of caregivers of elderly people as Isan context in municipal and non municipal area, and 2) study the role of professional nurses for promoting competency of caregiver among elderly people. Two hundred and ten caregivers of elderly people for questionnaire, five caregivers of elderly people for in-depth interview and five professional nurses who had responsibility in elderly care service for in-depth interview were selected using multi-stage sampling. Research instruments consisted of demographic data, the potential of caregivers of elderly people questionnaire developed by researcher, reliability obtained by using Cronbach’s alpha coefficients of 0.90. Quantitative data were analyzed using frequency, percentage, mean, standard deviation and t-test. For qualitative data were analyzed using content analyses.</p> <p>The results of this study demonstrated that 1) Mean score of the potential of caregivers of elderly people in municipal and non municipal area at high level ( <img src="https://latex.codecogs.com/gif.latex?%5Cbar%7Bx%7D" alt="\bar{x}"> = 4.05 and 4.09), 2) The comparison of the potential of caregivers of elderly people in municipal and non municipal area were overall not different, 3) The comparison of the potential of caregivers of elderly people in municipal and non municipal area at each aspect found that mind, social and economic part were different in a statistically significant at the 0.05 level (t = -2.03, -3.12 and 3.22 as follows). Finally, professional nurses have also responsibilities to provide the individual education about caring for elderly people instead of promoting caregivers’ attitude and physical and mental care of caregivers. The results of this study indicated that caregivers both in municipal and non municipal area have the potential for providing elderly care. Healthcare provider, therefore, especially professional nurses should take responsibilities in promoting education and skills regarding elderly health care for maintaining the potential and competency among caregivers. Moreover, nurse should promote caregivers’ attitude and caring of physical and mental of caregivers.</p> 2020-04-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241527 Development of A Buddhist Health Care Model for The Elderly in Ranong Province 2020-04-22T19:04:40+07:00 Wichit Pattarapornpairoj wichit.jeab@gmail.com Suree Chantamolee wichit.jeab@gmail.com Prapapen Suwan wichit.jeab@gmail.com Pornsook Hoonnirun wichit.jeab@gmail.com <p>Research and development on Development of a buddhist health care model for the elderly in Ranong Province aims to 1) study the situation analysis Problems of elderly health care, Buddhist way of life 2) Study and create activity plans and test activity plans Elderly health care, Buddhist way 3) Comparison of the development of elderly health care and Buddhist ways before and after the experiment The application of applying the Buddhist principles in regard to The Threefold Training and The Noble Eightfold Path. The focus of the model was also on the practice relating to 3 aspects (food, exercise, and emotion) and 3 Ss (pray,meditation and Dharma discussion). The elderly, social groups, aged 60 years and over, number 45, collected data using questionnaires. Statistics used in data analysis were percentage, mean, standard deviation and comparison of results within the experimental group using Paired samples t - test.</p> <p>The research results showed that the model developed is appropriate and relevant with the community’s needs. It also helps to propel more activities in accordance with the Buddhist health care model in the community. After the pretesting of the activity plan developed, it was found that the sample &amp;, had significantly higher levels of knowledge, practices and receiving of social support than before the experimentation (p &lt; .05: knowledge <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 25.11 compared to <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 19.95 ; practices <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 2.78 compared to <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}">= 2.28. ; receiving social support <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}">= 3.57 compared to <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}">= 2.79).</p> 2020-04-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241528 Development of Self-efficacy to Diet and Exercise Behaviors Intention of Type 2 Diabetes Mellitus Patients 2020-04-22T19:14:44+07:00 Nutthakritta Sirisopon nuttakrittta.s@ku.th Theerapon Phungdee nuttakrittta.s@ku.th <p>This quasi-experimental aimed to study the development of self-efficacy to diet and exercise behaviors intention of type 2 diabetes mellitus patients. Self-Efficacy Theory was used as a conceptual framework in this study. The study groups were 30 persons with diabetes mellitus type 2 which ages 30 years and over and received medical care at Pathum Thani hospital, Pathum Thani Province. Participants were simple random sampling to either the experimental group (n = 30). The experimental group received the development of self-efficacy to diet and exercise behaviors intention program include 2 activity are 1) dietary of type 2 diabetes such as media lectures, food menu selection and brainstorming about outcome expectation in diet. And 2) dietary of type 2 diabetes such as media lectures and manuals for diabetics, optimal exercise and inappropriate exercise game for diabetics, exercise plan and brainstorming about outcome expectation in exercise. Data was collected at before and after implementing the program. Data analyzed by using Descriptive statistics and paired t-test.</p> <p>The study results showed that after participating in the development of self-efficacy to diet and exercise behaviors intention program, the experimental group had higher mean scores in perceived selfefficacy to diet and exercise behaviors than before participating in the program significant (p&lt;.05). It concludes that the program developed by the researcher can effectively promote self-efficacy to diet and exercise behaviors intention program among patients with diabetes mellitus type 2.</p> 2020-04-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/203235 Compared Position of Urination on Uroflowmetry and Post Void Residual in Patient with Benign Prostatic Hyperplasia (BPH) 2020-04-25T13:53:37+07:00 Mutita Jongwannasiri airmutita@gmail.com Teepatad Chintapanyakun bigchin1986@gmail.com Wit Viseshsindh airmutita@gmail.com <p>This research aimed to compare the results of uroflowmetry parameters include maximum flow rate (Qmax), average flow rate (Qave), voided volume, voiding time and post-void residual urine (PVR) in the sitting and standing position in patients with BPH. Forty-four men with lower urinary tract symptoms (LUTS) due to BPH were enrolled in the one group pretest-posttest design study at urodynamics room in Ramathibodi hospital. The uroflowmetry were performed in both standing and sitting positions. The PVR were measured by bladder scan after each voiding. Uroflowmetry parameters and PVR values were compared between the two different voiding positions. The results showed that voided volume and voiding time were significantly increased in sitting position than the standing position. The PVR urine volume was significantly lower in the sitting position than the standing position. However, there were no significant differences between voiding positions regarding the Qmax and Qave in patients with BPH. Suggestion that the PVR seem to be affected by the voiding position (standing or sitting) in patient with BPH. Sitting position may be recommended for men with BPH to decrease PVR that may be reduce the risk of urinary tract infection.</p> 2020-04-23T11:16:26+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/191932 The Relationships Between Patient’s Health Status, Mutuality, Preparedness, and Caregiver Role Strain in Caregivers of Older Persons with Advanced Cancer Receiving Palliative Care 2020-04-25T13:53:38+07:00 Sompong Kaewphanna sompong_nang@outlook.com Virapan Wirojratana virapun.wir@mahidol.ac.th Wallada Chanruangvanich virapun.wir@mahidol.ac.th <p>This study aimed to explore the relationships between patient’s health status, mutuality, preparedness, and caregiver role strain in caregivers of older persons with advanced cancer receiving palliative care. The Family Care Model of Archbold &amp; Stewart was selected as the conceptual framework. The sample composed of 78 family caregivers for older persons with advanced cancer receiving palliative care. Data were collected by completing Family Care Inventory questionnaires. The data obtained were analyzed using descriptive statistics and correlation analysis using Spearman’s correlation.</p> <p>The research findings revealed that the older persons with advanced cancer receiving palliative care had stable health status, the PPS scale ranged from 70 - 90 (47.4 %), mutuality was at an average level (Mean = 38.87, S.D. = 7.64), preparedness was rather high (Mean = 18.15, S.D. = 3.50), and caregiver role strain including direct care, communication problems, and global strain was rather low, but had a rather high level of caregiver role strain due to role conflict. Patient’s health status was found to be negatively related to caregiver role strain from communication problems with statistical significance (r = -.423, p &lt; .05), but patient’s health status was not related to caregiver role strain from direct care, role conflict, and global strain. Finally, both mutuality and preparedness were not related to caregiver role strain in caregivers. The study findings could be utilized to assess patient’s health status for care planning and for providing information to patients and families which could help reduce caregiver role strain due to communication ploblems.</p> 2020-04-23T11:28:24+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/230443 Factors related to Depression among Agricultural Aging Workers 2020-04-25T13:53:38+07:00 Sumlee Saleekul kitsanaporn.t@bcn.ac.th Orawan Kaewboonchoo kitsanaporn.t@bcn.ac.th Kitsanaporn Tipkanjanaraykha kitsanaporn.t@bcn.ac.th <p>This descriptive study with cross-sectional design aim to examine factors relate to depression of agricultural aging workers. The samples were 364 aging workers. Research instruments include demographic questionnaire, agricultural work stress, interpersonal relationship problems, depression, blood cholinesterase (ChE) level, and digital blood pressure. Data was analyzed using descriptive statistic, Chi-square, and logistic regression.</p> <p>Relationships between personal factors and depression among elderly agriculture workers for male gender were age, education, income, alcohol and cigarette use, high blood pressure, diabetes, and deaths of love ones. Whereas for female were age, education, income, marital status, chronic illness from high blood pressure or diabetes. Deaths of love one has significant relationship with depression of male worker. ChE level were found to have none significant relationship with depression among male and female aging agricultural workers. Logistic regression showed variables related to depression, for male were age, education, income, and illness from high blood pressure or diabetes. For female were age, education, marital status, and deaths of love one, (p&lt;.05).</p> 2020-04-23T11:52:46+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/214291 Confirmatory Factor Analysis of Active Ageing in Health of Elderly 2020-05-01T22:10:43+07:00 Masarin Sukolpuk masarin@bcnnon.ac.th Karuntharat Boonchuaythanasit jinda99@yahoo.com <p>The purposes of this research were to analyze the confirmatory factors analysis of Active Ageing in Health of Elderly from Nonthaburi Province Thailand. The samples consisted of 500 elderly living in municipalities Nonthaburi Province selected by multi-stage sampling. The instrument was the questionnaire to assess of Active Ageing in Health of Elderly established by researcher. The overall reliability by Cronbach’s coefficient alpha was 0.87. Data were analyzed by the second order confirmatory factor analysis.</p> <p>The results showed that there were 4 elements include psychological well-being, physical activity, activities of daily living, and self-assessed health status weight of component equal to .77, .71, .53 and .07 respectively. Model for measuring Active Ageing in Health of Elderly consistent with empirical data from the chi-square values that are not statistically significant. (<img id="equationview" title="This is the rendered form of the equation. You can not edit this directly. Right click will give you the option to save the image, and in most browsers you can drag the image onto your desktop or another program." src="https://latex.codecogs.com/gif.latex?%5Cchi%5E%7B2%7D" name="equationview"> = 66.450, CMIN/DF: <img id="equationview" title="This is the rendered form of the equation. You can not edit this directly. Right click will give you the option to save the image, and in most browsers you can drag the image onto your desktop or another program." src="https://latex.codecogs.com/gif.latex?%5Cchi%5E%7B2%7D" name="equationview">/df = 1.278, RMSEA = 0.023, and GFI = 0.980)</p> 2020-04-23T12:15:07+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241545 Happiness Promotion Model for Steel Factory Employees in Nonthaburi Province 2020-04-23T13:55:29+07:00 Sakkara Lertyaso Sakkara_lert@hotmail.com Suree Chantamoly Sakkara_lert@hotmail.com Prapapen Suwan Sakkara_lert@hotmail.com Pornsook Hoonnirun Sakkara_lert@hotmail.com <p>The purpose of this research and development study was to study the happiness promotion model for steel factory employees in Nonthaburi Province. There were 3 phases in research procedure including 1) context analysis, 2) developmental and trial and 3) evaluation phases. The sample consisted of 48 employees.The data were collected by questionnaires and happy quiz five expert’s quality reviews. The data were analyzed and described by using percentage, mean, standard deviation. dependent t- test. and content analysis</p> <p>The research found that steel factory employees were happy to work, and employees had relationship and bond with the organization at medium level. The research was applied the theory and concept of creating happiness, attachment concept, theories of Maslow and forms of employee happiness. There are six elements of happiness: 1) good health, happiness 2) kindness, happiness 3) debt-free, happiness 4) relaxation, happiness 5) knowledge, happiness and 6 ) Good social aspects create happiness Proceed with the activity program The employees who participated in the happiness building program had an average knowledge after the experiment was higher than before the experiment (t = 1.56; p-value &lt;.05). After the experiment was higher than before the experiment (t = 5.81; p-value &lt;.05), the results showed that the post-experimental happiness program was at a high level ( <img id="equationview" title="This is the rendered form of the equation. You can not edit this directly. Right click will give you the option to save the image, and in most browsers you can drag the image onto your desktop or another program." src="https://latex.codecogs.com/gif.latex?%5Cbar%7Bx%7D" name="equationview"> = 4.09) and the results of the post-happiness building program 2 months experiment showed that it was at a high level ( <img id="equationview" title="This is the rendered form of the equation. You can not edit this directly. Right click will give you the option to save the image, and in most browsers you can drag the image onto your desktop or another program." src="https://latex.codecogs.com/gif.latex?%5Cbar%7Bx%7D" name="equationview"> = 4.08)</p> 2020-04-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/184426 Factors Predicting Active Ageing among The Older Adults in Muang District, Chainat Province 2020-04-25T13:53:40+07:00 Nongluk ฺBoonyia lukkbo@gmail.com Nithra Kitreerawutiwong lukkbo@gmail.com <p>This predictive descriptive research aimed to describe the level of active ageing and study predictive factors of active ageing among the older adults. The sample were 200 older adults which were selected by multi-step sampling technique. Data were collected by using the questionnaire including demographic data and active ageing. Data were analyzed by descriptive statistics and stepwise multiple regression analysis.ฃ</p> <p>The results revealed that the older adults have high scores for active ageing (<img id="equationview" title="This is the rendered form of the equation. You can not edit this directly. Right click will give you the option to save the image, and in most browsers you can drag the image onto your desktop or another program." src="https://latex.codecogs.com/gif.latex?%5Cbar%7Bx%7D" name="equationview"> =3.23, SD = .31). The results revealed that the older adults have high scores for active ageing ( =3.23, SD = .31). In addition, predicting factors were social networks regarding people come meet the senior citizen (β = -.26, b = -9.40), education above a secondary level (β = .23, b = 11.63), the older adults go out to meet other people (β = .15, b = 7.35) and age (β = .14, b = .24), which accounted for 13.40% (R<sup>2</sup> = .13, F = 6.03) of active ageing among the older adults.</p> 2020-04-23T14:33:14+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241551 The Effect of Blended learning Management on 21st Century Learning Skills For Nursing Students, Boromarajonani College of Nursing, SuratThani 2020-04-23T14:47:18+07:00 Sarawut Rueangsawat sara_r43@hotmail.com Papasinee Saetew sara_r43@hotmail.com Piyarut Choome sara_r43@hotmail.com <p>The objectives of this semi-experimental research (Quasi-experimental research) are to study the level of learning skills in the 21st century after blended learning management and to study the satisfaction of nursing students towards the usage of blended learning. The sample group consisted of 134 first-year nursing students from Boromarajonani College of Nursing, Suratthani, who enrolled in the Nursing Communication and Information Course.The research instruments were the 21st century learning skills assessment form and the satisfaction questionnaires of nursing students who studied by using blended learning. The data were analyzed using frequency distribution, descriptive statistics and pair t-test The result of the research indicated that 1. Nursing students had higher 21st Century Learning Skills in all aspects, after studying with blended learning than before using the learning model and its statistical significance is at .01. 2. Students were satisfied with the blended learning, which is divided into 2 issues: the overall satisfaction of teaching and learning in the classroom is at the highest level with an average value of 4.59 (SD = 0.57) and the overall satisfaction of teaching and learning through the network system is at the highest level with an average value of 4.69 (SD = 0.58)</p> 2020-04-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/208556 Effects of Computer Assisted Instruction on Knowledge of Injection Administration and Medication Calculation of Pediatric Nurses 2020-04-25T13:53:41+07:00 กรรณิการ์ ชัยลี kunnika_pum@hotmail.com วัลยา ธรรมพนิชวัฒน์ wanlaya.tha@mahidol.ac.th สุดาภรณ์ พยัคฆเรือง sudaporn.pay@mahidol.ac.th <p>This quasi-experimental study (one group pre-test post-test design) aimed to determine the effects of Computer Assisted Instruction (CAI) on knowledge of injection administration and medication calculation of pediatric nurses. The sample included 21 registered nurses who had a working experience of less than 1 year from inpatient wards of Queen Sirikit National Institute of Child Health and inpatient pediatric wards of Vajira Hospital, Faculty of Medicine, Navamindradhiraj University. The subjects got CAI in a compact disk. They were asked to study CAI by themselves for 14 days. They were also asked to record the information each time they viewed CAI, including the title, number of times, date and time in a table of learning log. On the 7th day, the researcher called the subjects to ask about the problems in using CAI, reminded and encouraged them. The Assessment of Knowledge of Injection Administration and Test of Medication Calculation were used to assess the subjects’ knowledge before and after learning from CAI for 2 weeks. Descriptive statistics and Wilcoxon signed-rank test were used for data analysis.</p> <p>The findings of the study revealed that after learning from CAI, the subjects had higher scores on knowledge of injection administration and knowledge of medication calculation than those before learning from CAI with statistical significance (p &lt; .05). It is suggested that CAI may be used to teach newly graduated nurses through self-directed learning about knowledge of injection administration and medication calculation in care of pediatric patients.</p> 2020-04-23T14:59:30+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/173210 The effectiveness of cardiac rehabilitation program in open heart surgery patients at Heart Clinic, Naresuan University Hospital 2020-04-25T13:53:42+07:00 Phawinee Paorod phavinee9437@gmail.com Weerapong Chidnok phavinee9437@gmail.com Jarun Sayasathid phavinee9437@gmail.com <p>This Retrospective study aimed to investigate the effectiveness of post-operative cardiac rehabilitation program for 6 months in open heart surgery patients. In a retrospective study, open heart surgery patients (n = 80) were purposively selected from Naresuan University Hospital between 1st October 2016 to 30th September 2017. All patients were assigned to continuous training group (n = 49) and discontinuous training group (n = 31). The continuous training group completed the home based cardiac rehabilitation program for six months whereas the discontinuous training group performed the program only three months after hospital discharge. All patients were assessed the six-minute walk test (6-MWT) to determine the walk distance covered before, 3 and 6 months after hospital discharge periods. The results showed that the distance covered were improve in the continuous training group (388 meters at 3 months; 42 meters at 6 months). However, the distance covered were increased at 3 months (339 meters) but decreased at 6 months (38 meters) in the discontinuous training group (p &lt; .05).This study concludes that the six-month home based cardiac rehabilitation program can be improving exercise capacity in open heart surgery patients at Heart Clinic, Naresuan University Hospital. This study also suggested that multidisciplinary team can applied the continuous home-based cardiac rehabilitation program for open heart surgery patients.</p> 2020-04-24T09:22:57+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/209065 A Follow-up Study of Graduates in the Distance Learning System of Master of Nursing Science Program in Community Health Nurse Practitioner, Academic Year 2017 2020-04-25T13:53:42+07:00 Napaphen Jantacumma napaphen_ja@hotmail.com Sutteeporn Moolsart sutteeporn@yahoo.com Warinee Iemsawasdikul warineei@yahoo.com Mukda Nuysri nmukda@yahoo.com Duangkamol Pinchaleaw dpinchaleaw@gmail.com <p>This research aimed to study the desirable characteristics of graduates of Master of Nursing Science Program in Community Health Nurse Practitioner according to the perception of graduates, colleagues and supervisors and to compare the desirable characteristics between graduates colleagues and supervisors’ perception. The sample consisted of 3 groups: 1) 9 graduates, 2) 15 colleagues and 3) 9 supervisors. The tools used for data collection were 2 types: 1) the questionnaire for assessing the six desirable characteristics follow by TQF frameworks which have passed the content validation by 3 experts. The content validity index is 0.91 and the reliability is 0.97. 2) the structural question for in-depth interviews.</p> <p>The result show that the graduates, colleagues, and the supervisors perceived the overall desirable characteristics at the high level ( <em>x̄ </em>= 4.29, SD = 0.67), and the highest level by ( <em>x̄ </em>= 4.58, SD = 0.56) and ( <em>x̄ </em>= 4.58, SD = 0.63) respectively. There are two aspects that all groups perceived the same as the highest level; the outcome of interpersonal relationship skills and responsibilities and the professional practice skills.</p> <p>The result of comparing the desirable characteristics according to the perception of graduates, colleagues and supervisors found that there was only one aspect of knowledge that had different perceptions with statistically significant at .05. The results of the study showed that the aspect of learning skills in communication analysis and information technology was the lowest score ( <em>x̄ </em>= 4.32, SD = 0.55), so the course should encourage learners to improve their analytical, communication and information technology skills to ensure that students are confident and able to use the media to promote the most effective distance learning.</p> 2020-04-24T09:36:35+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/191209 The research and development of Family counseling model to enhance Family Transgenerational Communication 2020-04-25T13:53:43+07:00 Kannikar Sansupa kannikar3131@gmail.com Pennapha Kulnapadol kannikar3131@gmail.com Doldao Purananon kannikar3131@gmail.com <p>The purposes of research were to research and development of Family counseling model to enhance Family Transgenerational Communication. The research procedure consisted of 3 stages as follows :Stage 1 : Studying the Family Transgenerational Communication. Stage 2 : Development Family counseling model to enhance Family Transgenerational Communication and Studying the results of Family counseling model. Stage 3 : Assessing the effectiveness of the Family counseling model. The sample is Family three-generations living in Bangkok.</p> <p>The results of this research revealed that:</p> <p>1. The Family Transgenerational Communication consist of 6 factors they were Listener’s skill, Speaker’s skill, Self disclosure, Clarity, Continuity and Tracking, and Respect and Regard.</p> <p>2. The Family counseling model based on Transgenerational Family Counseling and Integrated 4 counseling technique is I massage,Communication Stance,Enactment and Use of Directive. The intervention program of the Family counseling model included 8 sessions. Each session lasted about 60 minutes. The levels of Family Transgenerational Communication in the study and the control groups were significant interaction at .05 level when measured in the post - test phases. The levels of Family Transgenerational Communication in the study group in the post - test phases were statistically significant at .05 level from these in the pre - test phase.</p> <p>3. Family counseling model can be use for enhance Family Transgenerational Communication.</p> 2020-04-24T09:52:09+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241572 The Factors Predicting Post-Hospital Discharge Chest Pain Status Among Acute Coronary Syndrome Patients During The First Year 2020-04-24T10:17:10+07:00 Suthat Supanam suthat.supanam@gmail.com Sunthara Liangchawengwong suthat.supanam@gmail.com Dilok Piyayotai suthat.supanam@gmail.com <p>This predictive correlation research was to determine the factors for predicting post-hospital discharge chest pain status among acute coronary syndrome patients during first year. The samples were the acute coronary syndrome patients who following at outpatient department of medicine of Thammasat University Hospital. Data were collected from September, 2018 to January, 2019. The sample consisted of 181 participants, all of whom completed five sections of a self-administered questionnaire comprising the following: 1) Sociodemographic and Health Status Questionnaires 2) Post-ACS Stress Questionnaires 3) Sleep Quality Questionnaires 4) Post -ACS Self-management Behaviors Questionnaires and 5) The Seattle Angina Questionnaire. Data were analysed using descriptive statistic, Chi-square test, Spearman’s rank correlation coefficient, Pearson’s product correlation coefficient, and Stepwise multiple regression analysis.</p> <p>The results found that the mean scores of participant’s chest pain status were moderate level. By examining the stepwise multiple regression for predicting chest pain status, it was found that the factors that could predict this status included age, body mass index, occupation, ACS diagnosis, self-management behaviours, sleep quality, and smoking. All seven variables were able to predict chest pain status at 43.1 percent.</p> <p>Based on the findings, the results from this study provide useful information for developing programmes to prevent chest pain in this group in the future.</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241573 Job Burnout of Generation Y Professional Nurses at a Government Hospital 2020-04-24T10:26:35+07:00 Nisakorn Kakandee nisakorn.or.surin@hotmail.com Aree Cheevakasemsook nisakorn.or.surin@hotmail.com Duangkamol Triwichitkhun nisakorn.or.surin@hotmail.com <p>The purposes of this mixed-methods research were: 1) to investigate job burnout and its related factors of generation Y professional nurses at a government hospital, 2) to compare job burnout among classified by departments, and 3) to explore a guideline for their job burnout management.</p> <p>The samples comprised 2 groups: 1) 112 nurses who answered questionnaires and were selected by systematic random sampling, and 2) fourteen nurses who attended focus group discussion and were selected by purposive sampling. Research tools which were done for content validity with 0.8-1.0 included: 1) a job burnout questionnaire and 2) A question guideline for focus group discussion with reliability 0.94. Research data were analyzed by frequency, percentage, mean, standard deviation, and content analysis.</p> <p>The results showed. 1) Generation Y professional nurses rated their job burnout overall at the low level. With itemized scores, emotional exhaustion dimension was at the moderate level; while, depersonalization and decreased occupational accomplishment dimensions were at the low level. 2) Professional nurses of special unit groups and the Inpatient unit significantly rated their burnout higher than the Outpatient department at the level .05. 3) Related factors included work overload, staff nurse shortage, working beyond the standard criteria, head nurses’ lack of understanding staff, difficulty of exchanging shifts, insufficient equipment. Finally, 4) The guideline for their burnout management comprised documentation workload reduction, providing sufficient nursing staffing, setting job priority, working quicker, increasing communication channels with supervisors, adequate supply management, additional remuneration for personnel with more workload, good relationship, and positive thinking.</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241577 A Development of Visual Imagery Based on Gestalt Training Program in Elementary School Students 2020-04-24T10:36:12+07:00 Pimthanisa Ruksawong 59910136@go.buu.ac.th Juthamas Haenjohn 59910136@go.buu.ac.th Sasinan Sirithadakunlaphat 59910136@go.buu.ac.th <p>The study was a experimental research design which aimed at investing a training program of visual imagery based on gestalt for elementary school students. The sample was 56 students. The sample was randomized by using simple random sampling into groups. Each group consisted of 28 students. The instruments used were an a training program of visual imagery based on gestalt for elementary school students, The Neglieri Nonverbal Ability Test and The Corsi Block Tapping Task. There were 10 sessions in the experiment, each session last for 50 minutes, for a total of five weeks. The experiment was divided into three phases : pretest, posttest and follow-up. The data were statistically analyzed by utilizing a repeated measures analysis of variance and paired-different test by Bonferroni method.</p> <p>The research finding: 1) The interaction between experimental methods and experimental periods influenced visual imagery and working memory usage of the primary school students, with a significant difference at .05 level. 2) The primary students who received a training program of visual imagery based on gestalt in posttest possessed visual imagery and working memory higher than pretest, the follow-up possessed visual imagery and working memory higher than posttest and higher than control group with a significant difference at.05 level.</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/227687 The effects of Self-efficacy Enhancement on Blood Pressure Level Controlled among Hypertension Risk Group 2020-04-29T09:05:36+07:00 Nawaporn Wutthitham nawa.pat@hotmail.com Rattana Chontong nawa.pat@hotmail.com Chutima Sompradit nawa.pat@hotmail.com <p>The objective of this quasi-experimental research was to compare the perception of self-efficacy, the expected outcomes of the self practice and self practice behavior on blood pressure level controlled in hypertension risk group. The purposive sample were using the power of a test included and were assigned into experimental group and the control group 30 persons in each groups, The research instrument consisted of a perceived self-efficacy questionnaire, Self-efficacy Enhancement program and self-care handbook. Data were analyzed using descriptive statistic paired t-test, Independent t-test.</p> <p>The study revealed that after the intervention, the experiment group had perception of self-efficacy, the expected outcomes of the self practice and self practice behavior for salt eating and sodium salt, exercise and emotional management had a significantly higher average score than the control group at .05. The blood pressure level of the experimental group decreased with a significantly higher than the control group at 0.05.</p> 2020-04-24T10:38:57+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241585 Relationship between Ecological Understanding and Physical Activity Patterns of Adults Living with HIV Throughout The Lifespan 2020-04-24T10:55:28+07:00 Wanida Srivorakul cpuangti@chula.ac.th Puangtip Chaiphibalsarisdi cpuangti@chula.ac.th Donna Huddleston cpuangti@chula.ac.th Thiravarin Bunyapipat cpuangti@chula.ac.th <p>This descriptive research aimed to study the relationship between ecological model and pattern of physical activities, of adults living with HIV, through the lifespan. The questionnaire was used for 101 purposive sample. The findings of the study revealed the people living with HIV (PLHIV) as the following:</p> <p>1) Able to take medicines at the very good and excellence levels (74.20%).</p> <p>2) The waist-hip ratio of both sexes was in normal (54.50%) whereas the mean of 6-minute walk was 376.5 meters.</p> <p>3) Able to cope with stigma in terms of ashamed at the highest mean, and family members less treat differently.</p> <p>4) The findings of the relationships of variables were as follows;</p> <p>4.1 Pain was significate related to the physical activity.</p> <p>4.2 Self-efficacy showed positive relationship with physical activity.</p> <p>4.3 Pain showed negative relationships with both exercise and physical activity.</p> <p>4.4 Environment behavioral setting significantly associated with exercise.</p> <p>4.5 The policy characteristics in term of, park and recreation center showed positive relationship with exercise.</p> <p>4.6 Depression and pain had negative relationship with physical activity. Stratified by comorbidity, depression significantly relation with physical activity only in patients without hypertension. The significant relationship between pain intensity and physical activity in currently diagnosed with hypertensio</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/206003 The Effect Of A Cognitive Behavioral Therapy Program On The Depression Among Abused Adolescents 2020-04-25T13:53:45+07:00 Wallapa Kittimaskun wallapa@slc.ac.th Nutchanart Bunthumporn wallapa@slc.ac.th Sararud Vuthiarpa wallapa@slc.ac.th <p>This quasi-experimental research to study the effect of a cognitive behavior therapy program on depression among abused adolescents. The sample group included the abused adolescents who reside at children’s shelters in the central region, aged 15-18 years old; one boy and one girl are selected by simple random sampling from each shelter as the experimental group who received the cognitive behavior therapy program and as the control group who receive normal treatment at 7 shelters. The qualifications of the samples resulted in 30 samples for each group. The tools for this research were 1) the depression evaluation 9Q, 2) the questionnaire asking personal information, experience, and duration of being abused, 3) the cognitive behavior therapy program, and 4) the center for epidemiological studies-depression scale (CES-D) Thai version. The cognitive behavior therapy program had been verified its content, accuracy, clearness, and appropriateness by 3 experts. The depression evaluation 9Q and CES-D Thai version have Cronbach’s Alpha Coefficient at .82 and .86. Data analysis was processed with descriptive statistics, Dependent T-test and Independent T-test.</p> <p>According to the result, it was found the mean of depression of the experimental group after attending the program is lower than before the experiment with statistical significance (p&lt;.001) and the depression means before and after the program between the experimental group and the control group are different with statistical significance (p&lt;.001), which represents that the program has the effect to decrease depression for abused adolescents.</p> 2020-04-24T12:25:30+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241597 A Development of Attention Game in Primary School Students 2020-04-24T12:40:57+07:00 Thosaphorn Srangnanok 59910155@go.buu.ac.th Warakorn Supwirapakorn 59910155@go.buu.ac.th Sasinan Sirithadakunlaphat 59910155@go.buu.ac.th <p>The study was a quasi - experimental research which aimed at investing a development of attention game for primary school students. The subjects were 60 students which were obtained from the selection with an Attention Network Test (ANT). Random assignment was used to assign the samples into the experimental group and the control group, with 30 subjects in each group. The instruments used were an Attention Network Test: ANT, and an attention game developed by the researcher based on the concept of Attentional network and Bloom’s Taxonomy. There were 10 sessions in the experiment, each session last for 50 minutes, for a total of four weeks. The experiment was divided into three phrases-before the experiment, after the experiment, and the follow-up period. Data were analyzed using the repeated measures analysis of variance: one between-subjects variable and one within-subjects variable When differences were detected, the Bonferroni procedure was employed. The findings revealed that.</p> <p>1. After the experiment and the follow up after 3 weeks the primary school students in the experimental group had less total errors than those of the control subjects with statistical significance at .05 level.</p> <p>2. After the experiment and after the follow up the experimental subjects had less total errors before the experiment with statistical significance at .05 level.</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/225673 Causal Factors influencing Public mind of Nursing Students in Police Nursing College 2020-04-25T13:53:46+07:00 Yuwadee Traprasit nongpuy2530@gmail.com Kanda sugmak kanda.sugmak@gmail.com <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The objectives&nbsp; of&nbsp; this&nbsp; research&nbsp; were to&nbsp; study&nbsp; 1)&nbsp; the public mind of nursing students in Police Nursing College 2) the relationship&nbsp; between&nbsp; rearing practice&nbsp; factor, relationship among friends factor, cultivating the college factor, factor, self efficacy about public mind&nbsp; and public mind of nursing students in Police Nursing College 3)&nbsp; the&nbsp; factors associated&nbsp; with the&nbsp; variables&nbsp; of&nbsp; rearing practice&nbsp; factor, relationship among friends factor, cultivating the college factor, factor, self efficacy about public mind&nbsp; affection&nbsp; to&nbsp; the public mind of nursing students in police nursing college. One hundred and sixty students&nbsp; of&nbsp; Police Nursing College were stratified random sampling&nbsp; for&nbsp; study.&nbsp; The&nbsp; research&nbsp; instrument were demographic data, scales&nbsp; for rearing practice&nbsp; factor, relationship among friends factor, cultivating the college factor, factor, self efficacy about public mind and public mind of nursing students in Police Nursing College.&nbsp; Statistical&nbsp; methods&nbsp; used&nbsp; to&nbsp; analyze&nbsp; the&nbsp; data were&nbsp; percentage, mean, standard&nbsp; deviation,&nbsp; Pearson product -moment correlation&nbsp; and&nbsp; multiple regression analysis.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The&nbsp; results&nbsp; of&nbsp; study&nbsp; were as&nbsp; follows:</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1.&nbsp; The&nbsp; level&nbsp; of&nbsp; the&nbsp; public mind of nursing students in Police Nursing College was&nbsp;&nbsp;&nbsp; high.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2.&nbsp; There&nbsp; were&nbsp; significantly&nbsp; positive&nbsp; correlation&nbsp; between&nbsp; rearing practice&nbsp; factor, relationship among friends factor, cultivating the college factor, factor, self efficacy about public mind&nbsp; and public mind of nursing students in Police Nursing College at .01 level</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3.&nbsp; It&nbsp; were&nbsp; found&nbsp; that&nbsp; the&nbsp; predictive&nbsp; factors&nbsp; affecting&nbsp; public mind&nbsp; of nursing students in Police Nursing College&nbsp;were self efficacy about public mind factor at .01 level&nbsp; rearing practice&nbsp; factor and cultivating the college factor at .05 level empowerment&nbsp; at&nbsp; the percentage&nbsp; of 25.6</p> <p>&nbsp;</p> 2020-04-24T12:42:20+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241598 Experiences of Transcultural Nursing Care in Arabic Wards of a Private Hospital 2020-04-24T13:00:58+07:00 Airin Krongchai Areeday@yahoo.com Areewan Oumtanee Areeday@yahoo.com <p>The purpose of this research study aimed to describe experiences of being professional nurses in caring for Arabic patients in a private hospital. The methodology of this research applied on hermeneutic phenomenology by Heidegger. The study participants were 12 professional nurses experiencing in caring for Arabic patients at least 3 years. Data collection was used by in-depth interview along with tape recording and field notes. The data were then transcribed word-by-word and the content was analyzed based on van Manen’s methods. The results could be divided into 2 main themes, as follows: 1) In order to understand patients’ culture. i.1.1) Arabic people were hot-tempered and could be loud, 1.2) Arabic Men had the right of consent for any treatment, 1.3) Having cultures of food sharing, 1.4) Expecting to receive treatment results but not willing to co-operate very well and 1.5) Prioritizing their own beliefs and incorporating them in the treatment in the hospital 2) To care for Arabic patients, nurses needed to be aware i.e. 2.1) Checking evidence for claiming insurance at the embassy, 2.2) Necessarily giving up some activities during the fasting period, 2.3) nurses had to repeat themselves while explaining treatment methods, 2.4) Preparing female patients to get ready before each doctor visit and 2.5) Be treated like being at home so the caring procedures needed to be adjusted.</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241599 Development of a Depressive Disorder Prevention Model in the Elderly of Health Region 5 2020-04-24T13:09:20+07:00 Ornpicha ketphan Onp888@hotmail.com Suree Chanmolee Onp888@hotmail.com <p>The purpose was to develop the Model of prevention of the depressive disorder in elderlies in Public Health Region 5. The research was Research and Development program. Example group were elderlies upper 60 years. The instruments were the assessments of stress, automatic negative thoughts, and happiness in the elderly lives. The statistics were mean ( ), Standard Deviation (S.D.), and dependent t-test. The results revealed that the factors of the prevention of the depressive disorder influenced the depressive condition has a statistically significant difference at the level of .05 The processes were as follows: 1) Stress management, self-discipline and community management, and self-understanding, 2) Self-training of breath, 3) Detaching from self-awareness, thoughts, emotions, and cravings, 4) Being conscious and deleting negative thoughts in a short while, 5) Consciousness training along with movement by doing a yoga, and 6) Adjusting communication, compassion, forgiveness, and self-love. The appropriateness assessment of the program was at the high level( x̄ = 4.06, S.D = 0.14), and possibility assessment was at the highest level ( x̄&nbsp; = 4.20, S.D. = 0.11). After using program, happiness,stress and negative thoughts of elderlies in the experimental group had a statistically significant difference at the level of .05 Also, the results recommended that the program can be applied as a guideline for the prevention and can foster good health that to be the elderlies in the future appropriately.</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241601 Development of Nursing Practice Guideline among Spine Surgery Patients in Chonburi Hospital 2020-04-24T13:19:42+07:00 Khwanjit Saksriwatana taior2507@hotmail.com Rungtip Ratanamaitrekeart taior2507@hotmail.com Jirathida Anannaweenusorn taior2507@hotmail.com Angkana Chongjarearn taior2507@hotmail.com <p>This research aimed to develop and study the effects of nursing practice guidelines among spine surgery patients in Chonburi Hospital that applied the concepts of practice development of the National Research Council of Australia. The samples were the perioperative nurses and the spine surgery patients. The data were analized using descriptive statistics and dependent t-test.</p> <p>The results showed that NPG includes three parts; Pre-Operative nursing, Intra-Operative nursing and Post-operative nursing. After following NPG, perioperative nurses have been positively in knowledge and working skills. These changes were significantly higher than before and satisfied in NPG at high level ( x̄ = 4.60, SD =0.18). Spine surgery patients satisfied at highest level ( x̄ = 4.83, SD = 0.21). Complication was not found in spine surgery.</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/236724 The Enhancement of Parental Acceptance to transgender children by Assimilative integrate Family counseling 2020-04-25T13:53:46+07:00 Wararat Pratanvorapanya wararat2582@gmail.com Pennapha Koolnapadol wararat.pratan@gmail.com Doldao Purananon wararat.pratan@gmail.com <p>The objectives of this research were: 1) to study the factors affecting the acceptance of parents having transgender children, and 2) to study the results of the assimilative integrate family counseling to enhance the acceptance of parents having transgender children. The research was divided into 2 processes. 1) The assessment of factors affecting the acceptance of parents having transgender children was collected. The sample size was 400 the parents having transgender children studying in secondary school, years 1st - 3rd, under Ministry of Education in Nonthaburi, Academic Year B.E. 2560. The instrument was the assessment of factors affecting the acceptance of parents having transgender children questionnaires, consisting of parental awareness, social influence, expectations of parents, parental characteristics and family relationships. The data were analyzed using basic statistics and Model MIMIC analysis. 2) Used the theory-based integrated family counseling program to enhance the acceptance of parents having transgender children was conducted. The sample size 20 families, including the parents having transgender children who had a lower score of the questionnaire than 3.50. These sample was divided into 2 groups, consisting of 10 families on experimental groups and 10 families on control groups. The experimental groups were provided 90 minutes of the theory-based integrated family counseling program in 12 times. The factors affecting the acceptance of parents having transgender children questionnaire was re-tested to study the results of the theory-based integrated family counseling. The data were analyzed using One-Way ANOVA Repeated Measurement.</p> <p>The results of this research showed that the factors that affected the acceptance of parents having transgender children consisted of parental features, parental awareness, social influence, and family relationships. The coefficient of influences was 0.44, 0.30, 0.22 and 0.18 respectively. The acceptance of parents having transgender children after the tracking period of the experimental group had a higher score than the control group in the post-trial period at the .05 level significant.</p> 2020-04-25T13:50:13+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241602 The Effect of Discharge Planning Program on Caregiver’s Caring Behavior for Children with Congenital Heart Disease after Heart Surgery at Home 2020-04-24T13:29:42+07:00 Skaw Tinnuch j_veena@hotmail.com Veena Jirapaet j_veena@hotmail.com <p>This is quasi-experiment research is to study the effect of discharge planning program on caregiver’s caring behavior of children with congenital heart disease (CHD) after heart surgery. Subjects were 44 caregivers of children with first-time after CHD surgery, age 1 to 5 years old and were admitted at the two tertiary level hospitals. Subjects were assigned to the control and the experimental groups by matching caregivers’ age, educational level, and family income and were equally distributed among the hospitals. They were 22 subjects in each group. The control group received routine nursing care, while the experimental group received the discharge planning program for children with CHD after heart surgery. Research instruments included the discharge planning program for children with CHD after heart surgery, VDO, the parental guidebook of caring behavior of children with CHD after heart surgery, the questionnaires of caregiver’s caring behavior of children with CHD after heart surgery and a measurement of knowledge on caregiver’s caring children with CHD after heart surgery. Data were analyzed using descriptive statistics and t-test.</p> <p>The research finding was that mean of caregiver’s caring behavior of children with CHD after heart surgery caregivers in the experimental group were higher than that in the control groups at posttest at the level of .05</p> <p>The research provides innovative nursing intervention for caregiver’s preparation in caring for the children with CHD after heart surgery at home. The finding suggests that VDO, parental guidebook, and telephone follow-up intervention promote caregiver’s ability and may prevent complication that may occur at home. And nursing administrators can apply this discharge planning program used in nursing quality development plans for training nurses can use this programs for children with congenital heart disease after heart surgery.</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241603 Effectiveness of Learning and Teaching by E-learning Lessons for Bachelor of Public Health Program 2020-04-24T13:36:43+07:00 Ubonrat Vichean krapuk2001@hotmail.com Thassanan Thummanon krapuk2001@hotmail.com Nattaporn Meesuk krapuk2001@hotmail.com Thosaporn Ranurak krapuk2001@hotmail.com <p>The research aimed to study Effectiveness of learning and teaching by E-learning lessons for Bachelor of Public Health Program students Department of Dental Public Health Sirindhorn Public Health Chonburi Province. The sample of this research were a second- year students. Who were studying Bachelor of Public Health Program of the academic year 2019 the total of 31 samples. By using E-learning lessons in first aid The study period was 6 months. Data were analyzed by percentage, mean, standard deviation and comparison of results within the experimental group. Statistics using Paired samples t - test.</p> <p>The results of the research showed that 1) The samples after the intervention an average knowledge scores higher than before intervention (p &lt; .05) 2) The samples groups after the intervention an average more behavior scores higher than before intervention. (p &lt; .05) 3) The samples group after the intervention an average more mean score on satisfaction with E-learning lessons higher than before intervention (p &lt; .05)</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241604 The Impact of Simulation Game on Nursing Students’ Performance Skills for Intravenous Injection via NSS Lock 2020-04-24T14:20:46+07:00 A-ngun Noyudom angun.ket@mahidol.ac.th Piyanee Na Nakorn angun.ket@mahidol.ac.th <p>The quasi-experimental research aimed to study the effectiveness of the simulation game of intravenous injection via normal saline lock (NSS lock) on nursing students’ performance skills of intravenous injection, and to evaluate the nursing students’ perception of simulation game. The participants were 52 third year nursing students who were with no experience of intravenous injection. The research instruments were simulation game, performance skill assessment form, and perception questionnaire. They showed a demonstration of intravenous injection via NSS lock. Then they learned by playing the simulation game and completed the perception questionnaire of simulation game. After that, they showed a demonstration of and after learning were evaluated by research assistants. Descriptive statistic, Wilcoxon signed ranks test, was used to analyze the data.</p> <p>The results showed that the mean scores of posttest were significantly higher than that of pretest (p&lt; .01). After learning, the mean of times’ period for practice was significantly lower than that of before learning (p&lt;.01). The score was divided into two steps that were instrument preparation and practice. For step of practice, the mean scores of posttest were significantly higher than that of pretest (p&lt;.01), whereas there were not significant difference between mean scores of pretest and posttest in the step of instrument preparation (p&gt;.05). The mean scores of students’ perception of simulation game was 4.49-4.87.</p> 2020-04-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses