Journal of The Royal Thai Army Nurses

Active Learning for New Generation Nursing Students: Achieving Competencies for Newly Graduated Nurses

2024-09-15T09:41:00+07:00

The digital system is now a fully integrated component of society in all respects. Since it enables students to take initiative and reflect on their experiences, modifying the way active learning is organized for the new generation nursing students is a crucial component of the learning process. It’s learning that enables them to think, act, and solve problems by bringing the community together to organize learning activities that use the community as a foundation for developing health promotion projects, giving students the chance to come up with new ideas for resolving health issues in the community, encouraging social skills, communication, and teamwork, and establishing links between the community and students’ learning that result in knowledge, skills, and attitudes that are comprehensive in accordance with the course’s learning outcomes. The aim of this academic article is to introduce active learning management to the new generation nursing students by combining two nursing courses that use the community as a learning base as a large classroom to develop students’ academic, professional, and life skills as well as active learning. This will produce newly graduated nurses who are competent in the transitional phase from nursing students to professional nurses, meeting the expectations of employers in healthcare providers.

Role of Nurse Case Manager at Short Stay Service and Chemotherapy in The Ramathibodi Home–based Chemotherapy Model : RHCM

2024-09-28T11:50:17+07:00

The Ramathibodi Home Chemotherapy Model (RHCM) is an integrated process of cancer care for patients with colorectal cancer by a new multidisciplinary team approach. The patient is allowed to continue Chemotherapy administration at home. The case manager nurse plays a key and challenging role, possessing advanced nursing competencies in working with multidisciplinary teams. The goal is for patients to receive chemotherapy on schedule, improving treatment outcomes, ensuring safety, and enhancing patient satisfaction and quality of life. The nursing process is continuous, starting from before treatment, throughout the chemotherapy administration at home, and after care. Additionally, the case manager nurse has an essential role in nursing professional development and enhancing specialized nursing competencies by providing education, skills training, and mentoring for case manager nurses in network hospitals nationwide that implement this project.

Development of a Heated Breast Compress and Massage Device Using Rotational Wave Vibration Technology to Stimulate Postpartum Breast Milk Expression

2024-12-21T08:48:03+07:00

Breast milk is beneficial to the baby because it contains complete nutrients that help the baby grow. It contains more than 200 important nutrients, such as white blood cells, immune system substances from the mother that affect the baby, suitable for the growth of the body. However, if the breasts are engorged, it will cause stress to the mother after childbirth. To help solve the problem of breastfeeding after childbirth, a hot compress and breast massage shirt is a helper. With a swirling vibration technique to accelerate the secretion of milk in mothers after childbirth, it will be equipped with a 10-watt DC electric heating set using a nichrome heating wire and a centrifugal motor. The material used in the design is a wire that has a constant resistance value when supplying electricity. The resistance value will not change, allowing the control of the heat generated to be controlled. The design concept of the material used to create the heating set is designed to be a part of the underwear that is designed to fit the shape, preventing heat. The fiberglass pipe joint surface is an insulator. The multi-directional breast massage mechanism uses an asymmetric swing mechanism. The high-speed motor adjusts the relative vibration value. Controlled by a microcontroller. It works with a DC voltage of 12 volts, powered by a 11.7V 5200mA 30C lithium polymer battery.

Yoga Performance for Anti Aging

2024-12-08T08:46:52+07:00

Thailand is entering the ageing society, a time of deterioration brought on by physical and mental changes. One essential strategy to slow down this degeneration is exercise. However, the elderly should choose an exercise regimen that is appropriate for their current level of fitness. Anti-aging yoga is another exercise regimen to slow down ageing. This is due to the fact that anti-aging yoga enhances the elasticity and firmness of your skin on every area of your body, making your skin look younger and more vibrant. Yoga also boosts your health from the inside out. In addition, yoga practices help ease physical aches and pains. Nowadays, social media can be used to share anti-aging yoga poses for the elderly. In this study, the data of yoga poses were studied and collected from textbooks, yoga experts and websites in order to create a yoga practice manual for publication on media, including textbooks, multimedia, posters, videos and websites. The findings of this study led to the creation of the “Anti-aging Yoga Course” Google Site and anti-aging yoga pose posters. The foundations of yoga, preparation for yoga practice, and anti-aging yoga poses are all covered on this website. The results revealed that the respondents showed the overall satisfaction with this website at a good level.

Nurses's Role in Promoting Health Literacy of Caregivers School-age Children with Cyanotic Congenital Heart Disease

2025-01-11T15:50:49+07:00

Cyanotic Congenital heart disease, It is an abnormality of the heart and blood vessel structure from birth. Children often have complex health problems that require special care. School-aged children with this disease also require the cooperation of their caregivers to provide continuous care both in the hospital and at home because they are at an age where they are not yet able to take care of their health by themselves. To help keep children safe, be healthy, and have a good quality of life, nurses play an important role in promoting health literacy by developing information-seeking skills, understanding, evaluating, and skills in media literacy, and deciding to take care of their behaviors to prevent harm from complications that may occur. Additionally, nurses should advise caregivers or parents to be able to care for children with congenital heart disease with cyanosis effectively. It also promotes the health of school-aged children so that they can grow and develop appropriately according to their age as well as general school-age children.
This article will discuss the importance of cyanotic congenital heart disease with low blood flowing to the lungs, unconsciousness caused by a lack of oxygen to the brain, signs and symptoms, definitions and important components of health literacy, and the role of nurses in promoting health literacy and providing advice to caregivers of school-aged children with congenital heart disease.

A Case Study on the Role of Occupational Health Nurses in Preventing Occupational Noise-Induced Hearing Loss

2025-02-01T10:43:44+07:00

Occupational noise-induced hearing loss (ONIHL) is a significant health issue affecting workers globally, particularly in industries with regular exposure to high noise levels. Prolonged exposure to sound levels exceeding 85 decibels (dBA) can cause damage to the hair cells in the inner ear responsible for transmitting sound signals, leading to permanent hearing loss. ONIHL impacts workers physically, mentally, and in terms of their work performance, as well as the overall productivity of the workplace. This article aims to present the role of occupational health nurses in preventing ONIHL through a three-level prevention approach. Primary prevention focuses on reducing noise exposure by promoting the use of hearing protection devices among workers. Secondary prevention emphasizes the surveillance and screening of hearing to prevent further deterioration. Tertiary prevention aims to rehabilitate workers’ hearing abilities and support them in performing tasks according to their full potential. The article also analyzes case studies and presents practical guidelines that align with the current workplace context to reduce the incidence of noise-induced hearing loss and enhance workers’ quality of life.

Nurse’s Role: Dietary and Relieving Primary Dysmenorrhea

2025-02-08T15:05:05+07:00

When women enter adolescence, they begin menstruating, which represents physical development. Menstrual periods originate from the change in hormone levels, body temperature, ovum development, and endometrium each month. Women may have dysmenorrhea during the period that it is caused by uterine contractions as the result of prostaglandin, and some women may have severe pain from dysmenorrhea. Dysmenorrhea is an uncomfortable symptom, and it affects reproductive women in physical, psychosocial, and job duties. This academic article aims to present the role of nurses in managing primary dysmenorrhea in women through dietary. This includes assessing knowledge about foods related to prostaglandin synthesis and inhibition, promoting adequate nutrient intake, providing education on foods to consume and avoid, developing personalized dietary plans in conjunction with monthly menstrual pain level records, and evaluating the outcomes after implementing dietary plans. This is to enable reproductive women to effectively manage primary dysmenorrhea without medication and to promote comfort during menstruation.

Tobacco Cessation Counseling in Antenatal Clinic (ANC): The Role and Challenges of Nurses

2025-03-02T00:25:01+07:00

The consumption of tobacco products and exposure to secondhand smoke during pregnancy have serious negative impacts on the pregnant woman, the baby, the family, and society. Asking about the use of all forms of tobacco products is a crucial step in obtaining important information and providing immediate support to pregnant women in quitting tobacco use. Nurses in prenatal care should possess the knowledge and skills necessary to provide tobacco cessation counseling to help pregnant women quit using tobacco products. Nurses can consider using the WHO’s 5A model as a guideline for tobacco cessation counseling, which includes Ask, Advise, Assess, Assist, and Arrange, along with Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT). Additionally, the 5R principles can be applied to enhance motivation for quitting tobacco use and to identify barriers when a pregnant woman is not ready or lacks the motivation to quit. These principles consist of Relevance, Risks, Rewards, Roadblocks, and Repetition. Support from health organizations is another crucial factor in enhancing the effectiveness of tobacco cessation counseling by nurses. Therefore, organizations should promote training for nurses to improve their knowledge and skills, build confidence, develop expertise in counseling, and foster a positive attitude toward helping pregnant women quit using tobacco products.

The Results of the Knowledge Training Program on Basic ECG Interpretation for Novice Nurses in The Critical Care Division

2024-03-03T23:38:33+07:00

This qusai-experimental study was one group pretest-posttest design. The study aimed to assess the results of the training program on basic electrocardiogram (ECG) interpretation for novice nurses in the critical care Division. The content validity index of both questionnaires was 0.94 and the Cronbach’s alpha coefficients was .86.
The results were found that mean score of the knowledge, interpretation to ECG, total score of ECG and satisfaction between pretest and posttest were significantly increased after received education program (p<.05). The education training in their ability to get more knowledge and interpretation to ECG is necessary for all staff to be used in patient care both during normal and critical situations

Cost Analysis of Nursing Activities Based on Routine Care and Lean Management for Clients with One-Day Surgery Breast Augmentation in a Private Clinic

2024-06-01T15:55:08+07:00

This descriptive research aimed to analyze the cost of nursing activities based on routine care and those on lean management for clients undergoing one-day surgery breast augmentation in a private clinic. The target population consisted of 15 reports on personnel costs, and the sample group comprised 60 cases (30 routine care and 30 lean management) selected using purposive sampling. Two sets of research instruments comprised 17 lean activities and 16 routine activities. The content validity was 1.0, and the observed reliability was 1.0. The statistics used included frequency, percentage, standard deviation, and mean. The research found that: 1) The average cost of nursing activities based on routine care was 2,988,496.13 Baht. 2) The average cost of nursing activities based on lean management care was 2,908,072.97 Baht. 3) The average cost for lean management was reduced by 80,423.16 Baht, and the time was reduced by 160.32 minutes. The highest costs for both types of care were for nursing activities during surgery, while the lowest were for pre-surgery activities. The research results indicate that nursing activities based on lean management could reduce costs and time management, as evidenced by the empirical data while maintaining the quality of nursing and standard in private clinics. Thus, organizational administrators should consider implementing lean management reduce costs and manage time to improve the efficiency and effectiveness of health services.

The Effectiveness of Health Literacy Development Program in Preventive Teenagers MahaSarakham

2024-02-09T22:26:59+07:00

The purpose of this quasi-experimental research was to study the effects of health literacy development program on health literacy and pregnancy preventive behaviors in teenagers, MahaSarakham Province. The sample were 60 female students who were studying at grade mattayom 2 in the 2023 academic year at Yang Si Surat secondary school, Maha Sarakham province, selected by simple random sampling. They were divided into the experimental (30) and the comparative (30) groups. The research instruments included: 1) a health literacy development program, which was developed based on concept of Nutbeam. The duration of the program was 6 weeks. The activities comprised: (1) developing knowledge (2) developing access and media literacy skills (3) developing communication skills (4) developing self-management skills (5) developing decision-making skills and 2) health knowledge and pregnancy prevention behaviors questionnaires. The reliability were .80 and .85, respectively. Data were analyzed by descriptive statistics and t-test. The result revealed as follows. After attending the program, health literacy and pregnancy preventive behaviors of the experimental group were significantly higher than before attending the program, as well as these results were higher than the comparative group.

Competencies of Nursing Instructors in the Disruptive Era of Police Nursing College, Royal Thai Police

2024-04-13T20:57:58+07:00

The nursing field is undergoing rapid change, requiring educators to adapt their skillsets. This study aimed to identify the competencies needed by nursing instructors in the Royal Thai Police’s Police Nursing College during this disruptive era. A survey was conducted among 28 nursing educators. Analysis involved calculating frequencies, percentages, means, and utilizing a modified priority need index.
The study identified 43 essential competencies for nursing instructors categorized into four key areas: learning management, leadership, evidence-based nursing practice, and policing. Further analysis revealed 22 crucial competencies requiring development. These top priorities included, the ability to produce and utilize online learning materials with appropriate copyright adherence, designing creative and tailored learning experiences, adeptness in employing innovative teaching methods to accommodate diverse learner needs, proficiency in managing innovative learning tools and the ability to persuade organizational personnel to see the common goal. Institutions can use these results for comprehensive performance evaluation in all dimensions, design appropriate training activities for nursing instructors, and provide information for prioritizing the development of nursing instructors’ competencies.

The Participation of Medical Personnel in the Quality of Infection Prevention and Control System of Health Promoting Hospital, Health Service Network in Phrasaeng District, Surat Thani Province

2023-05-14T13:41:23+07:00

This action research aimed to develop the quality of infection prevention and control work of sub-district health promotion hospitals, Phrasaeng District Health Service Network, Surat Thani Province. By applying Cohen and Uphoff’s contribution theory. The research was divided into 4 steps: 1) Planning 2) Acting 3) Observing and 4) Reflection. The sample group was the director of the sub-district health promotion hospitals and worker of 52 practitioners; selected specifically according to the specified qualification criteria. Using period of 16 weeks and consists of planning, exchange knowledge of problems and obstacles, educating, and evaluate the performance. The tools used include the personnel participatory management questionnaire was the reliability of the entire questionnaire using the Cronbach alpha coefficient reliability formula confidence value of 0.90 and assessment form of a starred sub-district health promoting hospital. Data were analyzed by using descriptive statistics and paired t-tests.
The results revealed that the mean score of the participatory management of the sample before and after participatory management (M = 2.02, SD = .15; M = 4.01, SD = .54) was higher than the scores before the intervention. There was a statistically significant difference (p < .001) and there were 11 hospitals that passed the standard criteria of star health hospitals, increasing from 5 (38.5%) to 11 (84.6%). Therefore, the involvement of medical personnel in the operation will change the personnel’s behavior. Including the implementation of infection prevention and control in sub-district health promotion hospitals through standard quality criteria.
Recommendations: There is continuous encouragement, supervision, and monitoring of infection prevention and control in sub-district health promotion hospitals, so that the service recipient is safe from receiving medical services.

Effects of a Self-Management Program for Stroke Prevention among At-risk Working Age Patients in Saraburi Province

2024-01-01T08:15:32+07:00

The purposes of this quasi-experimental research was to study the effects of a self-management program for stroke prevention among at-risk working age patients in Saraburi province.
The study population was working age people who were at risk of having a stroke. The sample population was chosen by sample ramdom sampling according to the inclusion criteria and divided into 2 groups of equal size - the experimental and comparison groups. ,each comprising 25 working age people. Two tools were used in this research 1) a self-management program for stroke prevention that was developed based on the self-management form of Creer and used for 8 weeks of training; and 2) a questionnaire on stroke prevention self-management behavior. The content validity of the tool was verified by 5 experts and came out to; CVI 0.97. The Cronbach’s alpha coefficient of the self-management program for stroke prevention was .94. Data were analyzed by descriptive statistics, the Wilcoxon match pairs signed rank test, and the Mann-Whitney U test.
The results after the experimental were as follows: 1) after the self-management program for stroke prevention, the stroke prevention behavior and blood pressure of people in the experimental group were better than before participating in the program to a statistically significant degree at the level .05. 2) The self-management for stroke prevention behavior and blood pressure of the experimental group were significantly better than those of the comparison group at the level .05.

A Study of Nursing Outcome Indicators for Patients with Fracture Pelvis and Acetabulum

2024-08-09T18:22:57+07:00

This research is a descriptive study using the Delphi technique, aimed at study outcomes indicators for nursing care of patients with fracture pelvis and acetabulum. A purposive sample of 20 experts with knowledge and experience in nursing care for patients with fracture pelvis and acetabulum, divided into 7 Orthopedic nurses, 5 Nursing instructor and academic group, 5 Nursing administrators and 3 fracture pelvis and acetabulum specialist doctor. Research methodology, The first interview about outcome indicators for patient with fracture pelvis and acetabulum. The second, data from the first were analyzed and indicators were developed by using rating scale questionnaires. The third, data were analyzed by using median and interquartile range which was sent to previous experts for confirm the previous ranks items. Data were analyzed again by using median and interquartile range to summarize the research.
The research results: showed the nursing outcomes indicators for patients with fracture pelvis and acetabulum were agreed by experts including 7 domains, 47 indicators: 1) safety from complication of external fixator and skeletal traction, 2) safety from complication of injuries and immobility, 3) the responses of mental, social, and spiritual, 4) safety from post-surgery complication, 5) the ability for rehabilitation of patient 6) patient and/or family satisfaction with nursing services, and 7) the ability to perform activity of daily living upon discharge. The results of this study can be used as a measurement of nursing outcomes indicators for pelvis and acetabulum fracture patients care.

Predicting Factors of Health Literacy among Elderly People with Diabetes in Nakhon Ratchasima Province

2024-08-31T21:10:29+07:00

This predictive correlational research paper’s objective is to study the factors predicting health literacy among elderly people with diabetes in Nakhon Ratchasima province. The sample consisted of 259 participants selected through a multi-stage cluster sampling. The reliability of the instruments was tested using Cronbach’s alpha coefficient, with the health literacy questionnaire for elderly people with diabetes scoring .959, and the social support questionnaire scoring .920. Data was analyzed using Descriptive statistics, Pearson’s correlation coefficient, Point-biserial correlation coefficient, and Multiple regression analysis.
The study found that the overall health literacy of elderly people with diabetes was at a moderate level (Mean = 97.87, S.D. = 12.66). The only factor which predicted the health literacy among elderly people with diabetes was social support, accounting for 27.1% (adjusted R² = .271, p < .001). Therefore, healthcare personnel can use this information as a basis for organizing nursing activities and developing programs to promote health literacy among elderly people with diabetes.

Needs Assessment of Health Care for Elderly People Living with Chronic Illnesses

2024-08-24T08:29:25+07:00

This descriptive research aimed to assess the needs for looking after elderly people living with chronic illnesses. The participants were 34 healthcare personnel, 30 caregivers for the elderly, and 30 elderly people living with chronic illnesses. They were selectively chosen based on specific criteria. Data was collected through in-depth interviews and focus group discussions, using a structured interview format, an assessment tool for care needs of elderly people living with chronic illnesses which designed for healthcare personnel, caregivers and elderly individuals with chronic illnesses. The Cohen’s Kappa coefficients among these instruments were .89, .84, and .84, respectively. Data were analyzed using descriptive statistics, content analysis, and a modified priority needs index. The findings revealed that care needs for elderly individuals with chronic illnesses in the community for each group were divided into three key areas. First, the healthcare personnel desired the highest level of community involvement (PNI modified = 0.352). Second, caregivers needed the most comprehensive guide on elderly care and methods for managing the health conditions affecting the elderly (PNI modified = 0.444). Finally, elderly individuals needed the most effective communication technology for health information that provided alerts tailored to their needs (PNI modified = 0.352). Thus, caring for elderly individuals with chronic illnesses should consider the involvement of all sectors. Health information technology systems that meet needs should be easily accessible. Elderly individuals, caregivers, family members, and community members should be promoted regarding the principles of care and methods for managing health conditions.

Development and Evaluation of Nursing Practice Guidelines to Prevent Shock in Patients with Septicemia at Makarak Hospital, Kanchanaburi Province

2024-11-16T13:57:59+07:00

This research and development aimed to develop and evaluate nursing practice guidelines to prevent shock in patients with Septicemia at Makarak Hospital, Kanchanaburi Province. The study comprised three phases: 1) development of nursing practice guidelines, 2) implementation of the guidelines, and 3) evaluation and dissemination. The sample consisted of two purposively selected groups: 1) 40 professional nurses, and 2) 44 patients with sepsis, equally divided into an experimental group (22 patients) and a control group (22 patients). The research instruments included the newly developed nursing practice guideline, a post-implementation outcome recording form, and an observation checklist for adherence to the guideline. The content validity and overall reliability of the instruments were 0.84 and 0.70, respectively. Data were collected between October 2023 and January 2024. Quantitative data were analyzed using descriptive statistics (percentage, mean, and standard deviation), paired t-tests to compare nursing performance before and after using the guideline, and percentage ratios to compare the incidence of shock and mortality rates.
The results indicated that after the implementation of the nursing practice guidelines, the nurses’ practice scores increased significantly (p<.05) rising from 143.24 to 147.56. Furthermore, the experimental group had lower percentages of both shock occurrence and mortality compared to the control group. In conclusion, the nursing practice guidelines developed in this study were effective in preventing and reducing mortality from Septic shock in patients with bloodstream infections.

Perceived Health Status of the Service Recipients in the Marketing Mix Affects the Decision to Choose the Annual Health Check up Service at the Thammasat Health Check-up Center

2024-10-05T20:36:53+07:00

This cross-sectional descriptive research aims to: 1)study the perception of health status among service recipients, and 2)examine the marketing mix factors affecting the decision to use annual health examination services. Data were collected form 303 health examination services recipients.
Results indicated that perceptions of disease risk and severity, driven by behavior, were at the highest level. Perceived benefits of the annual health check-up and the recognition of obstacles also scored high. The marketing mix-encompassing services, products, locations, pricing, processes, facilities, and personnel significantly influenced the decision to utilize the annual health check-up service. Overall, marketing promotion was also perceived positively.

Cyberbullying Victimization from Online Networks Behavior Among Adolescents in Chonburi Province

2024-12-14T09:08:36+07:00

This survey research aimed to study the cyberbullying victimization from online networks behavior among adolescents in Chonburi Province. Multi-stage random sampling was used to select 534 students aged 13–21 years for this study. Personal information, online networks behavior and the cyberbullying victimization Questionnaire for adolescents were used to collect data with an online method. The discriminant coefficients were found to be between .24 and .81 when the overall reliability coefficient was .86. The data were analyzed by mean, standard deviation and multivariate analysis of variance (MANOVA).
The cyberbullying victimization from online networks behaviors in terms of impersonation, visual cybervictimization, written-Verbal Cybervictimization, and online exclusion among adolescents in Chonburi Province were overall at a low level. To compare cyberbullying victimization from online networks behavior among adolescents in Chonburi Province, classified by grade point average and prior experienced in using online social network found that statistically significant differences at the .05 level.

The Effectiveness of a First Aid and Basic Life Support Training Program on Knowledge, Skills, and Attitudes of Motorcycle Taxi Riders in Sai Mai District, Bangkok

2024-10-20T07:56:01+07:00

This quasi-experimental research with a one-group pretest-posttest design aimed to investigate the effectiveness of a first aid and basic life support training program on the knowledge, skills, and attitudes of motorcycle taxi riders. The sample consisted of 47 motorcycle taxi drivers selected through purposive sampling based on inclusion criteria. The research instruments included a personal information questionnaire, pre- and post-training assessments of knowledge, skills, and attitudes regarding first aid and basic life support, and a first aid and basic life support training program. The training program consisted of four steps: reflection before the training program, knowledge and attitude building, skill practice through small group sessions with facilitators to review knowledge at each station, and reflection after the program. The researcher developed the program based on a literature review and Bloom’s taxonomy of learning, which can be applied to the design and evaluation of training programs.
The results revealed that the mean scores of the sample group’s knowledge, skills, and attitudes towards first aid and basic life support were significantly higher after participating in the program (p<.05). This indicates that the program effectively developed the knowledge, skills, and attitudes of the participants. The findings can be applied to enhance the potential of the public and relevant personnel in efficiently assisting individuals in emergency situations.

Factors Related to Caring Competency of Older Persons Among Village Health Volunteers in Wang Sombun District, Sa Kaeo Province

2023-08-25T06:25:53+07:00

This survey research aimed to study predisposing, enabling, and Reinforcing factors relating to the caring competency of older persons among village health volunteers in Wang Sombun District, Sa Kaeo Province. The samples were 245 of village health volunteers in Wang Sombun District, Sa Kaeo Province were selected by a stratified random sampling technique. The questionnaire was developed by the researcher for data collection. The data were analyzed by using a statistical computer program. Analytical statistics were frequency, percentage, mean, maximum-minimum, standard deviation, and Pearson’s Product Moment Correlation Coefficient.
The results showed that the participants had high-level scores of caring competencies. The predisposing factors about knowledge and attitude towards caring for older persons were found significantly related to the caring competency of older persons at the level of .01. For the reinforcing factors about perceptions of older person care policy and access to information of older person’s care were found significantly related to caring competency of older persons at the level of .01. For than more the reinforcing factors about family and staff support were found significantly related to caring competency of older persons at the level of .01.

Predicting Factors of Post-Operative Delirium in Abdominal Surgery’s Older Adult

2024-11-02T13:26:03+07:00

This study is predictive correlational research study aimed to study incidence, correlation and predicting factors of post-operative delirium in abdominal surgery’s older adult. The subjects were selected by purposive sampling. The sample included 110 aged 60 and over who had undergone abdominal surgery in the surgical department .The research tool used in this study were a demographic form, Thai Geriatric Depression Scale (TGDS) and Thai version of the Confusion Assessment (CAM). These research tool showing inter-rater reliability 1.00. The result showed that the average of post-operative delirium is 24.55%. The association between post-operative body temperature, pain, hemoglobin level, depression and Infected Covid-19 were positive (r= .447, .457, .296, .308 and .292, p<.05 respectively). Post-operative body temperature can predict post-operative delirium about 14.61 occasions (adj. OR=14.61 : 95% CI=2.80 - 76.27), pain 2.16 occasions (adj. OR= 2.16 : 95% CI=1.34 - 3.48), hemoglobin level about 11.38 occasions (adj. OR= 11.38 : 95% CI= 2.54-50.92), depression 1.22 occasions (adj. OR= 1.22 : 95% CI=1.03 - 1.44) and infected COVID-19 about 9.59 occasions. (adj. OR= 9.59 : 95% CI=1.19 - 76.98). The 5 factors can explain 65.40% of variance in post-operative delirium (Nagelkerke R2= .654, p<.05) in abdominal surgery’s older adult.

Prevalence and Associated Factors of Computer Vision Syndromes in Healthcare Personnel in Nopparat Rajathanee Hospital

2024-06-22T11:42:55+07:00

Computers have become integral to contemporary organizational operations. Their utilization has significantly enhanced operational efficiency, accessibility, and precision. However, prolonged computer use, a recognized occupational hazard, can adversely impact health. Excessive screen exposure is a primary contributor to Computer Vision Syndrome (CVS), a prevalent ocular condition. This cross-sectional study was conducted to determine the prevalence of Computer Vision Syndrome (CVS) and to examine associated risk factors. A sample of 237 participants completed the Thai version of the CVS-Q questionnaire. Multivariate logistic regression analysis was employed to assess the relationship between variables and the presence of CVS. The overall prevalence of CVS was 53%, with eye pain being the most frequently reported symptom (88.89%) and floaters (22.22%) the least common. Female gender, pre-existing medical conditions, refractive errors, and artificial tear usage were identified as significant predictors of CVS. Notably, physicians exhibited a lower prevalence of the condition.

Effects of a Self-management Program for Glycemic Control in Type 2 Diabetes People at Risk of Developing Diabetic Retinopathy in Urban Communities, Mueang District at Nakhon Ratchasima

2023-12-24T14:21:33+07:00

Diabetic retinopathy is a major complication. It causes abnormalities in vision and blindness. This causes the patient’s quality of life to decrease, resulting in losses both in direct and indirect costs. Study the results of a self-management program to control blood sugar levels in people with type 2 diabetes who are at risk of developing diabetic retinopathy in the city area, Mueang district, Nakhon ratchasima province. Its purpose is to compare cumulative blood sugar levels and self-management to prevent diabetic retinopathy experimental group and comparison group, 36 patients per group, duration 12 weeks. The tools used in the study consisted of 1) a self-management program to control blood sugar levels in people with type 2 diabetes who are at risk of developing diabetic retinopathy. Developed under Creer’s self-management framework 2) Self-management questionnaire. Data were analyzed using descriptive statistics. Frequency distribution, mean, percentage, standard deviation, paired t-test, independent t-test, Wilcoxon signed rank test and Mann-Whitney U test.
The results of the study found that after using the program, the experimental group’s self-management behavior regarding eating, exercise, medication adherence/going to see the doctor as per appointments, stress reduction and overall self-management behavior was significantly better than before using the program and better than the comparison group (p < .05), and it was found that the cumulative blood sugar level in the experimental group was significantly lower than before using the program and lower than the comparison group (p < .05).

The Role of Village Health Volunteers with Participation Care in Chronic Heart Failure Patients in Phetchaburi Province

2024-11-16T14:09:10+07:00

This research aimed to study the level of participation with The Village Health Volunteers (VHVs) and compare personal factors and participation care in chronic heart failure patients. The sample was 345 VHVs. Selected through multi-stage sampling. The research instruments were validated and has a Cronbach’s alpha coefficient of 0.85. Data were analyzed by descriptive statistics, and ANOVA analyzed comparisons.
The results revealed that, first the overall participation care of VHVs in chronic heart failure patients all four aspects was moderate level (M = 3.11, S.D. = 1.09). Ranked by scores, implementation had the highest score (M = 3.33, S.D. = 1.05), planning (M = 3.12, S.D. = 1.06), resource management (M = 3.01, S.D. = 1.15), and evaluation ( M = 2.99, S.D. = 1.14). Second, VHVs with different education levels, incomes, work durations, and experience of care in chronic heart failure patients showed significantly different participation in care in chronic heart failure patients across all four aspects at the .05 level.
Recommendations: Health organizations can utilize this data to promote and support the participation care of VHVs in Chronic heart failure patients, ensuring comprehensive participation at all to improve the quality of life with chronic heart failure patients.

Effectiveness of Strengthen Capacity Programme for Surveillance Infection, Prevention and Control of Emerging Infectious Disease among Health Volunteers in Communities in North Eastern, Thailand

2024-10-20T08:59:12+07:00

This quasi-experimental study, utilizing a one-group pretest-posttest design, aimed to evaluate the effects of a competency enhancement program on the prevention of emerging infectious diseases among village health volunteers. The study sample was composed of village health volunteers selected from provinces in which 60 sample of sub-district hospitals had been transferred to the Provincial Administrative Organization. Data collection was conducted using a questionnaire designed to assess knowledge, attitudes, and work behaviors, with content validity indices of 0.796 and 0.913 respectively. Descriptive statistics, including frequency, percentages, mean, and standard deviation, were employed for data analysis. A paired t-test was conducted to evaluate pre-and post-intervention differences.
The findings revealed a statistically significant increase in the mean score for knowledge, attitudes, and work behaviors following the intervention (p<.05). Specifically, the mean score and standard deviations for knowledge, attitudes, and work behaviors showed marked improvement after the program. These results suggest that the competency enhancement program is effective in improving outcomes related to the prevention of emerging infectious diseases among village health volunteers. It is recommended that the program be implemented as part of broader efforts to prevent emerging diseases and to support the competency development of village health volunteers, particularly in disease prevention.

The Effects of Health Belief Promotion Program on Relapse Prevention Behaviors among Patients with Acute Myocardial Infarction

2023-10-21T08:48:14+07:00

The purpose of this study was to investigate the effects of a health belief promotion program on relapse prevention behaviors in patients with acute myocardial infarction. The subjects were 48 patients with acute myocardial infarction after balloon angioplasty or stent implantation, selected by simple randomlization from the patient’s medical record. They were divided into experimental and control groups, with 24 subjects in each group. The tools were a health belief promotion program on recurrence prevention behaviors in patients with acute myocardial infarction, a personal information questionnaire, and a behavioral assessment form for the prevention of recurrence of acute myocardial infarction. Data were analyzed using descriptive and reference statistics.
The results of this study revealed that the mean score of relapse prevention behavior in patients with acute myocardial infarction after the program was higher than the pretest with a statistical significance. The experimental group had a statistically significant higher mean score for preventing the recurrence of acute myocardial infarction behaviors than the control group.
Suggestions obtained from this research long-term patient behavior should be monitored. To monitor the persistence of appropriate behavior and encourage families to participate in changing the patient’s appropriate behavior.

The Influence of Health Literacy and Self-Efficacy on Self-Management of Patients Undergoing Hemodialysis

2024-12-08T09:45:06+07:00

This research aimed to examine: 1) the levels of health literacy, self-efficacy, and self-management abilities of patients undergoing hemodialysis, and 2) the influence of health literacy and self-efficacy on the self-management abilities of these patients. The sample consisted of 150 patients receiving hemodialysis, selected through stratified random sampling and simple random sampling methods. Data were collected using four questionnaires: 1) demographic information, 2) health literacy questionnaire, 3) self-efficacy questionnaire, and 4) health-related self-management abilities questionnaire. The content validity index (CVI) was found to be 0.98, while the internal consistency reliability measured by Cronbach’s Alpha was 0.94, 0.87, and 0.94, respectively. Data were analyzed using descriptive statistics and multiple regression analysis.
The results showed that: 1) the levels of health literacy, self-efficacy, and self-management abilities in the sample group were high; and 2) health literacy and self-efficacy significantly influenced and together predicted 64.8% of the self-management abilities of hemodialysis patients, with statistical significance at the .05 level. Therefore, nurses should prioritize promoting health literacy and self-efficacy to enhance the skills and self-management abilities of patients undergoing hemodialysis.

Development of Preparation Program Model for Emergency Nursing Practice Program through Usage of Online Simulation-Based Situations for Promoting Stress Management, Knowledge, and Attitude of Nursing University Students

2025-01-11T15:54:06+07:00

The objectives of this research were to 1) design and develop a preparation program model for emergency nursing practice program through usage of online simulation-based situations, and 2) examine levels of stress management, knowledge and attitude of nursing university students after they participated in the preparation program model. Participants of the study were 36 third-year nursing students from the Faculty of Nursing at Suan Dusit University in Thailand through a simple random sampling method. The research instruments include an validation form for preparation program model formats, a stress management test, a knowledge test, and an attitude test. The reliability of those instrument were more than .70 Data were analyzed using descriptive statistics and paired t-test. The research findings revealed that the preparation model had an average value of appropriateness at the high level. Furthermore, the average scores of stress management, knowledge, and attitude among nursing students before and after participating in the program were different at a significance level of .05, which indicates that the preparation program model for emergency nursing practice through usage of online simulation-based situations could effectively promote stress management, knowledge and attitude of nursing university students.

The Effectiveness Patterns of Nursing Model to Enhancement Health Literacy for Delay Renal Impairment among Patients with Non-Communicable Diseases Living in Rural Community

2024-11-30T10:45:05+07:00

This study was quasi-experimental research using a two group, pretest-posttest design. The purpose of this research aimed to investigate the effectiveness patterns of nursing model to enhancement health literacy for delay renal impairment in baseline post-intervention and follower up. The study sample consisted of 120 people. The subjects with 60 of them being assigned into the experimental group and the other 60 into control group. Research tools included: 1. The demographic characteristic interview protocol 2. The health literacy interview protocol (Cronbach’s alpha coefficient .88) 3. The pattern of nursing model to enhancement health literacy. The data were analyzed by means of descriptive statistics, independent t-test and Repeated Measures ANOVA. The results revealed that the mean score of the health literacy of experimental group after participation patterns of nursing model to enhancement health literacy program was higher than control group with statistical significance (p < .001). The mean score of the health literacy of experimental group after participation patterns of nursing model to enhancement health literacy program and follow up was higher than control group with statistical significance (p < .001). The present study revealed that the program was effective to increase health literacy among patients with non-communicable diseases living in rural community.

Development of a Nursing Management Model for Ventilator Associated Pneumonia Prevention in General Ward, Mahasarakham Hospital

2024-11-16T16:20:57+07:00

Research and Development aimed to develop and evaluate the effectiveness of a nursing management model for ventilator-associated pneumonia (VAP) prevention in general wards at Mahasarakham Hospital. This research consisted of four phases: 1) situation analysis, 2) model development, 3) effectiveness model evaluation, and 4) model quality validation. The sample included 100 intubated patients and 21 registered nurses. Research instruments comprised ventilator-associated pneumonia (VAP) incident records, focus group discussion and in-depth interview guides, model structure assessment forms, nursing knowledge and practice guideline adherence evaluation forms, nursing competency assessment forms, and opinion questionnaires. Data were collected from October 2023 to September 2024 and analyzed using descriptive statistics, inferential statistics, and content analysis.
Results revealed that: 1) The developed model contained three components: (1) Input factors with four key elements, (2) Process following the MSKH Framework, and (3) Outcome determining nursing service quality indicators. 2) After implementing the model, the VAP rate significantly decreased (p = .005). Nurses demonstrated significantly higher knowledge scores and competency levels (p < .001), with 100% compliance with practice guidelines. Additionally, nurses rated the model quality as good (100%) and expressed high satisfaction with the model (M = 4.43, SD = .48).

The Effects of an Education and Empowerment Program on Competency Development among Type 2 Diabetes Patients

2024-05-18T21:24:45+07:00

This quasi-experimental research was a two-group pretest-posttest design. The objective aimed to study and compare the effects of the education and empowerment programs on the development of competencies in patients with type 2 diabetes. The sample group was seventy-six patients with type 2 diabetes were selected by purposive methods by selecting into an experimental group and a control group, 38 people per group. Research instruments were 1) research tools used in the experiment program including a 12-week knowledge and empowerment program, 2) research tools such as personal information questionnaire, diabetes knowledge questionnaire, empowerment questionnaire, and self-efficacy questionnaire. Data were analyzed by descriptive statistics and t-test.
The research results found that after joining in the program, the experimental group had an average knowledge of diabetes and perception of competencies scores higher than before joining in the program, and higher than the control group with statistically significant level at .05. The accumulated blood sugar level (HbA1C) decreased before joining the program, also significantly better than the control group at the statistically significant level at .05.

A Causal Relationship Model of Factors Affecting Organizational Commitment of Nurses in Hospitals under the 8th Regional Health Area in the Office of Permanent Secretary Ministry of Public Health

2024-06-01T15:53:33+07:00

The objectives of this research were to 1) develop a causal relationship model of factors affecting organizational commitment among nurses, and 2) verify the developed causal relationship model .The research was conducted in two phases: 1) developing the causal relationship model through document analysis, research review, and interviews with seven experts, and 2) verification of model congruence with the empirical data by using questionnaires. The sample consisted of 420 professional nurses with at least one year of work experience. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and confirmatory factor analysis. The results revealed that: 1) the causal relationship model of factors affecting organizational commitment comprised four factors: transformational leadership, job characteristics, organizational climate, and job satisfaction; 2) the developed model demonstrated good fit with empirical data, and the four factors explained 90% of the variance in organizational commitment. Job satisfaction had the highest direct effect, while transformational leadership had the highest indirect and total effects. This causal relationship model demonstrates the complexity of factors affecting organizational commitment. Organizations should emphasize developing transformational leadership, designing meaningful and challenging work, creating a supportive organizational climate, and promoting job satisfaction.

The Effectiveness of an Innovative Brain Training Box Program in Developing Executive Function Skills Among Early Childhood

2024-09-09T11:52:09+07:00

This quasi-experimental research aimed to compare the mean scores of executive function skills between the control and experimental groups of early childhood students and to study the satisfaction towards the Brain Training Box Innovation: Executive Function Challenge. The sample consisted of caregivers and early childhood students (aged 3-5 years) studying at Child Development Centers in Phetchaburi Province, divided into an experimental group (n=25) and a control group (n=25). The research instruments comprised: 1) a demographic questionnaire, and the Executive Function Development Assessment (MU.EF-101), 2) an executive function skills test for early childhood students, and 4) a satisfaction assessment form. Data were analyzed using mean, standard deviation, and t-test.
The results showed that 1) after the experiment, the experimental group had significantly higher mean scores of executive function skills than the control group and their pre-test scores (t = 2.513, p < .01), and 2) significantly higher mean scores on the executive function development assessment than the control group and their pre-test scores (t = 5.068, p < .01), 3) Regarding satisfaction, caregivers and parents reported high satisfaction with the innovation (M = 4.15, SD = 0.37) Research recommendations suggest that Child Development Centers should implement the Brain Training Box Innovation to develop executive function skills in early childhood students, parents can use this innovation for executive function skills training at home, and training should be provided to teachers and caregivers on the effective use of this innovation.

Factors Related to the Quality of Life among Caregivers of Patients with End-stage chronic disease in district, Chaiyaphum Province

2024-08-09T21:12:27+07:00

This descriptive research aimed to study the factors related to the quality of life of caregivers of terminally ill patients in a district of Chaiyaphum Province. The sample consisted of 220 caregivers of terminally ill patients. The instruments used to collect data were a general information questionnaire, an attitude questionnaire towards caring for terminally ill patients, an assessment of skills in caring for terminally ill patients, and a quality of life questionnaire. The data were analyzed using descriptive statistics and analyzed by using Pearson’s product moment correlation. The results of the research found that the factors related to the quality of life of caregivers of terminally ill patients: skills in caring for terminally ill patients (r=0.429, p-value<.05) were significantly related to the quality of life of caregivers of terminally ill patients in a positive direction at a statistical level of .05, and attitudes toward caring for terminally ill patients (r=0.345,p-value<.05) were significantly related to the quality of life of caregivers in a positive direction at a statistical level of .05. Nurses should promote the health of caregivers and prepare them by developing the potential of caregivers of chronic patients so that they can adapt and provide care to patients with chronic diseases. Importantly, caregivers have a good quality of life.

Factors affecting Mortality in Patients with COVID-19: After the Declaration of an Endemic Disease

2024-11-16T16:28:01+07:00

Covid-19 problem It is a health problem that can cause from mild severity to death. This study used a retrospective study design in the intensive care unit from October 1, 2022, to June 30, 2023. The 54 subjects were collected using a general information questionnaire, Information on illness. This research used the descriptive including frequency, percentage, mean, and standard deviation and the Fisher’s exact test and chisquare test to analyze the factors affecting with mortality in patients with COVID-19.
The results revealed that 2 persons were dead. The sample groups were Charlson comorbidity index (CCI) ≥4 points (p-value = .025), Creatinine ≥1.73 (p-value = .031) were associated with mortality in patients with COVID-19 .The results of this research were information on treatment, monitoring and planning for future care.

Drug Use Behavior among Elderly in Nakhon Phanom Province

2024-09-09T09:15:32+07:00

This Mixed Methods Research aimed to study drug use behavior among 610 elderly by systematic random sampling during. Data were collected by interviews and in-depth interview question guidelines. Data were analyzed by descriptive statistics, and content analysis. The research found that the majority of samples were female 64.8% [an average age of 68.0 years (S.D. = 5.9)] , living with family 76.2%, had congenital diseases 66.7%, no conditions diseases 74.1 %, Diabetes mellitus 43.2%, followed by Hypertension 40.8%, average number of pills 3.4 tablets, average continuous drug use experience 4.6 years, an average medicine 1.6 times per day, and self-administered medication 90.2%. In addition, the behavioral scores in drug use of samples revealed that the correct medication behavior score was less than 80.0% every question. There was qualitative data supported by key informants, most importantly: forgetting to take medicine all day, stopping taking medicines, failure to notify pharmacist, not throwing expired medicine at the hospital and unprotected medications from moisture.

Learning Through Simulation: Enhancing Emergency Nursing Competencies in Undergraduate Students - A Phenomenological Study

2024-08-03T14:26:26+07:00

This qualitative study aimed to explore nursing students’ learning experiences through simulation in emergency nursing. In-depth interviews were conducted with 18 fourth-year nursing students, and data were analyzed using qualitative content analysis. The findings revealed that learning through simulation enhanced students’ analytical thinking, clinical decision-making, and emergency nursing skills. Students reported emotional transitions from anxiety to confidence and improvements in teamwork skills. Factors promoting learning included scenario realism, effective feedback, and a safe learning environment. The main obstacles were initial anxiety and resource limitations. The study identified key factors that contribute to the effectiveness of simulation-based learning in emergency nursing education, including the integration of cognitive, emotional, and practical skills. Students highlighted the importance of repeated practice and reflective debriefing in developing clinical competence. The research also uncovered the potential of simulation in fostering lifelong learning skills and preparing students for global health emergencies. Recommendations for improving simulation-based teaching include increasing scenario diversity, enhancing feedback systems, and investing in modern simulation technologies. This study provides insights for developing simulation-based curricula that effectively prepare nursing students for real-world emergency situations, ultimately contributing to improved patient care and healthcare systems.

Factors Predicting Mental Health Status among Caregivers of Children with ADHD During the COVID-19 Pandemic

2024-12-21T11:31:00+07:00

This research aimed to examine the mental health status of caregivers of children with attention health deficit hyperactivity disorder (ADHD), their caregiving abilities, and the predictive factors for their mental during the COVID-19 pandemic. The sample consisted of 80 caregivers of children with ADHD, selected using simple random sampling with a random number table. Data collection tools included the following questionnaires: 1) demographic information, 2) caregiving abilities for children with ADHD, and 3) mental health status (Thai GHQ-28), with Cronbach’s alpha coefficients of 0.88 and 0.91, respectively. Data were analyzed using stepwise multiple regression analysis.
The results showed that the majority of the participants were female (81.20%). The caregiving abilities of the caregivers were at a moderate level overall (M = 96.10, SD = 13.20). Most caregivers had no mental health problems (78.80%, M = 0.20, SD = 0.40), with a mean score of 1.90 (SD = 3.70). Additionally, it was found that caregiving abilities and the presence of chronic illnesses in children with ADHD were significant predictors of the caregivers’ mental health during the COVID-19 pandemic, accounting for 10.20% of the variance (R² = .102, P < .05). These findings can serve as a foundation for developing nursing models to enhance the caregiving abilities of caregivers of children with ADHD in the future.

The Development of a Prevention Model for Low Birth Weight Infants among Pakakayor Pregnancy Women, Remote Area along the Thai-Myanmar border

2024-10-19T16:31:16+07:00

This action research aimed to develop a model for preventing low birth weight infants in Mae Ramat district, Tak province, from September 1, 2023 to August 30, 2024. The study was divided into four phases: 1) To study of factors associated with low birthweight infants in 176 Pakakayor women, this data was analyzed by using chi-square tests, and develop a model for preventing low birth weight infants with brainstorming by 10 experts; 2) The model was Implemented for six months; 3) Observation; and 4) Reflection among 30 pregnant women. The results showed that the factors significantly related to low birthweight infants at the .05 level were family income, family members smoking, pre-existing medical condition, first prenatal care, full prenatal care, hemoglobin levels, gestational age, knowledge, beliefs, and health behaviors. The development of a model for the prevention of low birthweight infants is including assessment consists of 12 risk assessments for pregnant women, divided into normal groups, low risk groups, and high-risk groups. The high-risk group will receive care in the clinic to prevent low birth weight infants. After using the model, pregnant women had high levels of knowledge, belief and health care behaviors, gained more than 1.5-2 kilograms per month, and the number of newborns weighing more than 2,500 grams increased from before, this model should be continuously used in public health service centers in remote areas.
The findings indicated that the variables that exhibited a significant correlation with low birthweight infants at the .05 significance level included familial income, the prevalence of smoking among family members, the presence of pre-existing medical conditions, the timing of the first prenatal care visit, the adequacy of prenatal care received, hemoglobin concentration, gestational age, as well as knowledge, beliefs, and health-related behaviors.

The Effects of Simulation-Based Learning on Knowledge and Perceived Self-efficacy in Therapeutic Relationship Building Among Nursing Students

2024-06-15T10:02:33+07:00

This research is a quasi-experimental study with a two-group pretest-posttest design, aiming to investigate the effects of simulation-based learning on knowledge and self-efficacy perception in therapeutic relationship building among nursing students. The sample group consisted of 60 second-year nursing students, divided into an experimental group and a control group, each comprising 30 individuals. The sample was selected using a simple random sampling method with replacement. The experimental group received learning interventions using simulation-based earning, while the control group received conventional teaching methods. Research tools included: 1) simulation-based learning method 2) knowledge test on therapeutic relationship building, and 3) self-perceived competence assessment in therapeutic relationship building. Data were analyzed by using descriptive statistics and t-tests.
The study found that the experimental group had a significantly higher average score in knowledge than the control group at a statistically significant level of < .001 (t58 = 10.577, p= .000), and the average score in self-perceived competence increased more significantly than the control group at a statistically significant level of < .001 (t58 = 7.458, p = .000). The average satisfaction with the overall learning management was at a high level (M=4.40, S.D.=.51). It can be concluded that simulation-based learning can enhances knowledge and promotes self-efficacy in developing nursing practice skills among nursing students.

The Effect of a Health Education Program on Preventing Risky Sexual Behaviors Among Lower Secondary School Students at a Selected School

2024-12-21T09:08:35+07:00

This research aims to study the effect of a health education program on preventing risky sexual behaviors among lower secondary school students at a selected school. The study employed a quasiexperimental research design with a one-group pretest-posttest design. The sample consisted of 30 lower secondary school students, selected through multistage random sampling. The research instruments included a health education program for preventing risky sexual behaviors and a questionnaire. Statistical analyses used in the study included frequency, percentage, mean, standard deviation, and comparative analysis of the average scores on knowledge, experiences related to sexual behaviors, and attitudes toward adolescent sexual relations. The results showed that after participating in the program, the sample group had significantly higher mean scores in knowledge of sexual risk prevention, positive attitudes toward avoiding premature sexual intercourse, self-efficacy perception, decision-making skills, refusal skills, and prevention of risky sexual behaviors compared to before the program (p < .05) in all variables. Based on these findings, the developed program can be further utilized to enhance self-efficacy perception, decision-making skills, refusal skills, and sexual risk prevention among lower secondary school students in the target area.

Effectiveness of TCCC Game “My Buddy Tong Lord” on Improving Knowledge of Tactical Combat Casualty Care among the Third-Year Class of the Royal Thai Air Force Nursing Students, in 2024 Academic Year

2024-11-23T09:21:15+07:00

This study used quasi-experimental research with pretest-posttest control group. The objective of the study was to evaluate the effects of TCCC game “My buddy Tong Lord” on improving knowledge of tactical combat casualty care among the third-year class nursing students of the Royal Thai Air Force Nursing College, in 2024 academic year. Sixty two participants were recruited to the study and equally divided into 2 groups: an experimental group (n=31) and a control group (n=31). The instruments used in the study included data demographic record and questionnaire about tactical combat casualty care knowledge. Data were analyzed using descriptive statistics, Chi-square test, independent t-test, Mann-Whitney U test, and Wilcoxon signed rank test.
After receiving the intervention, the findings showed that the mean score of tactical combat casualty care knowledge of all participants were significantly higher than before starting program (p<.001). In addition, the mean score of tactical combat casualty care knowledge of the experimental group were significantly higher than that of the control group (p<.05).
The results indicated that the TCCC game “My buddy Tong Lord” can increase knowledge of tactical combat casualty care among the third-year class nursing students of the Royal Thai Air Force nursing college, in 2024 academic year. Therefore, the TCCC game “My buddy Tong Lord” should be applied as an instructional media in classes of military tactical nursing to improve learning effectiveness of tactical combat casualty care among the Air Force nursing students.

The Development of Personnel Capacity in Learning Management for the Active Aging Elderly

2025-01-04T08:01:43+07:00

This research aimed to 1) develop a training curriculum for learning management instructors with the active aging elderly, 2) enhance the personnel capacity for the active aging elderly, and 3) evaluate the effectiveness of the training curriculum for the learning management trainer, and assess the satisfaction of the training curriculum for the active aging elderly. The sample was 50 elderly aged 60 years and over who were teaching management trainer and activity leaders in the school for the elderly; in the provinces of Nakhon Pathom, Ratchaburi, Suphan Buri and Kanchanaburi, the sample group was divided by cluster sampling, and the district was chosen by the simple random and sub-district was chosen by purposive sampling. Research tools included the training curriculum, a personnel capacity test (Rating scale), a satisfaction questionnaire. Data were analyzed using descriptive statistics and t-test. The result is the training curriculum for learning management instructors with the active aging elderly got high performance. The development of personnel capacity in learning management was carried out in all 4 provinces, and the satisfaction is the highest level.

Effect of the Stretching Exercise and Ergonomic Education Program on Low Back Pain Among Nurses

2025-02-15T16:28:43+07:00

Lower back pain is a significant occupational health issue commonly observed among nurses. This quasi-experimental study utilized a two-group pretest-posttest design to examine the effectiveness of a stretching exercise program combined with ergonomic education in alleviating lower back pain among nurses. The sample consisted of 50 surgical ward nurses, randomly assigned to an experimental group (n=25) and a control group (n=25). The experimental group participated in the exercise program at least three times per week for six weeks, while the control group continued their routine activities. The research instruments included: (1) a structured stretching exercise program with ergonomic education and (2) a questionnaire assessing the severity of lower back pain. Data were collected at baseline, week 4, and week 6, and analyzed using descriptive statistics, the Friedman test, and the Mann-Whitney U test.
The results indicated that the mean lower back pain scores in the experimental group significantly decreased at weeks 4 and 6 (p-value < .001). Additionally, a statistically significant difference was observed between the experimental and control groups (p-value < .001). These findings suggest that the stretching exercise program combined with ergonomic education is an effective intervention for reducing lower back pain among nurses.

Health Beliefs and Preventive Behaviors Regarding E-Cigarette Use Among Thai Private University Students in the Digital Age

2025-03-04T08:47:22+07:00

This research employs a mixed-methods approach to examine health beliefs and preventive behaviors regarding e-cigarette use among private university students in Thailand during the digital era. The study sample consisted of undergraduate students from years 1-4, aged 18-30 years. The research instruments comprised a Health Belief Model questionnaire assessing attitudes and behaviors toward e-cigarette use, complemented by qualitative inquiries exploring health beliefs and behaviors in the digital context. The instruments demonstrated robust psychometric properties, with a Content Validity Index (CVI) of .85 and a Cronbach’s alpha reliability coefficient of .80. Statistical analyses included descriptive statistics (mean, standard deviation) and Chi-Square testing to examine relationships between variables.
The quantitative findings revealed that the majority of students associated e-cigarette use with significant health risks, including lung cancer, cardiovascular disease, and periodontal complications. Three key factors—gender, perceived susceptibility, and perceived barriers—demonstrated the strongest correlations with preventive behaviors, highlighting the crucial role of perceptual factors in shaping e-cigarette prevention behaviors among the sample population. The qualitative analysis provided additional insights, revealing that while students recognized the health benefits of cessation, they faced significant challenges due to nicotine withdrawal symptoms, manifesting as irritability and anxiety. Furthermore, while digital media played a central role in students’ daily lives, they maintained moderate skepticism regarding the reliability of digital healthinformation, suggesting a nuanced relationship between digital media consumption and health information trust.

The Effect of The Health Literacy Enhancement Program on Behavior Modification of Novice, Phrapariyattidhamma School

2024-11-16T13:49:51+07:00

This quasi-experimental research aimed to evaluate the effectiveness of a health literacy enhancement program based on the National Health Charter principles among novice monks in Buddhist parochial schools. The study focused on the program’s impact on the participants’ health literacy and health care behaviors. The sample was selected through multistage random sampling, comprising novice monks studying in grades 7 to 12, aged between 13 and 18 years. They were divided into experimental and control groups, with 70 participants in each group. Research instruments included the health literacy enhancement program designed to promote behavioral change based on the National Health Charter principles, a health literacy questionnaire, and a health behavior questionnaire tailored to the principles of the National Health Charter. Data were analyzed using descriptive statistics, paired t-test, and independent t-test. The results indicated that the average scores of health literacy and health care behaviors in the experimental group significantly improved after the intervention at the 0.05 significance level. Additionally, the post-test average scores of health literacy and health care behaviors in the experimental group were significantly higher than those in the control group at the 0.05 significance level.

Midwifery Practicum in a Model of Distance Education with Blended Learning

2025-01-04T09:04:50+07:00

The applied research aim to 1) develop a model of blended learning of distance education in midwifery practicuum and 2) evaluate the feasibility of a model of blended learning of distance education in midwifery practicuum. The key informants include experts, nursing instructors, nurse and nursing students. The research tools consist of 1) in-depth individual interview questions, 2) focus group discussion questions, and 3) a feasibility assessment form a model of midwifery practicum in Distance education system. The consistency of the tools were Index of item objective congruence between 0.67-1.00. Data were analyzed by content analysis and descriptive statistics. The results of the research found that: 1) a model of blended learning of distance education in midwifery practicuum, combining online and on-site learning, there are 3 steps for the nursing practice process: (1) preparation, (2) implementation, which includes the following nursing practice characteristics: (2.1) training to enhance nursing practice skills for the subject set (2.2) training to enhance nursing practice skills in specific cases and (2.3) intensive training to enhance nursing practice skills, and (3) evaluation. and 2) The study on the feasibility of a model of blended learning of distance education in midwifery practicuum was found that a model of blended learning of distance education in midwifery practicuum is a possibility of it being at the highest overall.

Factors Predicting Car Seat Use Behavior for Children among Parents of Preschool Children in Bangkok

2024-02-03T13:32:48+07:00

This cross-sectional analytical study aimed to examine the behavior and factors predicting car seat use behavior among parents of preschool children in Bangkok. The study sample consisted of 387 parents of preschool children aged 3 - 6 years in Bangkok, selected through multistage sampling. A total of 400 questionnaires were distributed as the research instrument. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.
The results showed that the overall behavior of parents in Bangkok regarding car seat use was at a high level ( = 19.28 , SD = 4.791). Factors that predicted this behavior included social support from the family, self-efficacy in using car seats, perceived benefits of using child car seats, car travel, and social support from healthcare personnel. These factors could jointly predict child car seat use behavior among parents of preschool children in Bangkok with statistical significance (p<.05), accounting for 53.3% of the variance (R^² adj = .533, F = 89.020). It is recommended to develop a program aimed at promoting parental behavior by enhancing the five predictive factors through processes and strategies that align with the context of parents. This approach will effectively prevent and reduce the rate of child injuries from accidents.

Lessons Learned from the “Project on Education Development and Enhancing Educational Opportunities Through Online Systems for Children and Youth in Rural and Remote Areas” Using Evidence-Based Approach

2025-01-26T18:12:11+07:00

This research was triangular mixed-method research. The objectives were: 1) to study the current status, desired status, and needs of the “Project on Education Development and Enhancing Educational Opportunities Through Online Systems for Children and Youth in Rural and Remote Areas” and 2) to develop guidelines for the development of the “Project on Education Development and Enhancing Educational Opportunities Through Online Systems for Children and Youth in Rural and Remote Areas” using empirical evidence. The sample consists of 13 administrators and teachers and 222 students, selected by stratified random sampling from participating schools. The research instruments are questionnaires and interview forms, with an item-objective congruence index of 0.6–1 and Cronbach Alpha Coefficient Reliability of 0.94 (25 items). Data were analyzed using percentages, means, standard deviations, needs index, and content analysis.
The research revealed that: 1) the highest-ranking needs of the project are teaching media, followed by benefits and learning process organization, respectively, 2) the project development guidelines include lesson content design, lesson content structure analysis, learning process organization, teaching media, student learning assessment, and the internet network system. The conditions for success are the integration of cooperation between the government and private sectors and the use of appropriate media and equipment.

Cost Analysis of Nursing Activities for Stage 5 Chronic Kidney Disease (CKD) with Hemodialysis Patients in a Tertiary Hospital

2024-05-18T21:22:39+07:00

This descriptive research aims to analyze the cost of nursing activities for patients with stage 5 chronic kidney disease (CKD) undergoing hemodialysis in a tertiary hospital. The target population consisted of cost reports for 13 cases from all nursing personnel, while the sample group comprised nursing cost reports for 30 cases of stage 5 chronic kidney disease undergoing hemodialysis. They were selected through purposive sampling. Three research instruments were employed: 1) a dictionary of four main nursing activities; 2) records of nursing activity cost; and 3) cost per unit records. The content validity index (CVI) was rated at 1 while the observation reliability was rated at 0.81. Data analysis involved descriptive statistics, including numbers, percentages, means, and standard deviations.
The study found that 1) The total cost of nursing activities was 72,276.26 Baht, with the highest cost for admission activities at 52,724.62 Baht (72.94 percent), followed by the cost for activities during hemodialysis at 11,948.75 Baht (16.53 percent). 2) Regarding per-activity cost, the admission activity cost was 195.28 Baht. 3) The highest per-case cost of nursing activities for patients with stage 5 chronic kidney disease undergoing dialysis was 2,409.21 Baht. The study results indicate that nursing administrators require empirical data on high service costs, which is new, in managing cost, time, and manpower, and materials. Technology should be utilized for scheduling and maintaining nursing records to ensure efficient management of nursing activities for chronic kidney disease patients undergoing hemodialysis (optimizing cost savings for maximum benefit).

Factors Affecting Stroke Prevention Behavior in Hypertension Patients Ban Krokkheenoo subdistrict Health Promoting Hospital Muang District Buriram Province

2024-11-30T13:12:29+07:00

The purposes of this research were: (1) to investigate behavior stroke prevention in hypertension patients and (2) to determine factor affecting stroke prevention behavior in hypertension patients Ban Krokkheenoo subdistrict Health Promoting Hospital Chumhed Subdistrict Muang District Buriram Province. This research was predictive study. The sample consisted of 288 people of hypertension patients they were selected by multi-stage sampling. The research tool was a questionnaire which consisted of four sections: (1) Personal data, (2) the stroke knowledge, (3) the perceived, and (4) the stroke prevention behavior in hypertension patients. Data collected by questionnaires. Research data were analyzed by both descriptive statistic (percentage, mean and standard deviation) and multiple regression analysis. The results of this research showed that: (1) The level of behavior stroke prevention in hypertension patients at the high level (M=4.09, SD=0.16). (2) Perceived Barriers (β=0.293, p < .05), Perceived Benefits (β=0.203, p < .05), and Marital status (β=0.119, p < .05) could predict the stroke prevention behavior in hypertension patients which accounted for 13.2% of variance at .05. furthermore showed that have risk factor assessment for stroke in hypertension patients for promotion and health behavior modification continue have a good quality of life.

Factors Influencing Sepsis Prevention among Community-Dwelling Elderly

2025-02-01T10:35:18+07:00

This descriptive research aimed to study the behavior of preventing bloodstream infection in the elderly in the community and the factors that influence the behavior of preventing bloodstream infection. The sample group in this research was 220 men and women aged 60 years and over in Don Tan District, Mukdahan Province. They were selected by simple random sampling. The research instrument consisted of 4 parts: 1) Brain state test, 2) Personal data, 3) Health belief pattern, and 4) Preventive behavior. Data were analyzed by finding the frequency distribution, mean, percentage, standard deviation, Kyle square, and stepwise multiple regression statistics.
The results of the study had the highest level of perception of barriers ( = 17.51, SD 2.84). The results of the study found that all 5 factors influencing the behavior of preventing sepsis among the elderly in the community had a statistically significant relationship (p < 0.001). When considering each factor, it was found that the perception of self-efficacy in disease prevention (R = 0.487, R^² = 0.237) and the perception of disease severity (R = 0.486, R^² = 0.236) had the highest relationship. Age and knowledge acquisition had a statistically significant relationship with preventive behavior. Age had a positive relationship (r = 0.156, p = 0.007) and knowledge acquisition resulted in better preventive behavior (t = 3.542, p < 0.001). while other factors included gender, educational level, income, and having congenital disease. Statistically not significant. Therefore, in planning to promote health and prevent bloodstream infections in the elderly, health infection patterns should be taken into consideration.

The Development and Effects of Mindfulness-Based Art of Flower Arrangement Therapy Program on Hopelessness and Risk of Suicidal with Major Depressive Disorder

2025-03-02T00:37:14+07:00

This research and development study aimed to develop a Mindfulness-Based Art of Flower Arrangement Therapy Program for Major depressive disorder and to study the results of the program using quasi-experimental research. The program development method consisted of 5 steps: 1) needs analysis, 2) conceptual framework determination, 3) program design and drafting, 4) quality control, and 5) program trial. The results were compared using a two-group quasi-experimental research design, measuring before and after the experiment. The dependent variables were hopelessness and suicide risk. The sample group consisted of 16 person purposive sampling in each group. The measurement instruments were a hopelessness and a suicide risk, pre-post, and followed up. It was found that both groups had less hopelessness and suicidal risk after 1 and 2 months of treatment, as well as both were significantly reduced in the study group than in the control group at a statistical significance level of .01 Recommendation: Mindfulness-Based Art of flower Arrangement Therapy Program is an important maneuver and should be trained to psychiatric nurses, Out-Patient Department to reduce hopelessness and risk of suicidal attempt in patients with depression illness.