Journal of The Royal Thai Army Nurses

Editorial Note

Saisamon Chaleoykitti — 2024-08-18

Apply Lean Concepts to Develop A Care System for Patients Undergoing Robot-Assisted Prostate Cancer Surgery in A Special Clinic

Puthachart Iamsa-ard — 2024-08-18

Developing the nursing service system is an essential role of nursing administrators. Following the vision and hospital policies to develop excellent nursing services in 2020, the Faculty of Medicine at Ramathibodi Hospital started a project to perform robot-assisted surgery on prostate cancer patients in a special clinic. While working, nurses found many problems relating to unclear working systems. Therefore, we developed a patient caring system by applying the Lean concept. Resulting in 1) nurses systemat 3) reducing work time by 250 minutes, 4) patients and relatives taking care of the urinary catheter and cleaning the wound correctly 100 percent, 5) reduce costs by approximately 25,000-30,000 baht per patient, 6) reduce hospital stays to 3-4 days, and 7) increasing patients satisfaction and nursing staff at the highest level, 100 percent.

Nurse’s Role in Preventing Deep Vein Thrombosis-related Complications in Patients with Lower Extremity Injury

Jutamart Pundee — 2024-08-18

Deep vein thrombosis (DVT) is one of the most commonly found complications in patients with lower extremity injury. Over half of those involve DVT-related complications, and blood clot moves along with the blood flow, causing a blockage in the venous thrombosis, until it become blocked in the lung, It is pulmonary embolism (PE). It may occur at one location or many multiple locations. It is classified as a lift-threatening condition. This is because the blocked blood clot may escape through the bloodstream. In general, this group of patients can be prevented and treated. Nurses have a critical role to play in risk assessment and nursing to preventing DVT-related complications is a significant cause of morbidity and mortality in trauma patients. This article aims to summarize and synthesize the current evidence regarding DVT incidence, risk factors, diagnostic tools, and prophylactic methods, and to consolidate the evidence about DVT management. Evidence supporting nurses’ role in preventing DVT-related complications in patients with lower extremity injury were investigated as this could support the development of prevention strategies, appropriate nursing management, and DVT monitoring, especially in the acute phase post-injury, to reduce long-term disability, hospital mortality, and prolonged hospitalization.

Nursing Care of Patients with Resistant Hypertension after Renal Denervation

Thippawan Kaewtinnakorn — 2024-08-18

Resistant hypertension is a type of hypertension disease that is a major cause of cardiovascular disease, resulting in morbidity and mortality worldwide. Resistant hypertension significantly increases the risk of coronary artery disease, heart failure, stroke, and chronic kidney disease. These patients are resistant to antihypertensive medications, making it difficult to control their blood pressure. This can lead to more complications, disabilities, and increased healthcare costs. Renal denervation through catheterization is considered as an effective treatment for drug resistant hypertension. However, post-procedural complications necessitate close monitoring by specialized nurses. In addition to ensuring patient safety, nurses play a crucial role in educating patients on self-care practices, empowering them to achieve sustainable blood pressure control and ultimately improve long-term outcomes. Therefore, equipping nurses with the necessary knowledge and skills is imperative to providing safe and effective care, minimizing complications, and ultimately reducing mortality risk.

Prevention of Retained Vaginal Swabs After Childbirth: Development of a Risk Management System in the Delivery Room

Nuttaya Pornmalairungruang — 2024-08-18

Retained Vaginal Swabs After Childbirth pose significant risks to postpartum women, potentially leading to infections and psychological distress. This research article refines and implements protocols designed to reduce the risk of vaginal swab retention. Through detailed analysis of patient cases with retained vaginal swabs post-delivery, the study identifies key factors in the medical process and evaluates the effectiveness of counting and inspection methods. Furthermore, it adapts the counting system, typically used in general surgical procedures, for application in childbirth. The study finds that this adaptation effectively reduces the incidence of retained vaginal swabs after childbirth.

The Role of Nurses in Caring for Patients Undergoing Magnetic Resonance Imaging (MRI) under Anesthesia

Tarntip Suwatananonthakij — 2024-08-18

MRI (Magnetic Resonance Imaging) is diagnostic medical imaging equipment widely used nowadays due to its high-resolution images. However, the tunnel-like structure of the machine can cause some patients to be unsuccessful in the examination and need for sedation. MRI nurses play a crucial role in these patients by providing comprehensive nursing care throughout the examination process until discharge. Nursing care before the examination focuses on preparing the patient physically and mentally for the examination. During the examination, being aware of the patient’s condition changes and complications are essential to ensure patient safety and get high-quality images to interpret results accurately and plan treatment effectively. Nursing care after the examination focuses on full recovery and preparing patients and families for discharge. This article presents nursing care for patients undergoing MRI scans under sedation, covering standardized nursing process to achieve the best outcomes for patients.

Nursing Care of Children with Neurogenic Bladder Undergoing Video-Urodynamics Study

Pitchayapa Vassara — 2024-08-18

Neurogenic bladder dysfunction in children is an abnormality in bladder and/or urinary sphincter function from neurological congenital disorders. This condition can be a result of lesions in the brain, spinal cord or peripheral nerves that control bladder and urinary sphincter function. It significantly increases risks of incontinence, urinary tract infection and vesicoureteral reflux. If left untreated, it may result in long term sequelae such as hypertension and kidney failure. Video-urodynamics study is a gold-standard investigation for patients with neurogenic bladder aiding in the detection of functional and anatomical abnormalities of the lower urinary tract. The test results can be used as a guidance for proper management and follow-up. Pediatric patients and caregivers often experience anxiety and fear regarding the test and its potential complications. Nurses at the urodynamics suite play a pivotal role in comforting patients and caregivers by providing procedural information and compassionate care beforehand. Therefore, it is essential for the nurses to have a sufficient knowledge about video-urodynamics study and periprocedural care. Additionally, they should be able to early detect any abnormal symptoms related to the test to prevent any complications during and after the investigation. Also, they should be able to prepare a suite and necessary equipment for the procedure correctly. Ultimately, the overarching goal of periprocedural nursing care is to prioritize patients’ safety and satisfaction.

The Effect of a Self-Regulation Program on Medication Adherence in Patients with Major Depressive Disorders

Phatthariya Sawatdi — 2024-08-18

A self-regulation program is designed to direct a person’s behavior towards a targeted action. A selfregulation consists of the process of self-observation, self-judgment, and self-reaction. This quasi-experimental research aimed to determine the effects of a self-regulation program on medication adherence in patients with depressive disorder. The sample consisted of 60 patients with depressive disorder aged 18-60, for outpatients receiving services at Nakhon Ratchasima Rajanagarindra Psychiatric Hospital. The study was randomly assigned into the experimental and the control group, with 30 people in each group. The experimental group participated in the self-regulation program. This program consisted of 6 activities for 6 consecutive weeks. Data was analyzed using descriptive statistics including percentage, mean, standard deviation, and t-test; a dependent t-test was used to compare the mean of the medication adherence scores before and after the intervention in each group; and an independent t-test was used to examine the mean differences in the medication adherence scores between the experimental and control groups.The study found that there was a statistically significant increase in the mean of medication adherence scores (M = 7.90, SD = .40) after participating in the self-regulation program (t = 13.22, p < .05) and there was a statistically significant difference in the mean differences in the medication adherence scores. (D̅₁ = 4.03, D̅₂ = -0.03) between the pre and post-interventions for both groups (t = 10.14, p < .05).
The findings suggest that such a self-regulation program was able to increase medication adherence in patients with depressive disorders effectively.

The Situation of Social Participation and Social Networks among the Elderly

Latita Dechavoot — 2024-08-18

The purpose of this cross-sectional survey research was to examine the situation of social participation activities and social networks among the elderly. A total of 1,960 elderly individuals across five regions of Thailand were recruited using stratified sampling and then purposive sampling. The research instruments are: 1) a personal information questionnaire 2) the participation of the elderly in social activities, including participation in social activities, the desire for participation in social activities, and barriers to participation in social activities 3) the Lubben Social Network Scale, and 4) the Barthel ADL Index. The data were analyzed using descriptive statistics.
The study found moderate levels of social participation among the elderly, along with correspondingly moderate demand for such activities and moderate obstacles to engaging in them. Notably, the elderly scored low on social network measures for both family and close friends/neighbors. Interestingly, the three activities with the lowest participation rates across both genders were: gaming or recreational, using computers or mobile phones for communication and information (e.g., Line, email, internet browsing), and participation in vocational training and community-based product initiatives respectively.

Effects of Self-Management Supporting Programs on Knowledge and Behavioral Prevention of Exacerbations in Patients with Chronic Obstructive Pulmonary Disease Huai Nuea Subdistrict, Khukhan District Sisaket Province

Chayathanus Siamkang — 2024-08-18

The research is a quasi-experimental research. The purpose of this study was to study the effect of a self-management support program on knowledge and exacerbation behavior of Chronic Obstructive Pulmonary Disease (COPD) patients. The sample group was 30 COPD patients who received treatment at the COPD clinic, Khukhan Hospital in 2020-2022.The sample group was divided into 2 groups, each group of 15 people. The experimental group received the program for 10 weeks by the data collection tools as a personal information questionnaire knowledge questionnaire and self-management behaviors of patients with chronic obstructive pulmonary disease Data, these were analyzed by using descriptive statistics, Paired t test and Independent t test.
The results showed that COPD patients who received the program had higher mean knowledge scores than those who did not receive the program. There was a statistically significant difference at the level of p < .001. There was a higher mean behavioral score than the group that did not receive the program. The difference was statistically significant at the p < .001 level.
The COPD patients who received the self-management support program had The post-experimental period score was higher than the pre-experimental period. The difference was statistically significant at at p < .001 level and self-management behavior The post-experimental period was higher than the pre-experimental period. The difference was statistically significant at the p < .01 level.

Sexual Health Literacy among Female Adolescent Students in the Educational System, Phetchaburi Province

Rapeepan Narkbubpha Narkbubpha — 2024-08-18

This mixed methods study, employing an exploratory sequential design, assesses sexual health knowledge and experiences of adolescent girls in Phetchaburi province. The sample consists of 144 female students aged 15-19 across secondary, vocational, and tertiary education, revealing a moderate knowledge level (M = 100.67, S.D. = 13.81) with some correct preventive practices. Qualitative analysis identifies issues like variations in reproductive health education, reliance on female relatives for advice, misconceptions about contraceptives, and use of unreliable media. Recommendations include enhancing sexual health knowledge, emphasizing contraceptive education for parents, and ensuring access to reliable educational resources.

Clinical Characteristics of Coronavirus Disease 2019 (COVID-19) Patients in Vajira Hospital in Nursing Perspective

Kittiyaphorn Panvilai — 2024-08-18

In late 2019, there was a report of a cluster of unfamiliar pneumonia cases emerged in Wuhan, China, which then identified SARS-CoV-2 as the causative agent of COVID-19. This study aimed to study the clinical characteristics of COVID-19 patients in the Vajira Hospital and follow the data of critical COVID-19 patient to be informative for nursing. The study design was a retrospective descriptive study and relied on purposive sampling that was collected in record form from August to September 2020. We described clinical, demographic, radiological, and laboratory findings as well as followed the medical history of a critical COVID-19 patient. The results showed that there were seven patients with a median age of 35, comprising five men and two women. Two male patients developed severe disease, and one progressed to critical COVID-19. The chief complaints included cough, sore throat, fever, shortness of breath, and rhinorrhea. Both severe patients exhibited biomarkers indicating acute inflammation in the body. Notably, the patient with no comorbidities developed critical symptoms. The result of critical COVID-19 found that clinical characteristics encompassed ARDS, AGE, GIH, colitis, coffee-ground emesis, as well as MPC, and GGO. The following result revealed that most COVID-19 patients in our study presented with mild illness, while critical COVID-19 symptoms did not exhibit any identifiable risk factors. These results contribute to understanding the clinical characteristics of COVID-19 patients, enhancing the knowledge and management of nurses for handling the COVID-19 situation specifically according to an urban context and lifestyle.

Prevalence of Methamphetamine Use and Health Promotion Behaviors among Pregnant Women at Antenatal Clinic of the Subdistrict Health Promotion Hospital in Mueang Udonthani District

Duangporn Saengsuwan — 2024-08-18

This descriptive research aimed to study the prevalence of methamphetamine use and health promotion behaviors level and compare health promotion behaviors of pregnant women who use and do not use methamphetamine. The sample consisted of 289 pregnant women who came for antenatal care at the Subdistrict Health Promoting Hospital, Mueang Udonthani District. The tool used was a health promotion behavior evaluation with six aspects: responsibility for health, nutrition, interpersonal relationships, spiritual development, and stress management. Index of item objective congruence (IOC) was .71–1 The overall Cronbach’s alpha coefficient was .98. The descriptive statistics were used and the t-test.
The results found that 17.6% of the sample used methamphetamine. Most samples using methamphetamine had overall health promotion behaviors at a low level (76.5%, and each aspect was at a low level, including responsibility for health and stress management. Most of the other aspects were at a moderate level. The group that did not use methamphetamine had overall health promotion behaviors at a moderate level, and each aspect was at a high level. The overall health promotion behavior and each aspect of the sample who did not use methamphetamine were better than those who used methamphetamine and statistically significant (p<.001, 95%, CI 4.82-65.24).
Recommendations: Every antenatal care service should include a history of substance use and health promotion behavior to provide appropriate assistance and referrals.

Factors Predicting the 21st Century Competencies of Nursing Students during COVID-19 Situation Princess Agrarajakumari College of Nursing Chulabhorn

Kanokwan Chailarp — 2024-08-18

This research aimed to study the 21st century competencies and their predictive factors among nursing students. The participants comprised 171 nursing students in the faculty of nursing, Princess Agrarajakumari College of Nursing Chulabhorn. The sample was selected by determining the proportion of students. Passed the quality test of research tools which include Personal information, Factors supporting online learning, Extra-curricular experiences, Perception of self-efficacy and Competency measures needed in the 21^st century. Using Descriptive statistics, Pearson’s correlation coefficient and stepwise multiple regressions were employed for data analysis.
The results revealed that the 21^st century competencies during the COVID-19 situation. showed the high scores (mean = 4.22, SD = 0.41). There were 3 influencing factors on the 21st century competencies during the COVID-19 situation. Including Self-Efficacy (β = .520), Factors supporting online learning (β = .230) and Extracurricular activity. (β = .197) Stepwise multiple regression analysis revealed that those aforementioned factors could explain 60.9 % of the variance in competencies during the COVID-19 situation. (F = 86.705; p-value <.001)

Effects of The Empowerment Program on Knowledge, Attitude and Skills of Caregivers in Caring for Dependent Older Adults

Benjawan Haranda — 2024-08-18

The research is quasi experimental two groups were measured before and after. The purpose of this study was to study the effects of the elderly caregiver’s empowerment program on knowledge, attitude, and skills in caring for the dependent elderly. The sample was 34 elderly caregivers and was divided into experimental and control groups, 17 people each by cluster area random sampling. The experimental group received the 12-week program. The tools used for data collection were 1) Empowerment Program through content validity verification from 5 experts, 2) questionnaires on knowledge, attitudes and skills in caring for the dependent elderly. Confidence of Knowledge and Skills Couder Richardson formula was used = .95 and .73. Attitude was used Cronbach’s alpha coefficient formula = .79 . The data were collected and analyzed using descriptive statistics Wilcoxon Sign Rank test and the Man-Whitney U test. The results of the study found that the experimental group had the mean scores of knowledge, attitude, and skills in caring for dependent elderly people after the experiment than before the experiment and higher than the control group statistically significant level of p<.05 . The recommendations should encourage primary care and related agencies to implement empowerment programs to promote and develop knowledge, attitudes, and skills in caring for dependent elderly people The subsequent studies should explore the effectiveness of caring for the elderly who were cared for by the elderly caregivers who underwent the development of an empowerment program.

Effects of Food Consumption Promotion Program on Knowledge and Food Consumption Behavior and Blood Sugar Levels in Women with Gestational Diabetes Mellitus

Rattanapenporn Siriwallop — 2024-08-18

This study was a quasi-experimental study with 2 groups of samples. A pretest-posttest two-group design was used to compare mean scores on food consumption behavior, knowledge and blood glucose levels of women with gestational diabetes before and after the trial. And compare the average knowledge scores dietary behavior and blood sugar levels of women with gestational diabetes between the control and experimental groups after the program. The sample consisted of 36 pregnant women with gestational diabetes mellitus, divided into an experimental group and control group, 18 people in each group. Experimental instruments is a program to promote nutritional behaviors appropriate to gestational diabetes and The tools used for data collection were knowledge questionnaires on gestational diabetes, dietary behavior questionnaire and blood sugar control record form, were .8 and .84 respectively. Data were analyzed using descriptive statistics, t-tests statistics. The results showed that The average of dietary behavior and the average knowledge between the experimental group and control group after experimental were significantly different (p<.01). Mean Blood Sugar was no difference. In conclusion, the program can help promote knowledge of pregnant women. And have appropriate dietary habits Therefore, it should be applied to nursing care for pregnant women with gestational diabetes in order to effectively self-care.

The Effects of Health Literacy Enhancement Program on Self-care Behaviors and Clinical Outcomes among Diabetes and Hypertension Patients with Chronic Kidney Disease Stage III, Faktha District Uttaradit Province

Kritsapon Thepin — 2024-08-18

This quasi-experimental research was a two-group pretest-posttest design. The purposes of the research were to study the effects of a health literacy enhancement program on self-care behaviors and clinical outcomes among diabetes and hypertension patients with chronic kidney disease stage III. The samples were diabetes and hypertension patients with chronic kidney disease stage III who came to receive services at Faktha hospital. The sample was selected by Simple random sampling and put into an experimental group and a comparative group with 30 persons each. Research instruments were 1) a health literacy enhancement program among diabetes and hypertension patients with chronic kidney disease stage III. The program was based on the concept of health literacy pathway model by Edwards, Wood, Davies, & Edwards and The content validity indexes were 1.00 2) a handbook of health literacy in chronic kidney disease. and 3) Questionnaires on health literacy and self-care behaviors. The content validity indexes were .94 and 1.00, respectively. KR-20 of health literacy test was .82 and Cronbach’s alpha coefficient of self-care behaviors were .84. Data were analyzed by descriptive statistics and a t-test.
The result revealed as follows: after enrolling in the program, the health literacy and self-care behaviors of the experimental group was better than before enrolling in the program and better than the comparative group to a statistically significant degree at p-value < .05

Effects of a Smartphone Application for Children and Family Self-Management on Eating and Physical Activity Behaviors Among Overweight Late School-Aged Children

Busayamad Kankad — 2024-08-18

This quasi-experimental design aimed to study the effects of a smartphone application for children and family self-management on eating and physical activity behaviors. The sample were 60 late school-aged children aged between 10-12 years old. The sample was divided into experimental and control groups, with 30 participants in each group. The experiment group participated in the smartphone application for children and family self-management. The research instruments were 1) a smartphone application for self-management of children and families; 2) a general information questionnaire; 3) an eating behavior questionnaire; and 4) a physical activity questionnaire. The Reliability of the questionnaire were .95 and 1.00 respectively. The data were analyzed by descriptive and t-test statistics.
The results showed that the mean score for eating behavior among overweight late school-aged children after using the application was statistically significantly higher than before using the application and statistically significantly higher than those who did not use the application (p<.01). The mean score for physical activity behavior among overweight late school-aged children after using the smartphone application showed no significant difference compared to before using the application and there was also no significant difference compared to those who did not use the application (p>.05). The application can be used to modify eating behavior and long-term studies should be conducted to observe changes in physical activity behavior.

The Effect of A Self-Management Support Program on Dietary Knowledge and Behavior of Type 2 Diabetic Patients with Chronic Kidney Disease Nontan Subdistrict, Nongrua District, Khonkaen Province

Phatcharaphorn Singburan — 2024-08-18

This research was a quasi-experimental research, The two-group pre- and post-experimental study to study the outcomes of a program to support the management of additional knowledge and food management skills for type 2 diabetes indicative of renal impairment. sick Type 2 diabetes mellitus, indicating stage 1-3a of renal impairment, 18 subjects were selected from the experimental group and control group. The experimental group received a 12-week program. The experimental instrument was a self-management support program on dietary knowledge and behavior of type 2 diabetic patients with renal degeneration. Passed the content straightness check from 5 experts. The tools used for data collection were the knowledge questionnaire and the food self-management behavior questionnaire. Confidence was used Kuder Richardson formulas = .8 and .77. Data were analyzed using descriptive statistics, Paired t-test and Independent t-test. The study found that The experimental group after joining the program The mean scores of knowledge and behavior were significantly higher than the control group at the .05 level (p<.05). The suggestion from the research is The program should be adapted to diabetes clinics in sub-district health promotion hospitals and community health centers. Community practice nurses or diabetes care staff in sub-district health promotion hospitals should be trained to have knowledge of food consumption to delay renal impairment by using Canfer’s self-management concept in caring for patients

Factors Related to Emotional Intelligence of Nursing Students Pibulsongkram Rajabhat University

Suphakit Krueaklat — 2024-08-18

Nursing students need to be emotionally intelligent because they are under stress while learning theory and practice and, after graduation, will be part of a healthcare team caring for patients, they must be emotionally intelligent and prepared to handle stress and challenges wisely. This research was survey research to study factors related to emotional intelligence of nursing students Pibulsongkram Rajabhat University. The sample included 145 nursing students in the 1^st-4^th years of the program at Pibulsongkram Rajabhat University. The sample was selected using probability sampling and stratified sampling. A three-part questionnaire that includes a general information section, the Suanprung Stress Scale (SPST-20), and the Department of Mental Health’s Emotional Quotient Scale serves as the study tool. The reliability tested by Cronbach’s alpha correlation coefficient were .90 and .95, respectively. The data were then analyzed for finding frequency, percentage, mean, standard deviation, and Pearson correlation statistics.
The findings revealed that 1) Emotional intelligence level of nursing students Pibulsongkram Rajabhat University was average (x̅ = 162.04, S.D. = 18.80), and 2) Stress was moderately negatively correlated with emotional intelligence of nursing students at Pibulsongkram Rajabhat University, with statistical significance at the .05 level (r = -.404, p<.05).

The Effects of Lean Management Program on Waiting Time and Service Quality at the Out-Patient Nephrology Clinic in a Tertiary Hospital

่๋Jantanee Nilaphat — 2024-08-18

This research was a quasi-experimental study with two-group pretest posttest-design. The objective of this study was to study the effects of lean management program on waiting time and service quality. The sample group consisted of 60 patients with stage 3 chronic kidney disease that were divided into experimental group and control group with 30 respondents each, by using a purposive sampling. The tools used in this research were: 1) Lean Management Program, and 2) The tools used for collecting data that are time record form for patient services and service quality questionnaires. The content validity was verified by five experts and the content validity index was 0.92. The reliability was determined by Cronbach’s alpha coefficient that was 0.96. Data were analyzed using descriptive statistic, The results showed that. The mean waiting time of the experimental group patients after using the lean management program was significantly less than the control group patients who received conventional services (p < .05). The mean service quality in the experimental group after using the lean management program (x̅ = 4.25, SD = .515) was significantly higher than those in the control group that received traditional services (x̅ = 3.70, SD = 148) (p < .05). The results showed that the lean management program has an effect on the waiting time and service quality therefore nursing administrators can apply this program to develop other services.

Predictive Factors of Resilience among Older Adults with Major Depressive Disorder During Covid-19 Pandemic

Sirirat Nonyai — 2024-08-18

This objective of predictive correlation research was aimed at examining predictive factors of resilience among older adults with major depressive disorder during the Coronavirus disease 2019 (COVID-19) pandemic. Samples were 137 older adults with major depressive disorder who were treated at the psychiatric outpatient clinic of the hospitals. Multi-stage random sampling technique was used. Seven instruments were used to collect data: 1) demographic questionnaire; 2) Depressive Symptom Inventory for Thai Older Persons with depressive disorders; 3) Stress Test Questionnaire; 4) Geriatric Anxiety Scale; 5) Family Support Scale; 6) COVID-19 Preventive Health Behaviors Questionnaire; and 7) Connor–Davidson Resilience Scale (Thai version). For the instruments 2-7, Cronbach’s alpha coefficient reliability was .91, .79, .87, .91, .95, .91 respectively. Data were analyzed by descriptive statistics, and multiple linear regression analysis.
Results were as the following: Anxiety had the highest statistically significant negative correlation with sample resilience (r = -.467, p < .01), followed by depressive symptoms (r = -.428, p < .01), stress (r = -.409, p < .01). COVID-19 preventive health behavior had the highest statistically significant positive correlation with resilience (r = -.399, p < .01), followed by family support (r = .340, p < .01). Two factors of depressive symptoms and COVID-19 preventive health behavior could account for predicting resilience at 47.3%
Recommendations: To promote preventive health behavior and family support; as well as to decrease depressive symptoms, stress, and anxiety would increase resilience among older adults with major depressive disorder.

Factors Predicting the Accuracy of Triage in Elderly Patients at Emergency Department

Suphunnee Haowchun — 2024-08-18

This study was the predictive correlation of atypical presentation, activity of daily living, cognitive impairment and nursing workload on the accuracy of triage in 500 elderly patients at emergency department of a tertiary hospital in Bangkok. Participants were selected by purposive sampling. Data were collected by demographic data record form, the accuracy triage form, atypical presentation assessment, Barthel Activities of Daily Living Index, six item cognitive impairment test, and nursing workload record form. The reliability of the atypical presentation assessment , Barthel Activities of Daily Living Index, six item cognitive impairment test were 0.84, 0.95, and 0.91, respectively. Data were analyzed by using descriptive statistics and binary logistic regression.
The results showed 65.4% of the accuracy of triage among elderly patients. About 31.8% of elderly patients had atypical presentation. From the analyzing predictive power, atypical presentation was predicted statistically significant the accuracy triage. Elderly patients who had atypical presentation had a 39.1% lower accuracy triage than those who had typical presentation (OR = .609; 95%CI = .411, .903, p = .014). The result suggested that nurses should be encouraged to learn about atypical symptoms to enable triage accuracy in elderly patients.

Effect of Using a Mobile Application for the Care Management of Children with Allergic Rhinitis in Sunpasitthiprasong Hospital

Nantawadee Jaiharn — 2024-08-18

The objectives of this study were to compare the mean score of 1) the parents’ self-efficacy in care management for children with allergic rhinitis between an experiment group who used a mobile application for care management and a comparison group who received standard care before and after the experiment; 2) the parents’ self-efficacy of the experimental group in care management for the children before and after experiment; and 3) to study the parents’ satisfaction for the experimental group on using the mobile application in care management of allergic rhinitis children.

A sample comprised 70 parents of allergic rhinitis children. They were selected by purposive sampling and divided into an experimental group and a comparison group of 35 people each by a random assignment. The research instruments consisted of 1) a mobile application for care management of children with allergic rhinitis; 2) a parents’ self-efficacy questionnaire with reliability value of 0.95; and 3) parents' satisfaction with using of mobile application for care management of children with allergic rhinitis with reliability value of 0.91. Data were analyzed by descriptive statistics, and t-test.

The results revealed that: 1) After the experiment, the mean score of parents' self-efficacy in the experimental group were significantly higher than the comparison group (p< .001). 2) After implementing the application, the post-test mean score of parents’ self-efficacy in the experimental group were also significantly higher than the pre-test mean score (p<.001). 3) Finally, parents' satisfaction after using the mobile application was at the highest level (x=4.62, SD =0.34).
The results revealed that: After the experiment, the experimental group had a higher mean self-efficacy score than before the experiment and higher than the comparison group with statistical significance (p<.001). Finally, parents’ satisfaction after using the mobile application was at the highest level (x̅ = 4.62, SD = 0.34).
From this research, Administrators should support and formulate guidelines for implementing mobile applications for the care management of allergic rhinitis children in conjunction with specific standard of care diseases.

The influence of Knowledge and Self-regulation on Prevention Behavior of Foot Complications in Patients with Type II Diabetes Live in the Urban Community of Bangkok Metropolitan

Ruttakarn Kamkhiew — 2024-08-18

The objective of the correlational predictive research was to examine the predictive power of factors related to knowledge, self-regulation, and preventive behavior concerning complications in the feet of type 2 diabetes patients. The sample included individuals with type 2 diabetes aged 35 years and older, who were registered for diabetes treatment in primary care units in the Bangkok metropolitan area. The total sample size was 138 individuals. Data were collected through a questionnaire created by the researchers. The questionnaire included measures of knowledge, self-regulation, and preventive behavior related to foot complications. The study employed Pearson correlation and multiple linear regression statistics to analyze the relationships and predictive power of the variables, respectively.
The study found a positive correlation between knowledge and self-regulation with preventive behavior regarding foot complications in type 2 diabetes patients at low and moderate levels, with statistical significance (r = .168, p < .05; r = .669, p < .001, respectively). Additionally, self-regulation on the individual level was identified as a predictor, contributing to 46.40% of the variance in preventive behavior against foot complications.

The Relationship between Motivation and Core Performance Competencies of Public Health Officers at Primary Care Units in Trang Province

Gowit Tangtong — 2024-08-18

This study is a descriptive study. The objective is to study the motivation. Main performance And the relationship between motivation and the main performance of the work of public health scholars in primary care services. Trang Province Sample group of 136 people by stratified random sampling primary randomization. Research toolsIs a questionnaire consisting of general information, motivation and operational competency of public health scholars Analyze confidence values Of the questionnaire, motivation for the performance of public health scholars And the performance of the public health scholars, the whole version is 0.92. Analyze the data with descriptive statistics and peer correlation coefficient ridge.
The results show that the sample has an incentive level for the performance of public health scholars in Primary care services are at a high level (M = 4.11, SD = 0.42) and the main competency level in the operation of the health academics in primary care services Trang Province is at a high level (M = 4.41, SD = 0.35) Motivation has a high level of positive relationship with the primary performance of the work of public health scholars in primary care units. Statistically significant at level .01
Therefore, the organization should encourage progress in work. Motivation And stability in the lives of personnel working in the position of public health academics, such as salary promotion Higher promotion And study for more knowledge

Effect of Strategic Leadership among Nursing Executives and Relationships Among Nursing Team on Safety Cultures in the New Normal Era at Kalasin Hospital

Wanida Pawapootanon — 2024-08-18

The sample of this descriptive research its aimed 1) to investigate the strategic leadership of nursing executives, relationships among nursing team members, and the safety culture in the new normal era at Kalasin Hospital, 2) to investigate the influence of strategic leadership of nursing executives and relationships among nursing team members on safety culture in the new normal era. The sample comprised of 172 registered nurses in the inpatient department of Kalasin Hospital, selection by simple random sampling was applied. The research instruments consisted of the head nurse’s strategic leadership, the relationships among members of the nursing team, and the safety culture in the hospital. The content validity index as examined by five experts were .83, .90, and .93 respectively. The Cronbach’s alpha reliability coefficients of questionnaires were .89, .87, and .87 respectively. Data were analyzed by using descriptive statistics and stepwise multiple regression analysis.
The research findings were as follows: 1) the overall strategic leadership of nursing executives was at the highest level, the overall quality of relationships among nursing team members was at verry level, and the overall safety culture in the new normal era at Kalasin Hospital was at a high level; and 2) The strategic leadership of nursing executives and relationships among nursing team members influenced and statistically predicted the variances of safety culture in the new normal era at 75.50 percent at the 0.001 significance level. However, additional studies should be conducted in practice and other variables that affect safety culture in the new way of life era.

The Effectiveness of Self- Care Education Program for Elderly Using Thai Wisdom in Phra Nakhon Si Ayutthaya Province

Kanchat Narongvit — 2024-08-18

t This research is quasi-experimental. Descriptive analysis method and One-way ANOVA were performed to analyse the effectiveness of using Thai wisdom in elderly’s selfcare program in Phra Nakhon Si Ayutthaya Province towards elder’s self-care behaviour using Thai wisdom. The study was conducted in accordance with the concept of the PRECEDE MODEL Theory. 53 elders from from a senior school was selected as sample group participate in the program for 8 weeks. The research tools include a questionnaire evaluating personal information knowledge and behaviour in self-care using Thai wisdom, then information. before gathered from questionnaire is processed in order to improve and test on a group of elderly people who have the same characteristics. In addition to the questionnaire, Thai wisdom manual for self-care in daily life and messages was also utilized in the experiment. The manual was sent through the LINE application group for the elderly to follow in taking self-care. Data were collected during September and November 2020. Analysis on level of self-care behaviour using Thai wisdom focuses on 4 areas namely food, exercise, emotions and medicine. during the week. In the 4th week and the 8th week, analysis indicated that during the 4th week after joining the program, the mean behavioural scores of the research group were significantly higher than before entering the program (p>.05).Conclusion: using Thai wisdom in elderly’s self- care program can increase score in self-care behavior using Thai wisdom.

Health Literacy in Disease Prevention and Control among Health Workers in Royal Thai Air Force

Poramat Kalyawuttipong — 2024-08-18

Health literacy is crucial for promoting good health among personnel, with public health workers playing a vital role in advocating and supporting health literacy within organizations. This study employed a descriptive cross-sectional design to explore health literacy regarding disease prevention and control among public health personnel in 14 units primarily responsible for the health care of the Air Force personnel, including Preventive Medicine, Aerospace Medicine Institute, Air Force hospitals, and health promotion units in large hospitals. Data were collected using a health literacy questionnaire on disease prevention for public health personnel, which underwent content validity verification by three experts, comprising 20 questions across five skills. It was distributed to all public health personnel in the specified units, receiving 235 responses, which equals a 60.41% response rate. The findings revealed that the average health literacy score among the participants was 74.46%, indicating a problematic level. The skill with the lowest score was application, with an average score of 68.80%, also at a problematic level. Factors significantly affecting health literacy scores included being aged 19-30 years, having a higher education level, engaging in regular exercise, and being a pharmacist.

The Role, Problems, Obstacles and Needs in Caring COVID-19 Patients with Home Isolation by Using the Telehealth

Panisa Boonyaratkalin — 2024-08-18

This sequential explanatory mixed-method research aimed to study nurses’ roles, problems, obstacles, and needs of nurses in caring for COVID-19 patients who entered the home isolation system. The samples were purposively selected: 1) 76 professional nurses, 2) 353 COVID-19 patients, and 3) 10 doctors who are in the home isolation system of the Institute of HIV Research and Innovation. The research instrument consisted of a questionnaire on patient care behavior by nurses and a questionnaire on experiences of receiving care by patients. Qualitative data used focus group discussions and semi-structured interviews. All instruments were tested with content validity of 0.98, 0.98, 0.93, and 0.80, respectively
Quantitative data were analyzed using descriptive statistics. and qualitative data by content analysis. Quantitative research results found that the role that nurses perceive most is advocacy. The role that patients perceive most is the manager. The most common obstacle was the restriction of using communication devices to report symptoms. The results of the qualitative research found that support needs include a telephone for monitoring symptoms, conference meetings between doctors and nurses, and guidelines for telehealth. In conclusion, the roles and responsibilities of nurses using telehealth for caring patients are completely. It still needs to be developed to provide care for patients with other infectious diseases.

Lived Experiences of Professional Nurses Infected with Coronavirus 2019

Juthatip Kachawaro — 2024-08-18

This qualitative study aimed to describe lived experiences of professional nurses infected with COVID-19. Qualitative research was applied to use in this study. The informants were 15 nurses who had experience infected with COVID-19 from working. The tools used consisted of the researchers who were an important interview tool and collect data manually. There were other tools to help collect data, namely 1) digital voice recorders, 2) personal data record forms, 3) field record forms, 4) transcript forms, and 5) interview questions.
Data collection was done using in-depth interviews. The data were analyzed by using content analysis of Colaizzi method.
The finding of this study are consisted of themes as follows: 1) Risk working conditions, 2) Entering the medical system for COVID-19 treatment, 3) Various emotions during quarantine and treatment, 4) Having post-COVID conditions and 5) The work of nurses are risk at all times.

Citizens Decision to Undergo Colorectal cancer Screening. in The Area of Responsibility Bang Pu Mai Subdistrict Health Promoting Hospital, Samut Prakan Province

Seree Sungkachote — 2024-08-18

This study is a descriptive research. The objective is to study the decision to undergo Colorectal cancer screening and to study factors related to the decision to undergo colon and rectal cancer screening. Sample group: 205 people The research tool is a questionnaire. The reliability value was 0.89 The data was analyzed using a ready-made computer program. Statistics used include frequency, percentage statistics, mean, standard deviation. and Pearson’s correlation coefficient. at the significance level .01
The results showed that 1.) The decision to undergo colorectal cancer screening was high (M = 4.10, SD = 0.46), 2.) The perception of colorectal cancer was high (M = 3.86,SD = 0.55), the attitude about colorectal cancer was high (M = 3.71,SD = 0.58). There was a positive correlation with moderate, moderate colorectal cancer screening decisions and colorectal cancer attitudes. It was positively correlated with the decision to undergo moderate colorectal cancer screening. Statistically significant at the .01 level.
Therefore, local agencies should use the research results to create plans to increase knowledge and find ways to promote behavior. Screening tests to screen for colon and rectal cancer. of the people according to the target group aged 50-70 years can continue

The Enhancement of Attitudes among High School Students in Caring for the Elderly at Home in Pathumthani Province

Paranee Thapsongsang — 2024-08-18

This quasi-experimental research purposed to study the attitudes of high school students towards elderly, to compare the attitudes between groups with elderly in their home and without elderly and compare the attitudes of students before and after participating in the attitude-building program. The sample size is 364, calculated using Yamane’s formula, and the sample was randomly selected using the Stratified random sampling method. Research Instrument Set 1 is a questionnaire on attitudes towards older adults. It has a consistency index of 0.87 and a reliability coefficient of 0.84. Research Instrument Set 2 is a program to promote positive attitudes. It has a consistency index of 0.82. The statistical methods used to analyze the data are Percentages, Mean, Standard deviation, Paired-Samples T-Test and Independent-Samples T-Test.
The results of the study showed that most students had a high level of positive attitudes towards the elderly. There were no significant difference in attitudes towards the elderly between the students who had the elderly living at home and those who did not. There was a significant difference in students’ attitudes towards the elderly before and after the attitudes-building activity (p < 0.5), with students having more positive attitudes after the activity.

The Development of Psychological Strategies for Enhancing Psychological Immunity of Early Adulthood Families, Central Perimeter Provincial Cluster

Somjit Prueksaritanond — 2024-08-18

This basic mixed methods research design aimed to develop psychological strategies for enhancing the psychological immunity of early adulthood families in the central perimeter provincial cluster. The study involved two groups of samples. The first group of participants for psychological immunity study comprised 214 early adulthood families, selected by stratified random sampling from the population. The second group was purposively selected from the first group consisted of 20 early adulthood families whose psychological immunity scores were lower than 25th percentile. They were randomly assigned into two groups, classified as an experimental group and a control group, with 10 families in each group. The experimental group participated in the psychological strategies while the control group did not receive any psychological strategy. The research instruments were psychological immunity scale and psychological strategies. Statistical analyses utilized the non-parametric test.
This basic mixed methods research design aimed to develop psychological strategies for enhancing the psychological immunity of early adulthood families in the central perimeter provincial cluster. The study involved two groups of samples. The first group of participants for psychological immunity study comprised 214 early adulthood families, selected by stratified random sampling from the population. The second group was purposively selected from the first group consisted of 20 early adulthood families whose psychological immunity scores were lower than 25th percentile. They were randomly assigned into two groups, classified as an experimental group and a control group, with 10 families in each group. The experimental group participated in the psychological strategies while the control group did not receive any psychological strategy. The research instruments were psychological immunity scale and psychological strategies. Statistical analyses utilized the non-parametric test.

Effects of the Mental Health Literacy Enhancing Program on Psychological Well-being and Quality of Life among Elderly

Narumol Jangasem — 2024-08-18

The purposes of this quasi-experimental study were to test the effects of the Mental Health Literacy (MHL) Program on the psychological well-being and Quality of Life (QoL) of the elderly using two groups, pre-test, post-test, and a 1-month follow-up design. Participants consisted of 62 elderly people who met the inclusion criteria and were randomly assigned to either an experimental group (n = 26) or a control group (n = 26). The experimental group joined the MHL program, while the control group received standard care from the Sub-district Health Promoting Hospital. The research instruments included the MHL program (inter-rater opinion was 0.99), psychological well-being questionnaires, and QoL measurements that were tested with reliability of .94 and .91, respectively. Data were analyzed by descriptive statistics, independent t-test, two-way repeated measure ANOVA, and multiple comparison by Bonferroni.
The results revealed that the experimental group had statistically and significantly higher mean scores for psychological well-being and QoL than the control group (p<.05 and p=.001, respectively) at the post-test and 1-month follow-up period. Moreover, the mean scores for psychological well-being and QoL within the experimental group were statistically and significantly different at the pre-test, post-test, and 1-month follow-up period (p<.01).
These findings suggest relevant healthcare personnel could apply this program to enhance psychological well-being and quality of life among the elderly.

Development and Implementation of a Postoperative Patient Handoff Guideline in a Postoperative Anesthesia Care Unit

Thanyawit Ninlaphut — 2024-08-18

Postoperative patient handoff is crucial for patient safety and continuity of patient care. This implementation research aimed to develop a postoperative patient handoff guideline in a postoperative anesthesia care unit and to examine its effectiveness. Participants in the guideline implementation phase were 31 nurses in the anesthetic team who delivered the handoff, 9 post-anesthetic care unit nurses who received the handoff, and the handoff patient’s data, which included 50 patients’ data before implementing the guideline and 55 patients’ data during the implementation. The instrument for data collection was comprised of the Completeness of Handoff Information Evaluation Form and the Adequacy of Handoff Information Questionnaire, which were developed by the researcher based on a literature review. They were checked for their content validity by 5 experts and yielded the item-objective congruence indexes of 0.98 and 0.93, respectively. The developed guideline had three components, including 1) preparation before transferring patients from the operating room, 2) the handoff process, and 3) the handoff method and handoff information. During the guideline implementation, the completeness of handoff information increased from 14.00% before implementation to 87.27%, the adequacy of handoff information increased from 42.00 % to 85.45%, and the percentage of callbacks for further information decreased from 58.00 % to 14.55%. The study findings reveal that the developed guideline is effective for increasing the completeness and adequacy of handoff information, as well as decreasing the number of callbacks for further information after handoff.

The Effects of Virtual Reality-Choice Theory Program on Self-Control and Online Game Addiction Among Children Diagnosed with Risk of Online Game Addiction

Wanwipa Hroosakol — 2024-08-18

This quasi-experimental research aims to examine the impact of the integrated program based on choice theory and virtual reality on self-control and online game addiction among children diagnosed with online risk game addition. The samples were the 10-12 years old children who had diagnosed with online risk game addition and voluntarily participated in the trial. A total of 32 participants were randomly divided into the experimental group and the control group. Each group composed of 16 child. There were 3 research instruments, such as 1) the integrated program based on choice theory and virtual reality for enhancing self-control and decreasing online game addiction (CVRP), which was designed by the researcher. The CVRP composed of 8 sessions of the psychological and brain training activities, each lasting 50 minutes, conducted twice a week for 3 weeks. 2) Brief Scale of Self-Control (BSCS), and 3) Game addiction screening test (GAST). Data analysis employed Repeated-measures analysis of variance: One between-subject variable and one within-subject variable. Pairwise mean comparisons were conducted using the Bonferroni method.
The results found that. The experimental group had higher self-control after the experiment and the follow-up period than before the experiment. and higher than the control group statistically significant (P<0.05). The experimental group had lower online game addiction after the experiment and the follow-up period than before the experiment. and higher than the control group statistically significant (P<0.05).

Tool Development for Delegation for Frist-line Nurse Managers in Community Hospitals

Saovaluck sub-a-phorn — 2024-08-18

The purposes of this research were developed Delegation of authority tool of Frist-line Nurse Managers in Community hospitals with confirm factor analysis. The samples have 387 First-line Nurse Managers in Community hospitals and chosen by Proportional Stratified Random Sampling. depend on 12 health service networks. The Delegation of Authority questionnaire used five rating scale and got 0.80 content validity index and 0.85 reliability by used Cronbach’s alpha coefficient. The statistics used descriptive statistics and Second Order CFA to analyzed data
The major findings were as found the measurement model fit with empirical data. (χ2 = 73.45,
df = 58, p = 0.083, CMIN/DF= 1.73 , CFI = 1.00 , GFI = 0.97, AGFI = 0.95, RMSEA = 0.026) There were 3 factors
and 14 indicators with factor loading that met the criteria (λ = .49-.86) Delegation of authority for developing
competency (5 indicators), Delegate tasks not central to the manager’s role (4 indicators), and Delegate tasks
that can be done better by a subordinate (5 indicators)

The Potential Development and Innovation in Taking Care of The People in The Coronavirus Disease 2019 Pandemic

Phatcharaphan Chaiyasung — 2024-08-18

This research and development project aims to study the results of developing potential in knowledge and skills and creating innovations for caring for people during the pandemic of coronavirus disease in 2019 by village health volunteers, Pathum Thani Province. A sample of 55 people was selected purposively. Research tools included: 1) a potential development program for village health volunteers; 2) a knowledge test on coronavirus disease; and 3) an innovation skills assessment form, and innovation satisfaction assessment form. The data were analyzed using descriptive statistics and a Paired t-test.
The results of this study showed that the innovative herbal scent stickers attached to masks indicating receipt of the COVID-19 vaccine, developed in 10 styles and 5 herbal scents. Overall satisfaction with the sticker innovation was found to be at a high level, with a mean of 4.27 and a standard deviation of 0.420 after participating in the capacity development program for village health volunteers with knowledge about infectious diseases, coronavirus 2019, and skills in creating innovations for caring for people during the pandemic of coronavirus 2019 were significantly higher than before the experiment. (p <.05)

The Effect of Empowerment Program on Quality of Life in Older Adults with Stage 3 Chronic Kidney Disease

Kanthima Faramee — 2024-08-18

This research is quasi-experimental. The objective is to study and compare the results of the empowerment program on the quality of life of elderly people with stage 3 chronic kidney failure. The sample group was Sixty-eight elderly people with stage 3 chronic kidney failure were selected by purposive methods. Divided into an experimental group and a control group, 34 people per group. Research tools include a Personal information questionnaire Thai version of the preliminary brain condition test (IOC = 1.00) Knowledge assessment of chronic kidney disease (IOC = 1.00) Empowerment assessment form the SF-36 quality of life assessment has Cronbach’s alpha coefficient of 0.93, 0.95, respectively. Data were analyzed using descriptive statistics by distribution, frequency, percentage, mean, and deviation. Standardize analyze and compare general information of both sample groups using an Independent Samples t-test, Dependent Group, or Paired Samples t-test.
The research results found that: the experimental group had averages of empowerment, quality of life, and knowledge about kidney disease. Before and after the experiment were significantly different at the .001 level. The control group was not different. and comparison between the experimental group and the control group. After the experiment, there was an average Empowerment, quality of life, and knowledge about kidney disease The difference is statistically significant at the .001 level. Research results can be used as nursing guidelines to further improve the quality of life of elderly patients.

Quality of Life Level and Factors Associated with Quality of Life in Healthcare Personnel in Nopparat Rajathanee Hospital

Pacharapon Poopitaya — 2024-08-18

This research is a descriptive cross-sectional study aimed to investigate level of quality of life of medical personnel and factors related to the quality of life of medical personnel. The samples obtained from stratified sampling were 423 healthcare personnel who worked in Nopparat Rajathanee hospital. Quality of life was assessed by WHOQOL– BREF–THAI version and associated factors were assess by ST-5 questionaire. Categorical variables were presented as percentages and frequencies. Those associated factors to quality of life were analyzed using the Chi-square test, then the relationship was found using multiple logistic regression analysis. The statistical significance was p-value<.05
The results of the study found that medical personnel in Nopparat Rajathanee hospital have an overall quality of life at a moderate level. The mean quality of life score was 77.8 points, with a standard deviation of 15.3 points. From the study, 20.1 percent of medical personnel had poor quality of life. Personal factors that were associated with poor quality of life included gender (OR_adj = 3.59; 95% CI: 1.04-12.33), history of alcohol use (OR_adj = 3.76; 95% CI: 1.49-9.53), economic status (OR_adj = 13.5; 95% CI: 5.59-32.54) and stress level (OR_adj = 7.90; 95% CI: 3.28-19.05), while work factors that were related to poor quality of life included monthly income level (OR_adj = 3.03; 95% CI: 1.05-8.79) and employment type (OR_adj = 3.39; 95% CI: 1.29-8.90)
The research findings have led to the development of recommendations that are believed to be able to improve the quality of life of medical personnel. These recommendations include, for example, campaigns to reduce alcohol consumption among personnel and the adjustment of job positions and compensation to reflect the value of their work.

The Effects of Promote Early Childhood Development Program for Main Caregiver in Jomtong Sub District, Mueang District in Phitsanulok Province

Nutcha Soiphet — 2024-08-18

This quasi-experimental research aimed to study the effects of promote early childhood development program for main caregiver in Jomtong subdistrict, Mueang district in Phitsanulok province. The purposive samples consisted of 60 fathers or mothers or main caregivers which divided to 30 experimental group and 30 controlled group. Research instrument was early childhood development program which applied from Erikson’s and Piaget’s theory by exchange experiences and knowledge for experimental group and provide health education for controlled group. Data collected knowledge and behavior of the promote early childhood development by test and questionnaire. The instruments were tested from three experts consist of pediatric nursing, child development and research and evaluation. The reliability of the knowledge tests was .84 (KR20). The Cronbach’s alpha coefficients of behavior questionnaire on early childhood development promoting was .90. Data analysis was descriptive statistic such as frequency, percentage, mean, standard deviation, and variance analysis was t-test independent. The results found statistically significant of difference of knowledge and behavior for promote early childhood development of experimental group who received early childhood development program had higher than controlled group (P<.05).
Conclusion and recommendations: The program increased knowledge and behavior in promoting early childhood development, but have to concerned local context as well.

Factors Affecting Mental Health of Pregnant Women in the Situation of the COVID-19 Pandemic, Muang District, Nakhon Ratchasima Province

Bhanwasa ๋Jantasin — 2024-08-18

The cross-sectional study aimed to investigate factors influencing the mental health of pregnant women during the COVID-19 pandemic in Muang District, Nakhon Ratchasima Province. The sample group consisted of 155 pregnant women using stratified random sampling. The research instruments were aquestionnaire on factors related to Prenancy, depression (EPDS), loneliness scale(UCLA scale) and a COVID-19 assessment form. Data were analyzed using descriptive statistics and logistic regression statistics.
The study found that the prevalence of depression and loneliness in pregnant women were 29.03% and 47.10% respectively. Factors affecting depression, it was found that poor family relationships had depression 3.28 times more those with good family relationships (Adjusted OR = 3.28, 95%CI: 1.43 to 7.53), and pregnant women seeking excessive information were 2.50 times more likely to have depression than those who had little information about COVID-19 (Adjusted OR = 2.50, 95%CI: 1.20 to 5.22). Factors affecting loneliness found that pregnant women being employed were 2.76 times lonelier than those who did not have a job (Adjusted OR = 2.76, 95%CI: 1.32 to 5.75). Pregnant women with poor family relationships were 2.52 times as likely to have good family relationships (Adjusted OR = 2.52, 95%CI: 1.06 to 5.97), and women with their second or higher-parity pregnancy were lonesome 2.48 times more than women with their first pregnancy (Crude OR = 2.48, 95%CI: 1.20 to 5.11) with statistical significance (p-value < 0.05). Therefore, the health team should promote good family relationships, and knowing appropriate information about COVID-19 will prevent depression and reduce loneliness for pregnant women.

Causal Factors Affecting Social and Health Protection Behaviors of Female Students in the Junior High Schools

Aphisit Tamsat — 2024-08-18

The objectives were to study social and health protection behaviors and to examine the causal factors of social and health protection behaviors of the junior high school students. Samples were 1,250 female students in the junior high schools. The research instruments were 14 questionnaires. Cronbach’s alpha coefficients were 0.77 – 0.90. Data were analyzed using frequency, percentage, mean, standard deviation, Pearson’s correlation coefficients, and path analysis.
The results found that the important causal factors were the value of self-conservation, social and health news exposure, and a positive attitude towards social protection and health. The results can be used to guide violence prevention by focusing on encouraging students’ good moral characters so that students can receive proper care and develop good behaviors for violence prevention.

Predictive Factors of Sexual Risk Behaviors among Adolescents with Visual Impairment

Chakkrich Pidjadee — 2024-08-18

This predictive correlational study, aimed to explore the level of sexual risk behaviors and factors cooperatively predicting sexual risk behaviors among adolescents with visual impairment. The samples were selected by purposive sampling, consisting of adolescents with visual impairment at the age of 13-19 years who were studying in schools for students with visual impairment. The research instruments were the questionnaires which were translated and printed into Braille, comprising 5 parts as follows: 1) demographic characteristics; 2) self-esteem; 3) influence of friends towards sexual risk behaviors; 4) accessibility to sexual media; and 5) sexual risk behaviors among adolescents with visual impairment. Cronbach’s alpha coefficients of 2^nd-5^th part questionnaires were .71, .75, .78, and .75, respectively. The data were analyzed by descriptive statistics and stepwise multiple regression analysis. The samples’ means of sexual risk behaviors were 28.85 points (SD = 5.66). Most of them had a low level of sexual risk behaviors (76.4 %). The influence of friends was the only factor which could predict sexual risk behaviors among adolescents with visual impairment with a .01 level of statistical significance (t = 5.571, p < .01), while it could explain 22.3% of the variance of sexual risk behaviors among adolescents with visual impairment (R² = .223, p < .01). Nurses should utilize this results to planning how to educate adolescents with visual impairment, such as educating on skills for refusing sexual risk behaviors, as well as educating friends’ gang leaders so that they become role models of proper sexual behaviors.

Developing a Learning Promotion Program for Risk Management and Maternal Safety for Nursing Students of St. Teresa International University

Supaporn Tohsaw — 2024-08-18

This research and development aims to 1) study nursing students’ knowledge, awareness and nursing practice regarding risk management and maternal safety were studied and analyzed with 48 nursing students in the 4th year of section 1. The research instrument used was a questionnaire. Its reliability was tested using Cronbach’s alpha. 2) develop a learning promotion program for risk management and maternal safety for nursing students. The program was confirmed by three experts. 3) study the effectiveness of the program. The sample group was 49 nursing students in the 4th year of Section 2, and 4) evaluate the effectiveness of the program. The sample group was practical supervision teachers. specific random was used for 5 peoples. The research instrument used was a questionnaire. Reliability of the questionnaire was tested using Cronbach’s alpha coefficient, yielding a value of .86. The data was analyzed using percentage, mean, standard deviation and Paired t-test. The study results revealed as follows.
1. The overall knowledge about risk management and maternal safety was at a moderate level ( = 0.78, S.D.=0.07). As for awareness and nursing practice about risk management and maternal safety, students overall were at a high level (x̅ = 4.05, S.D. = 0.36) and (x̅ = 4.28, S.D. = 0.98)
2. The learning promotion program about risk management and maternal safety for nursing students in St. Teresa International University consists of 3 steps including before practice, practice and after practice
3) After participating in the program, compared to before joining the program, students’ scores in knowledge, awareness in risk management and maternal safety care significantly increased (p<.001) and nursing practice significantly increased (p<.01). And the incidence rate decreased.
4) Overall the effectiveness of the program was at a highest level (x̅ = 4.48, S.D. = 0.50)

Effects of a Theory of The Planned Behavior-Based Program for Intention Not to Drink Alcohol Among Secondary School Female Students in Chiang Rai Province

Warisara Pongthong — 2024-08-18

The purpose of this quasi-experimental research was to study the effects of a theory of the planned behavior-based program for intention not to drink alcohol among secondary school female students in Chiang Rai Province. The sample comprised of female lower secondary students in grades 8-9, during the academic year 2023, under the Office of the Basic Education Commission, Chiang Rai. The sample consisted of 32 students in the experimental group and 35 students in the comparison group. Data were collected at before the experiment, after the experiment, and 4-week follow-up. Data were analyzed using descriptive statistics, percentages, mean values, standard deviations, independent t-tests, and Repeated Measure ANOVA. The results showed that the experimental group had significantly higher average scores in knowledge related to alcohol consumption among female adolescents, attitudes towards alcohol drinking behavior, perceived subjective norm to not drink alcohol, perceived behavioral control for not drinking alcohol and in the intention not to drink alcohol in the upcoming month after the experiment and at the follow-up compared to before the experiment (p < .05). Moreover, their scores were also significantly higher than the comparison group (p < .05). Their intention not to drink alcohol in the next 3 months after the experiment was significantly higher than before the experiment (p < .05), but there was no significant difference in the follow-up period compared to before the experiment (p = .574). Additionally, their scores were significantly higher than the comparison group (p < .05).

The study of anxiety among Students of Underwater Medicine Naval Medical Department

Karuna Wontienlai — 2024-08-18

The purpose of this Explanatory Sequential Design was to study the anxiety levels of students in the Underwater Medical Technician curriculum of the Royal Thai Navy Medical Department, comprising 25 individuals in the academic year 2023. The experimental variables included gender, age, marital status, highest level of education, personal monthly income, sufficiency of income, chronic illnesses, and training emphasizing practical skills aligned with the Underwater Medical Technician curriculum of the Royal Thai Navy Medical Department. The dependent variable was anxiety levels during study. Research tools included a 7-item personal information questionnaire, Spielberger, a State-Trait Anxiety Inventory (1983) consisting of 20 items, and a 3-item open-ended questionnaire on anxiety management. Data were analyzed using descriptive statistics, percentages, means, standard deviations, correlation analysis using Pearson’s correlation coefficient and analysis of open-ended questionnaires. Focus group discussions were also conducted, with content analysis employed.
Findings revealed that:
1. Underwater Medical Technician students exhibited overall, there was a low level of Anxiety (Mean = 50.46 SD = 1.50), and there were 8 people, who were at the highest level and the lowest level, accounting for 32 percent equally.
2. The highest level of education, income, sufficiency of income, and training emphasizing practical skills were significantly correlated with anxiety moderate levels (P<.05). (0.26

The Effects of an Enhancing Self-Efficacy Program of Caregivers on Knowledge and Caring Capabilities for Patients at Risk of Pressure Ulcers

Chamaiporn Khueankaew — 2024-08-18

This one-group, pretest-posttest quasi-experimental research aimed to examine the effects of an enhancing self-efficacy program for caregivers of at-risk pressure ulcer patients. The sample group comprised 27 caregivers who purposively selected and received the program. Research tools were 1) an enhancing self-efficacy program, 2) knowledge and capabilities assessment questionnaires for caregivers, 3) capabilities assessment questionnaires for caregivers, and 4) a pressure ulcer assessment tool. Data were analyzed using descriptive and repeated measures analysis of variance.
The results revealed that the average scores of knowledge and ability in caring for at-risk pressure ulcer patients increased significantly after receiving the program (p-value < .001). The incidence of pressure ulcers among high-risk patients decreased after receiving the program compared to before, but this difference was not statistically significant. These findings demonstrate that the enhancing self-efficacy program effectively enhances caregivers’ knowledge and capabilities to care for at-risk pressure ulcer patients.

The Relationship between Social Support, Anxiety, Adaptation, and Life Quality of The Elderly People with Low Vision

Porntip Sinprasert — 2024-08-18

This correlational descriptive research to studied correlations between social support, anxiety, adaptation, and life quality of the elderly people with low vision. The samples consisted of 164 elderly people with low vision, Mueang district in Ratchaburi province. which was chosen through purposive sampling, The tool used as questionnaire personal characteristic form, the social support questionnaire, the anxiety questionnaire, the adaptation to Age-Related Vision Loss (AVL-12) and Elderly Low Vision Quality of Life Questionnaire (ELVQOL). The data were analyzed by descriptive statistics and Spearman’s correlation coefficient.
The results showed that had social support, adaptation with defect visibility and life quality of the elderly people with low vision at a high level with (x̅ = 121.59, S.D. = 7.77, x̅ = 21.93, S.D. = 6.59 and x̅ = 39.84, S.D. =9.28, respectively), Anxiety is low level or no anxiety (x̅ = 6.07, S.D. = 2.46). Analysis of the relationship showed that social support and anxiety have positive relationship with life quality of the elderly people with low vision in low level with statistical significance (rs = .240, p< .01 and rs= .359, p< .01, respectively). Adaptation with visual disability found that no relationship with life quality of the elderly people with low vision (rs = -.141, p< .01). The study findings indicate that nurses and health care teams should focus on promoting social support and providing activities to which reduce anxiety develop quality life of among elderly people with low vision.

Developing Seamless End-Stage Cancer Patient Care Models in the Community

Wanna Chaiaroon — 2024-08-18

Research and development were designed to develop a seamless community-based end-of-life cancer patient care model. We conducted the study between May 2022 and November 2023, which involved four phases: planning, implementation, observation, and reflection. The purposive sampling group consisted of 165 individuals, including medical personnel, local administrators, public health volunteers, patients, and caregivers. We utilized various research tools, including symptom assessment forms, quality-of-life assessments, and satisfaction surveys. We performed data analysis using descriptive statistics and paired sample t-tests.
The study identified several challenges in end-of-life cancer patient care, including inadequate patient problem assessment, insufficient personnel knowledge and skills, and shortcomings in utilizing communication technology and network coordination for support. The developed model encompassed comprehensive care systems, competency enhancement and personnel empowerment, and support systems linking networks at all levels. The model’s implementation led to significant improvements in patient symptoms, enforced care outcomes, patient and caregiver quality of life, and stakeholder satisfaction.

Effectiveness of a Self-Care Promotion Program Using Wireless Technology for Patients with Pulmonary Dysfunction due to COVID-19 Infection During Home Rehabilitation, Suphanburi Province

Pisit Poltana — 2024-08-18

This research is a quasi-experimental study with a two-group pretest-posttest design to compare the average scores of knowledge and self-care behavior after contracting Coronavirus Disease 2019 (COVID-19). The sample consisted of patients in the yellow group who had lung function problems due to COVID-19 infection. Each group comprised 50 participants, selected through purposive sampling and divided into an experimental group and a control group, totaling 100 participants. The instrument used was a self-care knowledge promotion program utilizing wireless technology, which assessed the knowledge and behavior of patients after COVID-19 infection. Descriptive statistics were used to analyze general data through frequency distribution, percentage, mean, and standard deviation, while inferential statistics were used for comparison analysis with the t-test.
The research findings revealed that: 1) Patients who received the program had significantly higher self-care knowledge after the experiment at the .05 level of significance. 2) Patients who received the program exhibited significantly better self-care behavior after the experiment at the .05 level of significance.
Recommendations: The research results can be applied, and further studies should follow up on patients’ behaviors in preventing COVID-19 after receiving the program in the long term to assess the program’s sustainability.

Development of Nursing Care Model for Open Heart Surgery Patients in Surgical Intensive Care

Somjit Yodrabum — 2024-08-18

The research and development aim to develop and study the outcomes of a nursing model for heart surgery patients in the Surgical care unit at Maharaj Nakhon Si Thammarat Hospital. The model is developed by applying the nursing process framework through four stages: 1) Situational analysis, 2) Nursing model development, 3) Implementation and outcome study of the model, and 4) Outcome evaluation. The sample includes 20 Registered Nurses, 32 heart surgery patients, and 32 caregivers. Data were collected for 3 months, utilizing personal and illness data recording forms, a knowledge assessment form about open-heart surgery nursing, a nurses’ opinion survey on the nursing model, a compliance assessment form for the nursing model, a caregivers’ satisfaction survey, and a nursing practice manual. The data was analyzed using descriptive and paired t-test.
The study results on the nursing model using the nursing process for heart surgery patients are divided into two phases: preoperative and postoperative care. The nursing interventions are conducted in five steps according to the nursing process framework: 1) assessment 2) nursing diagnosis 3) planning 4) implementation and 5) evaluation. The findings are as follows: 1) Process Aspect: Nurses’ knowledge significantly increased after following the model (p<.05) and the opinions about the nursing model were satisfied, and the adherence rate to the developed model was 96.9%., 2) Clinical Aspect: The incidence of postoperative complications decreased and the success rate of extubation increased., and 3) Organizational Aspect: The length of hospital stay was reduced, and caregivers’ satisfaction was high. And suggested that there should be a channel for consultation when patients are moved out of the intensive care unit.

Factors Predicting Colorectal Cancer Screening Behaviors among Thai People Living in Bangkok metropolitan

Pranduangjai Thaidumrongdet — 2024-08-18

The predictive-correlation study aimed examining factors predictive colorectal cancer screening behaviors among Thai people living in Bangkok Metropolitan. The health belief model was used as a theorical framework. A sample of 553 participants aged between 50 and 75 years and lived in Bangkok, Thailand, were selected by multi-stage sampling method. The research instruments comprise demographic data, perceived susceptibility to disease, perceived severity of disease, perceived benefit, perceived barriers, perceived threat, cue to action, and behaviors of colorectal cancer screening, which were validated by experts (0.81, 0.92, 0.82, 0.85, 0.87, and 0.93, respectively
The result revealed that 35.62% of participants exhibited appropriate behaviors for colorectal cancer screening. Including fecal occult blood test (FOBT) and colonoscopy (19.89% and 15.73%, respectively). Furthermore, perceived barriers significantly predicted colorectal cancer screening behaviors (OR = 1.09, 95% CI = 0.89-1.08). Therefore, the result of study is able to be a fundamental data to develop a colorectal cancer screening program among Thai people living in Bangkok Metropolitan. It is important to provide knowledge about colorectal cancer through a factsheet in order to eliminate misunderstand regrading health beliefs on colorectal cancer behaviors among Thai people living in Bangkok Metropolitan.

Preparation for Surveillance and Prevention the Covid-19 Pandemic of Elementary School, Nakhon Si Thammarat Province

Patcharaporn Juntapram — 2024-08-18

This cross-sectional descriptive study aimed to study the preparation for surveillance and prevention the covid-19 pandemic of elementary school, Nakhon Si Thammarat Province. The sample group was a school administrators or teachers under the Nakhon Si Thammarat Primary Educational Service Area Office 1-4 totaling 230 schools selected by stratified random sampling. The research tool was an assessment form for educational institutions in preparation for surveillance and prevention of the spread of COVID-19, the reliability is 0.80. Data were analyzed by frequency, percentage, mean and standard deviation.
The results revealed that 58.70 percent of the sample group were in small schools. The most actionable dimension that school had preparations is the second dimension is learning and the third dimension is the coverage of underprivileged children, followed by the first dimension is the safety from disease transmission and the fifth dimension is policy. The dimension that cannot be implemented in all schools are the fourth dimension is welfare and protection and the sixth dimension is financial management. The overall results showed that the school was in the green criteria (able to open classes) 50.90 percent, the yellow criteria (able to open classes, but need to improve to meet the standards) 47.80 percent and the red criterion (unable to open classes, must improve to meet the standards/repeat self-assessment) 1.30%, respectively