Journal of The Royal Thai Army Nurses

Editorial Note

Saisamon Chaleoykitti — 2024-12-11

The Use of Air Mattresses for Prone Position in Acute Respiratory Distress Syndrome Patients reduces Complications in Pressure Injury

Bhornrattikarn Polhan — 2024-12-11

Acute respiratory distress syndrome (ARDS) is a critical condition of the respiratory system that can occur from many causes. The main cause is infection. When patients have ARDS, it results in a higher mortality rate. Although nowadays there are more type of treatments available. Hight technology is being used for treatment, such as extracorporeal membrane oxygenation (ECMO). However, ECMO is still a highly expensive procedure and only be done in some hospitals. Prone position is therefore still one of the important standards for treatment and reduce the mortality rate of ARDS patients, can be done in every hospital. Although the prone position has benefits, high risk complications such as airways-related complications, pressure injury, facial and ocular edema, dislodgement of catheters and hemodynamic is unstable often arise with the prone position. Pressure injury is an important problem causing ongoing complications such as infection of the wound or chronic wounds occur, causes of larger wounds that can lead to loss of organs. The purpose of this article is to present the prevention of pressure injury in patients treated by the prone position. Using innovation and technology that reduces pressure with a sensor system, air mattresses for prone positions to reduce the risk of pressure injury

Patient Safety Competency : Nursing Care for Prevention with Catheter-Associated Urinary Tract Infection for New Graduated Nurses

Chulaporn Yaprom — 2024-12-11

This academic article writes about the development of effective and safe patient care. Therefore, patient safety performance development needs to be focused on building patient care capabilities with information around the side. It is intended to provide information on performance, patient safety, and nursing to prevent urinary tract infections in patients who are putting on a garden line for newly completed nurses. So, patient security performance development must focus on building capacity for care of patients for the newly finalized nurse, highlighting safety priorities. Can properly care for patients according to professional principles. The author very much hopes that this information will be useful to nurse administrators, professional nurses, and midwives who need to understand and perceive information related to the development of performance, safety of patients of such newly graduated nurses in order to keep patient care of quality and effectiveness.

The Chances of Survival for Breast Cancer Patients

Phirada Ardwichai — 2024-12-11

The survival rate of breast cancer patients depends on many factors, including age, body mass index, physical condition of the cancer patient, type of breast cancer, chemotherapy regimen for metastatic breast cancer treatment, and treatment goals for metastatic breast cancer patients. The above factors result in different survival rates for cancer patients depending on the stage of diagnosis. For example, stage 1, most cancer patients have a survival rate of 5 years or more after diagnosis. Stage 2, 90 percent have a survival rate of 5 years or more after diagnosis. Stage 3, more than 70 percent have a survival rate of 5 years or more after diagnosis. Stage 4, more than 25 percent have a survival rate of 5 years or more after diagnosis.
Breast cancer cannot be cured, but it can be controlled with treatment. The current treatment that is accepted as being able to cure and make patients survive for a long time is targeted therapy and cell therapy. However, the chance of survival, whether it is higher or lower than the above, may depend on the factors of the breast cancer patient themselves, especially their physical, mental, and family support, which are the main factors in increasing the chance of survival.

The Role of Midwifery in Caring for Pregnant Women with Intrauterine Growth Retardation

Kanjana Srisawad — 2024-12-11

Intrauterine growth retardation is defined as a newborn whose weight is less than the 10th percentile for that gestational age. It is a complication that can be found in pregnant women. Intrauterine growth retardation is classified into proportional and disproportionate growth retardation. There may be causes or risk factors from the pregnant woman, fetal and the placenta, which affect the pregnant woman and fetal, Therefore, midwifery an important role in caring for pregnant women with intrauterine growth retardation to caring pregnant women with intrauterine growth retardation. Preventing complications during pregnancy, labor and the postpartum period. Including, teaching or guiding clinical, consultation with health personnel, coordination, using empirical evidence and follow up and collect information about caring for pregnant women with preventing complications during pregnancy, labor and the postpartum period. Including applied to take care of pregnant women and their families for a quality pregnancy.

The Role of Health Education for Pediatric Patients with Congenital Heart Disease Type Atrial Septal Defect, By Transctheter Intervention to Replace Surgery

Eakkarat Boonchom — 2024-12-11

Congenital heart disease with a hole in the upper ventricular septum. Abnormalities result in abnormal blood circulation. The heart's ability to pump oxygenated blood to the body is reduced. Surgery should be done to close the leak after 3 years of age and before school age. To prevent pulmonary embolism, patients who are having a heart attack need medication to control their symptoms and surgery as soon as possible. At present, cardiac catheterization can effectively replace surgery. However, cardiac catheterization may have complications or risks that are often encountered after cardiac catheterization.
The objective of this article is to monitor the incidence of adverse events resulting from cardiac catheterization using a leak closure device. To develop an effective nursing care process for pediatric patients with congenital heart disease. This article discusses congenital heart disease with atrial septal defect (ASD), symptoms, signs, treatment with atrial septal leak closure device, complications, and treatment. Medical treatment before and after insertion of a device to close the hole in the atrial septum. To create results in an efficient nursing process As a result, patients will gain safety, reduce the incidence of complications from cardiac catheterization procedures, and pediatric patients with congenital heart disease will have solid bodies close to international standards.

The Impact of Addiction on Psychosocial Issues in Women

Supaksorn Thika — 2024-12-11

The issue of substance abuse has significant implications for the health and quality of life of individuals of all genders and ages, but it particularly affects women. Currently, there is a notable increase in substance abuse among women, which significantly impacts their health and well-being. For instance, long-term substance abuse can lead to changes in physical appearance and increase the risk of sexually transmitted infections due to associated risky behaviors. Moreover, substance abuse has significant mental health implications for women, including depression, anxiety, and other mood disorders. Coping with psychological pain or societal pressure may lead some women to initiate substance use, further exacerbating mental health issues. Addressing psychological distress or social pressure through substance use may increase the risk of substance abuse and worsen mental health issues. Therefore, providing appropriate treatment and rehabilitation for women with substance abuse problems is crucial. It is essential to consider gender-specific needs, such as building confidence and self-assurance, as well as maintaining confidentiality and adhering to safety principles. Gender factors play a significant role in providing treatment for women with substance abuse issues. Thus, understanding the specific nature of this problem is crucial, and treatment programs should be designed to respond to the sexual needs of women. This approach can help mitigate the impact of substance abuse and support women in their recovery journey.

Computer Vision Syndrome: The Silent Threat to Working Individuals in the Digital Era Post-COVID-19 Pandemic

Thanachart Fagsaard — 2024-12-11

During the COVID-19 pandemic, people have increasingly worked from home and spending a lot of time on computers. This can lead to Computer Vision Syndrome (CVS).
CVS encompasses a range of abnormal eye and vision-related symptoms resulting from prolonged use of computers, including dry eyes, eye irritation, or eye strain, as well as common accompanying symptoms such as headaches and dizziness. Various risk factors contribute to the likelihood of experiencing these symptoms, including personal factors like gender and age, environmental factors like viewing angle and distance from the screen, lighting conditions, temperature, humidity, and contact lens wear. The most effective and widely accepted prevention measure currently is to take regular breaks when using computers continuously for prolonged periods.
Understanding the health impacts and related factors of prolonged computer use is essential for all computer users to monitor their own symptoms, mitigate various risk factors, and adopt personal habits such as taking regular breaks to prevent the onset of Computer Vision Syndrome.

Flight Nurse’s Roles in Aeromedical Evacuation: A Case Study of Patients with Gastrointestinal Problems

Khwanhathai Changyai — 2024-12-11

Gastrointestinal (GI) disorders can be found in both medical and surgical aspects and the primary causes are correlated to chronic diseases and injuries. When vulnerable GI patients experience life-threatening threats, there could be a high risk of fatality. Aeromedical evacuation is the transportation of patients in both normal and emergency situations, with the aim of transferring them to another facility or hospital to receive proper treatment. The transition of patients at the right time possibly reduces severity and decreases mortality rate. However, barometric pressure changes during the flight directly impact digestive organs, consequently leading to worse conditions and undesirable complications in case of ill treatment. To provide adequate care for GI patients, the flight nurses should be knowledgeable about aviation physiology, stresses of flight, patient assessment, and care procedures before organizing the evacuation and during the flight. Practices of flight nurses should be implemented during aeromedical evacuation to prevent the effects caused by stresses of flight and provide good care along the flight.

Role of Nurse Coordinator in Managing Critical Care Patient Beds at Somdej Phra Debarat Building, Ramathibodi Hospital

Anusara Hoonaudgid — 2024-12-11

Critical illness refers to severe conditions that require intensive care. The demand for ICU care is increasing globally, while ICU bed availability is limited, creating challenges, especially for tertiary hospitals that receive referrals of critically ill patients from across the country. In this context, the role of nurse coordinators in managing ICU beds effectively becomes critical. The nurse coordinator’s role can be applied at every stage of ICU care: Pre-admission: The nurse coordinator assesses the severity of the patient’s condition and prioritizes ICU admission, ensuring optimal resource allocation. During ICU admission: The coordinator monitors the patient’s condition, ensuring interdisciplinary team collaboration for comprehensive care. Postadmission: The coordinator continues to oversee the patient’s care, adjusting treatment plans as needed and ensuring the patient receives continuous monitoring and appropriate interventions. The role of providing information, consultation, and clinical coordination to patients and their families aims to ensure that patients can access appropriate care quickly in the ICU. Their goal is to ensure that patients access services and receive appropriate care in the ICU promptly, ensuring safety, reducing the severity of illness, and lowering the mortality rate outside the ICU and ensure continuous care for both patients and their families.

The Role of Holistic Nurses in Integrative Non-Pharmacological Pain Management

Kattiyaporn Konthiang — 2024-12-11

Pain is an emotional and sensory experience that indicates discomfort due to tissue damage in the body or serves as a warning sign that danger is occurring to the body’s tissues. Effective pain management can respond to pain reduction, which is a role of nurses, taking into account the physical, mental, social, and spiritual aspects. This holistic care can be performed within the professional scope in pain relief activities, combining non-pharmacological methods with medication. By providing care, comfort, and encouragement, patients can feel reassured, which leads to confidence that they will be safe from pain. Pain has a direct impact on daily life, causing discomfort, suffering, and disturbances to mental well-being, as well as affecting the mobility of various parts of the body. Non-pharmacological pain management can integrate holistic care with conventional medicine, incorporating various alternative medicine methods, such as music therapy, meditation, aromatherapy, massage, and herbal remedies. This represents a challenging approach for nurses to manage pain holistically through independent roles. This academic article aims to present the role of holistic nursing in pain management, including the meaning and types of pain, pain assessment, non-pharmacological pain management using an integrative approach, the role of nurses in integrative pain management, and integrated pain management strategies, to provide information for non-pharmacological pain management.

Effects of Self-Regulation Program on Self-Management Behaviors using Telehealth in Older Adults with Uncontrolled Type 2 Diabetes Mellitus

Awasda Vasuri — 2024-12-11

This randomized controlled trial aimed to study the effects of self-regulation program on self-management behaviors in older adults with uncontrolled type 2 diabetes mellitus. A total of 40 study participants who received treatments at primary care units at Siriraj Hospital and nearby community, Bangkok, Thailand were recruited according to inclusion criteria and randomly assigned to control and experimental groups, 20 study participants per group. The experimental group received normal nursing care and the self-regulation program covered 12 weeks by using telehealth via ZOOM application in weeks 1 and 2, and had follow-up telephone visits in weeks 3, 5, 7, 9, and 11. The control group received normal nursing care. The pretest and posttest assessments of self-management behaviors of older adults with type 2 diabetes mellitus was conducted in weeks 1 and 12. Chi-square Test, T-Test, and ANCOVA were used for data analysis.
The results showed that before the self-regulation program took place, the mean scores of self-management behaviors in the control and experimental groups were not different. After the self-regulation program was completed in week 12, the mean score of self-management behaviors in the experimental group was significantly higher than the mean score in the control group (p < .05). The results suggest that self-regulation program by using telehealth via ZOOM application could help older adults with uncontrolled type 2 diabetic mellitus to improve self-management behaviors.

Development and Evaluation the Effectiveness of a Health Management Platform for Long COVID Symptoms among 608 Group

Thinnakorn Buachu — 2024-12-11

This study aimed to develop and evaluate a platform for health management platform for Long COVID symptoms among 608 group in community. The population and sample group included people in 608 groups and healthcare professionals, comprising Physicians, Nurses, Pharmacists, Medical Technicians, Physical Therapists, and the District Health Board (DHB). The research methodology consisted of four steps: 1) Problem identification, 2) Model development, 3) Prototype development, and 4) Feasibility testing. Data were collected through in-depth interviews and content analysis. Software development involved seminars with experts and testing with users, including hospital health promotion staff, village health volunteers, and the 608 group. The prototype platform, named “608 Prompt@Home,” included seven functions for hospital health promotion staff, three for village health volunteers, and four functions for the 608 group. The System Usability Scale (SUS) average score from all three groups was 69.71, indicating significant alignment between the design and user requirements. The platform can be further improved to address future pandemics and emerging infectious diseases.

Incidence and Associated factors with Contrast-Induced Nephropathy after Emergency Percutaneous Coronary Intervention in Patients with ST-segment Elevation Myocardial Infarction

Siva Bootsri — 2024-12-11

This study aimed to investigate the incidence and factors associated with Contrast-Induced Nephropathy (CIN) in patients with ST-segment Elevation Myocardial Infarction (STEMI) who underwent emergency Percutaneous Coronary Intervention (PCI) in the Thai population following the administration of contrast media (CM). The research was conducted retrospectively on 280 patients who experienced a creatinine level increase of more than 25% or exceeding 0.5 mg/dl. within 48-72 hours after receiving CM agents. Simple and multiple binary logistic regression analyses were employed to predict factors associated with CIN following contrast media exposure. Crude and Adjusted Odds Ratios (AOR) with 95% confidence intervals (CI) were utilized to demonstrate the associations between independent factors and CIN. The results revealed an incidence of CIN of 16.4%. Factors associated with CIN included CM volume exceeding 160 ml (AOR 4.66, 95%CI: 2.02-10.71, p<.001); heart failure (AOR 4.43, 95%CI: 1.80-10.93, p=.001); hypertension (AOR 4.34, 95%CI: 1.37-13.71, p=.013); anemia (AOR 3.95, 95%CI: 1.73-8.99, p=.001); and patients receiving antibiotic therapy (AOR 5.33, 95%CI: 2.32- 12.26, p<.001). The study findings provide insights into the incidence of CIN and associated factors, serving as guidelines for screening and ensuring safe patient care in the future.

The Effect of Case Based Learning on Critical Thinking of Nursing Students

Farkjit Rattanapanyakorn — 2024-12-11

This quasi-experimental research aimed to: 1) compare critical thinking scores between the experimental and control groups; and 2) compare the critical thinking scores of nursing students before and after attending case-based learning. The participants were 86 third-year nursing students. Simple random sampling was applied, and the participants were equally assigned into either the experimental or control groups, with 43 in each group. The control group received a conventional learning approach toward the lecture method, while the experimental group received case-based learning. The instruments included lesson plans using case-based learning and critical thinking models developed by the researcher. All of the instruments were tested for content validity. The reliability of critical thinking was 0.80. The data were analyzed using an independent t-test. The research results are as follows: 1.The mean score of critical thinking in the experimental group was higher when compared to the control group at the significant level of .00. 2. The mean score of the critical thinking of nursing students after engaging in case-based learning was higher than the baseline at the significant level of .01.
For the recommendation of the research findings, nursing instructors should upskill the nursing diagnosis and nursing intervention for learners to inspire the thought process as well as motivate the students’ interest in teaching materials or simulation.

Conditional Factors Associated with Behaviors for Preventing Relapse of Major Depressive Disorder in The Older Persons: Perspectives of Older Persons who had Remission and Non-Relapsed of Major Depressive Disorders and Their Relatives

Hathairat Saima-in — 2024-12-11

The objective of this research was to study and understand conditional factors associated with behaviors for preventing relapse of major depressive disorder in the older persons, namely self-efficacy for coping with depression, stressful life events, expressed emotion of family members, other factors that supportive and obstacles. This research was qualitative research by case study design with research participants are older persons who remission and non-relapsed of major depressive disorder 6 persons and their relatives 6 persons, total 12 persons. Data were collected through in-depth interviews, and recorded the interview speech, and the data were analyzed using content analysis. The research results found that the perspectives of the older persons and their relatives on the conditional factors associated with behaviors for preventing relapse of major depressive disorder in the older persons is divided into 2 parts; Part 1: psychosocial factors associated with behaviors for preventing relapse of major depressive disorder in the older persons referring to 3 main factors: 1) Self-efficacy for coping with depression 2) Stressful life events 3) Expressed emotion of family members. Part 2: other factors that supportive and obstacles to the behaviors for preventing relapse of major depressive disorder in the older persons are include emotional and mental aspects, knowledge and information aspects, and economics aspects. It is knowledge for the development of tools and programs to enhance the behavior of preventing relapse for older patients with major depressive disorder in the further.

A Study of Nursing Service Management for Patients with Coronavirus 2019 at Hospitels

Kantika Saipanya — 2024-12-11

This descriptive study explored the nursing service management for patients with Coronavirus 2019 at hospitels. The participants were 20 experts with knowledge and experience in the nursing service management for patients with Coronavirus 2019 at hospitels consisting of five nursing directors, five nurse managers, five infection control nurses (ICN), and five nursing team leaders. The sample groups selected by purposive sampling and snowball technique. The research process consisted of three rounds by the Delphi technique. Round 1, Interviewing using a semi-structured questionnaire. Round 2, Collecting expert opinions for content analysis and formulate questions for a 5-point Likert scale questionnaire. Round 3, Use expert opinions to calculate the median and interquartile range (IR) and formulate questions for a 5-point Likert scale questionnaire to summarize the research results.
The results showed that the nursing service provision for patients with Coronavirus 2019 at hospitels consisted of 7 aspects as follows: 1) Service planning 2) Structure organizing 3) Staffing 4) Supervising 5) Communicating and Coordinating 6) Reporting and 7) Budgeting. The results of this research provide basic information for nursing administrators to apply the research results as a guideline for the nursing service provision for patients with Coronavirus 2019 at hospitels when there is an emerging respiratory disease outbreak in the future.

Relationships between Physical Functions and Falls in Older Adults with Stroke at Three Months after Discharge

Arisa Songchom — 2024-12-11

A descriptive study was used to estimate the incidence and examine the association between activities of daily living, gait, balance, hand grip strength, and falls in older adults with stroke at three months after discharge. One hundred thirty older adults with stroke receiving follow up sessions at a tertiary hospital and a university hospital in Chonburi. The study instruments included (1) The demographic and falls information questionnaire (2) Barthel Activities of Daily Living Index (3) Time Up and Go Test (4) Berg Balance Scale, and (5) Hand grip strength. Data was analyzed using Pearson product-moment correlation, Spearman’s rank correlation, and Chi-square test. The findings of this study revealed that out of 130 participants, 67 participants (51.54%) had falls in the first three months after discharge. Strong was the relationship between falls and physical functions including activities of daily living (r = -.621, p <.001), gait (r = .628, p <.001), and balance (r = -.616, p <.001). The relationship between hand grip strength and falls was weak (r = -.283, p = .001). There was significant difference in hand grip strength among females between fall related injured group and non-fall related injured group (p < .05).

Factors Predicting the Readiness of Village Health Volunteers for Screening and Prevention of Dementia in Community, Chonburi Province

Sukontip Pholloka — 2024-12-11

This predictive correlational research aimed to describe readiness and to determine factors predicting the readiness of Village Health Volunteers (VHVs) for screening and preventing dementia within the community. Multi-stage random sampling was used to recruit 192 VHVs within Chonburi province, who meet the specified criteria, data collection was using self-reports, including readiness questionnaires, consists of a readiness questionnaire Definition, Attitude and Social Support questionnaires (Cronbach’s alpha = 0.97, 0.89, 0.82, 0.93, respectively) and knowledge test (KR-20 = 0.73). Descriptive statistics and stepwise multiple regression statistics were performed to analyze the data. The study revealed that the overall readiness for screening and preventing dementia among VHVs was rated at a moderate level (M = 54.17, SD = 11.54, Madj = 3.01). By the meaning factor (β = 0.32, p<.05), social support (β = 0.20, p<.05), health status (β = 0.18, p<.05), and attitudes (β = 0.13, p<.05) could predict 30.6% of the variance accounted. (R² = .306, R²_adj = .292, F = 9.714, p<.05). These findings suggest that nurses and other health personnel who work in communities, should address for enhancing the readiness among VHVs, through preparedness program by focusing on promoting meaning of self and role, increasing attitudes towards dementia and role, taking care of health, including developing a health care and social support system for VHVs to lead to high performance of their roles and results.

Factors Related to The Quality of Seamless Referral Services in Urban Areas Bangkok Metropolitan

Sirinrak Chaisomboon — 2024-12-11

This research was a correlational research. The objective of this research was to study the factors related to the quality of seamless referral services in an urban area, Bangkok Metropolitan. Participants were Professional nurses working in the Home Visiting Unit, Public Health Service Center, Bureau of Health, Bangkok. Data were collected by questionnaires. Data were analyzed by descriptive statistics and inferential statistics in terms of Pearson’s Product Moment Correlation Coefficient.
Pearson’s analysis of correlation found that the discharge planning factor was positively correlated with the sample’s seamless referral outcome. The discharge planning factor was statistically significant (r = .651, p < .001) and the information network factor was positively correlated with the seamless transmission outcome of the sample. The information network factor was statistically significant (r = .518, p < .001) and the coordination network factor was positively correlated with the seamless transmission outcome of the sample. The coordination network factor was statistically significant (r = .514, p < .001).

A Feasibility Study: Using Tele Nursing to Improve Palliative Care Access for Rural and Remote Communities

Jintana Artsanthia — 2024-12-11

This research was a qualitative study aimed at assessing the feasibility of tele-nursing in providing palliative care access for rural and remote communities. It also aimed to explore the issues, barriers, and solutions in implementing tele-nursing. The sample group, selected through purposive sampling, included nurses, village health volunteers (VHVs), community health caregivers,patients,and families receiving palliative care,totaling 26 people. The group was divided into two sessions, each with 13 participants. Data collection tools included in-depth interviews and group discussions, with data analyzed through content analysis.
The results indicated that tele-nursing is feasible in rural and remote communities. The feasibility of tele-nursing for accessing palliative care in these communities were as follows: 1) availability of technological infrastructure, 2) healthcare facility infrastructure, 3) data backup systems, 4) operational regulations, 5) community resources and cooperation, 6) data security, and 7) affordable costs. Additionally, supporting factors included 1) a seamless community care system, 2) community goodwill resources, 3) a passion for service and responsibility, 4) a quality workforce, 5) ongoing work development, and 6) information technology systems. Therefore, it is feasible to implement tele-nursing for palliative care management in rural and remote areas in the future.

Factor Influencing to Quality of Life among Elderly Living in Community at Nonthaburi Province

Nichada Santwanpas — 2024-12-11

This research aimed to analyze the factors that influenced of quality of life among elderly who lived in the community of Nonthaburi province. Participants were 116 elderly aged 60 and above. The data collection instrument was a questionnaire composed of 4 parts: 1) Demographic data and access to healthcare services, 2) Health literacy (HLS-EU-Q16), 3) Frailty (the Tilburg Frailty Indicator), and 4) Quality of life (WHOQOL-AGE). The reliability coefficients of parts 2 and 4 were 0.84 and 0.98 respectively, and the Tilburg Frailty Indicator questionnaire finds KR-20 equal to 0.95. Descriptive statistics and stepwise multiple regression analysis were used in data analysis with a statistical significance at the level of .05
The research findings revealed that the elderly had a moderate quality of life at 60.34% (mean ± SD = 40.16 ± 10.46). Income sufficiency ( = 0.49, p = 0.000), activities of daily living (Barthel index) ( = 0.19, p = 0.003), high health literacy score ( = 0.17, p = 0.042), and the number of nurse home visits per year ( = 0.16, p = 0.028) could be explained the quality of life 57.6% of the variance (R² = 0.576). Therefore, policymakers should promote an active aging society in communities and create sufficient income opportunities for the elderly to adequately manage health problems, reduce dependency, and nurse home visits are crucial in promoting a good quality of life for the elderly.

Predicting Factors of Early Postoperative Complications in Extremities Injury Patients

Nantiphak Peerawasthanawut — 2024-12-11

This research aimed to study the severity of the injury, the period from injury to surgery, body mass index, and the surgical frailty to early postoperative complications in patients with extremity injuries. The sample was patients with extremity injuries and/or injuries of other systems who underwent 146 extremity surgeries. The instruments used for data collection were The Injury Severity Score, The 5-Item Modified Frailty Index, and The Adapted Clavien Dindo in trauma. Statistical analysis using Logistic regression with enter method. The results of the analysis found that the severity of the injury, the period from injury to surgery, and the surgical frailty could predict the early postoperative complications in patients with extremity injuries for 40.5% with statistical significance (Nagelkerke R2 = .405, p< .05). Therefore, this knowledge should be applied to create a guideline for preoperative and postoperative care and prevention of severe complications in patients with extremity injuries. The results of this study are used as information for planning with a multidisciplinary team in caring for patients with extremity injuries who have undergone surgery and preventing possible complications.

Factors Related to the Risk of Falls in Patients with Osteoarthritis

Narumon Sinwisarn — 2024-12-11

This research is a retrospective study examining factors related to the risk of falls in patients with osteoarthritis at the outpatient clinic of Thasala Hospital between January 2021 and December 2023. Adults and older individuals, 146 participants, were recruited for the study. Data was collected using personal information, evaluation and screening form for osteoarthritis and the fall risk assessment form for Thai elderly living in the community (Thai FRAT). The overall reliability for the entire set (r) was equal to 1.00. Data were analyzed using descriptive statistics, Chi-square relationship analysis, and binary logistic regression analysis.
The results indicated that significant Factors associated with the risk of falls were found to be age, occupation, congenital disease, and knee joint pain with joint stiffness of less than 30 minutes. Factors predicting the risk of falls in patients with osteoarthritis include age, occupation, and knee joint pain with joint stiffness for less than 30 minutes with statistical significance (P<.05). Based on the findings of this study, nurses can use the research results to develop activities or programs to prevent falls in patients with osteoarthritis in both hospitals and communities.

The Influence of Organizational Communication and Employee Morale on the Job Performance of Professional Nurses at Public Hospitals in One Province

Phusadee Charoenwong — 2024-12-11

This study aimed (1) to study the level of organizational communication, employee morale, and job performance of professional nurses at public hospitals in one province and (2) to study the influence of length of work, salary, organizational communication and employee morale on the job performance of professional nurses at public hospitals.
The sample of this descriptive research comprised 188 professional nurses at public hospitals in one province. They were recruited by Multi-stage random sampling method.The research instrument was developed from a questionnaire that studied factors affecting morale3. The questionnaire consists of 4 parts, which have been examined for content validity and Cronbach’s alpha coefficient by 5 experts. Data were analyzed by using frequency, percentage, mean, standard deviation and stepwise multiple regression analysis.
The findings were as follows: (1) Professional nurses rated their organizational communication, employee morale, and job performance at a high level; and (2) the variables of organizational communication and employee morale influenced and statistically predicted job performance of professional nurses, and both of them jointly explained 36.40 percent of the variance in job performance of professional nurses at the .001 level of significance.

Effect of the Happiness Program on the Level of Happiness among Caregivers of Elderly with Dementia in Mae Lao District, Chiang Rai Province

Pikul Thongruk — 2024-12-11

This quasi-experimental research design, one group pre-post test design, aimed to examine the Happiness Program’s effect on the happiness level among caregivers of older adults with dementia. The study sample consisted of 28 participants who were caregivers responsible for older adults with dementia and were selected through purposive sampling. The experimental group received the Happiness Program, which comprised eight activities once a week for four weeks. The research tools included 1) The Happiness Program, 2) Personal data record forms., and 3) The 15-item Thai Happiness Assessment. The data were analyzed using descriptive statistics and paired t-tests.
Before delivering the Happiness Program, the research findings revealed that caregivers of elderly with dementia had an average happiness score of 28.85, which was lower than the general Thai population. However, after participating in the happiness program, the experimental group showed a remarkable and statistically significant increase in average happiness scores, from 28.85 to 32.32 (p < .001). This research underscored the potential of the happiness program to be continuously implemented for caregivers of the elderly with dementia. It served as a guideline for adapting the happiness program for caregivers of other patient groups.

Factors Related to the Deterioration of Patients with Mild Traumatic Brain Injury

Somrudee Akkatimakul — 2024-12-11

This study was retrospective, documentary research. The objective was to study the personal factors and health factors of the deterioration of patients with mild traumatic brain injury Samples were medical record of patients diagnosed mild traumatic brain injury. And there were deterioration 28 patients who were admitted to neurosurgery department II, Ratchaburi hospital between January 1, 2019 and December 31,2021. The instrument used to collect information includes data collection form of deterioration of patients with mild traumatic brain injury. The content validity index was 0.99 and inter-rater reliability was 0.80 The general data were analyzed using descriptive statistics and correlation analysis between variables using inferential statistics.
The result found that the personal factors such as gender, was associated with systolic blood pressure (Ø = -.452) and pulse pressure (Ø = -.552), as well as drunken condition was associated with systolic blood pressure (Ø = -.486). Health factors include post-traumatic of intracerebral hemorrhage in a type of Subdural hemorrhage was associated with pulse rate (Ø = -.469), traumatic intracerebral hemorrhage was associated with systolic blood pressure (Ø = .452) and cerebral contusion was associated with Diastolic blood pressure (Ø = -.430) at a statistically significant (p<.05).
This research showed that the relevant health care team must define the planning to develop guidelines to care for them, especially, the Computerized thermographic scan for investigation and primary treatment to reduce complications and life-saving.

Effect of the Job Rotation Program on Task Performance of Nursing Personel in the Out-Patient-Department at a Tertiary Hospital

Julalai Kanrai — 2024-12-11

The objectives of this one-group quasi-experimental research were to compare the nursing personnel’s performance before and after the experiment.The sample group consisted of nursing personnel at the outpatient department of Ratchaburi Hospital selected using simple random sampling. The sample group was divided into one group of 20 personnel performance before and after the experiment with rotational assignments. The research instruments used were a questionnaire asking about personal data and the performance of duty of nursing personnel.The content validity index was 0.98, and Cronbach’s alpha coefficient was 0.86 The statistics used were descriptive statistics of frequency, percentage, mean, and standard deviation; and inferential statistics of paired t-test.
The study found that the mean for the performance of duty among the personnel in before the experiment was at a moderate level of 2.92 ( = 2.92, SD = .12) no significant difference but that of after the experiment was at the highest level of 4.62( = 4.62, SD = .13) The statistical test showed that the mean score for the performance of duty among the personnel in after the experimental with rotational assignments was most level than that of the before with regular assignments at a statistical significance of (p < .05)
This research suggests that Nursing administrators can use the job rotation program to improve their management. To develop all-round work skills through job rotation and it is one of the management tools to develop personnel for the results and success of the nursing organization.

The Influence of Age, Adequate Antenatal Care, Education Level, and the Use of Health Information from Social Media on First-time Adolescent Mothers’ Postpartum Behavior

Chonthicha Kitbumrung — 2024-12-11

This predictive research was to study the influence of age, adequate antenatal care, education level, and the use of health information from social media on first-time adolescent mothers’ postpartum behavior. The sample consisted of 154 first-time teenage mothers, aged 10-19 years, who gave birth and recuperated in the postpartum ward at a tertiary hospital. The research instrument was a questionnaire to collect data. The data were analyzed using descriptive statistics, Point biserial correlation coefficient statistics, Chi-square test and binary logistic regression analysis.
The results of the study found that age factor, education level, adequate antenatal care and use of health information from social media together they were able to predict the postpartum behavior of first-time teenage mothers by 13.2% (R² = .132) with statistical significance (p<.05). It was found that the age factor Education level and using health information from social media can predict postpartum behavior. After the birth of first-time adolescent mothers, there was statistical significance (β = -.462, p<.002, β = 1.138, p<.014 and β = .643, p<.009, respectively). Therefore, if the first-time adolescent mothers have a higher age, educational level, and use more health information from social media, it can be predicted that the postpartum behaviors of these first-time pregnant mothers will increase.

The Study of Stroke Knowledge and The Needs of Health Education Pattern Regarding Stroke among People at High – Risk in The 4th Health Region, Thailand

Pragasit Pongtapthai — 2024-12-11

This descriptive research aimed to study stroke knowledge and the need for health education pattern regarding stroke among the high – risk people in the 4th health region. A multistage random sampling of 381 subjects was used to collect data using a questionnaire. Analyzed by descriptive statistics, frequency, percentage, mean, standard deviation, and median The results showed that the samples had a low levelof stroke knowledge ( = 18.55, SD = 7.338) included knowledge of causes, risk factors, signs and warning signs, and stroke management. In addition, the health care providers were needed to be the most senders to inform stroke knowledge ( = 7.53, SD = 2.00) and they needed the big font or visible media ( = 4.46, SD = .851), easily understandable and concise media ( = 4.48, SD = .745). The characteristic of sender is good personality, trustworthiness, and knowledge of stroke ( = 4.4, SD = .757). Therefore, healthcare provider should be adjusting their methods of communicating stroke knowledge and adjust the media for the needs of the people.

Predicting Factors of Family Caregivers’ Quality of Life Caring for Older Persons with Chronic Obstructive Pulmonary Disease

Timaporn Pengsandfoo — 2024-12-11

This predictive study aimed to study the power of predicting the relationship quality between family caregivers of older persons, preparedness of caregivers, amount of help from others, and direct caregiver’s strain toward the quality of life of the family caregivers of elderly people with chronic obstructive pulmonary disease. The sample was 138 family caregivers by using the questionnaires: the mutuality between family caregivers of older persons, caregiver preparation, the amount of help from others, caregiver role strain from direct care, and caregivers’ quality of life (SF-36). The questionnaire has a reliability value of 0.91, 0.87, 0.79, 0.96 and 0.83 respectively. The data were analyzed using multiple linear regression analysis
The results of the study found that mutuality between family caregivers of older persons with COPD, preparedness of caregivers, and direct caregiver’s strain can statistical significant ( = 0.500, p < .05) predict the family caregivers’ quality of life caring for older persons with COPD. The study found that there should be an assessment in the care of family caregivers of older persons with COPD in both physical and mental readiness, mutuality between family caregivers of older persons, and direct caregiver’s strain to plan appropriate nursing care in preparing the family caregivers to be able to take care of older persons with COPD, to promote the quality of care and quality of life of family caregivers, and develop guidelines for nursing home, and develop continuous health service system at home to increase efficiency.

Prevalence and Risk Factors of Musculoskeletal Disorders Among Intensive Care Unit Nurses: A Case Study in a Hospital, Bangkok

Jirameth Pojjariyaporn — 2024-12-11

The purpose of this research is to reveal prevalence and risk factors of musculoskeletal disorders. The researcher distribute questionnaires and assess ergonomic risk factors for each type of work. The information obtained will be used to analyze relationships. The prevalence of musculoskeletal disorders in the past 12 months was 79.2% and 72.3% in the past 7 days, respectively. The highest affected region was lower back. Risk factors of musculoskeletal disorders include age, exercise habits, working hours and ergonomic risks. For each type of work, ergonomic risks in neck and back region were found to be associated with musculoskeletal disorder. Therefore, there must be improvement each type of working condition to reduce the level of ergonomic risk, especially the neck and back regions, Including workload and working hours to suit each individual. Training on proper working postures and exercise to prevent and reduce musculoskeletal disorders.

Factors Associated with Fall Risks among Older Patients of Inpatient Department in a Secondary Hospital

Phongsiri Buakaeo — 2024-12-11

The objective of this cross-sectional descriptive research was to study factors associated with fall risks among older patients in the inpatient department of a secondary hospital. The sample included 110 inpatients aged 60 years and over, recruited through purposive sampling. This method selected individuals who were conscious and able to communicate in Thai. The research tools included a record form documenting factors related to fall risks, eye health screening, the Mini Nutritional Assessment, and the Morse fall scale. The reliability of these instruments was assessed using the test-retest method, yielding stability coefficients (r) ranging from .96 to 1.0. Data analysis involved frequency statistics, percentages, means, standard deviations, Fisher’s exact probability test, and the Chi-square test.
The research results revealed that a total of 85 people (77.3%) were at risk of falling. Factors significantly related to the risk of falls (p < .001) included nutritional status, urinary incontinence, vision, history of COVID-19 infection, and the group of medications received.
The recommendation from this research is that nurses should pay particular attention to monitoring and preventing falls in older patients with undernutrition, urinary incontinence, vision problems, a history of COVID-19 infection, or older patients who received medications related to the Central Nervous System or Cardiovascular System.

The Effectiveness of Applications on Promoting the Growth and Development of Infants Born Prematurely after Discharge from the Hospital for Caregivers

Nuttaya Sritakaew — 2024-12-11

This quasi-experimental research study investigates the effectiveness of a mobile application in promoting the growth and development of preterm infants after discharge from the hospital. The study utilized purposive sampling, comprising 30 caregivers of preterm infants, residing in Khlong Hok sub-district, Pathum Thani province, selected through specific and targeted criteria based on predetermined qualifications. The research tools used in the study are: 1) an application promoting the growth and developmental milestones of preterm infants after discharge from the hospital 2) a general information questionnaire for caregivers 3) a questionnaire to assess caregivers’ knowledge 4) a questionnaire to assess caregivers’ obstacles and 5) a satisfaction evaluation form for the application. Data were collected from October 2566 to February 2567, and the analysis involves both descriptive statistics and paired t-test statistics. The research findings revealed that there is a statistically significant difference in the average scores of knowledges and perception before and after the experiment at a significance level of .05. Additionally, caregivers express a high level of overall satisfaction with the application (M = 4.363, SD = .761) which indicates that the application effectively supports caregivers of preterm infants by increasing their knowledge and awareness of caregiving obstacles. It also helps improve the quality of care, promoting the growth and development of preterm infants upon returning home.

Association between Anticholinergic Drug Impact on Nutritional Status in Older Adults at Outpatient Department of Phramongkutklao Hospital

Sutthida Jatujinda — 2024-12-11

The purposes of this cross-sectional study aimed to investigate the relationship between anticholinergic drug use and malnutrition in older adults. Data were collected using the Mini Nutritional Assessment Short Form (MNA-SF) questionnaire to screen for malnutrition and the Drug Burden Index (DBI) to assess anticholinergic drug use in patients aged over 60 years who visited the outpatient department of Phramongkutklao Hospital.
Data was analyzed using descriptive statistics and logistic regression, The results showed that anticholinergic medication use is associated with an increased risk of malnutrition in elderly. Compared to the control group (MNA-SF ≥ 12), the adjusted odds ratio (AOR) for developing risk of malnutrition (MNA-SF = 11-8) and malnutrition (MNA-SF = 7-0) was 1.78 times (95%CI 1.22 - 2.60, p = .003) and 1.99 times (95%CI 1.24 - 3.18, p = .004), respectively.
This research offers insights for nurses and other healthcare providers to enhance the care of older adults. By implementing strategies to minimize medication side effects and promote safe medication practices.

The Factors Affecting Anxiety Among Registered Nurse and Practical Nurse Working in Medical and Psychiatric Nursing Division During Covid 19 Pandemic

Pornwimol Biadkrathok — 2024-12-11

This study is descriptive research aimed at studying factors affecting the level of anxiety of 1,412 nurses and nursing assistants in the COVID-19 ward and general ward during the COVID-19 pandemic by using their own negative emotional rating scale and the stress and anxiety assessment questionnaire regarding the fear of the virus among healthcare workers. The evaluation was divided into two periods and one month apart. Data were analyzed with mean values. Standard deviation, median and Inter-quartile range, percentile and t-test statistics, stepwise multivariable binary logistic regression analysis.
The Results revealed that for the first period, the anxious score of personnel working in the ward with COVID-19 infection compared to the group working in general cases was significantly different (p-value = .001), equal to 11.8+6.6 and 13.9+7.2 (respectively). Recommend policy arrangements for personnel to reduce anxiety. especially those with risk factors

21st Century Skills of Professional Nurses of Difference Generations at Tertiary Hospitals under The Royal Thai Army Medical Department

Sirada laosena — 2024-12-11

This cross-sectional survey research aims to study the level of 21st century skills and compare the 21^st century skills of professional nurses by age group. The sample group were 261 professional nurses of different age groups working in tertiary hospitals under the Royal Thai Army Medical Department. The instrument was the 21^st Century Skills Questionnaire. The overall Cronbach’s alpha coefficient was 0.97. The statistics were frequency, percentage, mean, standard deviation and One-Way ANOVA and Scheffe’s method. The results found that Professional nurses of different ages have overall 21st century skills at a good level ( = 4.08, S.D. = 0.41). Classified by age group, the highest average was Generation X ( = 4.18, S.D. = 0.33), Generation Z ( = 4.16, S.D. = 0.36) and Generation Y ( = 4.02, S.D. = 0.43), respectively. The highest mean was that Cross–cultural Understanding skills at a very good level ( = 4.46, S.D. = 0.52). The lowest average is that Writing skills at a good level ( = 3.71, S.D. = 0.55). Professional nurses of different age groups have significantly different skills in the 21^st century at .05 (F = 4.034). The results of this research provide basic information for nursing administrators to apply the research results as a guideline for planning the development of skills, knowledge and work assignments in line with the aptitude and skills of professional nurses. To provide professional nurses with the skills and knowledge to perform well in the 21st century.

Effects of the Self-Efficacy Enhancing Program on Self-Care Behaviors of Patients with Cholangiocarcinoma

Sompong Pamulila — 2024-12-11

The purpose of this quasi-experimental research was to investigate the effects of the self-efficacy enhancing program on self-care behaviors of patients with cholangiocarcinoma using the of self-efficacy theory. The subjects were 34 patients with cholangiocarcinoma: 17 people in the control group and 17 people in the experimental group. The experimental group participated in the activities to enhance self-efficacy for 45-60 minutes/time for 8 consecutive weeks. The research tool was the self-efficacy enhancing program with 8 activities. Data were collected by a self-care behavior assessment form for patients with cholangiocarcinoma with the Cronbach’s alpha coefficient of 0.92. Data were analyzed by independent t-test and paired t-test. The findings were as follows. (1) The mean score of self-care behaviors of the patients with cholangiocarcinoma promoted with the self-efficacy enhancing program was significantly higher than that of those who did not receive the self-efficacy enhancing promotion at the .01 level. (2) The mean score of self-care behaviors of the patients with cholangiocarcinoma after being promoted with the self-efficacy enhancing program was significantly higher than that of before receiving the program at the .01 level. The results of the study can be used as the guidelines for enhancing self-care behavior of patients with cholangiocarcinoma to have better quality of life.

Effects of the Rehabilitation Therapy for Persons with Amphetamine use disorder by BasicBuddhist Teaching of Ethic “Ruk-Nuea-Ruk” (Six Saraniya-Dhamma) with Five Percepts of Adolescents Who have treatment for Amphetamine use Disorder on the Knowledge of Substance Abuse and the Level of Self-defense Intentions for Relapse Prevention of Substance Abuse

Sirirat Nitayawan — 2024-12-11

This quasi-experimental research investigates the effects of the BasicBuddhist Teaching of Ethic “RukNuea-Ruk” (Six Saraniya-Dhamma) with Five Percepts, on substance knowledge and self-defense intentions for relapse prevention of substance abuse. The study involved 54 male juveniles convicted of amphetamine or methamphetamine offenses, housed at a juvenile training and rehabilitation center. The participants were divided into two groups: a control group of 27 participants and an experimental group of 27 participants. Data were analyzed using One-Way ANOVA and Independent t-tests to determine differences between groups.

The results indicated that the experimental group demonstrated significantly higher levels of drug knowledge and self-defense intentions after the intervention and three months later compared to their levels before the intervention and compared to the control group (p ≤ .05). Therefore, it can be concluded that the “Ruk-Nuea-Ruk” program effectively enhances substance knowledge and self-defense intentions among adolescents previously involved with amphetamines. Early implementation of this rehabilitation program can help reduce the social issues associated with amphetamines.

The Effects of Awareness Creating Development Program on Unwanted Pregnancy Prevention among Junior High School Students

Simaporn Puangsuwan — 2024-12-11

The purpose of this quasi-experimental research was to study the effects of awareness development program on unwanted pregnancy prevention among junior high school students in Surat Thani province. The study divided participants equally 2 groups with 30 each of experimental and control group using random assignment. The instrument was used to collect data on the research questionnaire. These include a measure of awareness and decision to choose prevent early pregnancy Cronbach’s alpha coefficients for internal consistency were 0.76 and 0.98, respectively. The efficiency index of program was 80/80. Data were analyzed by using descriptive statistics, Independent t-test and One-way repeated measures ANOVA. The result revealed as follows: no significant difference in experimental and control group before receiving the program. However, the experimental group had higher mean scores of awareness and behavior for preventing early pregnancy than the control group insignificantly (p<0.05). The awareness scores of the experimental group after intervention in the 6 and 12 weeks of the program were significantly higher than those of the experimental group before intervention in the program (p<0.05). This research demonstrates that the developed program effectively enhances awareness and prevents unwanted pregnancy.

Qualitative Research on the Role of Pharmacy Entrepreneurs on Public Health in the Eastern Economic Corridor of Thailand

Rojanee Kunaake — 2024-12-11

This qualitative research aims to 1) explore the roles and responsibilities of pharmacy entrepreneurs in the Eastern Economic Corridor of Thailand towards public health and 2) to explore the success factors of operating a pharmacy business. There were 20 key informants, consisting of 3 nurses owning business, 15 drugstore pharmacists, and 2 drugstore managers. Data were collected through in-depth interviews and analyzed using content analysis. Data were collected through in-depth interviews and analyzed by using content analysis.
The results of the research found that 1) the role of pharmacy entrepreneurs is divided into 6 areas, including drug management, health promotion and disease prevention, providing advice of taking medicine, chronic disease management, inspection, and monitoring, and promoting public health activities, and 2) factors that affect the success of sustainable pharmacy business operations. There are 8 factors, including compliance with regulations, quality certification, customer service, stock management, applying technology to business, service expansion, joining the community, and financial management.
The recommendations are as follows: (1) Drugstore operators working in primary care in Thailand should be developed in 6 areas: 1) Drug management, 2) Health promotion and disease prevention, 3) Counseling on medication adherence, 4) Chronic disease management, 5) Monitoring and follow-up, and 6) Community health activities to increase efficiency in community health care and to provide guidelines for drugstore operators to manage their drugstore businesses for sustainable success. (2) Emphasis should be placed on service models that build trust among patients so that patients will provide confidential information to pharmacists, which will increase treatment efficiency and promote community health in disease prevention. (3) Knowledge should be developed to keep up with emerging diseases and changing natural environments, such as global warming, melting of polar ice caps, and changes caused by human activities, such as wars, economic downturns, chemical spill emergencies, etc., to increase drugstore operators’ business success and improve community health in the new normal era.

Effects of Stress Management Program on Elderly Nursing Skills of Nursing Students

Sakun Panichjaroennan — 2024-12-11

This research was a quasi-experimental study with a one-group pretest-posttest design to compare the stress management and elderly nursing skill scores of nursing students before and after participating in a stress management program. The sample group consisted of 38 second-year nursing students at Suan Dusit University, selected specifically. Data were collected using the elderly nursing skill and stress management questionnaires, with content validity indices of.87 and.90, respectively. The reliability of these instruments was 0.85. and 0.89, respectively. The data were analyzed using frequency, percentage, mean, standard deviation, and paired t-test statistics.
The results showed that after participating in the stress management program, the participants had significantly higher elderly nursing skills and stress management mean scores compared to the baseline (p< 0.05). These findings indicate that the stress management program can serve as a guideline for stress management among students, helping to increase their ability to review knowledge and practice of elderly nursing before practicing nursing in the elderly. This can effectively help in reducing stress and enhancing elderly nursing skills among nursing students.

Out-of-Hospital Emergency Patient Care in Urban Community: Reflection of Female Emergency Medical Service Nurses’ Experiences

Atithep Patiapinun — 2024-12-11

This study aimed to explore the experiences of female emergency medical services (EMS) nurses in providing out-of-hospital emergency care in Urban Community. The study employed the qualitative phenomenology research methodology and applied the Critical Incident Technique for data collection. The informants were 12 female professional nurses with at least two years of experience as EMS nurses in out-of-hospital emergency care. Data were collected through in-depth interviews, observations, and field notes. The data were analyzed using thematic analysis.
The findings revealed four key experiential themes: 1) The gentleness of women builds trust with service recipients, 2) Managing emergencies amidst cultural diversity, 3) Handling mental health cases by female EMS nurses, and 4) Understanding emergency symptoms specific to female patient care. The research findings reflect the crucial role of female EMS nurses in the emergency medical system, particularly in building trust, providing culturally sensitive care, and managing and understanding specific symptoms in female patients. Therefore, enhancing the capabilities of female EMS nurses, developing guidelines for female patient care, and increasing training on cross-cultural patient care are essential for improving the efficiency of the emergency medical system.

Model of Community and Family Development to Care for The Elderly Master Integrated on the Outbreak of The Coronavirus Disease 2019

Nutcha Soiphet — 2024-12-11

This participatory action research aimed to 1) develop the model of community and family development to care for the elderly master integrated on the outbreak of the coronavirus disease 2019 and 2) study the effectiveness of the model. The research operation was divided into two steps. Step 1 involved developing a model for community and family development. The sample group consists of community leaders, village volunteers, elderly caregivers, and public health officials, totaling 30 people join the community forum to exchange knowledge and brainstorm ideas for designing. Data analysis techniques was content analysis. These findings resulted in a framework of educational activities consisting of 7 topics: 1) providing information and news 2) listening to opinions 3) collaboration and building partnerships 4) leadership 5) managing care plans for the elderly related to COVID-19 6) promoting health and preventing COVID-19 among the elderly 7) caring for physical, mental, and spiritual well-being 8) ensuring the safety and well-being of the community. Step 2: studied the effectiveness of the model. The model was implemented with 210 primary caregivers in the Pai Kho Don sub-district. Test the model by organizing educational activities on 7 topics for 2 hours each week, totaling 6 consecutive weeks, with assessments conducted twice: once before the trial and once after the trial ends, 4 weeks later. Descriptive statistics and t-tests was used. The results showed that the sample group showed a statistically significant increase in the average scores for community and family role activities, as well as integrated elderly care, compared to before the intervention (P<.05).

The Development Of A Promoting Model For Child Development At The Age Of 3-5 Years Through A Participatory Learning Process in Sakon

Nakee Sornpho — 2024-12-11

This research and development study was conducted to meet the following objectives: 1) to study the process and develop a model for promoting child development in the age group of 3-5 years; 2) to study the process of implementing the model for promoting child development through a participatory learning process under the cooperation of two ministries in Sakon Nakhon Province with 78 pairs of children aged 3-5 years and their parents. The program for promoting child development and positive discipline with family participation, an emotional intelligence assessment form, a form for measuring skills and ability in assessing and promoting child development, and a child development assessment form were used to assess 5 areas. The data obtained were analyzed with descriptive statistics and t-test.
The findings revealed that the model for promoting child development in the age group of 3-5 years through a participatory learning process under the cooperation of two ministries in Sakon Nakhon Province caused 88.46% of the children to have age-appropriate development. Emotional intelligence was 2.78 points higher than before using the model. Mean individual and overall scores for every aspect of upbringing skills to promote development and emotional intelligence were higher after using the program than before using the program with a 6.06-point increase overall.The variances in scores were statistically significant (p<.05).
Based on the findings, parents should be encouraged to use the program in comprehensive child care to ensure that more continuous child development is promoted.

Cost of Nursing Activities for COVID-19 Patients Undergoing Cesarean Section with Spinal Anesthesia in a Tertiary Hospital

Apichet Heamharn — 2024-12-11

The purposes of the study were to find out nursing activity-based costs for spinal anesthesia in cesarean section patients with COVID-19 in a private hospital. The sample group consisted of cost reports on 30 pregnant patients with COVID-19 patients receiving spinal anesthesia, and 62 personnel in anesthetic nursing units selected using purposive sampling. Two types of data were collected: retrospective data and current data. The research instruments were records of per service unit, nursing activity dictionary, and activity-based cost records. The content validity value of all the instruments was 1, and the observational reliability value was 0.92. The data were analyzed with descriptive statistics (number, percentage, mean, and standard deviation).
The study found that the total nursing activity-based cost was 99,172.33 Baht with the highest cost of management and support activities at 59,237.71 (59.73 percent), followed by nursing activity cost while patients were under anesthesia at 23,466.71 Baht (23.66 percent). When classified into per activity and per unit, it was found that building and environmental management cost during the COVID-19 pandemic was the highest at 963.01 Baht.
The study results indicate that for cost management, Administrators in nursing organizations should have evidence-based data in regard to Nursing Cost Analysis both in the normal situation and in the occurrence of new infections so that they would be able to manage resources expenses in accordance with the arrangement of services in order to have standards in nursing care services for patients as well as efficiency in management and budgeting.

Unit Cost and Break-Even Point Analysis of One Day Surgery Pterygium Service in a Private Hospital

Somruk Chanoop — 2024-12-11

This descriptive research aims to analyze the unit cost and break-even point of providing a one-day pterygium operation with in private hospital. The population was the reports on per unit cost and break-even point of 38 patients and 142 service staff in 12 departments from 1 January 2022 to 31 December 2022. 4) Total material cost 5) Material cost 6) Depreciation cost of goods 7) Depreciation cost of total buildings and equipment 8) Depreciation cost of goods Breakdown by cost unit 9) Building application area by cost unit 10) Physician time use survey 11) Direct total cost. Content validity was tested by 5 experts, 2 experts in cost analysis, 2 experts in management, 1 expert in ophthalmology, and the content validity value was 0.98. The data were analyzed using descriptive statistics number, frequency, percentage, ratio, and mean.
The results of the research showed that the total cost of 12 units was 3,950,537.76 baht. A compared to the proportion of labor costs : materials and investment costs equal to 98.55 : 0.05 : 1.40 (3,889,588.00 : 1,923.34 : 55,312.95 baht) with the unit cost being 103,961.52 baht per person. Break-even analysis per service unit The total fixed cost was 2,820,846.00 baht, the variable cost per unit was 28,359.85 baht, the number of people who received pterygium surgery on a day back in 2022 was 38, and compared with the reimbursement of 12,000 baht. Therefore, it takes 173 case to reach break-even. This empirical data shows that the number of people who receive a one-day pterygium surgery must increase by 135 to reach break-even.

Factors Related to Resilience among Primiparous Adolescent with Unplanned Pregnancy

Nannapat Supol — 2024-12-11

Primiparous adolescent with unplanned pregnancy must have high resilience to overcome the adversities in pregnancy. This descriptive research aimed to examine the resilience and the factors related to resilience among unplanned primiparous adolescent which included self-esteem, self-efficacy and social support. The sample consisted of 84 women with unplanned primiparous pregnant were under 20 years of age selected by random sampling and attending antenatal clinic at Nakhon Nayok hospital. Data were collected from January to March 2023 by using self report questionnaires which included the Demographic Information Questionnaire, Self-esteem Questionnaire, Perceived Self-efficacy Questionnaire, Social support Questionnaire and Resilience Questionnaire The Cronbach’s alpha coefficients of the questionnaires were .74, .89, .86, .98 respectively. Data were analyzed by descriptive statistics and Spearman’s rank coefficient.
The result revealed that resilience among unplanned primiparous pregnant adolescent was high (M = 103.07, SD = 31.18) and factors with a statistically significantly positive correlated with resilience were self-esteem (r = 0.346, p < .01); self-efficacy (r = 0.415, p < .01) and social support (r = .293, p < .01).
The finding suggested, to strengthen the resilience of unplanned primiparous pregnant adolescent, there is a need for raised awareness of self-esteem, enhancement of self-efficacy combined with family involvement.

Effect of the Ergonomic Self–Care Enhancement with the Maneeveda Exercise Program on Lower Back Pain and Functional Ability in Operating Room Nurses

Natthaya Dindem — 2024-12-11

This one-group quasi-experimental research aimed to evaluate the effect of developed program. This study was conducted with twenty-five female subjects purposively selected from OR nurses. The subjects received the treatment for 8 weeks. All instruments were validated for content validity and evaluated for reliability, including the Thai Short-form McGill Pain Questionnaire (α=.85) and the Thai Modified Oswestry Disability Index questionnaire (α=.86). Data were analyzed using descriptive statistics, and the hypotheses were tested by one-way repeated measures ANOVA and Wilcoxon signed-rank test. The findings showed that the mean age was 27.60 years (SD=4.00), the mean working age 4.80 years (SD=4.10), the mean working hours per day was 8.90 hours (SD=1.10). Most of the subjects (60%) experienced lower back pain which was caused by long-term working hours. A majority (68%) had no exercise activities. After the program, the mean score of lower back pain was significantly lower than before the program (F_1,24 =177.537, p<.01). The mean score of the ability to perform functional activities was higher after the program than before but without statistical significance. These findings reveal that the developed program decreased lower back pain scores during the 1-5 weeks. They suggest that the OR nurses should be supported in self-care practice, using the principles of ergonomics, risk management, and Maneeveda exercise. The program should be tested and confirmed using a randomized controlled trial. Other clinical outcomes should be evaluated.

Effects of Using Simulation Game Based Learning to prepare Air Force Student Nurses before Pediatric and Adolescent Nursing Practice

Wikanda Wiriyanupappong — 2024-12-11

This research was conducted in a quasi-experimental research design with a pretest and posttest in two groups, aiming to compare the average scores of knowledge and self-confidence in pediatric and adolescent nursing practice of Air Force Student Nurses between the experimental group that received preparation using a Simulation Game-Based Learning and the control group that received regular preparation. The sample group comprised 60 third-year Air Force Student Nurses in the academic year 2024. was selected by a purposive sampling method. The research instruments comprised a Simulation Game-Based Learning. Data were collected using a knowledge assessment form on nursing care for pediatric and adolescents with common diseases and a self-confidence assessment form on pediatric and adolescent nursing practice, resulting in an IOC value of 1.00, a KR-20 reliability coefficient of 0.77, and Cronbach’s alpha coefficient of 0.92. Data were analyzed using independent t-test and paired t-test.
The results revealed that the experimental group’s average scores of knowledge and self-confidence in pediatric and adolescent nursing practice were higher than in the control group. Moreover, the average scores of the experimental group after the experiment were higher than before the experiment, with statistical significance.
Nursing instructors can use Simulation Game-Based Learning to prepare nursing students before pediatric and adolescent nursing practice.

Factors Related to Pain in Patient with Knee Osteoarthritis

Narumon Sinwisarn — 2024-12-11

This research is a retrospective study examining factors related to pain in patients with knee osteoarthritis at the outpatient clinic of Thasala Hospital between January 2020 and December 2022. Adults and older individuals, totaling 319 participants, were recruited for the study. Data was collected using personal information and self-care behavior record forms. The overall reliability for the entire set (r) was equal to .96. Data were analyzed using descriptive statistics, Chi-square relationship analysis, and binary logistic regression analysis.
The results indicated that significant factors related to pain in patients with knee osteoarthritis include age, occupation, and self-manipulation of the knee. Factors predicting the risk of knee pain and other symptoms included joint stiffness, unsteady walking, swollen knees, and knee pain radiating to the leg or under the calf, as well as age and occupation. (P<.05) Based on the findings of this study, it is recommended that self-care education initiatives be enhanced, detrimental behaviors be modified. These interventions aim to decelerate disease progression, promote overall health, and preserve the occupational capabilities of patients with knee osteoarthritis.

Best Practice of Healthy Aging: The Perspective of the Elderly who Possess Folk Handicraft Wisdom in Phanat Nikhom Community

Juthamas Haenjohn — 2024-12-11

The objective of this research was to extract lessons from the best practice of healthy elderly individuals who acquired folk handicraft wisdom. The participants were 10 elderly aged between 55 – 75 years old who acquired basketwork handicraft wisdom and had normal executive functions. Research instrument included group discussion questions, which included basic information and best practices of being healthy aging in Eastern Economic Corridor. The data from group discussion was analyzed with the content analysis. The results indicated that the best practices of healthy ageing consist of having good health, brain health, mental health, good relationships, and financial stability. Additionally, being healthy ageing should be starting with the age of 40.

Effects of Family Caregivers’ Preparedness Program on Preventing Aspiration in Older Patients with Dysphagia

Sirirat Hermsuwan — 2024-12-11

This study aimed to examine the effects of family caregivers’ preparedness program on preventing aspiration in Thai older patients with dysphagia, a randomized control trial. The participants were family caregivers aged 20 years and above, male and female who take care of older patients are admitted in a private hospital in Bangkok. The participants were comprised of 42 family caregivers and randomly assigned to the two study group (n = 21 per group). There were 21 family caregivers in the control group who received routine nursing care and 21 family caregivers in the experimental groups who received routine nursing care and the preparedness program, 4-day program duration, 15-45 minutes each day. Data collection was performed by using demographic questionnaires, and the Preparation for Caregiving form. Descriptive statistics and t-test were used to analyze the data.
The results showed that the family Caregivers’ Preparedness Program on Preventing Aspiration in Older Patients with Dysphagia in the experimental group were significantly higher than those in the control group with statistical significance (t = 5.79, p = .00).
Since the patient has been admitted, nurses could encourage family to take part in caring to develop the competency and preparedness of caregivers from the hospital to home and to develop the role of nurses in caring for patients before discharge from the hospital to be more efficient.

The Effects of a Mental Health Literacy Enhancement Program on Nursing Student Mental Health Status in Nursing Colleges under Praboromarajchanok Institute in the Central Region Network

Prakasit Poonwong — 2024-12-13

This quasi-experimental research used a two-group, pretest – posttest design to examine the effect of a mental health literacy enhancement program on nursing students. Sixty nursing students, randomly assigned to the control and experimental groups of 30 per group. The experimental group received a mental health literacy enhancement program, and the control group received routine activities. The research instruments comprised: a mental health literacy enhancement program; Thai version of depression anxiety stress scale (DASS-21), The mental health literacy enhancement program had content validity by three experts and DASS-21 reliability was determined with a Cronbach’s alpha coefficient of .91. The data were analyzed by descriptive statistics and t-test.
The result of the study were as follows: 1) After attending the program, the mean mental health status scores for; depression; anxiety; and stress were lower than the pretest at a statistically significant levels (p<.001) 2) The mean difference of mental health status scores including between before and after intervention in experimental group; depression; anxiety; and stress were significantly higher than the control group at a statistically significant levels (p<.001).
The finding of the study suggest that the mental health literacy enhancement program was able to increases the mental health status of nursing students. Therefore, this mental health literacy enhancement program can be an alternative intervention for healthcare provider to enhance the mental health of nursing students.