Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN <p>วารสารพยาบาลทหารบกเป็นวารสารวิชาการและงานวิจัยที่เกี่ยวข้องกับการพยาบาล การศึกษาพยาบาล การส่งเสริมสุขภาพ สาระในวารสารพยาบาลทหารบก บทความวิชาการ บทความวิจัย บทความพิเศษ และปกิณกะ ซึ่งแต่ละฉบับอาจมีเนื้อหาดังกล่าวหลากหลายที่แตกต่างกันไปจัดพิมพ์เผยแพร่ปีละ 3 ฉบับ มกราคม-เมษายน พฤษภาคม-สิงหาคม กันยายน-ธันวาคม</p> <p><span style="font-size: 110%;"><strong>ISSN 1513-5217 (Print) </strong></span></p> <p><span style="font-size: 110%;"><strong>ISSN 2651-2181 (Online) </strong></span></p> วิทยาลัยพยาบาลกองทัพบก en-US Journal of The Royal Thai Army Nurses 1513-5217 <p>บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย</p> <p>บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก</p> <p><span class="fontstyle0">The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those<br>of the editor or Royal Thai Army Nurses Association.</span></p> Editorial Note https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246780 Saisamon Chaleoykitti Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 Syphilis in pregnancy: Nurse’s roles https://he01.tci-thaijo.org/index.php/JRTAN/article/view/237297 <p>At present, the trend of syphilis infection in pregnancy is increasing. Syphilis infection has impact on pregnant women fetus and newborns, husband and nation such as abortion, preterm labor, dead fetus in utero, congenital syphilis, transmission of the infection to husband and lost the budget for treatment etc. Therefore, midwives should give importance and have knowledge and understanding about the role of midwives in taking care of syphilis in pregnancy throughout the childbirth cycle including pregnancy, delivery and postpartum. To guide nursing care syphilis in pregnancy and screening for newborns with congenital syphilis. For reducing the impact and severity of syphilis on pregnancy fetuses and newborns, husbands and the nation.</p> Nuttaya Onpiw Panyupa NaoSrisorn Payom Sinthusiri Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-17 2020-12-17 21 3 1 10 Prevention of Febrile Neutropenia in Acute leukemia Patients: Role of Nurse https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241056 <p>Acute leukemia is a disease caused by abnormalities of blood stem cells in the bone marrow. The chemotherapy is important drug which was used to destroy leukemic cells in acute leukemia patients. Febrile neutropenia is a serious complication of chemotherapy that is a major cause of death. S-SHIP-BE technique was used to prevention infection from febrile neutropenia. It comprised of screening, staff educating, hand hygiene washing, zoning, personal protective equipment wearing, bathing, and environment managing. These are important roles of nurse to promote the quality of life and they were effective techniques to reduce death rate in acute leukemia patients.</p> Titaporn Worapanwisit Chompoo Paritsiraprapa Witchaya Rotchanarak Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-17 2020-12-17 21 3 11 19 Transformative Learning: Apply to Nursing Administration and Management Subject https://he01.tci-thaijo.org/index.php/JRTAN/article/view/239853 <p>Transformative Learning is learning through the reflection process that the goal of learning management towards a change in the nursing education perspective are to encourage nursing graduates after graduation, achieving change agent, professional nurses solving current and serious health problems, including effect to higher client expectation of nurses’ caring as well. In this new paradigm of learning management towards change, the author applied a new conceptualization process to design learning activities in Nursing Administration and Management Subject for achieving change agent and taking a role of nursing change leader in the future.</p> Thinnakorn Buachu Nutcha Soiphet Prapaporn Muangkaew Paphadar Chomphunit Siriporn Chayathab Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-17 2020-12-17 21 3 20 28 The Roles of Community Health Nurses in Stroke Prevention Based on Self-Management Concepts https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240228 <p>Stroke is a major cause of mortality and lifelong disability. The important risk factors for the disease are inappropriate health behaviors such as lack of exercise, unhealthy diet, smoking and drinking, etc. These factors such as hypertension, diabetes mellitus, heart disease, and high cholesterol can lead to stroke. Stroke affects the quality of life of the patients including physical, mental, social, family and economic loss. Therefore, prevention of stroke is an important role of community health nurses. Self-management concepts can be applied to help the patients to change their behaviors. The process consists of 1. Setting goals 2. Data collection 3. Data processing and evaluation 4. Decision Making 5. Implementation and 6. Self-reflection. Community health nurses can apply these concepts to prevent the occurrence of stroke and to promote the quality of life of the patients and their families. These steps can also help develop their self-efficacy to manage the disease by adjusting their behaviors to be in accordance with their conditions of disease and satisfaction in daily life.</p> Pattana Sattawatcharawanij Wadeerat Sriwongwan Nichamon Lumrod Kittikran Pandan Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-17 2020-12-17 21 3 29 37 Nursing Care for Neonate with Gastroschisis https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246527 <p>Gastroschisis is an abnormal condition of neonate with a hole in the congenital abdominal wall. It results from an abnormality in the umbilical vein or a ruptured umbilical hernia sac. It defects the anterior abdominal wall in every layer. Therefore, the intestine protrudes from the abdominal wall and is swollen, inflamed, or infected. The doctor can detect this condition in the antenatal period and after delivery. After birth, preventing hypothermia, infection, and lack of water and nutrients is very important. After the abdominal wall closed surgery, nursing care focuses on preventing hypoxia due to decreased breathing efficiency. It can occur because of re-entering the intestine into the abdomen cavity. That can make the chance of increased intra-abdominal pressure. The register nurses have to monitor the abdominal compartment syndrome, wound infection, and lack of water and nutrition due to the dysfunction of the intestine. Before discharging the neonate, nurses should assess the parents’ knowledge, anxiety, and readiness to care for their newborn at home and encourage them to care for the newborn’s safety.</p> Kandamanee Phansang Thipkhumporn Keskomon Aphisit Tamsat Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 38 47 The Development of an Enhancing Competency Program through Electronic Media for Perioperative Nurses to Care Patients with Brain Tumor Surgery at Sunpasitthiprasong Hospital https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246528 <p>The purposes of this research and development were: (1) to develop an enhancing competency program through Electronic Media for perioperative nurses to care patients with brain tumor surgery at Sunpasitthiprasong Hospital, and (2) to examine the results of program implementation for caring patients with brain tumor surgery at Sunpasitthiprasong Hospital.</p> <p>The sample comprised 36 perioperative nurses at the 1st - 4th levels in the operating room at Sunpasitthiprasong Hospital, and they were selected by purposive sampling. The research tools composed of (1) a program to enhance competency through electronic media, named “Line Application on Brain Tumor Surgery” for perioperative nurses and a surgeon to care patients with brain tumor surgery, and (2) evaluation form to evaluate perioperative nurses’ competencies. These tools were developed by the researcher and integrated 3 concepts relating to brain tumor surgery, and were verified by 5 experts. Content validity index and the Cronbach’s alpha reliability coefficients of the questionnaires were 0.944 and 0.982 respectively. Data were analyzed by frequency, percentage, mean, standard deviation, and Pair t-test.</p> <p>Research findings were as follows. 1) The developed program included 5 activities (1) program introduction, (2) giving knowledge, (3) simulation, (4) assignment, and (5) knowledge sharing. 2) After program implementation, the mean score of perioperative nurses’ competencies in 5 domains was at the highest level (M = 4.394, SD = .447), and were statistically significantly higher than before (p &lt; .01).</p> Sulakkana Janthaweesuk Boontip Siritarungsri Sompong Pamulila Usavadee Asdornwised Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-28 2020-12-28 21 3 48 57 Development of Health Promotion Program to Reduce the use of Pesticides for Non-Communicable Diseases Prevention of Farmers https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240973 <p>The purposes of this research were to develop a health promotion program to reduce the use of pesticides in order to prevent non-communicable diseases in farmers and to study the effectiveness of the program. The sample comprised of 40 registered farmers from Mae -Chan, Chiang-Rai. The research methodology was divided into 2 phases. Phase1: Develop health promotion program to reduce the use of pesticides for the prevention of non-communicable diseases in farmers. Phase 2: Pre and Post evaluation of participation in health promotion program to reduce the use of pesticides for the prevention of noncommunicable diseases in farmers. The instrument used in the research was the questionnaire to assess ฅfarmers’ knowledge on pesticide use to prevent non-communicable diseases. The data were analyzed by descriptive statistics, and Paired t-test. The results showed that the behavioral scores for pesticide use before and after receiving the health promotion program was significantly different. (t = 14.866, p &lt;.05).</p> Buppar Viriyaratanakul Pongpat Rattanasuwan Phornsawan Chuajedton Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-21 2020-12-21 21 3 58 66 A Study of Nursing Outcomes Indicators of Acute Stroke Patients in Community Hospitals https://he01.tci-thaijo.org/index.php/JRTAN/article/view/202740 <p>This research is a descriptive research to determine the outcome indicators for acute stroke patients in community hospitals. And how to define the indicators is the researcher will review the related literature and use theoretical method as a preliminary indicator of the conceptual framework and the opinions of experts who have knowledge, ability and experience. The expert group consists have 21 persons, divided into 5 Nursing instructor and academic group, 7 nursing administrators, 6 Advance practice nurse and 3 Stroke specialist doctor. The data collection tool is the questionnaire about the indicators of nurses in acute stroke patients in community hospitals, 3 rounds include opened end questionnaires and rating scale questionnaires and showing the quartile range questionnaires and median for the expert to confirm the answer or change the answer Data analysis by using statistics to measure central tendency and interquartile range. The study found that the results of indicators for acute stroke patients in community hospitals include 7 domains, 41 indicators: 1) The safety of the nervous system and brain. 2) The access and efficiency of the period of receiving thrombolytic drugs. 3) The coordinating care and transfer to another hospital. 4) The satisfaction of patients and family in receiving services. 5) The psychological response of patients and family. 6) Discharge planning. 7) Continuing of care.</p> Thapanee Chaikulab Wasinee Wisesrith Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-21 2020-12-21 21 3 67 75 Competencies of the Trainees Graduated from the Nursing Specialty in Nurse Practitioner Program (Primary Medical Care) at Boromarajonani College of Nursing Bangkok https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241648 <p>This research is a descriptive cross-sectional study design. The objective is to follow up on the competencies of nurse practitioners attended the 4-month primary medical care nurse practitioner program at Boromarajonani College of Nursing Bangkok. The sample was a total of 66 which comprised 43 graduated nurse practitioners and 23 supervisors of them. The research instruments included 1) the nurse practitioner competency evaluation scale on primary medical care and 2) the satisfaction questionnaire of supervisor towards nurse practitioner competency on primary medical care.</p> <p>Results at 1-year post training showed that self-perception of nurse practitioners on the overall competency regarding primary care practice was at good level (Mean = 3.93, S.D. = 0.68). 1) Perceptions of supervisors towards the overall competency of nurse practitioners on primary medical care was at good level (Mean = 4.16, S.D. = 0.56). The comparison of mean scores between self-perceived competency of nurse practitioners and competency perceived by supervisors was not significantly different (t = 1.48, p = .72). 2) The satisfaction of supervisors towards nurse practitioner competency on primary medical care was at very high level (Mean = 4.36, S.D. = 0.50).</p> <p>In conclusion, these satisfactory findings support the effectiveness of the primary medical care nurse practitioner training program hosted by Boromarajonani College of Nursing Bangkok In managing the curriculum, research results should be used as the basis for planning for future curriculum development.</p> Kitsanaporn Tipkanjanaraykha Sumlee Saleekul Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-21 2020-12-21 21 3 76 85 Life Scenes of Patients with Cholangiocarcinoma: A Case Study of One Province in The Northeast of Thailand https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240069 <p>This qualitative study aimed to describe the life scenes of patients with cholangiocarcinoma living in a province in the Northeast of Thailand. The informants were 38 patients with cholangiocarcinoma and their family members selected by a purposive sampling method. Data were collected by in-depth interviews, and analyzed by content analysis based on Giorgi’s guidelines. The results showed that the life scenes of patients with cholangiocarcinoma consisted of 2 main issues: (1) 3 characteristics of patients with cholangiocarcinoma, namely 1) those who have not yet had symptoms but the disease has accidentally detected, 2) those with mild symptoms similar to gastric disease, and 3) those with severe symptoms; and (2) 4 types of lifestyle of patients with cholangiocarcinoma: 1) living alone, 2) staying with family, 3) having self-care for not suffering and 4) trying to stay alive for as long as possible. The results of the study can be used as the guidelines for caring for patients with cholangiocarcinoma and can be the proposal for the integration of knowledge in caring for patients with cholangiocarcinoma between the professional sector and the public sector.</p> Sompong Pamulila Wassamon Paprom Chaliya Wamaloon Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-21 2020-12-21 21 3 86 97 The Relationship of Empowerment and Postpartum Self-care Behavior of Teenage Mother https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246585 <p>The purpose of this research was to study the relationship of empowerment and postpartum self-care behavior of teenage mother. Samples were 100 in postpartum teenage mother by purposive sampling. Research instruments were a demographic questionnaire, the opinion of empowerment in teenage mother, and postpartum self-care behavior of teenage mother which was tested for content validity and reliability. The Cronbach’s Alpha Coefficient of questionnaire was .95. Data were analyzed by using frequency, mean, standard deviation, and Pearson’s product moment correlation.</p> <p>Findings revealed that the empowerment correlated the postpartum self-care behavior of teenage mother at the most was the nurse ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 4.22, SD = .75) and the least was the client ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 3.72, SD = .81). The postpartum self-care behavior of teenage mother was a high level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 3.90, SD = .22) at the most was the therapeutic self-care demand ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 4.25, SD = .74) and the least was the theory of self-care ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 3.02, SD = .91). The empowerment was positively correlated with the postpartum self-care behavior of teenage mother at statistically significant level of .01. (r = .56).</p> Chusri Manokarn Sasiya Buaphut Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-28 2020-12-28 21 3 98 108 Factors Related to Health Literacy among High Risk Diabetes Mellitus Population in Bangkok Community https://he01.tci-thaijo.org/index.php/JRTAN/article/view/222091 <p>The purpose of this research was to study the correlation among factors such as income, perceived health status, caregiver, social support, access to care, the 3E 2S policy and health literacy among a high-risk diabetes mellitus population in Bangkok. The sample was 230 high-risk diabetes mellitus, people aged 18 - 59 years, both male and female in Bangkok community. The samples were obtained by simple random sampling by using questionnaires, consisting of a demographic questionnaire, perceived health status questionnaire, social support questionnaire and health literacy questionnaire according to ‘3E 2S’ policy in population at high-risk diabetes mellitus. Data were analyzed by using descriptive statistics, Pearson product - moment correlation coefficient and point-biserial correlation coefficients.</p> <p>The results show that the high risk diabetes mellitus population had moderate overall health literacy (56.1%) and the factors related to health literacy among the high risk diabetes mellitus with statistical significance include income, perceived health status, social support, access to care and the 3E 2S policy. It was found that the factor that was not related to health literacy among the high-risk diabetes mellitus population was care giver From the study, proactive service system model should be developed to enhance health literacy by considering income, perceived health status Social support Providing services that are easily accessible And support awareness and access to 3E 2S policy</p> Jongkonnee Khunasa Rukchanok Koshakri Kerada Krainuwat Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-21 2020-12-21 21 3 109 120 Effective of Akha Guide Program on Level of knowledge for Hypertension Prevention, Attitude to Hypertension Disease and Hypertension Prevention Behavior in the Pre-hypertension Akha Population https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240768 <p>The purpose of this pretest-posttest quasi-experimental research design was to examine the level of knowledge for hypertension prevention, attitude to hypertension disease and hypertension prevention behavior in the pre-hypertension Akha population. The samples were 30 pre-hypertension Akha population that were selected by targeted sampling method. The samples received 12 weeks of Akha guide program based on health promotion theory. The instruments for data collection were general questionnaires, hypertension knowledge questionnaires, attitude to hypertension disease questionnaires and hypertension prevention behaviors questionnaires. The data analysis used descriptive statistic and t-test.</p> <p>The results indicated that samples had better posttest score of hypertension knowledge, attitude to hypertension disease and hypertension prevention behavior more than pretest. (p &lt; 0.05)</p> Pattarika Panya Tadsaneewan Gantagad Porntip Sareeso Piyaporn Praison Buppar Viriyaratanakul Nongnut Kantapan Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-27 2020-12-27 21 3 121 130 The Effects of a Program for Parents Responding to Children with Difficult Temperament on The Temperament of Preschool Children https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246711 <p>The purpose of this quasi-experimental study was to examine the effects of a program for parents responding to children with difficult temperament. Parents meet the inclusion criteria were randomly assigned to the experimental and control groups with 40 participants in each group. The data were collected using the assessment for temperament form for Parents. Data were analyzed using descriptive statistics and t-test.</p> <p>The results indicated that the mean posttest score for the assessment for temperament in the experimental group after participating in the program was statistically significantly lower than the mean pretest score, and the mean posttest score in the experimental group after participating in the program was statistically significantly lower than the mean control group score (p &lt;.001). The program for parents responding to children with difficult temperament helped parents in improving their self-regulation skill and enhancing ability to respond to their children with difficult temperament properly.</p> Sweena Deepaen Panida Siriumpunkul Mayuree Nirattharadorn Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-28 2020-12-28 21 3 131 139 Factors Related to Health Literacy Among High-Risk Hypertension Population in Bangkok https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246712 <p>The purpose of this study was to study the relationships between ecological factors and the health literacy of a high-risk hypertension population in a Bangkok community. The sample group was 282 subjects at high risk for hypertension who were aged 18-59 years. Data was obtained by using a demographic questionnaire, a health status awareness questionnaire, a questionnaire on social support from families, a questionnaire on 3A 2S. policy and a health literacy questionnaire for high blood pressure risk groups. The data analysis used descriptive statistics, Pearson’s correlation and point bi-serial correlation statistics.</p> <p>According to the findings, health status awareness, social support from families, proactive service systems for high blood pressure risk groups and 3A 2S policy were all correlated with the health literacy of high blood pressure risk groups in the community with statistical significance (r = .128, p &lt; .05, r = .439, p &lt; .001, r = .152, p &lt; .05, r = .482, p &lt; .001. respectively) Concerning the age and provision of services from public health volunteers, there was no correlation with the health literacy of the high blood pressure risk group in the community studied in Bangkok (r = .020, p &gt;.05, r = .081, p &gt;.05. respectively)</p> <p>The findings suggested that In planning the development of a care model for high blood pressure risk groups that are suitable for the context of Bangkok, Should encourage family members to take a role in taking care for risk groups and Increase the way to educate the 3A 2S, policy</p> Ladapha Tanak Rukchanok Koshakri Yupa Jewpattanakul Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 140 150 The Enhancement of Parental Responsibility’s Juvenile Offender Through Assimilative Integrative Family Counseling Based on Structural Family Counseling Theory https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246714 <p>The purpose of this research is to study the elements of parents’ responsibility and to enhancement the responsibility of parents with integrated family counseling. Which is an experimental research divided into 2 steps. Step 1 is the study of the factors of responsibility. The sample group is parents who have children offending and entering the process of the Juvenile and Family Court for 400 person. Step 2 is to enhancement of responsibility of parents with integrative family counseling. The sample group is parents who have children offending and entering the process of the Central Juvenile and Family Court with 20 parents’ moderate responsibility levels. With simple random sampling into the experimental group and the control group for 10 families each group. The tools used were the parents’ responsibility measure of 37 items with the value of .91 and family counseling programs developed by the researcher. Statistics for analysis is confirm factor analysis and repeated variance analysis.</p> <p>The results of this research revealed that The parents’ responsibility component has 6 factors : solving problems of family members, communication of family members, roles of family members, emotional responses of family members, controlling the behavior of family members and expectations. And the enhancing the responsibility of parents found that parents who receive counseling have an average difference in parents’ responsibility scores with parents who are not consulted during the post-trial period with statistical significance at .05 level and parents who received integrative family counseling has mean scores of parents’ responsibility in the post-test period were different from the pre-trial period with statistical significance at .05 level.</p> Jutarat Chinchanya Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 151 159 The Evaluation of Caring Curriculum for Patients with Stroke in Boromarajonani College of Nursing, Changwat Nonthaburi https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242340 <p>This study was aimed to evaluate a caring curriculum for patients with stroke in Boromarajonani College of Nursing, Changwat Nonthaburi using the CIPP framework. The sample was 25 nurses who were trained in the caring curriculum, 25 commanders of nurses who were trained and 25 colleagues of nurses who were trained. Quantitative data was collected including, 1) The CIPP model questionnaire consisting of context, input, process, and the product collected from nurses who were trained in the caring curriculum, and 2) nursing competencies after training questionnaire collected from commanders and colleagues of trained nurses. Qualitative data was collected using a focus group interview with 8 nurses who were trained in a caring curriculum for patients with stroke. Quantitative data were analyzed by percentage, mean and standard deviation, and qualitative data was used by content analysis.</p> <p>The results showed that the quantitative and qualitative findings were consistent. Overall, the results of evaluating a caring curriculum for patients with stroke in Boromarajonani College of Nursing, Changwat Nonthaburi was at a high level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 4.17 SD = 0.66). The evaluation of this program in each aspect found that: 1) this program had responded to the policy of health region, 2) the experts have been specialists and the instructional media were ready to use, 3) the process of this training program could guide nurses who were trained to solve of problems in real situations, and 4) nurses who were trained had increased the competencies in caring the patients with stroke and the competencies in searching data.</p> Nichada Santwanpas Petchrung Dechpoonyachit Kittikran Pandang Siriporn Kruttakart Sudarat Wanngamwiset Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-27 2020-12-27 21 3 160 169 Effects of An Integrating Academic Service Project in Health promotion for Preschool Age on Learning Outcomes of Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246715 <p>The purpose of this study were to examine effects of an integrating academic service project in health promotion for preschool age on learning outcomes of nursing students. The sample consisted of 64 nursing students in faculty of nursing who registered in child and adolescent nursing I subject in academic 2015, Ubonratchathani University, selected by a purposive sampling. Data were collected by developed questionnaire which consisted of 3 components; 1) Personal data questionnaire 2) Learning outcomes of nursing students questionnaire; Ethics and moral, Cognitive skills, Interpersonal skills and responsibility, Numerical analysis, communication and information technology skills 3) Learning outcomes in knowledge of health promotion for preschool age questionnaire. Data were analyzed by descriptive and paired t-test.</p> <p>The results found that students perceived that their learning outcomes were as follow: The mean score of learning outcomes in numerical analysis, communication and information technology skills at a very good level (Mean = 4.43, SD = 0.48), ethics and moral at a very good level (Mean = 4.31, SD = 0.42), interpersonal skills and responsibility at a very good level (Mean = 4.27, SD = 0.46), and cognitive skills at a good level (Mean = 4.16, SD = 0.47). The mean score of knowledge in learning outcomes of health promotion in preschool age after intervention was significantly higher than before intervention (p &lt; .001).</p> <p>The result from this study recommended that nursing curriculum should develop an integrating service project in learning in order to promote learning outcomes of nursing students.</p> Wisanee Boonmun Dueanphen Bunmachu Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 170 178 A Confirmatory Factor of Team Effectiveness for Nursing Instructors under the Ministry of Public Health https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246716 <p>The objective of this research was to check the concordance confirmatory of emotional intelligence, individual characteristics, servant leadership, and team effectiveness for nursing instructors under the Ministry of Public Health. A sample of 325 was randomly selected by multi stage sampling from nursing instructors under the Ministry of Public Health. The research instrument was a questionnaire which used to collect data were an opinion of emotional intelligence, individual characteristics, servant leadership, and team effectiveness. The data were collected using confirmatory factor Analysis (CFA). When analyzing the confirmatory factors found that the weight values of the factors were positive value between 0.31-0.53 with statistically significant level = 0.01</p> <p>The results of the concordance test were found that the chi-squared score = 139.87 at the degree of freedom (df) = 109, the goodness-of-fit index (GFI) = 0.96, the adjusted goodness-of-fit index (AGFI) = 0.93, confirmatory fit index (CFI) = 1.00, the Standardized Root Mean Square Residual (SRMR) = 0.03, and the root mean square error of approximation (RMSEA) = 0.03 which shows that the model of emotional intelligence, individual characteristics, servant leadership, and team effectiveness for nursing instructors under the Ministry of Public Health comply with the empirical data in good condition.</p> Chusri Manokarn Raslapas Jaiyasit Sasiya Buaphut Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 179 190 The Effects of A Behavioral Modification Program on The Mental Health Self-Care of Persons With Alcohol Dependence https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246717 <p>The purpose of this quasi-experimental design was to examine the effects of a behavioral modification program on the mental health self-care of persons with alcohol dependence, and was divided into two pre-posttest groups. A research sample of 62 alcohol-dependent patients in the out-patient unit at four District Health Promotion Hospitals of Srisaket province in Thailand were randomly assigned to experimental and control groups, with 31 subjects in each group. The experimental group participated in the behavioral modification program for eight sessions weekly, 2 hours per each session, and the control group received regular caring activities. The research instruments were the following: 1) A personal data questionnaire; 2) a behavioral modification program; and 3) a mental health self-care scale. The behavioral modification program was validated for content validity by 3 professional experts and the mental health self-care scale had a Cronbach’s alpha coefficient reliability of .97. The demographics were analyzed using descriptive statistics. A comparison of the mean score for the mental health self-care between the pretest and posttest for the experimental and control group was analyzed using dependent t-test. Further, an independent t-test was used to examine the mean difference between the pretest and posttest mean score for the experimental group and control group. The research findings were as follows: 1) The mean score for mental health self-care on the posttest (M = 199.64, SD = 17.60) for the experimental group after participating in the program was significantly greater than their mean score on the pretest (M = 173.39, SD = 21.40) before participating in the program (t = 7.30, p&lt;.001). 2) The mean difference in the mental health self-care mean score between the pretest and posttest of the experimental group ( <img title="\bar{D}_{1}" src="https://latex.codecogs.com/gif.latex?\bar{D}_{1}"> = 26.55, SD = 20.25) was significantly greater than that of the control group that received regular caring activities ( <img title="\bar{D}_{2}" src="https://latex.codecogs.com/gif.latex?\bar{D}_{2}"> = .29, SD = 4.53) (t = 7.05, p&lt;.001).</p> <p>As a result of this study, it can be concluded that this behavioral modification program can enhance the mental health self-care of alcohol-dependent persons. The findings suggest that future study should continue investigating this program with groups experiencing hazardous or harmful alcohol consumption and amphetamine addiction and should be assessed for its continuous effectiveness and sustainability.</p> Chamlongluk Sasung Chomchuen Somprasert Sararud Vuthiarpa Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 191 202 The Model Development of a Family Capacity Building for Adolescent Pregnancy Prevention in Nakhon Phanom Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/196557 <p>The purposes of this research were 1) to develop model of a Family Capacity building for Adolescent pregnancy prevention in Nakhon Phanom province 2) to evaluate model of a Family Capacity building for Adolescent pregnancy prevention in Nakhon Phanom province. The research procedure consisted of four phases including : context analysis, developing the model testing and evaluating of the model. The results were as follows:</p> <p>1. The model development of a Family Capacity building for Adolescent pregnancy prevention in Nakhon Phanom province called APPLE Model consisted of 5 factors: Assessment, Problem Lists, Purpose, Level of activities and Effective Evaluation.</p> <p>2. The result of model development of a Family Capacity building for Adolescent pregnancy prevention in Nakhon Phanom province showed that the overall was at a high level satisfaction ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 4.72, S.D. = .57). When classifying into the Ease of use, Suitability, The completeness of the information, Performance / speed.</p> Wisai Kata Patchanee Somkumlung Nutcharat Mangkarakeree Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 203 214 The Effectiveness of Discharge Planning’s Clinical Nursing Practice Guideline on Activity Daily Livings, Hospital Readmission and Quality of Life in Ischemic Stroke Patients https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246760 <p>This quasi-experimental research aimed to study the effectiveness of discharge planning’s clinical nursing practice guideline on activity daily livings, hospital readmission and quality of life in ischemic stroke patients. The samples were divided into two groups: including 30 patients received usual care, and 30 patients received discharge planning’s clinical nursing practice guideline. Data analyzed using frequency, percentage, average score, standard deviation, and t-test statistics. The results found that the average age of ischemic stroke patients in the intervention group was 59 years old, most of participants were male with 56.7 percent, and married status was 80 percent. The participants in the intervention group showed activity daily livings and quality of life average scores after implementing the discharge planning intervention higher than the control group with significant difference (t<sub>40</sub> = -2.629, p = .012 and t<sub>58</sub> = -2.481, p = .016, respectively). However, hospital readmission of ischemic stroke patients found 2 cases while no hospital readmission was found in the intervention group after a 1-month follow-up but no significant difference (p = .150). Therefore, to develop the outcomes in taking care of ischemic stroke patients, nurses must have the appropriate and effective discharge planning’s clinical nursing practice guideline.</p> Thanpimol Kensakoo Tuanjai Sinumpaisit Werayuth Srithumsuk Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 215 224 Application of Change Theory to Promote Nurse Adherence to Clinical Practice Guideline for Patients with Acute Ischemic Stroke https://he01.tci-thaijo.org/index.php/JRTAN/article/view/212679 <p>Non-adherence to standard of care may lead to adverse outcomes of care especially among patients who need critical care such as stroke. This action research aimed to apply Lewin’s theory of change to promote nurses’ adherence to standard guideline for acute ischemic stroke patients. Study participants were 10 registered nurses who were currently working at the stroke unit. In conclusion, application of change theory effectively promoted nurse’s adherence to guideline.</p> Khwanchira Kantalo Wasana Ruaisungnoen Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 225 233 The Effects of An Emotional Intelligence Development Program on The Impulsive Behavior of Junior High School Students in Extended Opportunity Education Schools in Bangkok https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246763 <p>The purpose of this two-group pretest-posttest quasi-experimental study was to examine the effectiveness of an emotional intelligence development program on the impulsive behavior of junior high school students in extended opportunity education schools in Bangkok. One hundred and sixty-eight participants were randomized equally into the experimental and control groups (84 in each group). The experimental group received the emotional intelligence development program that was developed based on the Bar-On model of the emotional intelligence factors of impulse control, along with the Kolb model of experiential learning, for a period of 4 weeks, while the control group was treated normally. The research instruments were: 1) the emotional intelligence development program; 2) a general information questionnaire; and 3) the Barratt Impulsiveness Scale (BIS11) translated into Thai. The Cronbach’s alpha coefficient for the BIS-11 was .75. General data were analyzed using descriptive statistics, comparing the average impulsive behavior scores in the experimental group before and after the program using dependent t-test, and comparing the average impulsive behavior scores after the program between the experimental group and the control group with independent t-test.</p> <p>After the experiment the average impulsive behavior score for the experimental group (M = 59.05, SD = 9.87) was lower than before the program (M = 68.18, SD = 6.08) and the control group (M = 69.57, SD = 5.365) at a statistical significance (p&lt;.05).</p> Seawita Kaewganha Angkana Jirarode Nidtaya Takviriyanan Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 234 242 Screening for Dementia in Elderly, Mae Chaem District, Chiang Mai Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246766 <p>This survey research was aimed at study the relationships between gender, age, self- dependent, and body mass index with dementia of the elderly, who had dementia at Pang Hin Phon Subdistrict, Mae Chaem District, Chiang Mai Province. There were 109 purposive sampling. The measurement was consisting of personal data relating to participated in the study for assessing the biodata that related to dementia and were screening with the Thai Mental State Examination (TMSE). The screening test covering six dimensions; orientation, registration, attention, calculation, language and recall. The results of data analysis had revealed that: 1) Twenty-one male (19.27%) and forty-one female (37.61%) had dementia. 2) The mean and standard deviation of the sample, as a whole, and classified by the 6 aspects of dementia were not statistical difference significantly at 0.05 level. 3) Age had relationship with dementia was statistical difference significantly at 0.05 level, but gender, self-dependent, and the body mass index had no relationship with dementia statistical difference significantly at 0.05 level.</p> Wanida Sriworakul Ponsab Srinualnad Prapapan Sukhonthachit Puangtip Chaiphibalsarisdi Donna Huddleston Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 243 251 Self-Care Experience of Bed-bound Elderly https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241394 <p>The purposes of this qualitative research was to explain the self-care experience of bed bound elderly. Purposive sampling was applied to recruit 8 bed-bound elderly who have been riding on the bed more than one year, could understand in Thai communication. The data were collected by in-depth interview with a semi-structured interview questionnaire which was constructed by researcher base on Orem’s self-care theory. and recorded the interview. Content analysis were conducted on Giorgi’s method.</p> <p>The results showed that 1) the meaning of bed-bound elderly self-care was The activity to maintain performance, without increasing health problems, Included creating and developing their tacit and explicit knowledge for promotion self-care to decrease burden on caregiver’s and family. 2) The self-care of bed-bound elderly consists of taking care for providing sufficient food, water, and air at the caregivers’ convenience, normal digestive and Urinary system, clean body and environment, normal movement and good sleeping.</p> Suwanna Vudhironarit Walainaree Pommala Amonrat Satthathummarak Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 252 261 The Effect of a Cognitive-Behavioral Therapy Program on The Aggressive Behaviors among Delinquent Adolescents in Observation and Protection Center https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246769 <p>Aggression among delinquent adolescents in an observation and protection center may be caused by negative automatic thoughts, irrational thoughts, and the lack of important social skills. Helping these youths to reduce their aggression is important. This quasi-experimental research used a pretest-posttest control group design. The purpose of this study was to examine the effect of a cognitive-behavioral therapy program on the aggressive behaviors of delinquent adolescents in an observation and protection center. The samples were male adolescents in an observation and protection center, department of juvenile observation and protection in Bangkok and perimeter, aged 15-18 years. The 66 adolescents were divided into experimental and control groups, 33 adolescent in each group. The experimental group participated in the cognitive-behavioral therapy program for 6 weeks, 120 minutes on the 1st and the 6th week, and 60 minutes from the 2nd to the 5th week. The control group received the routine program of the observation and protection center. The research instruments consisted of the following: 1) personal information; 2) the cognitive-behavioral therapy program; and 3) an aggressive behavior scale. Data were analyzed using descriptive statistics and t-test.</p> <p>The result found that: 1) after participating in the cognitive-behavioral therapy program, there was a significant decrease in the mean of the participants’ aggressive behavior scores (M = 32.81, SD=5.61) than before (M = 41.61, SD = 8.47) (t = 10.46, p&lt;.001); and 2) there was a significant difference in the mean differences in the aggressive behavior scores between pretest and posttest intervention of the experimental group ( <img title="\bar{D}_{1}" src="https://latex.codecogs.com/gif.latex?\bar{D}_{1}"> = 8.81, SD = 4.69) and control group ( <img title="\bar{D}_{2}" src="https://latex.codecogs.com/gif.latex?\bar{D}_{2}"> = 2.27, SD = 1.07) (t = 7.80, p&lt;.05).</p> <p>The findings suggest that such a cognitive-behavioral program could be effective decreased and beneficial program for control aggressive behavior among adolescents in observation and protection centers, in the department of juvenile observation and protection.</p> Kanlaya Tasa Nuchanart Bunthumporn Chomchuen Somprasert Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 262 274 Effect of Computer Assisted Instruction on Pediatric Nurses’ Knowledge about Chest Physiotherapy in Children https://he01.tci-thaijo.org/index.php/JRTAN/article/view/224289 <p>This study was to test the effect of computer assisted instruction on pediatric nurses’ knowledge about chest physiotherapy in children. The samples consisted of 32 registered nurses who had working at pediatric unit in a university hospital, Bangkok. The data were collected by using the general information questionnaire, and the knowledge of physiotherapy in children test. The data were analyzed using Wilcoxon signed ranks test</p> <p>The findings revealed total score of the knowledge of physiotherapy in children test was 20 points, the median score before using computer assisted instruction of physiotherapy in children was 15 (min = 11, max = 17) and after using this CAI was 17.5 (min = 14, max = 20), the median knowledge score of the effect of computer assisted instruction on pediatric nurses’ knowledge of chest physiotherapy in children was higher than before with statistical significance (p&lt;.01)</p> <p>The results of the study can be used to review the knowledge of physiotherapy in children for pediatric nurses and can be applied with the right technique of physiotherapy in pediatric patients.</p> Malinee Wankaew Sermsri Santati Chuenrudee Kongsaktrakul Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 275 282 Effect of The Resuscitation Training Program on Knowledge and Skills and Perceived Self-Efficacy of Resuscitation Village Health Volunteers in Khlong Chik Subdistrict, Bang Pra in District, Phra Nakhon Si Ayutthaya Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246774 <p>The study of the effect of the resuscitation training program on knowledge and skills And perceived self-efficacy in resuscitation of Village health volunteers in Khlong Chik Subdistrict, Bang Pa-in District Phra Nakhon Si Ayutthaya The purpose is to compare knowledge. Skills and perceptions of self-efficacy in resuscitation of Village health volunteers before-after receiving resuscitation training programs Materials and methods This research is conducted by conducting experiments on existing samples. There was no random sampling and measurement before - after the experiment. The sample consisted of village health volunteers in Khlong Chik Subdistrict Municipality. Bang Pa-in Phra Nakhon Si Ayutthaya Who had never been trained in resuscitation The sample number is 50 people, which is obtained by selecting a specific sample group. The tools used in this research were Test of knowledge about resuscitation With a reliability of 0.82 and the assessment of resuscitation skills With a reliability of 0.86. The self-efficacy assessment form for resuscitation With confidence value 0.78. The statistics used in Data analysis is frequency distribution, percentage, mean, standard deviation. And comparing with the two types of T values is not independent from one another The results showed that after receiving the resuscitation training program The knowledge and skills of Village health volunteers regarding resuscitation had a higher average score than before receiving the program with statistical significance at the level of .05 and the perceived self-efficacy of basic resuscitation of Village health volunteers. It was found that after receiving the resuscitation training program, the mean score was higher than before receiving the program at the statistical significance level of .05. Conclusion The resuscitation training program is necessary and important in helping develop potential, increasing confidence in the performance of duties. Able to help people with cardiac arrest in emergency situations before being hospitalized</p> Natnapa Sasang Thassaporn Chusak Aree Sanee Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 283 293 Applying of Critical Autoethnography to Aesthetic of Self-Care by People with Epilepsy https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246775 <p>This research article aims to disclose the process of knowledge construction from the experiences of people with epilepsy through self-observation and reflection, leading to the redefinition of the identities of the participants in this research. The emphasis on self-reflection is a core interest of autoethnography. The researcher shared her view critically with other participants in this sub-culture to create a better understanding among the public of their lives and how they negotiate local health culture. Another objective is to present an example of how critical autoethnography as a social research methodology can be applicable for research in the field of nursing. To elaborate, part of a doctoral dissertation entitled ‘Aesthetic Knowledge Construction by People with Epilepsy’, was selected to demonstrate this application in order to offer new ideas and to indicate the potential of autoethnography in nursing research, and to provide other ways to genuinely understand patients and the experiences of family members. The results revealed that the desires of people with epilepsy, and their various pathways through dialectical self-reflection on self-reliance in the health culture context and the Thai social context. Their desires were as follows: (1) to control their seizures; (2) to perform the independent activities of daily living; (3) to earn income for themselves and their families; (4) to be able to take care of their family members; and (5) to live happily and with dignity with epilepsy in the eyes of the public. Therefore, the meaning of the aesthetics in caring for themselves differed depending upon their own conditions, self-reflection, and the context of their desires and their livelihood.</p> Mantana Kweansungnern Kittikorn Sankatiprapa Montana Pipatpen Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 294 305 The Effects of Self- Regulation Program on Sugar Consumption Behavior and Glycemic Level for Pregnant Women with Gestational Diabetes Mellitus Women in Community in Samut Sakhon Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240826 <p>This quasi-experimental study, two group pretest-posttest design, aimed at study the effects of self-regulation program on sugar consumption behavior and glycemic control level among gestational diabetes mellitus women. The samples were purposive sampling and divided into experimental group (n = 33) and comparison group (n = 32). The experimental group received 8-weeks self-regulation intervention program those consisted 3 stages: 1) self-monitoring 2) self-evaluation and 3) self-reaction. The research instrument composed of 3 set of questionnaires; data based, attitude of sugar- beverage consumption, and food-beverage sugar consumption behaviors. Those were analyzed using descriptive statistics and t-test for mean score comparison.</p> <p>The results of study revealed that after joining the program, experimental group had higher mean score of sugar consumption attitude and behaviors, and lower mean score of blood sugar level statistically significant (p-value&lt;.05). While posttest comparison between group, the experimental group showed lower mean score of blood sugar level than the comparison group statistically significant (p-value&lt;.05). The researcher recommends that this intervention program should be utilized for self-regulation skill enhancement related to sugar consumption behaviors, in order to reducing harmfulness in both mothers and their child.</p> Ruttiya Dulyamakamyon Nongpimol Nimit-arnun Sasitorn Roojanavech Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 306 315 Factors influencing preventive behaviors of chronic non-communicable diseases among workers: A case study of one solar-cell workplace in Chachongsao Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246779 <p>This research aimed to; 1) examine knowledge of chronic non-communicable diseases, factors of protective motivation, social support factors and preventive behaviors of chronic non-communicable diseases among workers in sola-cell workplace, and, 2) study factors influencing preventive behaviors of chronic non-communicable diseases at the factory in Chachongsao Province. The sample consisted of 210 workers at the sola-cell workplace, Chachongsao province. The research instrument was a questionnaire constructed by the researcher with reliability of 0.87. Using techniques of descriptive statistics, the researcher analyzed the data collected in terms of percentage, mean and standard deviation, and stepwise multiple regression analyses. Statistical significance was set at the level of .05</p> <p>Among workers in the study, knowledge of chronic non-communicable diseases was at the high level with 71.90 percent. Protective Motivation factor showed the high level of 83.80 percent. Social Support was at the high level of 85.70 percent and preventive behaviors of chronic non-communicable diseases showed the moderate level of 52.90 percent. Age, income and preventive motivation (perceived susceptibility and self-efficacy in chronic non-communicable diseases) could predict preventive behaviors of chronic non-communicable diseases at 35.40 percent at the statistically significant level of .05</p> Keinika Sanguansat Sureepun Vorapongsathorn Kasem Chooratna Aimutcha Wattanaburanon Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 316 323 The Study of Nursing Outcome Indicators of Female Infertility Assisted Reproductive https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246782 <p>The purpose of the research was to study about nursing outcome indicators of female infertility Assisted Reproductive Technology (ART) by using Delphi research technique of 23 professionals who are experienced and knowledgeable about In Vitro Fertilization indicators. The research methodology consists of three steps: First, collection of data from the sample group with the use of the questionnaire. Second, analysis of raw data which lead to the creation of a second questionnaire based on the prioritized indicators. Third, calculate data for the median and interquartile range and then send the result to all professionals for discussion and confirmation. Once confirmed, final calculation of the median and interquartile will be done to summarize the results.</p> <p>The research of indicators for Nursing Outcome showed a total of four parts as 1) Five indicators for Caring and providing clinical services.2) Seven indicators for Providing knowledge and information to patients. 3) Six indicators for being a consultant. 4) Seven indicators for coordination in the treatment process.</p> Dusadee Noidee Suwanna Anusanti Panwipa Bankaert Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 324 330 Factors Affecting Mental Health Problem of Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246789 <p>The objectives of this research were to study 1) the mental health problem of nursing students. 2) the relationships among emotional quotient, relationship with friends, family relationship, social support, and mental health problem of nursing students 3) the factors of emotional quotient, relationship with friends, family relationshipr social support affection to the mental health problem of nursing students. The Sample was 278 participant. into the study. Research instruments were scales for emotional quotient, relationship with friends, family relationship, social support and mental health problems. Statistical methods used to analyze the data were percentage, mean, standard deviation, Pearson product-moment correlation and multiple regression analysis.</p> <p>The results of study were as follows: 1. The level of the mental health problem of nursing students in Police Nursing College was rare. 2. There were significantly correlation between emotional quotient, relationship with friends, family relationship, social support and mental health problem of nursing students at .05 level 3.It were found that the predictive factors affecting mental health problem of nursing students were emotional quotient, family relationship, relationship with friends and social support at .05 level empowerment at the percentage of 59.1. Suggestion : Educational institutions should promote a learning style which focus on activities that improve emotional quotient, relationship between friends, family and social support to prevent the mental health problems in nursing students.</p> Kanjana Kongman Chutima Hakeem Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 331 339 The Development of Registered Nurses’ Core Competencies in Neurology Nursing Care, Prasat Neurological Institute https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246790 <p>This research aimed to develop of registered nurses’ core competencies in neurology nursing care, Prasat neurological institute. This competency develops by 17 experts’ registered nurses. Purposive sampling was used for 104 registered nurses who worked in related neurological wards with at least one-year experiences. The research instrument consisted of 1) Semi-open-ended questionnaire for experts; 2) personal data and 3) registered nurses’ core competencies assessment in neurology nursing care. They were tested for content validity by 5 experts. The content validity index was 0.99 and the reliability coefficients was 0.979. Data analyzed by using frequency, percentage, average score, standard deviation, and factor analysis with correlation matrix, factor extraction with principal component analysis, and factor rotation by orthogonal rotation and varimax.</p> <p>The results of this research showed the nurses’ core competencies in neurology nursing care of Prasat neurological institute has a total of 10 components and 77 variables were 1) nursing care for ischemic stroke patient; 2) nursing care to prevent neurological complications; 3) Knowledge and ability of nursing process utilization; 4) nursing care for neuroimmunology patient; 5) nursing care for epilepsy patient; 6) discharge planning for rehabilitation and continuum care; 7) cardiopulmonary resuscitation nursing implementation; 8) educating, advising, and mentoring for novice personnel; 9) nursing care for heart and circulatory systems; and 10) basic swallowing assessment. Nursing administrators can use the research results as a guideline for selecting registered nurses who have knowledge, specific expertise for working in neurological nursing care to make patients receive appropriate care, safety, and achieve good nursing outcomes.</p> Thanpimol Kensakoo Werayuth Srithumsuk Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 340 349 Effects of Blended Learning and Childbirth Delivery Simulation Based Learning on Academic Achievement, Satisfaction and The Students’ Opinions Towards Teaching by Reflective Thinking of Nursing Students, Boromarajonani College of Nursing Nonthaburi https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242759 <p>This quasi-experimental research aimed to determine the effects of blended learning and childbirth delivery simulation-based learning on academic achievement, satisfaction, and the students’ perspective on these teaching methods by reflective thinking of Nursing Students. The sample was 180 nursing students in year 3. The research instruments were the academic achievement tests, satisfaction questionnaires, and the forms of reflective thinking to collect the students’ perspectives on both teaching methods. The data analysis applied parametric statistics including mean, standard deviation, and t-test independent.</p> <p>The results of the research found that was taught by the blended learning, was at a good level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 16.25, S.D. = 3.6). It was higher than the mean score in the control group ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 14.51, S.D. = 2.9) with a statistically significant difference at .05. After two groups were taught by the childbirth delivery simulationbased learning, the mean score of the academic achievement in both groups were higher than their previous with a statistically significant difference at .05. The students’ academic achievement much more increased when using childbirth delivery simulation-based learning. The mean score of satisfaction in groups were also a good level even though there was no statistically significant difference at .05. However, the students’ opinions towards teaching by reflective thinking of nursing student results showed the effectiveness of blended learning that helped promote students to practice many learning skills including self-controlling, problem-solving, team working, communication, and responsibility. These skills supported students’ self-confidence before confronting the real situation.</p> Patcharin Bangthamai Kanokorn Srisomphan Wantana Somnukprasert Nitjawan Weerawatthanodom Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 350 359 The Situation Analysis of R2R Research at 11th and 12th Regional Health Level https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240947 <p>This mixed method research aims to conduct 1) the situation analysis of Routine to Research (R2R) research among the 11th and the 12th regional health level 2) the process of transformative learning among R2R researchers, and 3) the implementing of R2R research into practice for clients, organizations, and social. Data collection process was undertaken between December 2559 BE to November 2560 BE with analyzing R2R research conducting among the 11th and the 12th regional health level between 2551-2559 BE and the focus group discussion with 88 R2R researchers and their stakeholders. Quantitative data was analyzed by using frequency and percentage. Qualitative data was analyzed by using content analysis. Results revealed that:</p> <p>1) There were 415 R2R research conducting among the 11<sup>th</sup> and the 12<sup>th</sup> regional health level between 2552-2559 BE. The number of the 12th regional health level R2R research was 3 times more than the number of the 11th regional health level R2R research. However, most of R2R research still lacked of research utilization.</p> <p>2) R2R researchers leaned and transformed themselves by system thinking, mental model, personal mastery, shared vision and team learning.</p> <p>3) R2R research was utilized the most in health system services by improving health service system</p> Preeyanuch Chaikongkiat Atiya Sarakshetrin Rungnapa Chantra Marisa Suwanraj Kittiporn Nawsuwan Ratthayanaphit Ratchathawan Yupawadee Kantabanlang Sopit Suwanvala Sirinporn Sukarawan Paseena Bunlap Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 360 372 Self-Perceived Palliative Care Competencies of Nurse Working in A University Hospital within less Than Two Years of Receiving Bachelor’s Degrees https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246791 <p>The purpose of this descriptive study was to study the perception of palliative care competency among professional nurses who started working in a University Hospital in less than 2 years after completing a bachelor’s degree. One hundred forty-five nurses met the criteria as they had the experiences of caring at least one terminally ill patient. Data collection was conducted from August to November 2018 using the questionnaire consisting of; 1) Personal data, and 2) The palliative care nursing self-competence scale. The Content Validity Index (CVI) was 0.95; Cronbach’s alpha value was 0.987. The data were analyzed using descriptive statistics and independent t-test. The results of this study indicated that professional nurses starting to work in less than 2 years after completing the bachelor’s degree had fewer experiences in palliative care. Most of them had not been trained or prepared on this topic. As a result, they had fear and stress when taking care of terminally ill patients. Therefore, we should encourage the preparation of newly graduated nurses by providing knowledge or training in palliative care to reduce fear and stress when caring for terminally ill patients. Besides, palliative care training can help improve their self-confidence to take care of palliative patients.</p> Waricha Loknimith Tiraporn Janda Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 373 381 Study of Health Literacy of Older Person, Bangkok Metropolis https://he01.tci-thaijo.org/index.php/JRTAN/article/view/232693 <p>The purpose of this descriptive exploratory research were to study a level of health literacy in older person in Bangkok metropolis and to study the relationships between health literacy and gender, age, income, education level, social participation and social support of older persons in Bangkok Metropolis. Four hundred and twenty older persons of Ratchathewi, Bang Phlat and Taling Chan District of Bangkok with 60 years old and above.These instruments were tested for their content validity by a panel of experts. The reliabilities of these questionaires were .870 (Health literacy questionnaire), .874 (Modified Social Participation Questionnaire) and .894 (social support questionnaire). Data were analyzed by using frequency, percentage, mean, standard deviation, Pearson’ s product moment correlation, and Chi-square test The result revealed The health literacy of older persons in Bangkok Metropolis was in basic functional level.Gender, age, income, social participation and social support were found to be correlated with health literacy with statistical significance at .05. (r = .004, -.223, .215, .480, .432 respectively). Older persons with difference education levels had no differences in terms of health literacy with statistical significance at .05.</p> Noppawan Kamkum Jiraporn Kespichayawattana Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 382 391 Antecedents and Consequences Concerning Nursing Instructors’ Attitude and Behavior in Strengthening Zero Tolerance Practices in Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246792 <p>The objectives of this study were 1) to explore the antecedents concerning nursing instructors’ attitude and behavior in strengthening zero tolerance practices in nursing students, 2) to analyze the paths of hypothetical and empirical model of the antecedents concerning nursing instructors’ attitude and behavior in strengthening zero tolerance practices in nursing students, and 3) to examine the canonical correlation between the behaviors in strengthening zero tolerance practices in nursing students and the nursing students’ attitude and behavior of zero tolerance practices. The samples were 104 nursing instructors and 104 nursing students. The instruments consisted of 7 scales for nursing instructors adapted from Keskomon et al.<sup>1</sup> and 2 scales for nursing students written by the researchers following Fishbein and Ajzen<sup>2</sup>. Data were analyzed using frequency, percentage, arithmetic mean, standard deviation, Pearson’s product moment and canonical correlation coefficients, and path analysis.</p> <p>The results were as follows: 1) the mean scores of all variables were quite high, 2) the hypothetical model of the antecedents concerning nursing instructors’ attitude and behavior in strengthening zero tolerance practices in nursing students was fitted with the empirical data (<img title="\chi ^{2}" src="https://latex.codecogs.com/gif.latex?\chi&amp;space;^{2}"> (df = 10, n = 104) = 12.79, p = .24, NFI = .98, GFI = .97, AGFI = .90, CFI = 1.00, SRMR = .05, RMSEA = .053). 3) There was no statistically significant relationship between the behaviors in strengthening zero tolerance practices in nursing students and the nursing students’ attitude and behavior of zero tolerance practices at the level of .05 (r = .11; R2 = .01)</p> Thipkhumporn Keskomon Sookruadee Thutsaringkarnsakul Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 392 403 The Effects of The Project-Based Learning on Reflective Skills of The First Year of Nursing Students In Boromarajonani College of Nursing Phra-Putthabat https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240580 <p>The project-based learning is one of the most effective learning methods in the twentieth century. Teachers are considered the sustainability of learning through projects and the development of reflective skills. Students should be collective learners through projects because they are working on real-time problems. Lesson-learnt from sufficient economy projects provide especially reflective skills. This quasi-experimental research aimed to compare scores of learning topics in sufficient economy of nursing students before and after using the project-based learning technique. Another objective was to observe reflective skills of nursing students during oral presentation. Samples were 106 nursing students in the first year, academic year 2018 of Boromarajonani College of Nursing Phra-putthabat. The tools used in the study were the project-based learning guideline based on King Rama IV sufficient economy aspects and an observation guideline for reflective skills. Students were divided into 11 groups and worked collaboratively to create projects reflecting their knowledge. During project presentation, teachers used reflective questions to develop reflective skills. Students could ask questions and share their ideas. Finally, self-evaluation was carried out by individual writing on their clear perception. The benefits from students’ report showed how to improve reflective skills. Based on project findings, this learning method fully addresses for a college context. Reflective skills of students are developed through the project-based learning. The article focuses on students’ perception of its advantages and disadvantage in relation to the Project-Based Learning professional development.</p> Chantana Sowat Kwanchanok Yotkhamlue Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 404 410 The Effects of a Family Management-Enhancing Program on The Caregivers’skill of An Early Mobility of Stroke Patients https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246794 <p>This quasi-experimental and time series research aimed to study the effects of a family management enhancing program on the caregivers’ skills of an early mobility among stroke patients. Purposive selection and thirty-six caregivers were separated in an intervention and control group. The research instruments comprised of the early mobility family management Program, the Booklet and symbolic modeling VDO. Data collection used the Caregiver Characteristics Data, Early Mobility Caring Skill of ADL and RMI. The contents validity of the instruments were tested by five experts = 0.90-0.93 and Cronbach’s alpha reliability test revealed 0.88 to 0.93. Data were analyzed using descriptive statistics, the chi-squares test, the Friedman test, repeated measures ANOVA, and Bonferroni test</p> <p>The results revealed: 1) The mean score for the early mobility caring skills of ADL and RMI in both groups during the 1, 4, and the 8 week were increase significantly (p&lt;.001) 2) Compared between the intervention and control group, the results revealed that the mean score for the early mobility caring skill of ADL and RMI at the 1 week was not differently, but between the 4 and the 8 week were different significantly (p&lt;.001). The family management model and indicate that it can be used to develop the mobility skills of caregiver and help with the early mobility</p> Visunee Junsree Sunthara liangchawengwong Sombat Muengtaweepongsa Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-29 2020-12-29 21 3 411 420 Effect of Text Messaging on Food Consumption Behavior and Change of Hemoglobin Level in Pregnant Women with Iron Deficiency Anemia https://he01.tci-thaijo.org/index.php/JRTAN/article/view/220690 <p>This quasi-experimental research aimed at determining effect of text messaging on food consumption behaviour and change of hemoglobin level in pregnant women with iron deficiency anemia visiting the antenatal care unit at Vajira Hospital, Bangkok. Sample was comprised of 40 pregnant women with iron deficiency anemia. Divided into experimental group and control group, 20 persons per group. They were match-paired by age and parity. The control group received routine care, while the experimental group received routine care and the text messages. Hemoglobin was measured 2 weeks after the intervention. Data were analyzed by frequency, percentage, mean, standard deviation, Chi-Square test, and t-test.</p> <p>The findings reveal that the experimental group had significantly higher mean difference scores of food consumption behaviour than the control group (t = 6.96, p &lt; .05).Mean hemoglobin in the experimental group was statistically and significantly higher than the control group (t = 2.54, p &lt; .05).The change of hemoglobin level in the experimental group was statistically higher than the control group (t = 3.35, p &lt; .05). The results suggest that the text messaging is effective in reducing the iron deficiency anemia in pregnant women.</p> Wilailuk Pintawong Chaweewan Yusamran Nanthana Thananowan Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-30 2020-12-30 21 3 421 431 The Effects of A Self - Management Program on The Functioning of Patients With Bipolar Disorder Undergoing The Recovery Stage https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245598 <p>The purpose of this quasi-experimental research was to determine the effects of a self-management program on the functioning of patients with bipolar disorder during the recovery stage. The sample consisted of 72 patients with bipolar disorder aged between 20 and 59 years, recruited using inclusion criteria, and paired based on age. Then each pair was assigned to the control or the experimental group, with 36 patients in each group. The experimental group participated in the self-management program. Their activities comprised 6 sessions, each session lasting 100 minutes, once a week for 6 weeks. The control group received normal nursing care. The research instruments were the following: 1) the self-management program, which passed an examination for content validity by 3 professional experts; 2) the functioning assessment short test (FAST); and 3) the Young mania rating scale: Thai version. The reliability of these questionnaires were determined with a Cronbach’s alpha coefficient of .93 and .82 respectively. The data were analyzed using descriptive statistics and t-test.</p> <p>The results found as follow: (1) The experimental group, participants had mean functional scores post test participating in the self - management program higher score than pre test (pre-test; M = 52.72, SD = 6.76 and post test; M = 64.31, SD = 6.09) the functional higher scores was significantly (t=16.83, p &lt; .001). (2) The mean difference of the patients’ functioning between the pretest and posttest in the experimental group that participated in the self-management program (E = 11.58, SD = 4.13) was higher scores than the control group that received normal nursing care (C = 6.08, SD = 4.99) significantly (t = 16.37, p &lt;.001).</p> Malee Siriparu Chomchuen Somprasert Rangsiman Soonthornchaiya Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-30 2020-12-30 21 3 432 441 The Development of Exercise Innovation for Enhancing The Quality of Life Elderly with Knee Osteoarthritis Kumuang Sub-district Warinchamrab District Ubon Rathcathani Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246845 <p>The purpose of this research and development study was 1) to study the daily living abilities of the elderly by using Barthel ADL index and 2) to the development of exercise innovation for enhancing the quality of life elderly with knee osteoarthritis Kumuang Sub-district Warinchamrab District Ubon Rathcathani Province. The sampling groups 40 elderly people. The tools consist of questionnaires of general, information, Barthel ADL index, Osteoarthritis of the knee, WHOQOL_BREF_THAI and satisfaction questionnaire from using innovation. Chronbach’s alpha coefficient = 0.91, 0.86, 0.87 and 0.89 Analyze results and calculate the relationship between quality of life and personal factors. Pearson ’s Product Moment Correlation Coefficient. Pearson ’s Product Moment Correlation Coefficient. The relationship between quality of life and personal factors. Paired – Samples T – Test. The research found that The experimental group had the quality of life of the elderly, knee, and physical, psychological, and environmental aspects after the experiment was higher than before the experiment (p &lt;.05) And social relationship (p &lt;.01)</p> Suwimolrat Robrujen Vatcharapon Thongkrun Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-30 2020-12-30 21 3 442 452 State and Needs for Health Tourism Integrated with Cultural Tourism and Thai wisdom Case Study of Ayutthaya Province: Stakeholders Perspective https://he01.tci-thaijo.org/index.php/JRTAN/article/view/243119 <p>This research aimed to investigate the situation and needs of health tourism integrated with cultural tourism and Thai wisdom in Ayutthaya province. Using semi structured focus group discussions among three group of stakeholders. The instruments were examined content validity by experts. Data were analyzed by using the content analysis and, triangular methods.</p> <p>The result revealed that at the present, there are no real substantial model of health tourism Integrated with cultural tourism and Thai wisdom. Additionally, they needed to see a good model of tourism that was cooperating from all relevant sectors, integrating with existing tourism, consistency with the context of lifestyle, preserving local wisdoms, promoting self-care knowledge, and generating income for the people in the community. Moreover, stakeholders needed to enhance to develop the model of health promotion tourism both by land and by water. Moreover, they suggested to divide the characteristics of health promotion tourism into 2 types which were (1) one day trip according to the topography of the area and, (2) home-stay trip so that clients had the option to use services. The Nurses and Multidisciplinary health care team should be play important roles in health promotion and transferring knowledge to the people who use the health tour.</p> Saovaros Meekusol Weha Kasemsuk Athippat Tantiwongsekunakorn Chayaluck Siripukdeekan Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-30 2020-12-30 21 3 453 462 The Study for Model of Ethical and Risks Decision-Making Dilemma Development of Nursing Practical Among RTA Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241145 <p>The objective of this research is to study the model of ethical and risks decision-making dilemma development of nursing practical among RTA nurses. Proceeding development research by 3 steps e.g. Step 1: The study of basic data to verify the defining, elements, indicating behavior of each element and the guideline to develop ethical decision - making in which the risk dilemma of nursing practical and created the model of development and the collateral tools for ethical decision making in which the risk of nursing practical by using the focus group process which verified the appropriated of content by the expertizes. Step 2: Verified the reasonableness and the possibility of the model to develop by studied the quality developing as of PDCA process. The last step 3: Evaluating the effectiveness of development, the proceeding which consists of Planning, operating, observing and reflection of though. The research participants are 83 of professional nurses, the experiment pattern was One Group Pretest and Posttest design. Analyzed compare the data by using basic statistic compared t – test. Result showed that currently condition of the professional nurses in decision – making of risks ethical and dilemma, they are lack of knowledge and expertized, there is no guidelines to be practice. The model of ethical and risks decision-making dilemma development of nursing practical among RTA nurses consist of external factors, individual factors, and facilitating strategies management, the nursing ability is improving in every activity.</p> Penchun Sanprasan Chalita Sukhawarn Sirhiaongaont Thanahirunrutch Nualyai Pitsachat Jeerawan Prommobol Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-30 2020-12-30 21 3 463 472 Guideline for Promoting Active Ageing to be a Health Tourism Guide: Ageing’s Perspective, a Case Study of Phra Nakhon Si Ayutthaya Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/234288 <p>This qualitative research aims to develop a guideline for promoting active ageing to be a health tourism guide. The participants in a focus group were comprised of 13 ageing living in Phra Nakhon Si Ayutthaya. A personnel data questionnaire and semi-structured interview named “guideline for promoting active ageing to be a health tourism guide interview” with content validity index 1 were used for collecting data. Analyze personal data using statistics, percentage, mean, standard deviation while content analysis was used for the qualitative data. The result revealed that HAS model consisting of promoting health, application (technology, communication skill), social participation (social network and security).</p> <p>This study supports that HAS model should be applied to promote active ageing become a health tourism guide.</p> Juntima Rerkluenrit Rukchanok Kochakri Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-30 2020-12-30 21 3 473 480 Resilience in Older Adults at Wellness Center https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245561 <p>This survey research aims to study the Resilience Quotient of the 200 elderly people who came to receive services at the Healthy Aging Clinic, Chulalongkorn Memorial Hospital, The Thai Red Cross Society from January to August 2020.These volunteers replied 2 sets of questionnaires with 24 issues comprised of the general information and the elderly’s resilience then analyzed by descriptive statistics.</p> <p>The results of the study were mainly female (85%), the early elderly of 60 – 69 year old (62%) marital status (49.0%), Buddhism (95.5%), mostly graduated Bachelor’s degree (52%). Most of the elderly perceived themselves healthy (53.0%). Most of them had underlying diseases (70.5%) and all had sufficient income to carry on their lives. Most of them experienced adversity (63.0%) which mainly due to the loss of their beloved ones (20%). Their total resilience is at the high level (57.5 %) followed by at the highest level (42.5 %). Their mental strength found at the highest score (51.0 %).</p> <p>Recommendations reflect from the research results found that the early elderly perceive themselves healthy and have a high level of resilience, despite of having some of the underlying diseases as well as experienced life’s adversity. These findings could be used as an integrated approach to promote all well-being of the Thai elderly for their adjustment in any kind of changes: physically, mentally, socially, and economically.</p> Panicha Boonsawad Aisawan Petchlorlian Chuthaporn Tongboonchoo Wanpen Rattanavicha Yanisa Duangduen Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2020-12-30 2020-12-30 21 3 481 490