Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok)

editorial

Yupaporn Tirapaiwong — Tue, 24 Dec 2024 00:00:00 +0700

Effects of Self - Efficacy Awareness Program on Knowledge and Care Skills among Caregivers of the Elderly with Chronic Obstructive Pulmonary Disease at Home

Nongkaluk Wongphanarat, Onuma Kaewkerd, Paiwan Kotta — Fri, 13 Dec 2024 00:00:00 +0700

Introduction: Chronic Obstructive Pulmonary Disease (COPD) mainly affects the elderly, who often depend on caregivers. Improving caregivers' self - efficacy can enhance their confidence and ability to care for COPD patients at home.

Research objectives: To study the effectiveness of the self - efficacy program on caregivers' knowledge and skills in managing elderly COPD patients at home.

Research methodology: A quasi - experimental design with a pre - posttest approach was employed, involving two groups: an experimental group and a control group, each with 35 caregivers aged 18 - 59. The caregivers were randomly assigned to the groups. The study included: 1) a self - efficacy designed to improve caregivers' knowledge and skills in COPD management and 2) data collection using: a personal information questionnaire, a COPD knowledge test, and a caregiving skills questionnaire. The measurement tools had a reliability of KR-20 = .76 and Cronbach’s alpha = .82. Data analysis included frequency, percentage, mean, standard deviation, and independent t - tests.

Results: The experimental group showed a significant improvement in both knowledge and caregiving skills compared to their pre-program scores and the control group (p < .05).

Conclusions: The self - efficacy program effectively enhanced caregivers' knowledge and skills in caring for COPD patients.

Implications: Healthcare professionals should apply the self - efficacy programs in care settings. These programs can boost caregivers' competency through targeted education and practical skills training, such as breathing techniques, coughing methods, and exercise routines. Improved caregiver skills can lead to better patient outcomes, including enhanced lung function and overall well-being.

The Effects of Self - Efficacy Enhancing Program on Preventive Behaviors among Pregnant Women at Risk of Preterm Labor

Varisara Phongchayuda, Nittaya Panngam, Sutin Chanaboon — Fri, 13 Dec 2024 00:00:00 +0700

Introduction: Uninhibited preterm labor is a significant factor contributing to preterm birth. Moreover, preterm birth is the leading cause of neonatal mortality and morbidity. Thus, promoting self - efficacy in pregnant women is essential to preventive behaviors to prevent preterm labor.

Research objectives: To investigate the effects of self - efficacy promotion program on preterm birth preventive behaviors among pregnant women at risk of preterm delivery.

Research methodology: This research study was a quasi - experimental design with pretest - posttest groups. The sample consisted of 60 pregnant women at risk of preterm delivery. These sample were divided into an experimental and a control group, including 30 pregnant women for each group. Participants were selected by purposive sampling based on specified characteristics. The research instrument was self - efficacy enhancing program with a Content Validity Index (CVI) of .96. Data were collected using a behavioral questionnaire to prevent preterm labor, which had a CVI of .98 and a Cronbach's alpha reliability coefficient of .82. Paired t - test was used to test the study hypotheses.

Results: The research results showed that the experimental group was statistically significant higher behavioral scores on preventing preterm delivery than the control group. Both in comparison to their pre-intervention scores (p < .001) and higher than (p < .001).

Conclusion: The self - efficacy enhancing program effectively increases preterm labor preventive behaviors in pregnant women at risk of preterm labor.

Implications: This study emphasizes on the importance of incorporating self - efficacy enhancing program into antenatal care protocols. Furthermore, such integration may effectively promote preventive behaviors prevent preterm delivery, potentially reducing its incidence among high - risk pregnant women.

Factors Associated with Quality of Life in Students at Phranakhon Si Ayutthaya Rajabhat University

Chonvipa Sulakkananurak, Oun Tasing — Fri, 13 Dec 2024 00:00:00 +0700

Introduction: The quality of life among students is a critical in promoting overall well - being. It is influenced by several factors, including physical health, mental health, interpersonal relationships, and environment conditions.

Research objectives: To study the level of quality of life of students and identify factors associated with their quality of life.

Research methodology: This cross - sectional analytical study was conducted with sample of 363 students from Phranakhon Si Ayutthaya Rajabhat University. Data collection occurred between September 2023 and January 2024. The research instrument was a questionnaire comprising five sections: personal factors and health status, teaching and learning factors, self - esteem, the need for quality of life development, and the Thai version of the World Health Organization Quality of Life abbreviated scale (WHOQOL – BREF - THAI). Data were analyzed using descriptive statistics and logistic regression was used to examine the relationships between variables.

Result: The majority of students (49.59%) reported a moderate level of quality of life. Factors significantly associated with students’ quality of life included monthly income adequacy (p < .001, OR = 2.52; 95%CI = 1.49 - 4.25), self - esteem (p = .037, OR = 3.01; 95%CI = 1.07 - 8.51), and the desire to change their field of study (p < .001, OR = .38; 95%CI = .24 - .61).

Conclusion: The quality of life of most students is at a moderate level. Significant factors influencing their quality of life included the adequate of monthly income, self - esteem, and the desire to change their academic field.

Implication: Interventions should prioritize the enhancement of student’s self - esteem, addressing factors contributing to the desire change academic fields, expanding access to scholarship opportunities, and promoting suitable income - generating activities during their studies which support students in maintaining a quality of life and improving their quality of life.

Factors Associated with Preventive Behaviors Against PM 2.5 Health Effects among Older Adults in a Transboundary Air Pollution Area

Fri, 13 Dec 2024 00:00:00 +0700

Introduction: Particulate matter with a diameter of 2.5 micrometers or less (PM 2.5) poses a significant health threat, particularly for the vulnerable elderly population. Investigating preventive behaviors against PM 2.5 among older adults and the factors influencing these behaviors is crucial for developing appropriate health promotion strategies.

Research objectives: This study aimed to: 1) assess the levels of health information seeking, health literacy, and preventive behaviors against PM 2.5 health effects among older adults, and 2) explore the relationships between personal factors, health information seeking, health literacy, and preventive behaviors against PM 2.5 health effects among older adults.

Research methodology: This descriptive research involved 213 older adults in Nakhon Phanom Municipality, selected through purposive sampling. Data were collected via questionnaires and analyzed using descriptive statistics, Chi - square test, and Pearson's correlation coefficient.

Results: 1) Participants demonstrated moderate levels of health information seeking (M = 2.40,SD = 1.06), low levels of health literacy regarding PM 2.5 (M = 1.91, SD = 1.12), and poor preventive behaviors against PM 2.5 health effects (M = 1.83, SD = .98). 2) Education level (= 7.11, p < .001), health information seeking (r = .371, p < .01), and health literacy (r = .921, p < .01) were significantly associated with preventive behaviors. Conversely, gender, income, and health status showed no significant relationships with preventive behaviors.

Conclusion: The findings indicate that older adults exhibited low levels of preventive behaviors against PM 2.5, which correlate with education level, information seeking, and health literacy.

Implications: It is recommended to develop targeted health literacy promotion programs addressing PM 2.5 for older adults and to enhance health information communication methods to improve accessibility. Such initiatives could foster appropriate preventive behaviors within this population.

Factors Affecting Stress of Nursing Students during Clinical Practice in Maternal and Newborn Nursing and Midwifery

Sriwan Tongsri, Darin Buahan, Wannee Deoisres — Fri, 13 Dec 2024 00:00:00 +0700

Introduction: Clinical practice is a source of stress for nursing students. High stress level can lead to health problems and academic failure.

Research objectives: To determine the level of stress and examine factors affecting the stress experienced by nursing students during clinical practice in maternal and newborn nursing and midwifery.

Research methodology: This study was a descriptive research design. The sample consisted of 47 third - year nursing students. The research instruments utilized in this study included a personal information questionnaire and the Perceived stress scale in clinical practice for nursing students. The content validity and the Cronbach's alpha coefficient were .93 and .96. Descriptive statistics, t - tests, and ANOVA were conducted to analyze the data.

Results: Overall stress during clinical practice in the antenatal clinic and postpartum ward were rated at a moderate level. Grade point average was found to have a negative relationship with stress from teachers and nursing staff (r= -.359, p < .05) during clinical practice in the antenatal clinic setting and also with stress from patient care (r = -.285, p < .05) and the stress from assignments and workload (r = -.285, p< .05) during clinical practice in the postpartum ward. Differences in hometown did not affect students’ stress levels. Differences in hospitals for clinical practice had effects on stress only during practice at the antenatal clinic (F = 3.93, p < .05). Practicing at the postpartum ward caused more stress than practicing at the antenatal clinic (t = -2.42, p < .05).

Conclusion: Students perceived stress during clinical practice at a moderate level. Grade point average and clinical practice settings were found to be factors affecting the students’ stress during clinical practice in maternal and newborn nursing and midwifery.

Implications: Students’ stress during clinical practice should be assessed all nursing departments. Decreasing stressors and encouraging nursing students to use appropriate coping strategies in students are needed.

Development an Upright Positioning Electrical Prototype Bed for Bedridden Patients

Fri, 13 Dec 2024 00:00:00 +0700

Introduction: Bedridden patients suffer from an inability to sit or stand, leading to pulmonary infections. In addition, caregivers may encounter musculoskeletal problems from lifting or repositioning bedridden patients to sit up.

Research objectives: 1) To develop a prototype of an upright positioning electric bed for bedridden patients and 2) to evaluate the quality of the prototype from its users.

Research methodology:The study comprised two phases as follows: Phase 1 involved the development of a prototype of an upright positioning electrical bed for bedridden patients through literature review, research consultants’ consensus, an assessment of the appropriateness and feasibility of the prototype by three experts. Additionally, it encompassed the creating and testing of the prototype bed using the SolidWorks software and simulation models. Phase 2 involved testing the prototype bed and evaluating users’ opinions. The research tools included the bed equipment, the SolidWorks program, simulation models, and the opinion questionnaire about the prototype bed.The content validity index and reliability of the questionnaire are .70 and .71, respectively. The sample group consists of 45 caregivers and 45 bedridden patients. Data analysis is performed using mean values and standard deviations.

Results: The research findings revealed that the upright positioning electrical prototype bed is divided into three parts and each part can be adjustable. It also has a head support, safety belt, and folded armrests for a person who weighs 120 kilograms. The upright positioning electrical prototype bed has received a petty patent. In addition, the overall opinions’ scores regarding the prototype from the users were at the highest level (M = 4.56, SD = .41)

Conclusions: The upright positioning electrical prototype bed is easy to use, convenient, and safe. It should be used in real situations both in hospitals and in bedridden patients’ homes.

Implications: The prototype bed should be evaluated for its effectiveness on lung complications
of bedridden patients and on musculoskeletal disorders of their caregivers.

Factors Associated with Gestational Diabetes and Pregnancy Outcomes: A Retrospective Study

Saiphon Amphankan, Sutharat Churos, Nalinee Buapum — Fri, 13 Dec 2024 00:00:00 +0700

Introduction: Gestational diabetes is the number one medical disease in pregnant women and it can have a significant impact on both pregnant women and their babies.

Research objectives: The aim of this research is to explore factors related to pregnancy outcomes in women with diabetes mellitus.

Research methodology: This retrospective study utilized purposive sampling of 273 pregnant women with diabetes mellitus who delivered at Jainad Narendra Hospital between the years 2563 and 2565.

Results: The sample group had a mean age of 32.97 years (SD = 5.93). Most participants had diabetes during their first pregnancy (91.40%) and had completed an average of five antenatal visits according to quality criteria (66.60%). Additionally, the majority of participants had type A1 diabetes (68.80%). In terms of pregnancy outcomes, 35.80% of infants had a birth weight of 4000 grams or more, 22.50% were born prematurely (before 37 weeks of gestation), and 60.50% were delivered via cesarean section. The type of diabetes was significantly associated with gestational age at delivery and birth weight, both at the .01 level (= 8.850, p = .005 for gestational age and ( = 9.134, p = .005 for birth weight). Furthermore, it was significantly related to the quality of prenatal care at the .05 level ( = 5.922, p = .039).

Conclusion: Pregnant women with diabetes face higher risks of negative pregnancy outcomes, particularly if their blood sugar levels are poorly controlled, which can impact the pregnancy, fetus, and newborn.

Implications: Nurses and health care providers should use research findings to develop care guidelines for pregnant women with diabetes. This should emphasize screening, monitoring blood sugar levels, and promoting quality - based prenatal care to reduce the risks of complications for both mothers and infants.

The Relationship Between Labor Induction Duration and Clinical Outcomes: A Retrospective Descriptive Study

Sukunya Kamnuan, Nuttaya Pornmalairungruang, Papatsara Khamsanam — Fri, 13 Dec 2024 00:00:00 +0700

Introduction: Labor induction, a widely used obstetric procedure, is a focus of this research study due to its significant but underexplored risks, particularly regarding duration and its impact on delivery outcomes. Particularly in the Thai context, where research study on induction duration and outcomes is limited, this study aims to provide valuable data for developing appropriate and effective care guidelines.

Research objective: To assess the relationship between the duration of labor induction and maternal and neonatal complications in a secondary - level hospital.

Research methodology: This retrospective descriptive study analyzed the electronic medical records of 160 term pregnancies that underwent induced labor between January 1, 2022, and July 31, 2023. The duration was measured from the initiation of medication to delivery. Simple random sampling was employed based on inclusion criteria, with a power of.90, a significance level of.05, and an effect size of.30. Data were collected using a content - validated recording form with established inter - rater reliability and were analyzed using descriptive statistics and Spearman's rank correlation at a significance level of <.01.

Results: Our findings showed significant positive correlations between induction duration and cesarean section (r = .41, p < .01), hospital length of stay (r = .70, p < .01), primiparity, and high body mass index (p < .01). Importantly, no correlation was found with severe complications (p > .01), underscoring the safety of longer induction durations.

Conclusion: Longer induction duration increases the likelihood of cesarean section and extended hospital stay but is not associated with severe complications.

Implication: Induction protocols should be developed considering individual factors, particularly for primiparous women and those with a high BMI, to improve efficiency and minimize potential adverse outcomes.

Effectiveness of a Developing Healthcare Service System for Stroke Patients in Udonthani

Fri, 13 Dec 2024 00:00:00 +0700

Introduction: Stroke patients require continuous care. Therefore, developing a care system that extends from family and community levels to the hospital level is essential.

Research objectives: To examine the situation, develop and evaluate the healthcare service system development for stroke patients.

Research methodology: This action research consisted of into three phases: 1) situation analysis, 2) system development, and 3) monitoring and evaluation. A mixed - methods approach was used for data collection. The sample comprised 194 stroke patients and primary caregivers divided into experimental and control groups (97 participants each). Key informants for qualitative data collection included stroke patients or primary caregivers, local administrative organization representatives, village health volunteers, and multidisciplinary healthcare professionals, totaling 40 participants. The tools were questionnaires regarding knowledge and attitudes, ability to perform daily activities, satisfaction, and semi-structured interviews. Data were analyzed using descriptive statistics and Independent t - test, while content analysis was conducted for qualitative data.

Results: The findings indicated that operational challenges included low utilization of the 1669 emergency service and insufficient integration and linkage of treatment information for continuous home care. The developed "Stroke - Smart COC: Udon Model" system enhanced knowledge accessibility and service utilization among patients and their families. Post-implementation, the experimental group demonstrated significantly different knowledge and attitudes compared to the control group (p < .05). The ability to perform activities of daily living improved to an independent level. High satisfaction levels with the system were reported by both the experimental group and service providers (M = 4.01, SD = .61 and M = 3.93, SD = .51 respectively).

Conclusion: The system development enhanced patient preparedness, enabling access
to emergency fast - track services and establishing a more efficient continuous home care system.

Implications: The implementation should be expanded to other areas, incorporating modern technology and innovation in the development of healthcare service systems for stroke patients

Development of an Online Geospatial System Based on the Phraboromarajchanok Institute Model for Caring for Patients with Chronic Diseases, through Village Health Volunteers’ Participation

Fri, 13 Dec 2024 00:00:00 +0700

Introduction: Promoting community participation in patient care through online geospatial system using the Praboromarajchanok Institute Model (PBRI model) can improve health - related quality of life and reduce complications for patients with chronic diseases.

Research objectives: To develop an online geospatial system based on the PBRI model for caring for patients with chronic diseases through village health volunteers’participation and to examine the effectiveness.

Research methodology: This research and development study employed both qualitative and quantitative methods. The sample included 10 academics, professional nurses, and public health personnel, and 88 Village Health Volunteers (VHVs). The research instruments consisted of in - depth interview guidelines, an online geographic information system, a GIS system user manual, an effectiveness assessment form for chronic patient care based on the PBRI Model, and a satisfaction assessment form for the online geographic information system

Results: Phase 1 revealed that the existing data system did not sufficiently support community participation. Essential data for chronic patient care included home coordinates, classification levels, and PBRI Model guidance. Phase 2 developed an online geographic information system, “GIS Samokhae”. Phase 3 showed that implementing this system significantly improved chronic patient care effectiveness and coordination with health personnel, with statistical significance at the .001 level. Village Health Volunteers (VHVs) reported high overall satisfaction (M = 31.79, SD = 4.70)

Conclusion: The implementation of the GIS Samokhae can enhance community participation in caring for patients with chronic diseases, resulting in better healthcare plans for these patients.

Implications: The PBRI model - based online GIS system should be expanded to include both healthy and at - risk populations for more effective chronic disease surveillance.

Factors Predicting Innovative Work Behavior among Professional Nurses in Governmental University Hospitals

Titiporn Surintham, Wasinee Wisesrith — Fri, 13 Dec 2024 00:00:00 +0700

Introduction: Governmental university hospitals in Thailand face significant challenges in enhancing their healthcare services amid rapid technological advancement and innovation. Promoting innovative work behavior among professional nurses is crucial, as it enhances service efficiency, improves patient care quality, and strengthens hospitals' competitive capabilities.

Research objectives: To examine factors predicting innovative work behavior among nurses in governmental university hospitals.

Research methodology: This predictive correlational study included a sample of 210 registered nurses working in three governmental university hospitals. Data were collected online via Google form using the lifelong learning questionnaire, innovative leadership questionnaire, organizational innovation climate questionnaire, and innovative work behavior questionnaire. The questionnaires demonstrated content validity (CVI = .88 - .94) and reliability (α = .88 - .97). Data were analyzed using descriptive statistics, Pearson's correlation coefficient, and multiple regression analysis.

Results: The innovative work behavior of professional nurses in governmental university hospitals was overall at a moderate level (M = 3.49, SD = .76). Lifelong learning, innovative leadership, and organizational innovation climate were positively correlated with innovative work behavior (r = .683, .524, and .499 respectively, p < .05). The multiple regression analysis indicated that these three factors collectively predicted innovative work behavior at 54.30% (R² = .543, p < .05).

Conclusion:Lifelong learning, innovative leadership, and organizational innovation climate influence the innovative work behavior of professional nurses.

Implications: This research provides information for nursing administrators to establish policies and implement programs that promote increased innovative work behavior among professional nurses.

Developing a Mental Health Promotion Program for Older Adults with Chronic Diseases in Mueang Municipality, Chainat Province

Jaruwan Kansri, Naphatsorn Yotthongdi, Prakasit Poonwong — Fri, 20 Dec 2024 00:00:00 +0700

Introduction: Older adults with chronic diseases increasingly encounter mental health issues. Promoting mental health can help them to adapt and improve their mental wellbeing.

Research objectives: 1) To analyze mental health of older adults with chronic diseases in Mueang Municipality, Chainat Province; 2) To develop a program to promote mental health of older adults with chronic diseases; and 3) To test the effectiveness of a mental health promotion program for older adults with chronic diseases.

Research methodology: Research and development (R&D) involved 1) a 15 - item mental health assessment form (reliability α = .84); and 2) the mental health promotion program in this study consisted of four phases as follows: 1) studying the mental health context of older adults with chronic diseases; 2) developing a mental health promotion program; 3) analyzing the results of program usage in mental health promotion; and 4) summarizing program results. Data were collected by in - depth interviews
and statistically analyzed by frequency, mean percentage, standard deviation, and t - test.

Results: 1) The overall mental health status of older adults with chronic illnesses was compared to that of the general population, with a mean score of 47.93 (SD = 5.85). Most (48.06%) shared a range of score with the general population, while 31.64% had worsen scores, and 20.30% had better mental health. 2) A mental health promotion program was developed with a five - dimensional happiness, applying Maslow's hierarchy of needs, with five activities. 3) The mean mental health status scores
of participants who used the post-experimentation program (M = 44.60, SD = 3.66) were significantly higher than pre - implementation (M = 38.60, SD = 5.03) at a statistically significant rate.

Conclusions: The program effectively promotes mental health of older adults with chronic diseases

Implications: Nurses should consider implementing this program to promote the mental health of older adults with chronic diseases

Development of a Caregiver Promotion Program for Preventing Pressure Ulcers in Dependent Patients at the Inpatient Department, Sung Men Hospital, Sung Men District, Phrae Province

Nichapa Maneekart, Ghunyanutt Sathagathonthun — Mon, 23 Dec 2024 00:00:00 +0700

Introduction: Pressure ulcers usually occur in dependent patients. Enhancing caregivers’ abilities to prevent pressure ulcers can reduce the incidence of patients’ pressure ulcers.

Research objectives: To develop and examine the effectiveness of a caregiver promotion program for preventing pressure ulcers in dependent patients at the inpatient department of Sung Men Hospital, Phrae Province.

Research methodology: This research and development was divided into three phases as follows: 1) situation analysis, 2) developing a program to promote caregivers for preventing pressure ulcers in dependent patients, and 3) evaluating the effectiveness of the program. Sample groups consisted of 1) 12 multidisciplinary team members, 2) 27 caregivers of dependent patients. The research instruments included 1) focus group discussion questions, 2) a caregiver promotion program for preventing pressure ulcers in dependent patients, and 3) caregiver assessment regarding knowledge, practice, and skills. The validity were 88, .78 and .84, and the reliability coefficients were .77, .72 and .90, respectively. Data were analyzed using descriptive statistics and a paired sample t - test.

Results: The results at phase I showed that inadequate staffing and lack of continuous care. Phase II, the caregiver promotion program consisted of four activities: 1) assessing patients’ and caregivers' competencies, 2) providing education knowledge about caring, 3) developing skills about pressure ulcer prevention, and 4) assessing both patients and caregivers before discharging patients. Phase III, the study revealed that the knowledge, practices, and skills regarding pressure ulcer prevention of caregivers after the experiment were significantly higher (p < .01), with mean scores = 12.52, SD = 1.65, M = 49.40, SD = 2.65, and M = 51.37 SD = 3.69, respectively.

Conclusions: The caregiver promotion program for preventing pressure ulcers in dependent patients can effectively prevent pressure ulcers in dependent patients.

Implications: It is recommended to Implement the caregiver promotion program to other clinical sites with similar problems.

Effects of Self - management Program on Blood Pressure Control Behavior of Uncontrolled Hypertension Patients

Teeranuch Chala-em, Nattanan Worasuk, Rungnapa Prayoonsirisak — Mon, 23 Dec 2024 00:00:00 +0700

Introduction: Hypertension was chronic condition that requires self - care management. Implementing an appropriate self - management program can help patients reduce the risks of complications and improve their quality of life.

Research objective: This research study aimed to effect of a self - management program on blood pressure control behaviors among patients with uncontrolled hypertension.

Research methodology: This quasi - experimental study of uncontrolled hypertension, divided into an experimental group (30 patients) and a comparison group (30 patients). Participants were purposively sampled. The intervention was conducted over 8 weeks. Data were collected using questionnaires and health assessments before and after the intervention. Statistics frequency, percentage, and mean were used, including Paired Sample t - tests and Independent Sample t - tests to compare means within and between groups.

Results: The study revealed that after participating in the program, significant differences were observed between the experimental and comparison groups in behaviors related to sweet food, salty food, exercise, and stress management (p < .001). However, no significant differences were found between the groups in fat consumption behaviors or medication adherence after the intervention.
In the experimental group, systolic blood pressure showed significant differences before and after the intervention (p < .001), as did diastolic blood pressure (p < .05).

Conclusion: The self - management program effectively improved blood pressure control behaviors and reduced blood pressure levels among patients with uncontrolled hypertension.

Implication: The self - management program could also be implemented to suit individual contexts for more personalized and effective care.

A study of Health Status and Health Promotion Guidelines for Older persons in Nonsung Community, Udon Thani province

Mon, 23 Dec 2024 00:00:00 +0700

Introduction: Assessing health status of older persons and studying appropriate health promotion approaches for older persons can facilitate planning of health promotion strategies. This, in turn, can lead to improved health and quality of life for older persons, while reducing future dependency.

Research objective: To examine health status of older persons and investigate community - based health promotion approaches for older persons in Nonsung Community, Udon Thani province.

Research methodology: This descriptive research study assessed health status of 320 older persons selected by a simple random sampling. individuals and explored health promotion strategies with a sample of 30 participants were selected by purposive sampling. Data were collected during January to April,2024. The research instruments comprised a holistic health assessment form for older persons and an open - ended questionnaire on health promotion approaches. The questionnaire demonstrated a Cronbach's alpha reliability coefficient of .86. Data analysis employed descriptive statistics, while qualitative data were analyzed using content analysis methods.

Results: The health status assessment revealed that many older persons have chronic diseases such as diabetes and hypertension. Cognitive decline, knee joint issues, and vision abnormalities were also shown. The study identified several key health promotion strategies for the older persons: encouraging annual health check - ups, promoting social engagement, recommending appropriate exercise regimens, facilitating access to health information technology for both the older persons and their families, educating families about age-related decline to ensure appropriate care, organizing family activities, promoting awareness of healthcare and social benefits for the older persons, providing health consultations and assistance, implementing community - based home visit programs for dependent older persons, and enhancing necessary skills for family caregivers of socially active older, homebound older, bedridden older persons individuals.

Implication: Researchers can utilize the knowledge gained from these appropriate health promotion guidelines to develop and refine future health promotion programs for older persons.

The Effectiveness of Using the Guideline of Referring for Patients at Srisangworn Sukhothai Hospital

Mon, 23 Dec 2024 00:00:00 +0700

Introduction: Seamless referral of emergency patients to healthcare facilities with appropriate capabilities is essential for preventing mortality and ensuring patient safety.

Research objectives: To evaluate the effectiveness of patient transfer guidelines and assessed professional nurses' satisfaction with their utilization at Srisangworn Sukhothai Hospital.

Research methodology: This action research employed purposive sampling method to select participants according to specified criteria. The sample consisted of 203 professional nurses who completed questionnaires regarding the implementation of patient transfer care guidelines and their satisfaction with the patient transfer care guidelines at Srisangworn Sukhothai Hospital. Data analysis was conducted using descriptive statistics.

Results: The implementation of the referral approach showed that: 1) the mortality rate during patient transfer was 1.26%, 2) the referral success rate was 94%, and 3) the rate of adverse events during patient transfer was less than 2.4%. Professional nurses implemented the patient referral guidelines at a good level (M = 2.82, SD = .36). The professional nurses' satisfaction with the referral guidelines was at a high level (M = 3.74, SD = .81).

Conclusions: The referral guidelines facilitate efficient and safe patient transfers, providing significant benefits to patient care at Srisangworn Sukhothai Hospital while promoting collaborative efforts in quality improvement.

Implications: Healthcare professionals can implement the patient referral guidelines in the hospital's Emergency Department and utilize them as a standardized protocol for nursing activities to ensure safe patient transfers.

Effective of the Health Volunteer Competency Development Model in Elderly Care on Health Technology for Entering Aged Society

Vanida Durongrittichai, Kitisak Rujiganjanarat, Benjawan Dunkuntod — Mon, 23 Dec 2024 00:00:00 +0700

Introduction: The systematic development of health volunteers' competencies in elderly care through the use of health technology is crucial for addressing the challenges of an aging society.

Research objectives: This study aims to evaluate the effectiveness of the health volunteer competency development model in elderly care, with a focus on health technology.

Research methodology: This research and development study involved: 1) identifying methods and activities to enhance health volunteers' competencies, particularly in using digital platforms; 2) testing the health volunteer competency development model; 3) comparing competencies before and after implementing the model; and 4) summarizing the findings. The sample consisted of 600 health volunteers from Phetchaburi and Prachuap Khiri Khan provinces. Research tools included in-depth interviews, workshop questions, and questionnaires evaluating the effectiveness of the digital platform. Data analysis was conducted using content analysis and the Wilcoxon Signed - Rank Test.

Results: The study developed the PBRU DIAMOND Health model, which comprises: P (Participation of health networks): engaging local health networks; B (Based on communal areas): grounding initiatives within communities; R (Reinventing continuity of care): enhancing the continuity of elderly care; and U (University as a cluster of allied health sciences): leveraging university expertise. The model included key components: 1) a management system for developing health volunteers' competencies in elderly care; 2) two short - term training courses: (a) promoting elderly health and (b) managing elderly health; and 3) a digital platform for elderly care with 12 integrated operating systems. The post-implementation assessment revealed that 72.33% of health volunteers met the assessment criteria for knowledge, skills, and attitudes. Additionally, 58% successfully achieved the elderly care plan criteria across three consecutive evaluations. Volunteers also reported statistically significant improvements in satisfaction with recording elderly data, as well as ease of use in data security and management.

Conclusions: The PBRU DIAMOND Health model serves as a prototype for enhancing health volunteers' competencies by integrating their existing and newly developed skills in specific characteristics, knowledge, practical abilities, self - concept, and motivation.

Implications: Educational institutions, health departments, and local agencies should adopt and expand this model to neighboring sub - districts, while promoting knowledge exchange forums to support broader implementation.

The Development of a Health Promotion Model for Preventing and Addressing Frailty Issues with the Participation of Older Adults in Urban Communities, Ubon Municipality, Ubon Ratchathani Province

Kunthida Kulprateepunya, Nippapath Sinsap; Sarmran Pulthong — Mon, 23 Dec 2024 00:00:00 +0700

Introduction: Frailty in older adults poses a significant challenge, often emerging as individuals shift from strength to vulnerability without displaying noticeable symptoms. Importantly, this condition is preventable, and proactive health promotion can facilitate recovery before the onset of disability.

Research Objective: This study aims to thoroughly analyze the prevalence of frailty among older adults, create an effective health promotion model, and assess its impact on mitigating frailty - related issues.

Research methodology: The research comprises three critical phases: Phase 1 focuses on analyzing frailty; Phase 2 involves developing a participatory health promotion model tailored to address frailty; and Phase 3 evaluates the effectiveness of this model. A total of 122 elderly participants from urban communities were involved. Data collection was conducted through personal profiles and frailty questionnaires, ensuring content validity and reliability, with Cronbach’s alpha scores of .81 and .98. Descriptive statistics and a Paired Sample t - test were used for data analysis to compare means.

Results: The results revealed that 23.05% of participants were classified as frail, while 56.70% were at risk of developing frailty. The health promotion model designed to combat frailty incorporated an integrated approach utilizing tools such as the 9 - box grid, elastic bands, and rubber balls. Effectiveness was measured by the Timed Up and Go (TUG) test, which showed a significant decrease in the average completion time after program participation (M = 14.42 to M = 8.54), with statistical significance (p < .1).

Conclusion: This health promotion model not only prevents but also effectively addresses frailty in older adults, resulting in enhanced balance and walking abilities.

Implication: The promising outcomes of this health promotion model suggest that it can be successfully implemented and adapted to improve the health and wellbeing of elderly individuals across various communities.

Assessment and Nursing Care for Patients with Surgical Frailty

Khemmarat Panruy, Napaporn Kwangtong — Mon, 23 Dec 2024 00:00:00 +0700

Introduction: Preoperative surgical frailty is characterized by a diminished capacity to maintain physiological homeostasis when patients respond to surgical stress. This condition leads to negative efficiency of organ system regulation; consequently, increasing the risks of postoperative adverse events and leads to poor treatment outcomes. Thus, nurses should assess surgical frailty to monitor the risks of complications and provide nursing interventions to address these issues before a patient undergoes a surgery.

Objectives: To present knowledge, impacts, assessment, and nursing interventions for adult and older adult patients with surgical frailty before undergoing surgery.

Key issues: Nursing care for patients with surgical frailty consists of assessment and nursing interventions focusing on nutritional management, promotion of physical exercise, psychological preparation, and prevention of cognitive impairments. Implementing these nursing interventions before undergoing surgery can improve postoperative outcomes.

Conclusion: Preoperative patients with surgical frailty are at increased risks for postoperative complications; therefore, it is imperative to assess surgical frailty and provide appropriate nursing interventions, including managing and improving nutritional status, promoting preoperative exercise, and preparing patients for psychological and cognitive changes. Improving these health conditions in the preoperative phase can promote better postoperative recovery and reduce the risks of complications, disability, and mortality.

Implication: Nurses should assess preoperative surgical frailty to plan nursing interventions for preparing patients undergoing surgery. Additionally, further research is recommended to investigate factors contributing to surgical frailty in patients with various health conditions undergoing different types of surgical procedures.

Self - management of Individuals and Families in Patients with End - stage Renal Disease Receiving Hemodialysis

Sirinan Chaluaisaeng, Apinya Wechpradit — Mon, 23 Dec 2024 00:00:00 +0700

Introduction: Promoting effective self - management for patients with end stage renal disease disease who are undergoing hemodialysis requires significant involvement from families. Nurses need to emphasize the importance of involving families in supporting the patient, enabling them to manage their health effectively and achieve the health goals set.

Objectives: To present the concept of the Individual and Family Self - management Theory and the role of nurses in applying this theory in the care of patients with end stage renal disease who are undergoing hemodialysis.

Key issues: In applying the Theory of Individual and Family Self - management in caring for patients with end - stage renal disease receiving hemodialysis, nurses must provide knowledge and promote patients and families to have correct beliefs about patient health care, develop patients' self - regulation skills with family involvement, so that patients can manage complications from hemodialysis and achieve expected health outcomes.

Conclusions: The focus of the Individual and Family Self - management Theory is to involve the family in promoting the patient's self - management through process dimensions. This approach leverages the relationships of patient and family, which serve as protective factors that enhance the self - management process. The goal is to reduce risk factors that hinder self - management within the context dimension.

Implications: The Individual and Family Self - management Theory can be applied to promote self-management in end - stage renal disease patients receiving hemodialysis in many dimensions and can be applied to other groups of patients with limitations in self - care in a variety of ways.