Journal of Nursing Science and Health https://he01.tci-thaijo.org/index.php/nah <p>เป็นวารสารที่จัดทำขึ้นเพื่อเผยแพร่บทความทางวิชาการและผลงานวิจัยทางการพยาบาลด้านความรู้ แนวคิดนวัตกรรมทางการพยาบาลและสาขาอื่นๆที่เกี่ยวข้องทางด้านสุขภาพ บทความที่ตีพิมพ์ประกอบด้วยบทความวิชาการ บทความวิจัย รายงานวิจัย ปกิณกะ และข่าวความเคลื่อนไหวในวิชาชีพพยาบาลและสุขภาพ โดยวารสารออกตีพิมพ์ปีละ 4 ฉบับ ทุกๆ 3 เดือน</p> en-US Journal of Nursing Science and Health 0125-7021 <p>ต้องเป็นบทความที่ใหม่ ยังไม่เคยตีพิมพ์ที่ใดมาก่อน</p> Table of content https://he01.tci-thaijo.org/index.php/nah/article/view/236766 <p>Table of content</p> -- -- Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 A Child rearing of Thai families: A Systematic Integrated Literature Reviews https://he01.tci-thaijo.org/index.php/nah/article/view/183265 <p>The objective of this study was to systematic integrated literature reviews on child rearing of Thai families. Collected data by searching research papers during 1995 to 2015. The instrument used in this study were the research data record form and the research quality evaluation forms. There were 60 research papers that qualified according to the inclusion criteria. The findings from a systematic integrated literature reviews were 5 main issues included: “age of children”, “child caregiver”, “child rearing activities”, “family parenting styles of Thai families” and “family parenting styles that affect child development in various areas”.</p> Rungrat Sukadaecha Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 1 9 THE EFFECTS OF APPRECIATION INFLUENCE CONTROL ON ATTITUDE TOWARDS SMOKING AND INTENTION TO NOT SMOKING AMONG MALE ADOLESCENTS IN FOSTER HOME https://he01.tci-thaijo.org/index.php/nah/article/view/203233 <p>The purpose of this research was to study the effects of the appreciation influence control (AIC) on the attitude towards smoking and the non-smoking intention among male adolescents in the foster homes. The sample was male teenagers aged 14-19 years who were in two foster homes. The fifteen students each were assigned in the experimental group and comparison group. Data were analyzed by descriptive statistics pair <em>t</em>-test and independent <em>t</em>-test</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The study found the different means of the non-smoking intention of the experimental group was significantly higher than that of the comparison group at the level of .05 (<em>t </em>= 3.864, <em>p</em> = .001)<strong>.</strong> Moreover the different mean of the experimental group was non significantly lower than the comparison group (<em>t </em>= -1.050,<em> p</em> = .105)</p> <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong>The application focusing on stakeholder’s participation will enhance the intention to not smoking among Thai adolescents effectively.</p> preyanuch uthairutsamee Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 10 18 Barriers to access of primary healthcare by people with low income in urban communities: A qualitative study* https://he01.tci-thaijo.org/index.php/nah/article/view/204857 <p>This focused ethnography research was initiative to explore the beliefs and perceptions of healthcare users regarding the conditioning factors of primary health service accessibilities in the Isan region<strong>.</strong> The key informants were selected via defined criterions including 40 healthcare users, and 6 general informants. Content with thematic analysis techniques of the data were employed. The result revealed that the conditioning factors of primary health service accessibilities included: the beliefs and perception of healthcare services access, family income, incomprehensive health services according to problems and needs, insufficient healthcare providers. The findings of this study might yield suggestions to develop a healthcare service guideline for the primary healthcare service center, which coverage access all dimensions and holistic care for healthcare users in socio cultural of Isan.</p> Supranee Sittikan Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 19 29 Occupational health hazard and work-related injuries among rice farmer https://he01.tci-thaijo.org/index.php/nah/article/view/214837 <p>This descriptive study aimed to analyze the situation of occupational and environmental health among rice farmers working at community enterprises during in March to May 2016. The study sample was 385 rice farmers at community enterprises in Wang thong district, Pitsanulok province. Data were analyzed using descriptive statistics. The results illustrate that three most significant workplace hazards were identified. These included physical hazard which was exposure to hot environment (99.5%); chemical hazard which exposed to dust or hay (94.3%) and chemical substances (94.0%); biological hazard including to work in Waterlogging or mud (97.9%) and ergonomic hazard which were awkward, repetitive postures by 97.7%. Moreover, they also perceived that their work involved with using sharp machine or tools by 97.4%. The work-related injuries rate was 8.8 %.</p> วชิระ สุริยะวงค์ Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 30 41 The effect of the exercise promotion program with the folk V-Exercise innovation on physical fitness, blood sugar levels and depression in the elderly diabetic. https://he01.tci-thaijo.org/index.php/nah/article/view/200171 <p>This research aimed to study the effect of the exercise promotion program with the folk V-Exercise innovation on physical fitness, blood sugar levels and depression in elderly people with diabetes symptom.Folk V-Exercise innovation was developed for using in Bung Loet Sub-district, Roi Et. The sample of 82 people were divided to receive program groups of 41 persons and control group of 41 persons. The results were analyzed by Paired t-test and Independent t-test statistics. After attended the program the Physical fitness, Blood sugar levels and depression of the received program better than before participating in the program and better than the comparison group&nbsp; statistical significant at 0.05. This study is useful for older people with diabetes and can be applied to other elderly chronic diseases to increase physical fitness and decease tension in the elderly.</p> chatlada deeprom Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 42 53 The development of exercise behavior among the elderly by empowerment process at Ban Yong Yang, Nongraviang Subdistrict, Mueang District, Nakhon Ratchasima Province https://he01.tci-thaijo.org/index.php/nah/article/view/240802 <p>This research is the action research. The objective of this research was to develop exercise behavior among the elderly by empowerment process. The susman’ s empowerment process consisted of 5 steps as follow, first: the diagnosis of the elderly ’s health problems, second : the action planning, third : the practical experiences in doing exercise, fourth the evaluation of the exercise and fifth : the improvement of learning results. The sample consists of 35 elderly people and the informants consist of 17 persons. The tools used for data collection were&nbsp; exercise behavior questionnaire and focus group discussion guideline. The statistics used were mean, percentage, standard deviation, frequency distribution and paired t-test.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results showed&nbsp; that after the elderly people took part in these processes, they have more knowledge about the exercise, awareness about the exercise, perceived self efficacy, and exercise behavior higher than before with the statistical significance of .05.&nbsp;</p> Buppha Norrasan Copyright (c) 2020-03-30 2020-03-30 43 1 54 64 Community participation in the development of rehabilitation and health care models for older person with dementia https://he01.tci-thaijo.org/index.php/nah/article/view/180171 <p>This action research objective aimed to develop rehabilitation and health care model for the older persons with dementia in context of community participation. Forty six participants were stakeholders in community, who were selected by purposive sampling. Qualitative data collected through in-depth interviews and focus group discussion. Data analyzed using content analysis. The research process comprised of 3 phases; situation analysis, development process and model synthesis. Findings showed&nbsp;“THASONGKHON MODEL” included 4 components such as policy, people, services and&nbsp;supporting system. The model comprised of 3 service activities; Assessment and screening,referral for curative treatment and service for rehabilitation by community participation. This model is appropriate for older people with dementia according to context of community health care.</p> sakorn intolo Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 65 77 The effects of educative supportive program on self care behaviors and HbA1c in persons newly diagnosed with type 2 diabetes https://he01.tci-thaijo.org/index.php/nah/article/view/185628 <p>This quasi - experimental research the one group pre – posttest design was aimed to study the effects of educative supportive program on self care behaviors and HbA1c. A purposive sample of 20 in persons newly diagnosed with type 2 diabetes for study. The program educative supportive nursing system&nbsp; in 16 weeks. Tools used for data collection include Self-care behavior questionnaire of diabetic patients consists of eating, exercise prevention of complications, foot care, medication, appointment examination and HbA1c were collected before and after the program. After 16 weeks, outcome self care behaviors increased significantly and HbA1c decrease significantly. Suggestion: The results of this study provide a guideline of nursing practice in diabetics patients to adjust then self care behavior, to control their HbA1c and to prevent complication of diabetics.</p> พัชรินทร์ เชื่อมทอง Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 78 86 Effectiveness of purse lip breathing and counting blood pressure in hypertensive urgency patients https://he01.tci-thaijo.org/index.php/nah/article/view/205356 <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This experimental study aimed to compare blood pressure (BP) level before and after used purse lip breathing and counting therapy in hypertensive urgency patients, and to investigate trend of BP. The study was conducted at Emergency Room, 54 patients. Every hour, experimental group performed purse lip breathing and counting therapy for 15 minutes and measured BP level every hour until 4 hours. Control group received routine nursing care. Repeated Measures ANCOVA was used for data analysis. The results found that BP level of experimental group was deceased by treatment significantly (p &lt;0.01). In the 1<sup>st</sup> hour, average of systolic BP and diastolic BP were decreased 20.48 and 16.27 mmHg, respectively. In addition, BP level trended to decrease every hour and some patients were discharged after the 2<sup>nd</sup> hour of treatment.</p> นางนิภา ศรีมุกดา Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 87 96 Outcomes of Nursing Clinical Practice Guideline Development for Septic Shock in Medical Intensive Care Unit at Chiangrai Prachanukroh Hospital https://he01.tci-thaijo.org/index.php/nah/article/view/240805 <p>This Participate action research aimed to develop nursing clinical practice guideline (CNPG) for sepsis shock patients. Kemmis &amp; McTaggart's action research design was used including 2 cycles.The results showed that the previous system had delayed detection and report signs and symptoms of septic shock to the physicians. Thus, patients had a high mortality rate (51.25%). These results led to the developing of nursing care guidelines for septic shock patients in the first six hours, MEWS or qSOFA were added into CNPG. The second cycle development included septic shock fast track. Finding: 1) Increased rate of admitted septic shock patients at medical ICU within 3 hours from 20 % to 82% 2) Sepsis detection increased from none to 97.6 %. 3) Septic shock patients survived without shock stage in six hours increased from 35.52 to 61.03. 4) The mortality rate decreased from 51.25% to 16.5%. 5) Overall satisfaction of care guideline development and utilization among head nurses and registered nurses was high</p> วิลาวรรณ เมืองอินทร์ Copyright (c) 2020 https://creativecommons.org/licenses/by-nc-nd/4.0 2020-04-08 2020-04-08 43 1 97 108 Development of Nursing Practice Guidelines for Promoting Patients with Successful Noninvasive Ventilation: A Pilot Study https://he01.tci-thaijo.org/index.php/nah/article/view/196920 <p>Development of Nursing Practice Guidelines for Promoting Patients with Successful Noninvasive Ventilation. The development of this nursing practice was based on empirical evidences, using the framework of Soukup.The relevant empirical evidences were extracted based on the Joanna Briggs Institute (JBI), 2014. All 26 related subjects. After that they were synthesized for the development of nursing practice, consisting of three main parts: 1. care to promote sufficient oxygen; 2. care to reduce anxiety and 3. care to promote compliance and comfort. The content validation was verified by 4 experts (CVI = 1) and Appraisal of Guideline for Research &amp; Evaluation (AGREE II = 82 percent). To study and evaluate the feasibility of nursing practice guidelines. The results of successful NIV were analyzed and it was found that the patients did not need for invasive ventilation and there were no complications from NIV insertion.</p> Porntip Pimpun Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 109 117 Symptom experiences, symptom managements, and quality of life among advanced cancer patients receiving palliative care https://he01.tci-thaijo.org/index.php/nah/article/view/210811 <p>This study aimed to investigate symptom experiences, symptom management strategies, and quality of life among advanced cancer patients receiving palliative care using symptom management model. A total of 120 advance stage cancer participants receiving palliative care at an oncological hospital located in Vietnam were recruited based on purposive sample method. The results revealed that pain was the most common (83.3%) and distressing symptom. Pain killer was the most significant pharmacological strategy, while spiritual therapy (40%) was the most significant non-pharmacological strategy. Moreover, quality of life among patients was in moderate level. These findings would be used for baseline information in order to control symptoms and improve quality of life among Vietnamese advanced cancer patients receiving palliative care.</p> Linh Thi Yen Nguyen Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 118 129 Nurse competency in stroke fast track perceived by emergency at national hospitals in Cambodia https://he01.tci-thaijo.org/index.php/nah/article/view/195727 <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This descriptive research aimed to evaluate emergency nurse competency in stroke fast track. Eighty-three eligible emergency nurses were recruited from three emergency departments (EDs) of national hospitals in Cambodia. Content validity index of the Emergency Nurse Competency in Stroke Fast Track questionnaire was 1.00 and Cronbach’s alpha reliability was 0.94. The study findings showed that overall competency level of emergency nurses was moderate (E.=3.01, E.SD=0.58). The emergency nurses had moderate competency level in management (E.=3.26, E.SD=0.70) and communication and coordination (E.=3.43, E.SD=0.62). They had low level in professional practice (E.=2.91, E.SD=0.71), professional development (E.=2.36, E.SD=0.74), and critical thinking (E.=2.93, E.SD=0.76). It is recommended that health care policy makers should promote continuing education and training in stroke and guidelines for stroke fast track should be implemented.</p> Sokchhay Y Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 130 138 Sleep problems in older people and nursing management https://he01.tci-thaijo.org/index.php/nah/article/view/240808 <h3>Sleep is the best form of rest. It is vital and has much benefit. However, most older people suffer sleep problems, which has much negative impacts. Sleep problems increase risk of physical, psychosocial, and spiritual health. It also increases mortality from all causes. Nurse has a crucial role in taking care of older people, in order to promote good quality of sleep as well as solve or reduce sleep problems.&nbsp; This aims to enhance all dimensions of health by applying knowledge and understanding about normal sleep and changing in ageing process that affects sleep. This article presents importance of sleep, factors related to sleep, types of common sleep problems, assessment, and nursing management to promote sleep in older people</h3> ลดาวัลย์ พันธุ์พาณิชย์ Copyright (c) 2020 https://creativecommons.org/licenses/by-nc-nd/4.0 2020-04-08 2020-04-08 43 1 139 150 Informed consent: Nurse liability https://he01.tci-thaijo.org/index.php/nah/article/view/72078 <p><strong>Abstract</strong></p> <p>Nursing and midwifery professions is related to patient care. The nursing profession is the government officer, officiate in the government sector.Sometimes there is a violated action by the State duties, which is caused by the State duties are not standardized, the fault or defect of the State Agency or operating system. The nurse will be protected from Tort Liability Act B.E.2539, the State Agency must reimburse a compensation for the victim.The State authority can take the recourse from the nurse when it revealed that the nurse performed the violation by purposely or severely negligence only.For this result, the principle debtor condition cannot be used to apply and excluded the fault or defect of the State Agency. So, when the nurse allegedly violated must notify supervisors at all levels to acknowledge. When the State Agency take the recourse, the nurse should appeal to dispute such a order. During the appeal, the nurse must still comply with the order.</p> <p><strong>Keyword :</strong> nurse, tort liability</p> Chintana Suwittawat Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-03-30 2020-03-30 43 1 151 156 Authors Guide Line https://he01.tci-thaijo.org/index.php/nah/article/view/241059 <p>-</p> Jintana Tangvoraphonkchai Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-04-08 2020-04-08 43 1 ใบสมัครสมาชิกวารสารพยาบาลศาสตร์และสุขภาพ https://he01.tci-thaijo.org/index.php/nah/article/view/241060 <p>-</p> Jintana Tangvoraphonkchai Copyright (c) 2020 Journal of Nursing Science and Health https://creativecommons.org/licenses/by-nc-nd/4.0 2020-04-08 2020-04-08 43 1