Journal of Nursing Science and Health <p>The <em>Journal of Nursing Science and Health</em> is a quarterly peer-reviewed journal of the Faculty of Nursing Khon Kaen University Thailand. The journal aims to publish high quality empirical studies and scholarly papers in the field of nursing and related health sciences. We accept both Thai and English manuscripts which have never been published elsewhere. These submitted manuscripts will be evaluated by at least 2 experts in the field for scientific merits, with double-blind review process. Once accepted and published, the manuscript copyright will be automatically transferred to the journal.</p> คณะพยาบาลศาสตร์ มหาวิทยาลัยขอนแก่น en-US Journal of Nursing Science and Health 0125-7021 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The Journal of Nursing Science and Health is copyright holder of published articles. Distributions of articles published in Journal of Nursing Science and Health including online, photocopying which is not for teaching-learning purpose, publication submission elsewhere are prohibited except obtaining permission from the Journal of Nursing Science and Health.</p> Table of content Ampornpan Theeranut Copyright (c) 2020 2020-06-29 2020-06-29 43 2 Effects of innovation “KKU-TB-BOX” on adherence to tuberculosis treatment process* <p>This quasi-experimental study aimed to study the effects of innovation “KKU-TB-BOX” on adherence to tuberculosis treatment process (appointment and taking medicine). The population were 60 tuberculosis patients. The first thirty patients were randomly assigned into control group received to the usual care and the other thirty patients were randomly assigned into experimental group received to the usual care with innovation “KKU-TB-BOX”. The instrument used in this study were&nbsp; : 1) Demographic data of population characteristics and adherence to tuberculosis treatment record 2) innovation “KKU-TB-BOX”. Data was analyzed using descriptive statistics, chi-square test, independent t-test, mann-whitney u test and relative risk. Results of the study, pulmonary tuberculosis patients who received to the usual care with innovation “KKU-TB-BOX” had a significant higher appointment than who did not (X<sup>2</sup>=9.231, p&lt;0.05), pulmonary tuberculosis patients who received to the usual care with innovation “KKU-TB-BOX” had a significant higher taking medicine than who did not (p&lt;0.001).&nbsp;</p> pichamon Kongkasem Ampornpan Theeranut Chavis Srichan Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 1 12 Decision making experiences of critical care nurses during transition from advanced life support to end-of-life care: Hermeneutic phenomenology Napaporn Peerakavee Monthira Udchompisai Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 13 24 Development of dyspnea assessment tool for patient receiving palliative care. <p>The objective of this research was to develop a tool to assess dyspnea in patients receiving palliative care, to check the quality of the content validity and the reliability and usability testing tools. The research methodology consists of 3 phases as follows : Phase 1 defines dimensions, sub-dimension, definition and create questions. The sample consisted of 15 palliative care patients and 15 professional nurses with experience in caring for patients. Data were analyzed by content analysis. Phase 2, to determine the quality of the tools. Sample Consisted of 5 experts and 52 patients receiving palliative care. Analyze the data by content validity index and the Cronbach's alpha coefficient. And Phase 3 attenuates the details, updated questions and usability testing of tools. The sample consisted of 30 palliative care patients and 30 professional nurses with experience in caring for patients.&nbsp; Analyze the data by usability index.</p> <p>The result of the study has 3 sets of tools as follows: 1) Assessment tool for risk of developing dyspnea, consisting of 10 questions. 2) The assessment tool of dyspnea in patients receiving palliative care, consisting of 24 questions. And 3) The assessment tool for dyspnea in patients who cannot communicate, consisting of 10 questions. All tools are in acceptable content validity (SCVI: 0.96, 1, 0.96 and ICVI: 0.8-1, 1, 0.8-1 respectively), reliability is acceptable to excellent (α Cronbach: 0.76, 0.93, 0.88 respectively), usability testing is acceptable (UI : 0.89, 0.86, 0.93 respectively).</p> pasakorn ngoangam Bumpenchit sangchart Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 25 34 Effect of self care using rolling massage with feet numbness <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The purpose of this quasi-experimental research was to study the effect self-care of using Makha rolling with feet numbness in the elderly diabetes type II. The studying was conducted using one group pre-post test design. The 16 participants using purposive sampling are elderly people over 60 years of age who had type 2 diabetes and had feet numbness in the area of ​​responsibility of the Samakhee community health center. The elderly using Makha rolling were set out every day 6 weeks with altogether 15 times. <a href="">The statistics used were percentage, mean, standard deviation and Wilcoxon Signed Ranks Test. The results revealed that the level feet numbness of participants in the experimental group after participated in rolling innovation activity had statistically significant lower numbness before participated at the level of .05.</a></p> PATCHAREE WANGWUN Sakaorat Kraichan Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 35 44 Risk factors of hypertensive disorders in pregnancy in Lao PDR <p>This case-control study was conducted to determine risk factors associated with HDP in Lao PDR. Data were 2 years retrospectively collected on medical records of delivered women. 543 cases were included in the study. Data were analyzed using simple logistic regression and multiple logistics regression analysis. &nbsp;</p> <p>The findings revealed that women aged &lt; 19 years and &gt; 35 years , Pre-pregnancy BMI &lt;18.5 kg/m<sup>2</sup> and ≥ 25 kg/m<sup>2 </sup>, Less and excessive maternal weight gain, and primigravida were risk factor associated with Hypertensive disorders in pregnancy.</p> somphane sysavath Nilubon Rujitaprasert Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 45 54 The Factors related to parenting stress of teenage mothers <p>ปัจจัยที่มีความสัมพันธ์กับความเครียดจากการเลี้ยงดูบุตรของมารดาวัยรุ่นหลังคลอดครรภ์แรก</p> <p>Factors related to parenting stress of teenage mothers</p> <p>ดวงเดือน&nbsp; ดวงสำราญ (Duangduean Duandsamran)<strong><sup>*</sup></strong><strong><sup> &nbsp;</sup></strong>อินทิพร ปักเคเต (Intiporn Pakkete)<strong><sup>*</sup></strong></p> <p><strong>&nbsp;</strong></p> <p><strong>บทคัดย่อ</strong></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; การวิจัยเชิงพรรณนานี้ มีวัตถุประสงค์ศึกษาระดับความเครียดจากการเลี้ยงดูบุตรของมารดาวัยรุ่นครรภ์แรก และศึกษาปัจจัยที่สัมพันธ์กับความเครียดจากการเลี้ยงดูบุตรของมารดาวัยรุ่นครรภ์แรก ตัวแปรต้น ได้แก่ ปัจจัยส่วนบุคคล พฤติกรรมของบุตร และการได้รับการสนับสนุนจากครอบครัวในการเลี้ยงดูบุตร ตัวแปรตามคือความเครียดจากการเลี้ยงดูบุตร กลุ่มตัวอย่างคือมารดาวัยรุ่นหลังคลอดครรภ์แรกที่มาตรวจหลังคลอด 6 สัปดาห์ หรือนำบุตรมารับวัคซีน 8 สัปดาห์หลังเกิดที่โรงพยาบาลพิมาย จำนวน 135 คน โดยการสุ่มแบบเฉพาะเจาะจง เครื่องมือที่ใช้เก็บรวบรวมข้อมูลเป็นแบบสอบถามแบ่งออกเป็น 4 ส่วน ได้แก่ข้อมูลทั่วไป ระดับความเครียดจากการเลี้ยงดูบุตร แบบประเมินพฤติกรรมของบุตร&nbsp; และการได้รับการสนับสนุนจากครอบครัวในการเลี้ยงดูบุตร ผ่านการหาความตรงเนื้อหาจากผู้เชี่ยวชาญ 3 ท่าน และหาความเชื่อมั่นของแบบสอบถาม ส่วนที่ 2, 3 และ 4 ได้ค่าความเชื่อมั่นของเครื่องมือเท่ากับ .93, .90 และ .80 ตามลำดับ วิเคราะห์ข้อมูลโดยใช้สถิติความถี่&nbsp; ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน ไควสแควร์ และสัมประสิทธิ์สัมพันธ์ของเพียร์สัน</p> <p>ผลการศึกษาพบว่ามารดาวัยรุ่นหลังคลอดครรภ์แรกมีความเครียดจากการเลี้ยงดูบุตรอยู่ในระดับเครียดน้อย พฤติกรรมของบุตรค่อนข้างเลี้ยงยาก&nbsp; การได้รับการสนับสนุนจากครอบครัวในการเลี้ยงดูบุตรระดับมาก การศึกษาความสัมพันธ์พบว่าปัจจัยส่วนบุคคล พฤติกรรมของบุตรไม่มีความสัมพันธ์จากการเลี้ยงดูบุตร ส่วนการได้รับการสนับสนุนจากครอบครัวในการเลี้ยงดูบุตรมีความสัมพันธ์ทางลบกับความเครียดจากการเลี้ยงดูบุตรอย่างมีนัยสำคัญทางสถิติที่ระดับ .05</p> <p>(r = -.203, p= 0.018)&nbsp;&nbsp;</p> <p>&nbsp;</p> <p><strong>คำสำคัญ</strong> : ความเครียดจากการเลี้ยงดูบุตร&nbsp; &nbsp;วัยรุ่นหลังคลอดครรภ์แรก</p> <p>&nbsp;</p> <p><sup>&nbsp;&nbsp;&nbsp;&nbsp; </sup></p> <p><strong><sup>*</sup></strong><sup> &nbsp;&nbsp;&nbsp;</sup>อาจารย์ สาขาการพยาบาลมารดา-ทารก และการผดุงครรภ์ คณะพยาบาลศาสตร์</p> <p>&nbsp;&nbsp;&nbsp; มหาวิทยาลัยวงษ์ชวลิตกุล</p> <p><strong>&nbsp;</strong></p> <p><strong>ABSTRACT</strong></p> <p>This descriptive study aimed to assess the parenting stress level, babies behavior and family supports&nbsp; and to explore factors associated with parenting stress in teenage mothers. Purposive sampling was used to recruit 135 samples of teenage mothers whose age were 15-19 years old and their babies&nbsp; were receiving services at well-baby clinic of Phimai hospital, Nakhon Ratchasima province. Research instruments included 4 self-report questionnaires completed by teenage mothers. There were a demographic questionnaires, the questionnaires of babies behavior and the family supports questionnaires. The parenting stress’s scale, the babies behavior’s scale and the family supports’s scale with their reliabilities of Cronbach’s alphas of .93, .90&nbsp; and .80 respectively. The data were analyzed by using-frequency, percent, mean, standard deviation, Chi-Square and Pearson’s correlation coefficiency.</p> <p>Results revealed that the sample had low level of parenting stress. Their babies&nbsp; were rather difficult to care and their family supports were high level. With regard to personal factors were not associated with parenting stress. However level of family supports were statistically significant related to parenting stress <strong>(</strong>r = -.203, p&lt;.05<strong>)</strong>.&nbsp;Knowledge of parenting stress level and correlated factors should continually promote and educate patient and families. Proactive health service and participation must be applies.</p> <p>&nbsp;</p> <p><strong>Keyword</strong> : parenting stress, teenage mothers</p> <p>&nbsp;</p> <table> <tbody> <tr> <td width="2">&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> </tr> </tbody> </table> <p>&nbsp;</p> <p>&nbsp;</p> <p><strong><sup>*</sup></strong><sup> &nbsp;&nbsp;</sup>Lecturer, Department of Maternal-neonatal and midwifery Nursing, Faculty of</p> <p>&nbsp; &nbsp;Nursing, Vongchavalitkul University.</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> duangduean - duangsamran Intiporn Pakkete Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 55 63 EFFECT OF DISCHARGE PLANNING FOR PEDIATRIC PATIENTS WITH BILIARY ATRESIA USING D-M-E-T-H-O-D MODEL ON CAREGIVER’S KNOWLEDGE IN DISEASE AND CARING BEHAVIORS <p>This study is a quasi - experimental research aimed to determine the effect of discharge planning using D-M-E-T-H-O-D model based on knowledge and behavior of caregivers for children with biliary atresia. The 12 subjects of this study were purposively selected who took care of children admitted in the pediatric ward, by providing 3 sessions of discharge planning information for 30-50 minutes/session. Research instruments were the tools to determine the knowledge and caring behaviors in child care for biliary atresia. The reliability of showed 0.99 and 0.86, respectively. Data were analyzed using paired t-test. The results showed that the scores of knowledge and behavior of the subjects were significantly higher than before using discharge planning (t = -5.94, p&lt;.001 and t = -9.31, p&lt;.001, respectively).&nbsp;</p> aroonsri nakmanee Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 64 73 EFFECTS OF SELF - EFFICACY DEVELOPMENT PROGRAM ON SELF - EFFICACY AND SELF-CARE BEHAVIOR IN SCHOOL-AGED NEPHROTIC SYNDROME PATIENTS <p>This quasi – experimental research aimed to study the Effects of Self – Efficacy Development Program on Self – Efficacy and Self-Care Behavior in School – age Nephrotic Syndrome Patients. The sample was 40 School-age Patients with Nephrotic Syndrome at outpatient pediatric services, Khon Kaen Hospital. They were divided into 2 groups: 20 of the control group received conventional nursing care, and 20 of the experimental group received health education Self – Efficacy Development Program data were analyzed using the percentage, mean score, standard deviation score, and t-test. The results were as follow:1) Experimental group’s of Self – Efficacy Belief after intervention and mean score of Self-Care Behavior after intervention was significantly higher than before intervention 2.The experimental group’s mean score of Self – Efficacy and Self-Care Behavior in School-age patients, the caring behaviors was significantly higher than those in the control group. &nbsp;</p> Saowalak Chankan Chalida Thanattheerakul Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 74 84 THE RELATIONSHIPS BETWEEN ILLNESS PERCEPTION, SELECTED BASIC FACTORS AND SELF- CARE BEHAVIOR OF ADOLESCENT WITH CANCER <p>This descriptive research aimed to explore relationships between illness perceptions, selected basic factors, and self- care behaviors of adolescent with cancer. The participants were 90 adolescents, aged between 13-18 years, Purposive sampling methods were used to include the participants. Fisher’s exact test and Spearman rank correlation coefficient were analyzed to explore the relationships between variables. The overall of Illness perceptions and self-care behaviors of the adolescents with cancer were good ( &nbsp;= 3.39, SD = 0.49; &nbsp;= 3.38, SD = 0.32). Illness perception, age, duration of illness Sex, educational level, family feature, and kinds of cancer were not significantly associated with self-care behaviors of the adolescent with cancer (p&gt;0.05).</p> <p><strong>Keywords: </strong>self- care behaviors, adolescents with cancer.</p> THANAPORN UPASAN jintana Tangvoraphonkchai Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 85 94 Knowledge, attitude and practice of psychiatric nurses toward physical health care for psychiatric patient <p>The descriptive research aimed to study the knowledge, attitude, and practice of mental health nurses toward physical health care for psychiatric patients. Data were collected by self-report questionnaires were 113 nurses. According to the knowledge questionnaire developed by the researcher and attitudes questionnaire back translation of the Physical Health Attitude Scale for mental health nurses. Quantitative Data uses descriptive statistics is percent and average. The result found that most of the sample size knowledge a high level ( 76.1%, =19 ), have a very good attitude (58.4%, = 104.72) and they practice found most level (57.5%, = 51.81, SD= 9.93). But found that we have low knowledge of psychiatric drugs risk to metabolic syndrome and assessing the differential disease was chronic obstructed pulmonary disease and, Tuberculosis. Also, they should adjust their attitudes to cancer screening and eye health check should not be part of the mental health nurse’s role.</p> Sumalee Thongkornthai Somporn Rungreangkulkij Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 95 104 The Development of Continuing Care Guideline for Chronic Kidney Disease : Primary Care Network, Khon Kean Hospital <p>This action research focused on develop a continuing care guideline for chronic kidney disease patients registered at Khon Kean Hospital and its Primary Care Network using chronic care model and continuing care as conceptual framework. 70 participants were recruited (consisted of patients and their caregivers, village health volunteers, community leaders, and health care providers). Data was collected through in-depth interviews, focus groups, observation and related clinical records survey. All data were analyzed using descriptive statistics and qualitative-data content analysis. The research results showed that the developed continuing care guideline expanded more holistic and continuity care for those chronic kidney disease patients. Families and community were reached out and encouraged to involved in supportive caring. Volunteers and health care providers were trained and connected systematically. Patients’ knowledge, and self care behaviors were improved. As a results, clinical signs evaluation changed up from Phase 4 to Phase 3 : 13.33 percent .</p> Sarunya Matarach Orasa Kongtaln Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 105 114 Factors influencing quality nursing services by nurse administrators at university hospitals in the Northeast of Thailand <p>This predictive research aims to study the factors that influence the quality nursing services of nurse administrators at university hospitals in the northeastern region of Thailand. Data were collected from 118 samples. The instruments used in the research were a questionnaire on environmental factors at work and a questionnaire on quality nursing services. The questionnaires were a 5- point rating scale. The validity and the reliability were checked and the values of Cronbach’s Alpha Coefficient were 0.93 and 0.94, respectively. Data were analyzed using descriptive statistics and standard multiple regression analysis.</p> <p>The results of the research showed that environmental factors at work, including perceived roles of nursing administrators, service support system and organizational policy can predict quality service of nurse administrators with statistical significance at 82.7% (R2 = .827 F = 181.247, p &lt;.05). Therefore, nurse administrators and hospital administrators should set policies and find strategies to support environmental factors at work to encourage nursing administrators to provide quality nursing services.</p> Sompratthana Dapha Jitpinan Srijakkot Wanchanok Juntachum Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 115 125 ปัจจัยคัดสรรที่มีอิทธิพลต่อความผูกพันต่อองค์กรของพยาบาลวิชาชีพ ระดับปฏิบัติการ โรงพยาบาลกรุงเทพ ภาคตะวันออกเฉียงเหนือ ประเทศไทย <p>This descriptive research studied the selected factors (positive psychological capital and practice environment) which influenced organization commitment among professional nurses at operational level in Bangkok Hospital in the northeastern Thailand. The samples included 300 fulltime professional nurses at operational level. People randomly selected by stratified hierarchy. Questionnaire with Content validity Index = 0.945 and reliability = 0.953 were applied as research tool. Stepwise Multiple Linear Regression Analysis was performed. The Results showed that organization commitment average score was in high level ( =5.31, S.D. =0.84). The organization commitment had been jointly influenced by 3 factors, namely optimistic view of positive psychological capital, nursing basic for quality of care and nurse’ participation of practice environment (p&lt;0.05). The regression model showed 44.30 percent explanation ability to organization commitment. The prediction equation consisted of organizational commitment = 0.160 + (0.448 x optimism view ) + (0.175 x nursing basic) + (0.157 x nursing participation)</p> Reinthong Wongsudta Rachatawan Sritragool Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 126 134 Sleep quality and related factors among university students <p>This research aimed to explore sleep quality among university students and related factors. The sample consisted of 112 students selected through a multistage, random sampling technique. Instruments consisted of demographic data &nbsp;and the Pittsburgh Sleep Quality Index (PSQI). The study findings revealed that 80.4% of the subjects had poor sleep quality. The factors statistically significant related to overall sleep quality were social media using (p &lt; .05) and drug use (p &lt; .05) and found that the factors statistically significant related to the side sleep quality were social media using, accommodation, history of drinking tea / coffee, and drug use (p &lt; .05).</p> jeerapa karnchanakomate pornsuang wongsawat Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 135 145 การพัฒนาคุณภาพชีวิตของมารดาและทารกด้วยโครงการจิตประภัสสรตั้งแต่นอนอยู่ในครรภ์ <p>The national development mainly focuses on human development. In order to gain a good quality of life with potential, the development must begin at the time of conception in the womb because the child is the cornerstone of developing a qualified adult in the future. The mother and infant will receive care and health promotion from pregnancy through the delivery and postpartum period. When born, the child must be properly cared for growing and becoming a qualified adult in the future. The Serene Mind Project is a project that promotes parents to have a correct view of life to get along with the 10 months of pregnancy and gives a child a chance to be a noble person because the mother's womb is a world of children to learn through hormones that indicate the emotions of the mother in each moment. Therefore, it is important to keep the mother's mind from irritability, by having a father who is supporting and encouraging, mothers and infants have a good quality of life.</p> Wilaiphan Sawatphanit Copyright (c) 2020 Journal of Nursing Science and Health 2020-06-25 2020-06-25 43 2 146 156 Authors Guide Line Ampornpan Theeranut Copyright (c) 2020-06-29 2020-06-29 43 2 157 165