https://he01.tci-thaijo.org/index.php/nkpjournal_9 <p> วารสารโรงพยาบาลนครพนม เป็นวารสารทางด้านแพทย์ศาสตร์ วิทยาศาสตร์สุขภาพ เผยแพร่บทความวิจัย (Research articles) บทความวิชาการ โดยมีวัตถุประสงค์เพื่อเป็นสื่อกลางเพื่อเผยแพร่ความรู้ทางด้านการแพทย์ในด้านต่างๆไปสู่บุคลากรด้านสาธารณสุขและประชาชนทั่วไป เพื่อที่จะนำความรู้นั้นไปประยุกต์ใช้ในการดูแลผู้ป่วยหรือดูแลตนเองได้อย่างมีคุณภาพมากขึ้น</p> <p><strong>วัตถุประสงค์ (Objective)</strong></p> <p> เพื่อเป็นสื่อกลางเพื่อเผยแพร่ความรู้ทางด้านการแพทย์ในด้านต่างๆไปสู่บุคลากรด้านสาธารณสุขและประชาชนทั่วไป เพื่อที่จะนำความรู้นั้นไปประยุกต์ใช้ในการดูแลผู้ป่วยหรือดูแลตนเองได้อย่างมีคุณภาพมากขึ้น</p> <p><strong>ขอบเขตของวารสาร</strong></p> <p> 1. วิทยาศาสตร์สุขภาพ <br /> 2. แพทยศาสตร์ (Medicine) <br /> 3. ทันตแพทยศาสตร์ (dentistry) <br /> 4. เภสัชศาสตร์ (pharmacy) <br /> 5. พยาบาลศาสตร์ (Nursing) <br /> 6. สาธารณสุขศาสตร์ (Health professions) <br /> 7. เทคนิคการแพทย์ (Medical technology) <br /> 8. กายภาพบำบัด (Physical Therapy) <br /> 9. รังสีเทคนิค (Radiological Technology) <br /> 10. สาขาวิชาชีพอื่นๆ ที่เกี่ยวข้องกับวิทยาศาสตร์สุขภาพ</p> <p><strong>กระบวนการพิจารณาบทความ </strong><strong>(Peer Review Process)</strong></p> <p> ทุกบทความได้รับจะการประเมินโดยผู้ทรงคุณวุฒิ จากภายในและภายนอก อย่างน้อย จำนวน 2 ท่าน <strong><em>โดยผู้ประเมินจะไม่ทราบชื่อผู้นิพนธ์บทความ (Double blind) </em></strong></p> <p><strong>ประเภทบทความ (Type of Article)</strong> <br /> 1. บทบรรณาธิการ (Editorial) เป็นบทความสั้นๆ ที่บรรณาธิการหรือผู้ทรงคุณวุฒิที่กองบรรณาธิการเห็นสมควรเขียนแสดงความคิดเห็นในแง่มุมต่างๆ <br /> 2. บทความทบทวนความรู้ (Topic review) คือ บทความที่มีลักษณะการทบทวนวรรณกรรมต่างๆ อย่างสมบูรณ์ในเรื่องนั้น ควรเป็นเรื่องที่พบบ่อย มีผลต่อการดูแลรักษามากหรือเป็นเรื่องที่กำลังอยู่ในความสนใจในขณะนั้นเพื่อเป็นการทบทวนองค์ความรู้ที่มีอยู่ให้ดีขึ้น <br /> 3. นิพนธ์ต้นฉบับ (Original article) คือ งานวิจัยของแพทย์ ทันตแพทย์ เภสัชกร พยาบาล หรือเจ้าหน้าที่สาธารณสุขด้านอื่นๆจัดทำขึ้น เพื่อเผยแพร่องค์ความรู้ใหม่ในงานวิจัยนั้น <br /> 4. รายงานคนไข้น่าสนใจ (Interesting case) คือ รายงานผู้ป่วยที่มีความน่าสนใจในด้านต่างๆ ซึ่งอาจเป็นผู้ป่วยพบบ่อย หรือผู้ป่วยที่พบไม่บ่อยแต่มีความน่าสนใจ เพื่อที่จะให้ผู้อ่านได้เห็นตัวอย่างและนำไปปรับปรุงการดูแลคนไข้ให้ดียิ่งขึ้น <br /> 5. นวัตกรรม คือผลงานหรือวิธีการที่คิดค้นขึ้นใหม่ เพื่อนำไปใช้ประโยชน์ให้การดูแลคนไข้ รวดเร็ว และมีคุณภาพมากขึ้น <br /> 6. เกร็ดความรู้ คือความรู้ด้านต่างๆ อาจไม่ใช่เรื่องทางการแพทย์โดยตรง แต่เป็นเรื่องที่น่าสนใจในขณะนั้น เพื่อที่จะทำให้ผู้อ่านได้รับรู้เหตุการณ์สำคัญๆ ในช่วงเวลานั้น <br /> 7. กิจกรรมการประชุมวิชาการ ทั้งที่จัดขึ้นโดยโรงพยาบาลนครพนม หรือจากผู้เชี่ยวชาญภายนอก <br /> 8. บทความหรือรายงานเหตุการณ์สำคัญ (Report) ที่กองบรรณาธิการเห็นว่าควรนำมาเผยแพร่เพื่อเป็นประโยชน์แต่บุคคลโดยรวม</p> <p><strong>กำหนดเผยแพร่ (Scheduling) </strong>ปีละ 3 ฉบับ</p> <ul> <li class="show">ฉบับที่ 1 มกราคม – เมษายน</li> <li class="show">ฉบับที่ 2 พฤษภาคม – สิงหาคม</li> <li class="show">ฉบับที่ 3 กันยายน – ธันวาคม</li> </ul> <p><strong>ค่าธรรมเนียมตีพิมพ์บทความ<br /></strong> 3,000 บาท</p> <p> </p> <p> </p> โรงพยาบาลนครพนม (Nakhonphanom Hospital) th-TH Nakhonphanom Hospital Journal <ol> <li>บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของ โรงพยาบาลนครพนม</li> <li>ข้อความหรือข้อคิดเห็นต่างๆ เป็นของผู้เขียนบทความนั้นๆ ไม่ใช่ความเห็นของกองบรรณาธิการ</li> </ol> https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/276893 นทวรรณ หุ่นพยนต์ Copyright (c) 2025 Nakhonphanom Hospital Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2025-02-05 2025-02-05 12 1 E276893 E276893 https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/277084 <p><strong>Objective:</strong> 1) To study the situation of the operation of prevention and control of non-communicable diseases in local administrative organizations in Samut Prakan Province and 2) To develop guidelines for the operation of prevention and control of non-communicable diseases in local administrative organizations in Samut Prakan Province.</p> <p><strong>Materials &amp; methods:</strong> The research design is mixed method research consisting of Quantitative Research and qualitative research in the form of Action Research, which consists of Phase 1: Planning, Phase 2: Action, Phase 3: Observing, and Phase 4: Reflecting.</p> <p>The population and samples used in the quantitative research were executives of local administrative organizations, directors/heads of public health and environment divisions of municipalities, persons responsible for prevention and control of non-communicable diseases of local administrative organizations, and relevant persons from all 49 local administrative organizations, 1 person per organization, totaling 49 persons. The quantitative instruments used were the survey on the implementation of prevention and control of non-communicable diseases in local administrative organizations in Samut Prakan Province. The qualitative research instruments (action research) were the focus group discussion form and the in-depth interview form and non - participant observation form.</p> <p><strong>Results:</strong> The results of the study found 1) The overall situation of the operation of prevention and control of non-communicable diseases of local administrative organizations in Samut Prakan Province was at a moderate level, with an average of 2.24. The highest performance results were in the areas of operation planning, operation strategies, and resources, followed by participation in the operation, organizational structure and management, prevention and control of non-communicable diseases in the area of ​​responsibility, and supervision, monitoring, and evaluation of the operation and work standards. The main obstacles were insufficient staff for the operation, frequent transfers and changes of work locations, no non-communicable disease situation in the area of responsibility, and low public cooperation in screening for diabetes and high blood pressure. 2) Developing guidelines for the prevention and control of non-communicable diseases in local administrative organizations that are clear and appropriate for the context of Samut Prakan Province, where the urban area and local administrative organizations have one of the highest incomes in the country. It is considered that they have the potential to manage the prevention and control of non-communicable diseases in the area. In terms of organizational structure and management, the organizational structure must be reviewed, personnel must be adequately managed, and clear work assignments must be issued. The health insurance fund at the local level must be managed to maximize the benefits of the people. In terms of planning, strategies, and operational resources, there must be a database system for planning operations and solving public health problems at the local level in collaboration with local public health service facilities.</p> <p><strong>Conclusions</strong>: Local administrative organizations in Samut Prakan Province, which is an urban area, have high potential, especially in terms of budget, which has one of the highest incomes in the country. More than 90 percent of them participate in the local health insurance fund, including many public health centers that can be models. The operation of prevention and control of non-communicable diseases (NCDs), especially diabetes and hypertension, which are the leading causes of many other non-communicable diseases, if the structure is organized, the number of personnel is sufficient and appropriate, the work is clearly assigned, there is a disease situation database system, and the operation is integrated with the sub-district health promotion hospitals in the area and Village Health Volunteer (VHV) in the area. There is a clear and continuous monitoring system, the operation of prevention and control of non-communicable diseases of local administrative organizations will be effective, and the people will benefit the most.</p> Jumrus Wongprasert Copyright (c) 2025 Nakhonphanom Hospital Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2025-03-07 2025-03-07 12 1 E277084 E277084 https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/277092 <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This study aims to study the results of &nbsp;the development of provincial food safety quality system in Nakhon Phanom province in accordance with the Bureau of Food Safety Extension and Support, Ministry of Public Health has corrected the reality. It can be practiced without contradicting international principles. The guidelines for assessing and developing the quality system for food safety in Nakhon Phanom province (revised in 2016) consist of 4 topics:&nbsp; 1: Policy Making and Management &nbsp;2 Implementation&nbsp; 3 Review and Evaluation Topic&nbsp; 4 Documentation and Record Keeping. The score of 4 assessment topics is equal to 100 points (100%) and each topic must pass at least 60% and all topics combined.It must pass 60 percent as well, but in the case of a model province for a food safety quality system. The international reference level must score 80% in all topics and must pass the combined threshold of 91% or higher. By collecting secondary data from operational documents. Evaluation report of the Nakhon Phanom Provincial Public Health Office Using a data copy form created by the researcher himself, the results found that the operation involved a committee meeting and a food safety working group. Nakhon Phanom Province, Prepare documentation to correct defects that have not met the standards and prepare an integrated food safety plan. Throughout the food chain, Nakhon Phanom Province proposes to the governor of Nakhon Phanom Province for approval and sends it to relevant agencies. Implement and report the results according to the plan, which is assessed by the committee of the Office of Bureau of Food Safety Extension and Support, Ministry of Public Health. On March 9-10, 2022, the Nakhon Phanom Provincial Public Health Office passed all 4 criteria and received an overall score of 92.63% in the international reference level, and the Office of the Permanent Secretary, Ministry of Public Health certified Nakhon Phanom Province as a model Provincial Food Safety Quality System at sequence 16 of country at Fiscal Year 2022.</p> <p>&nbsp;</p> Narongchai Chanporn Copyright (c) 2025 Nakhonphanom Hospital Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2025-02-28 2025-02-28 12 1 E277092 E277092 https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/277136 <p><strong>Objectives </strong>: To calculate price indexes of pharmaceuticals from healthcare providers’ perspective for Nakhonphanom Hospital to be used in planning, budgeting and policy setting.</p> <p><strong>Methods</strong> : Pharmaceutical items from hospital formulary were reviewed and classified according to the National List of Essential Medicines 2022. The ratio of the pharmaceutical cost of each item to the total cost of all pharmaceutical items in the fiscal year 2019 (base year) were used to obtain the basket of pharmaceuticals. Price indexes of pharmaceuticals during the fiscal year 2019-2024 were computed by Laspeyeres Formula.</p> <p><strong>Results</strong> : The number of pharmaceutical items is hospital formulary are 718 items. Classified by the National Primary Drug List 2022, 125 items have a gross weight of 0.2% or more. Regarding the basket in fiscal year 2019 (base year), 17 drug groups were observed, including 50 tablet dosage form, 55 injections dosage form, and others. The overall price index of pharmaceuticals decreased from 1.00 in fiscal year 2019 to 0.95 in fiscal year 2021 to 0.88 in fiscal year 2024.</p> <p><strong>Conclusion</strong> : Overall, trend of the price indexes of pharmaceuticals decreased. Using drug procurement costs from the pharmaceutical inventory management program, comprising all pharmaceutical items and purchasing costs contribute to correct weight for pharmaceutical items in the basket.</p> วิขิต เหล่าวัฒนาถาวร Copyright (c) 2025 Nakhonphanom Hospital Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2025-02-28 2025-02-28 12 1 E277136 E277136 https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/275491 <p><strong>Background: </strong>Hypertension has serious health consequences, with one in three individuals worldwide suffering from high blood pressure. This condition leads to stroke, heart attack, heart failure, kidney failure, and other health problems. In Khon Kaen district, hypertensive care is provided to patients at Community Medical Units (CMU) by Family Medicine doctors and at Health Promoting Hospitals (HPH) by Family Medicine doctors in collaboration with professional nurses. However, However, there has been no comparative study on the effectiveness of hypertension treatment between these two types of care models. The researcher is interested in conducting this study to further develop and improve the service models.</p> <p><strong>Objective: </strong>To evaluate the effectiveness of controlling Systolic Blood Pressure (SBP) over a 12-month period in hypertensive patients treated at HPH and CMU.</p> <p><strong>Methods</strong>: This study is a retrospective cohort study that collected data from patient medical records in the JHCIS database for hypertensive patients from October 1, 2022, to January 31, 2024. The study included two groups: 143 patients treated at HPH and 143 patients treated at CMU. The data were analyzed using descriptive statistics, including percentages, means, medians, and inferential statistics to compare differences using Fisher’s exact test, Mantel-Haenszel Chi-square test, and Mann-Whitney U test.</p> <p><strong>Results: </strong>The mean changes in SBP, DBP, BMI, and waist circumference between the two groups were not significantly different. However, changes in eGFR were significantly different. Laboratory tests for hypertensive patients, including serum creatinine, LDL, fasting plasma glucose, and urine albumin, were thoroughly conducted. The testing of serum potassium in patients on ACEIs, ARBs, and HCTZ, as well as serum uric acid testing in patients on HCTZ, and the median duration of annual laboratory testing between the two study groups, showed statistically significant differences.</p> <p><strong>Conclusion: </strong>The study found no significant difference in SBP changes over 12 months between the two care models. Both groups completed general laboratory tests for hypertensive patients thoroughly. However, the testing for serum potassium, uric acid, and annual testing duration showed significant statistical differences. Thus, the current care models can continue, but improvements in service standards should be made for better patient care.</p> Rudklao Rerkrujipimol Copyright (c) 2025 Nakhonphanom Hospital Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2025-02-05 2025-02-05 12 1 E275491 E275491 https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/277504 <p><strong>Objective:</strong> The objective of this study was to compare the HbA1c levels measured from EDTA blood samples and Li-Heparin blood samples of patients at Sakon Nakhon Hospital using the Turbidimetric Inhibition Immunoassay method.</p> <p><strong>Materials and Methods</strong>: This experimental study aimed to compare HbA1c levels measured using the Turbidimetric Inhibition Immunoassay principle with the Cobas 6000 analyzer. The study used residual blood samples from routine tests of patients at Sakon Nakhon Hospital who had HbA1c tests ordered from both EDTA blood and Li-Heparin blood samples on the same day and time. A total of 370 samples were collected. Data analysis and statistical tests were performed. The distribution of data was tested using the Kolmogorov-Smirnov test (KS test), and if p ≥ 0.05, the data were considered normally distributed. Pearson correlation was used to test the relationship between HbA1c levels from EDTA blood and Li-Heparin blood for normally distributed data, while Spearman’s correlation was used for non-normally distributed data. The difference in HbA1c levels from EDTA blood and Li-Heparin blood was tested using a paired t-test for normally distributed data and the Wilcoxon Signed Rank Test for non-normally distributed data. Statistical analyses were performed using statistical software, with significance set at p &lt; 0.05.</p> <p><strong>Results:</strong> The average HbA1c levels measured from EDTA blood and Li-Heparin blood were 7.25% and 7.23%, respectively, with standard deviations of 2.38% and 2.37%. A t-test was used to test the difference between the two methods, and no significant difference was found (p = 0.237, p &gt; 0.05). The results from both blood sample types showed a strong correlation (r = 0.9901).</p> <p><strong>Conclusion:</strong> Li-Heparin blood samples can be used as an alternative to EDTA blood samples for HbA1c measurement using the Turbidimetric Inhibition Immunoassay method, as long as the analysis is performed within the same day.</p> Jintana Dechapitak Copyright (c) 2025 Nakhonphanom Hospital Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2025-03-14 2025-03-14 12 1 E277504 E277504 https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/275959 <p><strong>Objectives : </strong>The objective of this research was to compare the Effects of Self-Efficacy in Risk Management and Patient Safety Care Promoting Program on Knowledge and Nurse's Perceptions on Patient Safety Culture at Nakhonphanom Hospital</p> <p><strong>Medthodology and methods : </strong>Quasi-experimental research. Two group pretest-posttest design. Between the experimental group and the control group. The sample were Purposive Sampling was used to select 80 nurses; 40 nurses were assigned to the experimental group and the other 40 nurses in the control group. The research instruments were the Effects of Self-Efficacy in Risk Management and Patient Safety Care Promoting Program and a questionnaire on Patient Safety Culture survey. Descriptive and inferential statistics, paired t-test and independent t-test were used. The tools used for data collection content validity verification by three experts. The scores obtained were calculated to determine the content validity index (CVI), which was 1.00. Additionally, the reliability test yielded a Cronbach's Alpha coefficient of 0.83.</p> <p><strong>Results : </strong>The research results revealed that Risk management and Patient Safety Care Promoting Program performance perceived by the experimental group was at a high level&nbsp; ( =14.08 ,SD=1.96) and that perceived by the control group was at a Low level ( =10.13 ,SD=2.35); and the experimental group’s perception of safety culture performance was significantly higher (p &lt; .05) than that of the control group.</p> <p><strong>Conclusion : </strong>The results indicated that the Effects of Self-Efficacy in Risk Management and Patient Safety Care Promoting Program on Knowledge and Nurse's Perceptions on Patient Safety Culture at Nakhonphanom Hospital can improve the performance of nurses.</p> อภิพร ต้นศรี Copyright (c) 2025 Nakhonphanom Hospital Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2025-02-21 2025-02-21 12 1 E275959 E275959 https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/277537 <p><strong>Objectives :</strong> To explanatory of nursing process in 2 case studies undergoing lumbar spine surgery.</p> <p><strong>Matherials &amp; Methods :</strong> Case study was selected by purposive sampling consisted of 2 case who received lumbar spine surgery at orthopedic ward, Nakhonphanom Hospital between March 2024 to September 2024. Data were collected from patient medical records, patients and families were interviewed, nursing practices were performed according to nursing process concepts, and content data was analyzed.</p> <p><strong>Results :</strong> The two cases were male, aged 22 and 70 years, diagnosed with Spinal stenosis &nbsp;L4-L5 and Spinal stenosis &nbsp;L3-L5, respectively. They underwent Laminectomy L4-L5 with Pedicle screw L4-L5 with repair dura and Laminectomy with Pedicle screw with Posterolateral lumbar fusion L3-L5, respectively. Case study 1 had a spinal dural tear. Case study 2 had hyperglycemia and hypertension before surgery. had hypovolemic shock surgery, and postoperative delirium. Nursing care for patients with spinal dural tear, monitoring for hypovolemic shock, managing postoperative delirium in the elderly, and providing appropriate pain management in both cases. The total hospitalization periods were 7 days and 10 days, respectively.</p> <p><strong>Conclusion : </strong>Nursing process is an important tool in this case study. It is a holistic solution to the health problems of individual care plan based on scientific principles and the application of theoretical knowledge to practice based on reasoning, decision-making, and problem-solving, which affects the quality of nursing care and creates nursing quality standards.</p> Thitipun Pitisuksirikul Copyright (c) 2025 Nakhonphanom Hospital Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2025-02-28 2025-02-28 12 1 E277537 E277537 https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/275960 <p><strong>Objective:</strong> To develop a risk management system for in-patient units at Nakhonphanom Hospital and to evaluate the effects of the risk management system on these units.</p> <p><strong>Materials and Methods:</strong> This quasi-experimental research utilized a one-group pretest-posttest design. The sample group consisted of 52 professional nurses, with 2 nurses from each of the 26 in-patient units at Nakhonphanom Hospital, selected through purposive sampling. Data collection was conducted in November 2024.</p> <p><strong>Results:</strong> The average post-intervention knowledge score regarding nursing risk management was significantly higher ( = 9.52, SD=1.14) compared to the pre-intervention score, which was at a moderate level ( =6.81, SD=2.03), with a statistically significant difference (p &lt; .05). Professional nurses demonstrated a high level of satisfaction with the developed risk management model in various aspects: Risk management:( =4.23, SD = 0.21) Risk management processes: ( =4.31, SD = 0.04) Risk identification: ( =4.31, SD= 0.17) Risk assessment and analysis: ( = 4.33, SD = 0.10) Risk control and management: ( = 4.04, SD = 0.08) Evaluation of the risk management system: ( = 4.50, SD = 0.00)</p> <p><strong>Conclusion:</strong> This study highlights that the developed risk management model for in-patient units at Nakhonphanom Hospital can effectively enhance professional nurses' practices. Hospital administrators can adopt this model to improve safety-related outcomes.</p> WALINEE LERTWITAYAKUMJORN Copyright (c) 2025 Nakhonphanom Hospital Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2025-02-21 2025-02-21 12 1 E275960 E275960