Journal of Nursing, Siam University

Factors Predicting Quality of Life in Prisoners with Non – Communicable Diseases in the Lower Southern Province of Thailand

2023-06-04T15:56:14+07:00

Objectives: This study aimed to examine the factors predicting prisoners’ quality of life with non-communicable diseases (NCDs).

Methods: This research employed a predictive correlational design and included a sample group of 160 prisoners with NCDs in the lower southern province of Thailand. Data were collected using a questionnaire and analyzed using descriptive statistics and multiple regression analysis.

Results: The research results indicate that, in the sample group aged 41 to 60, individuals experiencing mild depression have a statistically significant correlation with a significant decrease in quality of life, with a log-odds of 2.269 (p = 0.001) when compared to the group of non-depressed individuals among those subject to compulsory military service. Meanwhile, the sample group with moderate depression shows a correlation with a decrease in quality of life, with a log-odds of 1.245 (p = 0.057). On the other hand, the sample group with severe depression or chronic diseases does not exhibit a statistically significant correlation with the quality of life.

Conclusion and recommendations: To enhance the quality of life for prisoners with NCDs, it is important to address the impact of chronic illness and depression. By doing so, prisoners with NCDs can experience an improved quality of life, increased self-care, and better ability to carry out daily activities.

The Effect of Blended Learning Program of Principles and Nursing Techniques for Promoting Readiness on Knowledge, Principle Practice Skills and Nursing Techniques of Student Nurses

2023-08-27T20:00:11+07:00

This quasi experimental study (one group pre test - post test group design) aims to study the effect of blended learning program of principles and nursing techniques for promoting readiness on knowledge, principle practice skills and nursing techniques of student nurses. A sample of 103 second-year nursing students who enrolled in the academic year 2022 and attended nursing practicum was purposively selected from Boromarajonani College of Nursing, Surin. The instruments were divided into two parts: 1) the blended learning program for determining readiness 2) the 15-item questionnaires focusing on knowledge of the principles and techniques in nursing; and 3) the 8 skill of the principles and techniques in nursing practice assessment. Three experts evaluated the content validity index. (IOC 1) The KR-20 of knowledge of the principles and techniques in nursing questionnaire was = 0.82 and the Cronbach’s alpha of 8 skill of the principles and techniques in nursing practice assessment 0.80, respectively. The data was analyzed by percentage, mean, standard deviation, and paired t-test. Results showed that after attending the blended learning program, the nursing students had statistical significantly higher knowledge than before using program (p < .001). The most of skill scores of the preparation of principles and techniques in nursing were of 90 – 94 (53.44%). The suggestion, the blended learning program can be apply for promoting knowledge and nursing skill in the others nursing subjects.

The Development of Anesthesiology Nursing Practice Guidelines in Patients with Hemorrhagic Stroke at Undergo Surgery Samut Sakhon Hospital

2023-11-10T15:20:55+07:00

This research and development aimed to develop and study the results of using anesthesia nursing practice guidelines in patients with hemorrhagic stroke has undergone surgery at Samut Sakhon Hospital. The researcher developed it using empirical evidence that was conducted accordingly. Empirical evidence steps by using the research results of the IOWA Model (IOWA Model Collaborative, 2017). The target group consists of service providers, including anesthesia nurses, 19 people, professional nurses working in unit, 58 people, and service recipients, including patients who have been diagnosed, 30 people had hemorrhagic stroke and were treated with surgery at Samut Sakhon Hospital. Results of the study: Anesthesia nursing practice guidelines for patients with hemorrhagic stroke has undergone surgery at Samut Sakhon Hospital developed from empirical evidence in 20 cases. Evaluate the level of empirical evidence using Mellin’s criteria. And power out – overhaul Empirical evidence Level 2:3 stories. Level 3:2 stories, Level 4:4 stories, Level 5:5 stories, Level 6:2 stories, and Level 7:4 stories. The practice guideline consists of nursing 3 phases: 1) the pre-anesthesia phase; Including preparing patients for anesthesia nurses. and preparing patients for professional nurses in the unit. 2) during anesthesia; Including nursing during anesthesia, anesthesia, and nursing during recovery from anesthesia. 3) after anesthesia; Including post-anesthesia nursing for anesthesia nurses, visit patients after receiving anesthesia in the ward. and post-anesthesia nursing for professional nurses in the unit. Evaluate the practical ability of anesthesia nurses in the unit at a high level when used by service recipients who are patients with hemorrhagic stroke of the 30 people who received surgery, no incidence of discrepancies was found in postponing surgery not ready and unplanned transfer to intensive care unit and no complications were found from the suppression of feelings.

Perception of Learning Skills, Confidence, Application of Knowledge and Satisfaction of Nursing Students Towards Online Practice in Mental Health Nursing and Psychiatry Practicum

2023-08-14T15:26:47+07:00

This descriptive research aimed to study satisfaction. 21st-century learning skills and confidence in caring for psychiatric patients from online practice in mental health nursing and psychiatry. The population consisted of 134 nursing students in the third year of the Academic Year 2020 who were registered in the Mental Health and Psychiatric Nursing Practice Course. All students were practice by using Blended Learning. Emphasis is placed on role-play for case studies by teachers in each group and face-to-face. The four activities' requirements for each student were 1) group therapy activities 2) therapeutic communication 3) case studies and 4) case study for group conference. The instruments consisted of demographic data, a satisfaction questionnaire, self-assessment of the 21st century learning skills, self-confidence to caring psychiatric patient and the practical knowledge test. Data were analyzed by descriptive statistics, mean, percentage, and inferential statistics comparing differences in confidence scores and practical knowledge application scores by paired-t test. The results showed that 112 students (83.6%) were willing to respond to the questionnaire. The most satisfaction was the usually opportunity to discuss (74.1%) while the lowest of satisfaction was the limited time for case studies conference (9.8%). The most enhancement of 21st-century learning skills is communication skills (36.6%). Comparing between before and finished practice courses the research found that self-confidence in caring for psychiatric patients and applied knowledge to practice scores were also improved with statistical significance at the .05 level.

Effects of a Supportive and Educational Nursing System for Breastfeeding on Maternal Breastfeeding and Milk Flow in Cesarean section Deliveries

2023-10-25T10:47:44+07:00

This semi-experimental study aimed to investigate the impact of a supportive and educative nursing system for breastfeeding on maternal breastfeeding practices and milk flow following cesarean sections. The study included a total of 44 participants, selected based on predefined criteria. Participants were divided into two groups: one comprised of 22 individuals receiving the supportive and educative nursing system for breastfeeding, and the other consisting of a control group of 22 individuals receiving standard nursing care. The research utilized three main instruments: 1) the supportive and educative nursing system for breastfeeding, 2) a breastfeeding capacity evaluation form, and 3) an evaluation form for milk flow. Statistical analysis involved the use of frequency, percentage, mean, standard deviation, Chi-square Test, and T-test. The findings revealed that: 1) mothers who underwent cesarean sections and received the supportive and educative nursing system for breastfeeding achieved significantly higher LATCH scores compared to those in the control group within the initial 48 hours after the cesarean section and during the pre-discharge phase (p < 0.05), and 2) mothers who underwent cesarean sections and received the supportive and educative nursing system for breastfeeding demonstrated a significantly higher rate of milk flow compared to those in the control group within the same time frames and with statistical significance (p < 0.05).

Factors Influencing to Preventive Behaviors for Coronavirus Disease 2019 of Thai and Migrant Workers in Bang Sao Thong District, Samutprakarn Province

2023-11-16T08:05:52+07:00

This research aimed to examine the preventive behavior for coronavirus disease 2019 (COVID-19) and factors affecting the preventive behaviors for coronavirus disease 2019 of Thai and migrant workers in Bang Sao Thong District, Samutprakarn Province. The sample were 420 people including 210 Thai workers and 210 migrant workers who work in Bang Sao Thong district, Samutprakarn province. Samples were selected by stratified random sampling technique. The data were collected during August 2022. The research instruments were questionnaires to assess demographic characteristics, health literacy, social support, attitude, towards coronavirus disease 2019, perception towards benefits and barriers of prevention behaviors, and the prevention behaviors of coronavirus disease 2019. All research instruments were validated in terms of content validity by three experts in the field. The Content validity index (CVI) was .96. The Cronbach’s alpha coefficient reliability of the questionnaire was tested yielding values of .81 and .77 respectively. The quantitative data were analyzed using multiple regression.

The results found that the worker had a high level of prevention behavior of coronavirus disease 2019 (Mean = 2.18, SD = .50). Multiple regression analysis revealed that the following factors were statistically significantly (p-value < 0.05) affected the preventive behaviors of Coronavirus disease 2019; health literacy (Beta = .134, p = .004), attitude (Beta = .234, p < .001), social support (Beta = .226, p < .001), perception in the barriers related to the coronavirus disease 2019 (Beta = -.081, p = .037) and perception in the benefit related to coronavirus disease 2019 (Beta = .244, p < .001) were able to predict the prevention behavior of coronavirus disease 2019 at 53 percentages (R² = .533, p < .001)

The study results can be used as a guideline for defining plans and activity models in accordance with society such as activities to make people more knowledgeable, cope with emerging incidents in the future, and prepare workers to be ready for new ways of life.

Guidelines to Rehabilitation of Drugs Addict through Family Involvement in Mueng Angthong, Angthong Province

2023-11-10T15:07:21+07:00

Guidelines to rehabilitation of drugs addict through family involvement in Mueng Angthong, Angthong Province. This study was Research and Development (R&D). The objectives of this research were to 1) examine the situation of the rehabilitation of drugs addict through family involvement in Mueng Angthong, Angthong Province 2) examine the family factor affected the rehabilitation of drugs addict involvement in Mueng Angthong, Angthong Province and 3) propose guidelines to rehabilitation of drugs addict through family involvement in Mueng Angthong, Angthong Province.The sample for quantitative research were: 754 drugs addict who received rehabilitation, 754 drugs addict’s family who received rehabilitation, rehabilitation staffs in 14 sub-districts was selected using simple random sampling by calculating the sample size (Krejcie & Morgan) at a confidence level of 3.841%, resulting in a sample size of 255 people. The key informants for qualitative research who has knowledge and understanding of the rehabilitation of drug addicts were: 1) 7 people were selected using purposive sampling from Hua Phai Subdistrict, Mueang Angthong District, Angthong Province for in-dept Interview. 2) 7 experts were selected using purposive sampling from knowledgeable and understanding of rehabilitation expert for focus group discussions and 3) 9 experts were selected using purposive sampling for confirm the draft Guidelines to rehabilitation of drugs addict through family involvement in Mueng Angthong, Angthong Province for connoisseurship.The instruments used were questionnaire, semi-Structured Interview, and connoisseurship. Quantitative data was analyzed using Frequency, Percentage, mean, and standard deviation. A difference between the current conditions and the desirable conditions using Modified Priority Needs Index (PNI _modified) Quantitative data was analyzed using content Analysis.

The results findings were as follow; 1) The current condition of the rehabilitation of drugs addict through family involvement found that 1.1) the understanding the behavior of drugs addict: Drug addict want their family to showed them love, care, and attention. 1.2) Family relationships: The family counseling with drugs addict about the causes of addiction. 1.3) Participation in the rehabilitation process: The family participates in therapeutic activities with staff 1.4) Supporting drugs addict in reintegrating into society, community, and environment: The family certifies the behavior of the drugs addict to society and the community. 2)The family factor affected the rehabilitation of drugs addict involvement found that the supporting drugs addict in reintegrating into society, community, and environment. There is a difference between the current conditions and the desirable conditions (Gap = 0.32). The family relationships with drugs addict and participation in the rehabilitation process. There is a difference between the current conditions and the desirable conditions (Gap = 0.31) and understanding the behavior of drugs addict. There is a difference between the current conditions and the desirable conditions (Gap = 0.29) respectively. 3) Guidelines to rehabilitation of drugs addict through family involvement found that 3.1) the understanding the behavior of drugs addict consists of 5 approaches were understanding, opportunities, knowledge about drugs, love and warmth, and a drug-addicted brain. 3.2) family relationships consist of 6 approaches were time, harmony, encouragement, caring, continuity, and family therapy. 3.3) participation in the rehabilitation process consists of 5 approaches were the main factors of drug abstinence. duration of rehabilitation process, Participation in whole of rehabilitation process, follow-up, and be patient. 3.3) Supporting drugs addict in reintegrating into society, community, and environment consists of 6 approaches were exercise, activities involve in society, friends and risky drugs addict places, useful leisure, and not ashamed that drugs addict in family.

Promoting Humanitude Care in Family Caregivers of Older Adults with Dementia

2023-10-26T09:41:37+07:00

In Thailand, family caregivers, including husband, wife, child, and grandchild, play a significant role in caring for older adults with dementia in the family at home as part of Thai culture. Also, caring for older adults in the family is also a way children should be grateful to their parents/grandparents. However, providing long-term care for old adults with dementia could lead to exhaustion, stress, or burn out.

This article aims to present the concept of humanitude care, which emphasizes respect for the dignity of the human person. The article will present the key principles and steps of humanitude care. It will also provide an alternative approach for nurses who provide care in the community to enhance family caregivers, knowledge and skills in caring for older adults with dementia using the humanitude concept. Therefore, family caregivers could provide proper care for older adults with dementia with less burden.