Journal of Nursing, Siam University

Nursing Interventions in Reducing the Severity of Auditory Hallucinations in Psychiatric Patients

Puthawan Choocherd — 2024-06-30

Auditory hallucinations are the most common symptom in psychiatric patients, especially schizophrenia, other types of psychosis, and major depressive disorder. In addition, auditory hallucinations are also found in people with psychotic symptoms resulting from the use of substance drugs, both during the intoxication and withdrawal stages and in elderly people with dementia. It causes great distress to the patient and is also a key factor in the suicide of psychiatric patients, as well as a high risk of violence and a negative impact on the patient's overall quality of life. The most effective therapy for controlling auditory hallucinations is antipsychotic therapy, while psychosocial therapy, such as cognitive behavioral therapy, behavior therapy, mindfulness therapy, and developing coping skills, will help patients to accept and adapt to the sounds of auditory hallucinations and reduce the patient's suffering. Nursing therapy focuses on holistic therapy, intending to allow patients to adapt, have fewer hallucinations, have their physical needs properly met, encourage patients to stop listening to noises, and promote Participation in positive activities, medication administration, development of thinking and social skills, and continued care at home with the patient's family. As a result, patients can self-manage and have a better quality of life.

The purpose of this article is to review knowledge about auditory hallucinations and effective nursing treatment guidelines to help reduce the severity of auditory hallucinations for psychiatric nurses and general nurses, which can be applied in taking care of patients both in the clinic and in Continuing care at home and in the community.

TThe Evaluation of the Bachelor of Nursing Curriculum Version 2019, Faculty of Nursing at Udonthani Rajabhat University

Porntip Anantakul — 2024-06-30

The purpose of this research was to evaluate the Bachelor of Nursing Science curriculum version 2019, Faculty of Nursing at Udon Thani Rajabhat University. The sample group consists of 1) External Stakeholders consisting of nursing graduates who graduated in the academic year 2022, graduate users, and recipients of health services. 2) Internal Stakeholders consisting of Faculty of Nursing administrators, responsible persons for the curriculum, faculty members, support personnel, and the 4th year nursing students. Research instruments were questionnaires developed by the researcher based on the theoretical framework of the CIPP Model. The first set of tools had a reliability value = 0.97 and the second one had a reliability value = 0. 95 and collected qualitative data using group discussion questions, and in-depth interviews. Quantitative data were analyzed on frequency distribution, percentage, mean, and standard deviation. Qualitative data were analyzed by content analysis consisting of interpretation and summary. The results of the analysis found that the overall context was appropriate at a high level (= 4.18, S.D. = 0.78). The appropriateness of input factors was at a high level ( = 4.43, S.D. = 0.69) The overall process aspect was appropriate at a high level (= 4.28, S.D. = 0.75) and the results aspect of the overall desirable graduate characteristics of nursing students were at a high level (= 4.28, S.D. = 0.68) and the overall competency of nursing and midwifery professionals (undergraduate level) was at a high level ( = 4.32, S.D. = 0.67).

Development of a Model of Care Management for COVID-19 Patients in Crisis at Krathumbaen Hospital, Samutsakhon Province, and Evaluation of Outcomes

Rachada Kaewinchai — 2024-06-30

Objectives To develop a management model for COVID-19 patients in critical condition at Krathum Baen Hospital, Samut Sakhon Province, and evaluate the outcomes.

Methods This study is research and development. The management components in four areas include facility and environmental management, manpower ratio, personnel development, and equipment. The sample groups are divided into 37 professional nurses working in the Semi ICU Cohort ward and 347 COVID-19 patients registered for treatment at the Semi ICU Cohort ward. The research tools used include a nursing protocol for ventilator-assisted patients, a nursing protocol for patients receiving high-flow nasal cannula oxygen therapy, a survey on nursing practices for ventilator-assisted patients and patients receiving high-flow nasal cannula oxygen therapy, a satisfaction questionnaire for professional nurses regarding the management model for COVID-19 patients in critical condition, a perception questionnaire on self-competence in nursing COVID-19 patients in critical condition, and an outcome recording form. The content validity index (CVI) is .91, .89, .89, .83, and .88, respectively. The research was conducted from January to June 2022, and data analysis was performed using descriptive statistics and Chi-square tests.

Results The research findings on nursing outcomes revealed that the infection rate of COVID-19 among professional nurses, while working in critical COVID-19 patient care, was 0. Overall satisfaction with the nursing management approach for critical COVID-19 patients was high (mean 3.76, SD=0.43), and confidence in caring for critical COVID-19 patients was rated as good (mean 4.05, SD=0.60). When comparing patient outcomes, it was found that the mortality rate of COVID-19 patients and the incidence rate of complications from being on HFNC before and after the development of nursing management approaches differed significantly statistically (P<.05).

Conclusion The development of nursing management for critical-care Covid-19 patients

Krathumbaen Hospital, Samutsakhon Province is an efficient nursing service system. The research findings should be utilized to enhance the quality of nursing care.

Results of Teaching Management with the C2TRS Concepts on Caring Behaviors in Nursing of Nursing Students

Supisara Suwannachat — 2024-06-30

Caring behaviors were crucial in nursing practice and served as an indicator of the desired competencies expected of nursing students. The cultivation of caring behaviors in nursing must be systematically implemented through appropriate processes. The objective of this research was to study the outcomes of teaching management with the C2TRS concept on the caring behaviors of 138 second-year nursing students during their clinical training in the Fundamental Principles and Nursing Techniques course. The data was collected through a validated questionnaire. The questionnaire was administered to a sample group of 16 students, and the Cronbach's alpha coefficient was found to be .91. The statistic used to analyze was a descriptive statistic. The research results revealed that nursing students expressed a high level of caring behaviors ( = 4.36, SD = 0.68). The top three caring behaviors with the highest scores were: 1) Using appropriate and respectful terms when addressing patients or their relatives ( = 4.76, SD = 0.47); 2) Communicating with patients before administering various care procedures ( = 4.67, SD = 0.53); and 3) Expressing concern and empathy while providing care to patients ( = 4.57, SD = 0.61).

The last three caring behaviors that students scored were: 1) Addressing and resolving patients' problems according to their needs ( = 3.99, SD = 0.68); 2) Providing patients and their caregivers with an understandable explanation of illnesses, the course of symptoms, and the care and treatment plan ( = 3.74, SD = 0.84); and 3) Speaking with patients and suggesting calming, relaxing techniques, or adopting religious activities based on the patient's beliefs ( = 3.70, SD = 0.85). In conclusion, teaching management with the C2TRS concept promoted nursing students' caring behaviors. Therefore, integrating the C2TRS concept into nursing education is recommended for effective teaching and learning.

Factors Influencings Stress of the Elderly in the COVID-19 Pandemic

Lunchana Phimphanchaiyaboon — 2024-06-30

This research was predictive research targeting to determine the predictive factors influencing stress of the elderly The Senior Citizen Association of Nursing Siam University Bangkok. Subjects were 95 community members aged 60 and elderly living in in Phasi Charoen District Bangkok that were chosen by simple random sampling. Suanprung Stress Test-20, Self-Esteem Assessment, Social Support Assessment, Health Perception Assessment was used among the others for data collection the reliabilities were .87, .86, .98 and .91. Percentage, mean, standard deviation, multiple regressions were used for data analysis.

The results indicated that the older adult of the elderly in the covid 19 pandemic perceived their stress as moderate ( = 40.64, SD = 1.036). As well, the results showed that factors influencing stress of elderly is social support could predict stress (p < .05) (β = -0.402, p-value = 0.001).

The findings of the study are beneficial in term of care designed for elderly. The study suggests that intervention for elderly should promote Social Support by encouraging them to participate in their activities will help to reduce stress.

Effectiveness of the Using DSC Application to Physical and Mental Health Care in Patients with Non-Communicable Diseases

Susaree Prakhinkit — 2024-06-30

Objective: To development and determine the effectiveness of Daily Self Care (DSC) application for physical and mental health care in patients with Non-Communicable Diseases (NCDs) to blood pressure, blood sugar, and stress.

Method: The research was quasi-experimental research. It was conducted in 2 phases, the first phase was to study the development of DSC and the second phase was to study the effectiveness of DSC application for physical and mental health care in patients with NCDs to blood pressure, blood sugar and stress. The data was analyzed compare the mean scores before and after within group by Pair t-test. Independent t-test was used to compare between groups.

Results: The development DSC application to physical and mental health care divided into 2 parts. Part 1 is an application for users consisting of 6 functions, including stress assessment before and after activities, exercise activities: 5 happiness, guidelines for mental health care, knowledge about diabetes, blood pressure diseases and part 2 web application for system administrators receive data for self-care of users .The results of the effectiveness DSC application analysis found that 1) The subjects who used DSC application for physical and mental health care had significant decreased blood pressure significantly (p<0.05) 2) The subjects who used DSC application for physical and mental health care had significant decreased blood sugar significantly (p<0.05) 3) The subjects who used DSC application for physical and mental health care had decreased stress significantly (p<0.05)

Conclusion: The DSC application for physical and mental health care could and decreased blood pressure, blood sugar and relief stress.

Results of using innovative new era minded to hearts mothers New normal, Delivery Room, Samphran Hospital

Orawan Pungprasob — 2024-06-30

The Action Research model was applied to study the results of using innovative new era minded to hearts mothers New normal. Data from a sample group of 30 people suffering from preterm labour pain at 24-36 weeks of gestation received treatment at Samphran Hospital from December 22, 2023 - February 2024, 2 research cycles. The research tools are innovative new era minded to hearts mothers New normal, Delivery Room, Samphran Hospital. For easy and convenient access to the service, and there is a link to the LINE care group for pregnant women with premature labor pains. The tools used to collect data include: Personal information questionnaire includes age, number of pregnancy, gestational age, BMI, education level, occupation, and nationality. Satisfaction measure 1) application aspect 2) advice staff aspect, total of 6 items 3) measurement Knowledge and understanding of the using innovative new era minded to hearts mothers New normal 3 questions. Answers are on a 5-level scale. Statistical data analysis using descriptive statistics, percentage, mean, standard deviation and dependent t-test statistics.

The results showed that: The research found that after using innovative new era minded to hearts mothers New normal. They are satisfied, have knowledge and understanding with a statistical significance level of 0.05. Did not find any re-admission in case preterm labour pain in the delivery room.

The Effectiveness of Creative Activities Boosting Narcotics Immunity on Narcotics Immunization of Lower Secondary Students at a school in Chiang Mai Province

Kanyapat Chaeye — 2024-06-30

The purpose of this quasi-experimental research was to investigate the effectiveness of creative narcotics immune boosting activities on narcotics immunization of lower secondary students in Chiang Mai province. The participants consisted of 21 lower secondary students at a school in Chiang Mai. The research tools consisted of creative activities to enhance narcotics and substance abuse immunization and narcotics and substance abuse immunization assessment form. Research tools were examined for content validity by 3 experts with a CVI of 1.00 and .80 and reliability was .70. Data were analyzed using descriptive statistics and paired t-test.

The results showed that after receiving creative activities, during the follow-up period of 1 month, and 3 months, the mean scores of narcotics and substance abuse levels were higher than before receiving creative activities (Mean=154.90 S.D.=19.37, Mean=147.10 S.D.=22.91, Mean=142.70 S.D.=26.74, Mean=147.00 S.D.=17.37, respectively). After comparing the mean score of immediately after receiving creative activities and the 3-month follow-up period, there was significantly different at the .05 level. It showed that the mean score of the 3-month follow-up period was lower than the mean score of immediately after receiving creative activities.

Therefore, creative activities enhance narcotics and substance abuse immunization. The activities should be integrated into the White School project for drug-free and adapted to suit students at different levels. Also, regular review of content and adjustment of students’ attitudes on drugs to ensure the persistence of knowledge and understanding of narcotics and substance abuse immunization.