Journal of Prachomklao College of Nursing, Phetchaburi Province <p><strong>Prachomklao College of Nursing, Phetchaburi Province</strong></p> <p><strong>ISSN 2630-046X (Print)</strong></p> <p><strong>ISSN 2697-5297 (Online)</strong></p> วิทยาลัยพยา่บาลพระจอมเกล้า จังหวัดเพชรบุรี สถาบันพระบรมราชชนก กระทรวงสาธารณสุข en-US Journal of Prachomklao College of Nursing, Phetchaburi Province 2630-046X <p style="margin: 0cm; background: white;"><strong><span style="font-size: 16.0pt; font-family: 'TH SarabunPSK',sans-serif; color: #2c3e50;"><img src="/public/site/images/churairat_pckpb/88x31.png">This work is licensed under a&nbsp;<a href="" rel="license">Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License</a>.</span></strong></p> <p style="margin: 0cm; background: white;"><strong><span style="font-size: 16.0pt; font-family: 'TH SarabunPSK',sans-serif; color: #2c3e50;">Content and information published in the Journal of Prachomklao College of Nursing, Phetchaburi Province are the comment and responsibility of the authors.&nbsp;</span><span style="font-size: 16.0pt; font-family: 'TH SarabunPSK',sans-serif; color: #2c3e50;">Articles, information, images, etc. published in this journal are the copyright of the Journal of Prachomklao College of Nursing, Phetchaburi Province. If any person or entity wants to take all or part of it for publication for any purposes, please reference the Journal of Prachomklao College of Nursing, Phetchaburi Province.</span></strong></p> Health-Related Quality of Life Development of Older People in Accordance with Thai Ways of Life <p>The development of health-related quality of life for aged people is an important issue in public health services. According to the situation of rapidly aging societies, chronic illness, and health conditions from old-age, the improvement of health-related quality of life depends on the religion, lifestyle, traditions, and culture of the older people. Both in physical, emotional, and social management. Thai traditional way of life is concerned with elderly-caring processes. The families play an important role, based on the sense of gratitude formed by religious belief, in caring for older parents, as well as the public health services, push forward the Thai way of life policy under the concept of self-sufficient philosophy including health-caring methods so that religious principles are applied to suit with Thai elderly behavior, which are 1) three mental-caring ways – praying, meditation and dharma discussion 2) three physical practices – having nutritious food, exercise, emotion control and 3) following one’s biological clock.&nbsp;</p> <p>This academic article reveals a developmental guideline of the health-related quality of life for older people under Thai traditional ways of life from different regions of Thailand in every aspect: physical, mental, and social health. To guide public health personnel and health network sectors for health promotion, prevention, care, and rehabilitation services with the participation of families and communities in order to develop self-care and improve health service systems that are suitable for their lifestyles.</p> Atiya Sarakshetrin Suchada Nimwatanakul Churairat Duangchan Benjaporn Thonganan Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-29 2021-08-29 4 2 1 12 Nurses’ Roles to Provide Better Sleep for Adult Patients during Critical Illness in Intensive Care Units <p>Sleep is prominently significant for critically ill patients in intensive care units. However, they cannot sleep well since their sleep cycle gets interfered by these two main factors: 1) physical disturbance caused by lights and noise from needed medical devices in the unit and 2) psychological conditions from fear and anxiety of both disease severity and processes of treatment. Nurses in the intensive care units, as persons who get closest to the patient, should provide better sleep for them.</p> <p>The better sleep-providing process begins with estimating the patients’ sleep efficiency and disturbing factors in order to provide nursing assistance under nurses’ independent roles, which are 1) alleviating physical discomfort by providing a suitable environment for sleep along with pain management for the patients. 2) reducing any disturbance caused by nursing activities as well as provide appropriate sleeping periods and 3) taking special care of the patients’ psychological, social and spiritual conditions by clearly declaring their treatment progresses and allow the patients and their relatives to participate in treatment planning.</p> <p>Anyway, this sleep-providing guidelines for critically ill patients should be considered under particular conditions of each workplace – location, personnel, available resources, etc. Practitioners from all correlative responsibilities should be educated due to the corresponding cooperation, as well.&nbsp;</p> Siriluk Muangthai Chuleeporn Heetakson Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-29 2021-08-29 4 2 13 23 Empowerment in Glaucoma Patients for Promoting Self-Care Behavior: From Concept to Practice <p>Promoting self-care behaviors in glaucoma patients is essential for helping patients to properly take care of themselves in order to reduce intraocular pressure and visual loss problem. The empowerment will help glaucoma patients consider their own problem thoroughly as well as seeking for any alternative treatments which are more appropriate for each one along with being encourage self-control and behavioral improvement.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> <p>There are the four steps of the self-empowering process: 1) to build up a relationship, familiarity, and cooperation between nurses and patients 2) to ponder ones’ actual situation by analyzing individual behavior along with realizing the significance of self-caring in order to avoid negative sequela 3) to alternately design ones’ self-caring methods by learning from the prototype along with making ones’ own self-commitment and solitary updating the health-recording platform 4) to maintain the effective ways by informing ones’ experience according to the commitment, then sharing, encouraging others and concluding the results. All lead to positive outcomes in order to find out more suitable approaches to self-care for glaucoma patients.</p> Panisara Songwatthanayuth Komson Kaewraya Wilaiwan Komkhum Bibua Savatsuwan Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-29 2021-08-29 4 2 24 36 Perception toward Unintended Pregnancy Prevention and Abortion Problem among Undergraduate Student Leaders in Private Higher Education Institutions <p>This qualitative research aims to explain the perception<span style="text-decoration: line-through;">s</span> toward unintended pregnancy prevention and abortion problems among undergraduate student leaders in private higher education institutions. Ten samples - student leaders from private higher education institutions who attended the counseling training for enhancing sexual health and preventing unintended pregnancy and abortion problems among students, have been intentionally selected. The data have been gathered by an in-depth interview consisted of semi-structured questions, a tape recorder, and field notes before analyzing by contents.</p> <p>The results of this research are as follows: The students reflect their perception toward unintended pregnancy prevention and abortion in these two points: 1) perception toward problem-facing, which are the state of having no sources of correct information or reliable counselors along with being afraid of social rejection 2) awareness of both pregnancy prevention and problem solution in case of having unintended pregnancy: alternative self-decision, abortion under medical discretion and the allowance of family-participation decision.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; All from the student leaders' perception shows that various counseling ways, along with reliable counselors, should be accessibly provided in order to promptly serve ones who are facing the problem. Advisors and a network of psychologists, in addition, should be set up for complicated and uncontrollable situations which the student leaders are not able to deal with.</p> Nipada Tareepian Kosum Setthawong Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-29 2021-08-29 4 2 37 52 Factors Predicting Health Literacy of Pregnant Women <p>The aim of this descriptive research is to examine the correlation between health literacy of pregnant women and predicting power depending on personal factors: ages, education levels, marital statuses, incomes, family characteristics, optimism, and viewpoints of self-esteem. The 120 pregnant women who attended the antenatal care clinic of Phrachomklao hospital, Phetchaburi province were random as the samples of this study. The data have been collected by using personal factors, maternal health literacy, self-esteem, and optimism questionnaire with the Cronbach’s alpha coefficient reliability at .80 and .82, respectively, then being analyzed by using descriptive statistics, Pearson correlation coefficient, and stepwise multiple regression analysis. The results of the research are as follows:</p> <p>The pregnant women’s mean score of health literacy is at a high level (<em>M</em> = 4.13, <em>SD</em> = .38). The predicting power analysis shows that self-esteem, optimism, and marital status are able to play a part as predicted factors for the health literacy in women pregnancy 42.6 % (<em>F</em> = 28.75, <em>p</em> = .00)</p> <p>These results indicate that health care providers should encourage pregnant women about health literacy, optimism, and self-esteem. Moreover, the development of health literacy program should be increased for better health outcomes.</p> Nattaporn Uthaithum Napaporn Gettong Chanuttaporn Somjai Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-29 2021-08-29 4 2 53 65 The Register Nurses’ Burnout in Bamrasnaradura Infectious Disease Institute <p>The objectives of this descriptive research are to study 1) the burnout level of professional nurses and 2) factors affecting the occurrence of burnout in professional nurses. The samples are 159 professional nurses working in Bamrasnaradura Infectious Disease Institute. A questionnaire toward burnout situation and its factor with reliability at .87. The statistical analysis has been used in this study such as descriptive statistics and Chi-square test.</p> <p>The results of the burnout situation show that 75 cases (47.2%), 35 cases (22%), and 49 cases (30.8%) are at low, moderate, and high levels, respectively. For each parameter, the results show that 79 cases (49.7%) have emotional exhaustion, 79 cases (49.7%) are depersonalized, and 75 cases (42.2%) achieve personal accomplishment. The factors affecting burnout of professional nurses at the Bamrasnaradura Infectious Disease Institute are ages, working positions, working durability (both of being a nurse and being in the institute), and working hours per day with the correlation coefficient (x<sup>2</sup> = 17.16, 10.38, 21.9, 13.22 และ 6.30; <em>p</em> &lt;.05) respectively.</p> <p>Further from the results, administrators of nursing organizations can use the information to improve the nursing personnel development of the group with high-level work burnout. Both working time allocation and work motivations, e.g., compensation, rewards, advancement in the career ladder, etc., should be highly considered.</p> Piyawadee Sumalai Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-29 2021-08-29 4 2 66 78 Factors Affecting on Health Promotion Learning Organization of Boromarajonani Nursing College, Suphanburi <p>This descriptive research aims to study 1) the level of health promotion learning organization, and 2) factors affecting the health promotion learning organization of Boromarajonani Nursing College, Suphanburi. The sample consisted of 235 persons -lecturers, officials, and nursing students in Boromarajonani Nursing College, Suphanburi. All have been selected by proportionate stratified sampling. The research instruments for data collection are the affecting factors and health promotion learning organization questionnaires which Cronbach’s alpha coefficient at .98. Statistics employed are descriptive statistics, Pearson’s Product-Moment Correlation Coefficients, and Multiple Regression Analysis.</p> <p>The research results found that the level of health promotion learning organization was at a high level (<em>M</em> = 3.92, <em>SD</em> = .49). The factors affecting health promotion learning organization are these five variables: personal development skill (<em>Beta</em> = .30), health policy (<em>Beta</em> =.16), information technology (<em>Beta</em> =.14) leadership (<em>Beta</em> =.13), and environment (<em>Beta</em> =.10), had an effective prediction of 72.30 percent with a significantly level of .05 (<em>F</em> = 5.64, <em>p</em> = .018).</p> <p>The results can be beneficially applied to strategy planning along with proper activities of personal skills, health policy, information technology, leadership, and environment for health promotion learning organization.&nbsp;&nbsp; &nbsp;&nbsp;</p> Chiraphun Phothong Arunee Sangkhapanich Sawitree Siriphonwuttichai Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-29 2021-08-29 4 2 79 92 Needs for Future Students in a Potential Master of Public Health (International Program), Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute <p>This cross-sectional study investigates into two phases. In phase I, the need and interests of potential students interested in studying in the Master of Public Health program (MPH International Program) at the Faculty of Public Health and Allied Health Sciences (PHAS), Praboromarajchanok Institute (PBRI) are surveyed by a quantitative study. The study subjects are 275 persons including PBRI alumni, public health professions, and the interested ones. The data have been gathered from an online questionnaire and analyzed by descriptive statistic method. In phase II, to survey the readiness for the opening of the program is a qualitative study. The key informants are eight persons - college administrators, the dean, and the chair of the program. Data have been collected by using in-depth interviews and content analysis. &nbsp;The results reveal that:</p> <ol> <li class="show">A majority of the samples (68.36%) want to pursue a master's degree (international program). The largest percentage of participants (45.45%) want to study in the Community health leadership major, following by 41.82% of participants who want to study in Environmental and occupational health major. The top three competencies that participants expected to gain are 1) knowledge and understanding about the health system (84.36%), 2) ability to work in a multidisciplinary team (79.27%), 3) the ability to use morals and ethics to judge ethical issues (79.27%). Most respondents (82.91%) want to study in special sections during the weekend. The highest percentage of participants wanted to accumulate class credits for future study (54.55%).</li> <li class="show">For the readiness for the opening of the program, the samples suggested that the program should provide a variety of different learning methods with an emphasis on online methods showing consistent with the quantitative analysis on teaching methods, major, study plan, online format, expected competencies, and preparation according to the quality assurance and curriculum management. Preparation and support of faculties and colleges for instructors in academic development and international, as well as collaborating with educational institutions both domestically and internationally, should be arranged.</li> </ol> <p>This study suggested that the MPH International program in the academic year 2022 should be promoted and developed in accordance with the 5-year Faculty Strategy (2020 - 2024) of PHAS, PBRI.</p> Phayong Thepaksorn Elizabeth Kelly Hom Thepaksorn Suthat Siammai Buppha Raksanam Sukhumaporn Sriwisit Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-29 2021-08-29 4 2 93 110 Effectiveness of Basic Life Support Program on perception of Knowledge, Perceived Self-Efficacy and Skills toward Basic Life Support among High-School Students in Amphoe Khlong Luang, Pathumthani Province <p>This quasi-experimental research depending on the pre-test and the post-test groups aims to examine the effectiveness of basic life support program on perception of knowledge, perceived self-efficacy, and skills toward basic life support among high-school students in Amphoe Khlong Luang, Pathumthani Province. Samples have been simply randomized from high-school students, then be divided into two groups, the experimental and the control ones, having 45 persons each (n = 45). The experimental group has been informed about basic life support program for 3 weeks from video visualization, demonstration, and practice, which were simulation-based situations, model usage and oral persuasion. A set of questionnaires was used to collect data including knowledge toward basic life support, self-efficacy, and skills of basic life support, whereas the control group did not be informed about any special life-support lesson. The data, then, were gathered and analyzed by descriptive statistics and compared mean scores getting from the pre-test and the post-test ranges of both groups. The scores of each one, later, were compared together by using independent samples t-test.</p> <p>The result shows that among the experimental group, the post-test mean score toward perception of knowledge, perceived self-efficacy and skills of basic life support get significantly higher than the pre-test, and higher than the control group (<em>p</em> &lt; .05). Therefore, healthcare team can work together with teachers to apply this program as a guideline to develop knowledge and skills of basic life support for students.</p> Sasithon Tantiekkarat Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-29 2021-08-29 4 2 111 126 Factors Related to Severity of Diabetic Retinopathy in Noninsulin-dependent Diabetes Mellitus Patients in Ra-ngae Hospital, Narathiwat Province <p>This retrospective descriptive research aims to analyze the factors related to the severity of diabetic retinopathy in noninsulin-dependent diabetes mellitus patients who have been diagnosed by the diabatic clinic of Ra-ngae Hospital, Narathiwat Province, from October 2019 to September 2020. The information was randomized from 136 patients registered in the medical record as noninsulin-dependent diabetes mellitus patients who experienced retinal examination. Data are collected from the demographic questionnaire, laboratory results, and ophthalmoscopy results, then being analyzed by descriptive statistics and Spearman's rank correlation.</p> <p>The results reveal that the average age of diabetes mellitus patients is 62.73 years old (<em>SD</em> = 12.73). 68.40% of them are not found any retina disorders. Additionally, the severity of diabetic retinopathy was mild, moderate, and high (5.87, 13.24, and 8.82% respectively). The study found that the age factors significantly cause a negative connection in the section of factors related to diabetic retinopathy disease severity (<em>r</em> = -.40, <em>p</em> &lt; .01). Contrarily, blood glucose levels over a period of time (A1c) prominently lead to a positive connection (<em>r</em> = .29, <em>p</em> &lt; .01)</p> <p>Therefore, diabetic patients should be followed up in order to check their glucose levels (A1c), together with regularly checking the level of diabetic retinopathy to monitor abnormalities and provide appropriate treatment before the progression of the disease.</p> Ekawit Jindapet Warintorn Jantasiro Wanisa Hajeese Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-29 2021-08-29 4 2 127 138 The Study of Health Behavior of Diabetic Patients in Tambon Nong Waeng, Amphoe Watthana Nakhon, Srakaew Province <p>This study is survey research. The objective of this study is to study the health behavior of diabetic patients in 4 aspects, namely food consumption, exercise, drug use, and prevention of diabetic complications. The 122 samples are specifically selected from diabetic patients who came for personal health advice from the diabetes clinic of Nong Weang’s Tambon Health Promoting Hospital. The research tool is a questionnaire toward the health behavior of diabetic patients with Cronbach's alpha coefficient reliability at .69. Data have been analyzed by using descriptive statistics.</p> <p>The result shows that the health behavior of these samples is at the low to the average levels only. The behavioral level in preventing diabetes complications is at the average to the highest degree (M = 1.52, SD = .50), following by food consumption (M = 1.32, SD = .21) and physical activity (M. = 1.26, SD = .54), while drug use is at the lowest level (M = .92, SD = .37).</p> <p>The findings reflect that the way to educate diabetic patients about drug use should be improved, especially by directly paying attention on old-aged patients along with their caregivers, e.g., to set up a home-caring system or occasional seminar among patients in order to discuss how to properly consume the drugs that furtherly bring about a qualificative research toward drug-using quality as well as factors for drug-consuming behavior of the patients.</p> Jirapuk Suwanjaroen Choruaeng Utitasarn Anurak Rengrad Waiyawut Yoonisil Jitra Dudsdeemaytha Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-30 2021-08-30 4 2 139 148 Mental Health: Attitudes of Aged People in Elderly School of Tambon Pho Phraya Municipality, Suphanburi Province <p>The purpose of this qualitative research is to study the attitude toward mental health of aged people in the elderly school of Tambon Pho Phraya Municipality, Suphanburi Province. The main informants are ten older persons aged between 60-69 years old. The data are collected by an in-depth interview, non-participant observation, and field survey. Content analysis, along with triangulation methods, is used.</p> <p>The research reveals that the aged people in the elderly school of Tambon Pho Phraya Municipality define the word mental health as happiness and calmness in mind. According to their viewpoints, there are three ways to take care of ones’ mental health 1) to keep physical and psychological balance by partaking nutritious food in an adequate degree, having enough exercise, being optimistic, getting rid of tension and anxiety as well as being proud of ones’ own selves 2) to have positive interaction with others from being volunteers or joining any interested activities 3) to gain good support from family, friends and corresponding organizations.</p> <p>The research revelation, both the definition of mental health and the practical ways mentioned in the aforesaid, becomes necessary information for every section with corresponding responsibility in order to plan any activities that help the elder have good health, happiness, and good life quality as they need.</p> Supattra Chansuvarn Soontaree Khachat Prawida Photong Saowalak Sripho Copyright (c) 2021 Journal of Prachomklao College of Nursing, Phetchaburi Province 2021-08-30 2021-08-30 4 2 149 162