Journal of Public Health Nursing

Comparative Clinical Study of Cannabis Oil (Deja Formula) Versus Ibuprofen for the Treatment of Acute Migraine Patients: A Randomized Controlled Trial

Jagavet Tontan — 2024-12-30

This study is a randomized controlled trial aiming to evaluate the efficacy and adverse effects of using cannabis oil (Deja's formulation) compared to ibuprofen in treating patients with acute migraine. The participants were acute migraine who received treatment at the Traditional and Complementary Medicine Hospital. The participants were randomly assigned into two groups: the experimental group, which received cannabis oil, and the control group, which received ibuprofen (200 mg /tablet), with 33 participants in each group. The findings revealed that the average age of the participants was 37 years (sd= years), and most of them were female (90.90%). When comparing pre- and post-treatment within the same group, the experimental group showed a significant reduction in the frequency, severity, and duration of migraine headaches (p<0.05). The control group also showed a significant reduction in frequency and severity of pain (p<0.05), but the duration of pain did not significantly difference (p=0.277). When comparing the two groups post-treatment, there was no significant difference in effectiveness between cannabis oil and ibuprofen in reducing the frequency (p=0.563), duration (p=0.964), and severity of pain (p=0.051). The study concludes that cannabis oil can reduce the frequency, duration, and severity of acute migraine headaches as effective as standard medication. However, careful dosage control is recommended to minimize the risk of side effects and adverse events.

Predictors of Rapid Renal Function Decline in Patients with Diabetes and Hypertension in Chronic Kidney Disease Stages 3-4

Kesorn Ketchu — 2024-12-30

This predictive correlational study aimed to identify the predictive factors related to the rapid decline of glomerular filtration rate (GFR) in diabetic and hypertensive patients with chronic kidney disease (CKD) stages 3-4 at Phukamyao Hospital, Phayao Province. The study employed a predictive correlational design, focusing on personal factors, illness factors, health care behavior factors, and health literacy factors. The participants consisted of 155 diabetic and hypertensive patients. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, and multiple regression analysis to identify predictive factors.

The findings revealed that most participants were female (58.10%), aged 60-65 years (23.9%), had primary education (86.50%), and had comorbidities (16.80%). Pearson's correlation coefficient analysis indicated that health literacy factors, including knowledge and overall health literacy level, were significantly related to the rapid decline of GFR (p < 0.05). Multiple regression analysis showed that knowledge level (r = 0.372) and health literacy level (r = 0.045) could predict the rapid decline in GFR, accounting for 41.70% of the variance. The results of this study can be used to develop an effective program to delay kidney failure in diabetic and hypertensive patients with CKD stages 3-4.

The Effect of Self-Efficacy Promotion Program on Knowledge and Behavior of Unintentional Injury Prevention among Elementary Students in Nakhon Ratchasima Province

warin wattananonsatien — 2024-12-30

This quasi-experimental research with a pre-posttest design aimed to compare the knowledge and behavior of unintentional injury prevention among elementary students by applying the theory of self-efficacy. The sample consisted of 30 students from grades 4-6 in the Nong Ngu Lueam subdistrict area, selected through simple random sampling. The research instrument included a 4 week self-efficacy promotion program for unintentional injury prevention and questionnaire. Data were collected using a validated questionnaire on knowledge and behavior related to unintentional injury prevention (CVI = 1.0), with reliability coefficients of 0.75 for KR-20 and 0.82 for Cronbach’s alpha. Data were analyzed using descriptive statistics and paired t-tests.

The research revealed that after participating in the program, the knowledge scores for unintentional injury prevention were significantly higher than before the experiment (p = .002). However, the behavior scores for unintentional injury prevention did not show a significant change (p > .05). The results of this study indicated that the self-efficacy promotion program was effective in term of increasing knowledge about unintentional injury prevention among elementary students. However, the study suggests extending the monitoring period to observe changes in behavior related to unintentional injury prevention.

Nurses’ Adaptation in the Informatics Era: Essentials and Development Directions

Pattariga Wonganantnont — 2024-12-30

The adaptation of nurses in the information age is crucial, as information and communication technology can significantly enhance the efficiency and quality of patient care. The use of medical technologies, such as electronic health records and remote patient monitoring systems, allows for smoother and more effective patient management. Therefore, nurses must adapt and develop their skills in utilizing technology to perform their duties efficiently and safely. This article reviews the importance of nurses' adaptation in the information age and analyzes appropriate development directions for the future, including education and training, the use of health information systems, research and development, and the establishment of collaborative networks. It highlights benefits such as enabling nurses to manage patient data quickly and accurately, which supports decision-making and communication among healthcare teams, ultimately improving the quality of patient care. However, there are challenges associated with the use of information technology, such as usability complexities, data security issues, and high costs. Therefore, health organizations should continuously support education and training in information technology to enhance nurses' skills and knowledge in the information age, ensuring their advancement in the future.

Teaching and Learning for Enhancing 21st Century Thinking Skills of Nursing Students

Siriporn Sawangchit — 2024-12-30

The teaching and learning for nursing students in higher education is very significant to produce nursing graduates with the desired characteristics, skills, and competencies. Currently, students must confront challenging and complex clinical problems. Therefore, it is essential to cultivate 21st-century thinking skills, particularly decision-making abilities that allow for solving complex problems in context. This article aims to propose teaching and learning management strategies that promote 21st-century thinking skills, benefiting both lecturers and educational institutions in effectively applying these strategies to teaching nursing students in the Bachelor of Nursing program. From literature review, factors affecting the development of 21st-century thinking skills can be categorized into internal and external components, including students themselves, curriculum, instructors, and learning support resources. To develop thinking skills, all four aspects are recommended to 1) support students in building confidence in their learning, inspire them, and organize appropriate active learning activities; 2) design a creative curriculum that emphasizes student-centered teaching and selects learning management formats suitable for students; 3) continuously develop the potential of instructors to enhance their teaching skills and capabilities, adjusting their roles to become teaching experts; 4) survey and integrate digital learning support resources that can be accessed and utilized at any time, planning budget allocations for these resources to ensure maximum efficiency each year. Nursing teachers could apply these strategies to effectively develop thinking skills and decision-making skills for nursing students by encouraging self-directed learning, analytical and synthetic knowledge, and continuous innovation.