Journal of Phrapokklao Nursing College, Chanthaburi

Development of the Instructor Standard: Transitioning to Professional Instructor through Blending Design Thinking and Interprofessional Education to Enhance Nursing Students’ 4Cs Skills for Health Innovation

Rungnapha Khiewchaum — 2024-04-30

Depression in the Elderly: Risk Assessment and Prevention

Kridanai Srijai — 2024-04-30

Depression is a common mood disorder that affects the mind. It affects daily life, loss of function in various domains, and leads to a higher risk of death from suicide. The depression problem in the elderly is increasing according to the trend of the aging society. This is a problem that people who are involved, especially those who are close or responsible for caring for the elderly, may provide care immediately before the elderly develops depression, by observing emotional symptoms such as sadness, boredom, disillusionment, hopelessness, worthlessness, and decreased interest in things together with observing behavioral symptoms such as insomnia or oversleeping, sleepy, lose their appetite or overeating, slow or increased movement, restlessness, lack of strength, and fatigue. If such symptoms are found, the elderly can be assessed the risk of depression by a 2-question depression screening (2Q). If it is found to be at risk of depression, they will be referred for further depression assessment by healthcare professionals following the guidelines of the Department of Mental Health. Although the assessment results showed no depression, this will help the elderly at risk can raise awareness individuals and those who are responsible for caring for the elderly provide care for preventing depression and will help the elderly have a good quality of life.

Guideline of Writing Clinical Nursing Diagnosis and Nursing Care Plan

Rungnapha Khiewchaum — 2024-04-30

Developing guideline of writing clinical nursing diagnosis and nursing care plan is significant to be a guide or tool in writing clinical nursing diagnosis and nursing care plan for nurses and nursing students. When nurses and nursing students use this guideline, it can help them in improving optimal decision making, planning, and implementation. Moreover, writing clinical nursing diagnosis and nursing care plan based on accuracy will increase the standard of care for the nursing profession. As a result, patients are safe and have no complications, as well as patients and families are satisfied with the quality of care that is more standard. Writing clinical nursing diagnosis and nursing care plan being high quality should comprise 6 domains, including 1) setting topics of nursing diagnosis that have 3 parts including problems, causes, and pathologies; 2) supportive data come from a variety of resources such as history, physical examination, vital signs, and laboratory results; 3) purpose of nursing diagnosis is what expects will occur after providing nursing activities; 4) evaluation criteria that should be related with supportive data; 5) nursing activities that should be holistic care including physical, psychological, emotional, social, and spiritual care; and 6) evaluation that should be related with evaluation criteria.

Knowledge, Attitudes, and Practices Regarding Infection Transmission Prevention in a Hospital among Relatives of Patients

Janjira Yuin — 2024-04-30

This descriptive correlational research aimed to study the relationship among knowledge, attitudes, and practices regarding infection transmission prevention in a hospital among relatives of patients. The participants were 285 relatives of patients who visited and provided care for patients in medical units of a tertiary care hospital. The research instruments consisted of a demographic questionnaire, a knowledge of infection transmission prevention in a hospital assessment form with a reliability of .82, an attitudes towards infection transmission prevention in a hospital assessment form with a reliability of .81, and a practices of infection transmission prevention in a hospital questionnaire with a reliability of .80. Data were collected from November 2020 to May 2021. Statistics used for data analysis included frequency, percentage, mean, standard deviation, median, and Spearman rank correlation.

The research results revealed that 1) the relatives of patients had knowledge of infection transmission prevention in a hospital at a high level (87.37%), had attitudes towards infection transmission prevention in a hospital at a high level (77.54%), and had practices of infection transmission prevention in a hospital at a moderate level (61.75%); and 2) knowledge was positively statistically significantly related to attitudes towards infection transmission prevention in a hospital among relatives of patients (r_s = .384, p < .001), knowledge was positively statistically significantly related to practices of infection transmission prevention in a hospital among relatives of patients (r_s = .144, p < .05), and attitudes was positively statistically significantly related to practices of infection transmission prevention in a hospital among relatives of patients (r_s = .130, p < .05).

This research suggests that nurses should promote knowledge, attitudes, and practices regarding infection transmission prevention in a hospital among relatives of patients. This will help reduce the incidence of patient infection.

Development of a Video Media for Caregivers in Preventing Urinary Tract Infection from Clean Intermittent Catheterization

Watcharaporn Pairote — 2024-04-30

This developmental research aimed to develop and evaluate the efficiency of a video media for caregivers in preventing urinary tract infection (UTI) from clean intermittent catheterization. The samples consisted of 42 caregivers who provided care for the patients undergoing treatment at a regional hospital and required clean intermittent catheterization at home. The research instruments included a development and design plan for the video media, a video media user opinion questionnaire, a demographic data questionnaire, a knowledge on preventing UTI from clean intermittent catheterization test with a reliability of .85, and a video media satisfaction questionnaire with a reliability of .82. Five steps of this research were conducted from November 2020 to June 2021. Data were analyzed using frequency, percentage, mean, standard deviation, and paired t-test. The efficiency of the video media was tested according to Meguigans’ standard criteria.

The research results revealed that 1) the video media length was 19 minutes 30 seconds and the content consisted of the definition of clean intermittent catheterization, indication of catheterization, factors related to UTI, the impact of UTI, mode of transmissions of UTI, and practices for caregivers in preventing UTI from clean intermittent catheterization; 2) the efficiency of the video media was 1.47; 3) after watching the video media, caregivers had statistically significantly higher mean score of knowledge on preventing UTI from clean intermittent catheterization than that of before watching the video media (t = 18.900, p < .001); and 4) the mean score of video media satisfaction for each item among caregivers was at a highest level.

This research suggests that nurses should disseminate this video media to caregivers who provide care for the patients requiring clean intermittent catheterization. This will help caregivers increase their knowledge and practices in preventing UTI from clean intermittent catheterization.

Effects of Training Program on Behavior and Knowledge for Preventing Hospital-acquired Pneumonia in Older Adult among Registered Nurses at a Super-tertiary Hospital

Wanwipa Wanmuangkao — 2024-04-30

This quasi-experimental research aimed to study the effects of training program on behavior and knowledge for preventing hospital-acquired pneumonia in older adult among registered nurses. The samples were 44 registered nurses working in wards providing care for elderly patients at a super-tertiary hospital and were equally divided into an experimental group (n = 22) and a control group (n = 22). The research instruments included the training program, a general information questionnaire, a behavior for preventing hospital-acquired pneumonia in older adult assessment form with a reliability of .91, and a knowledge for preventing hospital-acquired pneumonia in older adult test (a first set and a second set) with the reliabilities of .73 and .85, respectively. The implementation and data collection were conducted from December 2022 to April 2023. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-square test, Fisher’s exact test, Mann-Whitney U test, paired t-test, Wilcoxon signed-rank test, and independent t-test.

The research results revealed that 1) after the experiment, the experimental group had statistically significantly higher mean scores of behavior and knowledge for preventing hospital-acquired pneumonia in older adult than those of before the experiment (t = 7.634, p < .001 and Z = -4.021, p < .001, respectively); and 2) after the experiment, the experimental group had statistically significantly higher mean scores of behavior and knowledge for preventing hospital-acquired pneumonia in older adult than those of the control group (t = 6.533, p < .001 and Z = -5.678, p < .001, respectively).

This research suggests that nurse executives should provide this training program for nurses in wards providing care for elderly patients. This will help nurses improve their behavior and knowledge for preventing hospital-acquired pneumonia in older adult.

Effects of the Blood and Body Fluid Exposure Prevention Program on Knowledge, Practices, and Incidence of Blood and Body Fluid Exposure among Medical Ward Nurses

Tipvimon Chedkhuntod — 2024-04-30

This quasi-experimental research aimed to study the effects of the blood and body fluid exposure (BBFE) prevention program on knowledge, practices, and incidence of BBFE among medical ward nurses. The samples were 17 medical ward nurses at Nakornping Hospital, Chiang Mai Province. The research instruments included the BBFE prevention program, a demographic questionnaire, a knowledge on BBFE prevention test with a reliability of .74, a practice on BBFE prevention observation form with a reliability of 1, and an incidence of BBFE record form. The implementation and data collection were conducted from October to December 2020. Data were analyzed using frequency, percentage, mean, standard deviation, median, quartile, Wilcoxon signed-rank test, Chi-square test, and calculating incidence.

The research results revealed that 1) after implementing the program, medical ward nurses had statistically significantly higher median score of knowledge on BBFE prevention than that of before implementing the program (Z = -3.532, p < .001), 2) after implementing the program, medical ward nurses had statistically significantly higher proportion of correct practice on BBFE prevention than that of before implementing the program (χ² = 206.274, p < .001), and 3) after implementing the program, medical ward nurses had lower incidence of BBFE than that of before implementing the program.

This research suggests that nurse executives should provide BBFE prevention training for nurses. This will help nurses improve their knowledge and practice on BBFE prevention.

Mental Health Literacy and Stress of Nurses in Government Hospitals

Kingkarn Jaimook — 2024-04-30

This descriptive correlational research aimed to examine the relationship between mental health literacy and stress of nurses in government hospitals. The samples were 415 nurses working in government hospitals in health region 1. The research instruments included a demographic data questionnaire, the Mental Health Literacy Scale with a reliability of .78, and the Nurse Stress Assessment Questionnaire with a reliability of .96. Data were collected from March to June 2021. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and Pearson’s product moment correlation.

The research results revealed that the nurses in government hospitals demonstrated overall mean score of mental health literacy at a high level (M = 3.73, SD = .35) and overall mean score of stress at a moderate level (M = 3.01, SD = .71). In addition, there was no relationship between mental health literacy and stress of nurses in government hospitals.

This research suggests that nurses should assess their stress periodically in order to obtain information for proper stress management.

Factors Predicting Stroke Preventive Behaviors in Diabetes Mellitus Patients with Hypertension

Thamakorn Aumaor — 2024-04-30

This predictive correlational research aimed to explore the factors predicting stroke preventive behaviors in diabetes mellitus patients with hypertension. The samples were 100 diabetes mellitus patients with hypertension who received medical services at Nongprue Sub-district Health Promoting Hospital, Bang Phli District, Samut Prakan Province. The research instruments included a general and health status information questionnaire, a factor influencing stroke preventive behavior questionnaire with the reliabilities in the range of .79–.89, and a stroke preventive behavior questionnaire with a reliability of .71. Data were collected from September to November 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that the diabetes mellitus patients with hypertension demonstrated overall mean score of stroke preventive behaviors at a good level (M = 3.14, SD = .25). Perceived severity, perceived benefits, and cues to action could statistically significantly explain stroke preventive behaviors in diabetes mellitus patients with hypertension about 45.60% of the variance (R² = .456, p < .001). The most predicting factor was perceived benefits (Beta = .341, p < .01).

This research suggests that nurses and healthcare workers should provide activities to promote stroke preventive behaviors in diabetes mellitus patients with hypertension, focusing on the enhancement of perceived severity and perceived benefits among the patients and their relatives.

Effect of the Information-Motivation-Behavioral Skills Enhancement Program on Low Back Pain among Pregnant Women

Yothaga Phakee — 2024-04-30

This quasi-experimental research aimed to examine the effect of the information-motivation-behavioral skills enhancement program on low back pain among pregnant women. The participants were 44 pregnant women with low back pain receiving antenatal care at Nakhon Phanom Hospital and were equally divided into an experimental group (n = 22) and a control group (n = 22). The research instruments included the information-motivation-behavioral skills enhancement program, the track record form on the phone and LINE application, the personal data record form, and the visual analogue scale with a reliability of .93. The implementation and data collection were conducted from June to August 2021. Data were analyzed using frequency, percentage, mean, standard deviation, median, interquartile range, Chi-square test, Fisher’s exact test, Mann-Whitney U test, paired t-test, and independent t-test.

The research results revealed that after the experiment, the experimental group had statistically significantly lower mean score of low back pain than that of before the experiment (t = 8.860, p < .001) and that of the control group (t = 12.580, p < .001).

This research suggests that nurses in the antenatal care unit should adopt the information-motivation-behavioral skills enhancement program as a guideline in providing nursing care to relieve low back pain among pregnant women.

The Effect of Stabilization-based Program on Anxiety in Elderly Patients with Generalized Anxiety Disorder

Kanjana Supphasri — 2024-04-30

This quasi-experimental research aimed to examine the effect of stabilization-based program on anxiety in elderly patients with generalized anxiety disorder. The participants were 60 elderly patients with generalized anxiety disorder undergoing treatment at a hospital in the southern region of Thailand and were equally divided into an experimental group (n = 30) and a control group (n = 30). The research instruments included the stabilization-based program, the Ruminative Response Scale (RRS) with a reliability of .83, the State-Trait Anxiety Inventory (STAI form Y) with the reliabilities of .82 and .83, the Modified Barthel Activities of Daily Living Index (BAI), the Mini-Mental State Examination: Thai version (MMSE–Thai 2002), and a demographic data form. The implementation and data collection were conducted from February to April 2022. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-square test, paired t-test, and independent t-test.

The research results revealed that 1) after the experiment, the experimental group had statistically significantly lower mean scores of state-anxiety and trait-anxiety than those of before the experiment (t = 9.190, p < .001 and t = 9.390, p < .001, respectively); and 2) after the experiment, the experimental group had statistically significantly lower mean scores of state-anxiety and trait-anxiety than those of the control group (t = 5.710, p < .001 and t = 10.880, p < .001, respectively).

This research suggests that psychiatric nurses should adopt the stabilization-based program to care for elderly patients with generalized anxiety disorder, in order to reduce anxiety and prevent the mental health crisis.

The Effectiveness of Applying the Theory of Planned Behavior to Modify Premature Sexual Intercourse Preventive Behavior in Female Secondary School Students, Mueang District, Kamphaeng Phet Province

Suttiwan Aramreung — 2024-04-30

This quasi-experimental research aimed to examine the effectiveness of applying the Theory of Planned Behavior to modify premature sexual intercourse preventive behavior in female secondary school students. The samples were 60 female secondary school students studying at schools in Mueang District, Kamphaeng Phet Province and were equally divided into an experimental group (n = 30) and a control group (n = 30). The research instruments included the applying the Theory of Planned Behavior to modify premature sexual intercourse preventive behavior program, a demographic data form, an attitude towards sexual intercourse in adolescent questionnaire with a reliability of .77, a belief in the expectation of the reference group questionnaire with a reliability of .92, a compliance with the reference group in preventing premature sexual intercourse questionnaire with a reliability of .91, a self-efficacy in preventing premature sexual intercourse questionnaire with a reliability of .81, an intention in preventing premature sexual intercourse questionnaire with a reliability of .87, and a premature sexual intercourse preventive behavior questionnaire with a reliability of .82. The implementation and data collection were conducted from May to July 2020. Data were analyzed using frequency, percentage, paired t-test, and independent t-test.

The research results revealed that after the experiment, the experimental group had statistically significantly higher mean scores of attitude towards sexual intercourse in adolescent, belief in the expectation of the reference group, compliance with the reference group in preventing premature sexual intercourse, self-efficacy in preventing premature sexual intercourse, intention in preventing premature sexual intercourse, and premature sexual intercourse preventive behavior than those of before the experiment (t = 4.255, p < .01; t = 2.449, p < .05; t = 6.595, p < .001; t = 3.010, p < .01; t = 6.021, p < .001; and t = 8.115, p < .001, respectively) and those of the control group (t = 2.538, p < .05; t = 3.496, p < .01; t = 7.167, p < .001; t = 2.536, p < .05; t = 5.385, p < .001; and t = 4.130, p < .001, respectively).

This research suggests that schools or related agencies should adopt this program for female secondary school students in other settings, in order to enhance premature sexual intercourse preventive behavior.

The Effect of the Daytime Toilet Training Model for Early Childhood

Supa Khammarit — 2024-04-30

This quasi-experimental research aimed to examine the effect of the daytime toilet training model for early childhood. The samples were 30 couples of parents and children at the Child Development Center, Phrapokklao Nursing College, Chanthaburi. The research instruments consisted of the daytime toilet training model for early childhood, a daytime toilet training for early childhood handbook, a readiness for daytime toilet training for early childhood by teacher assessment form, a demographic questionnaire, a knowledge of daytime toilet training for early childhood of parent assessment form with a reliability of .80, and a daytime toilet training for early childhood by teacher and parent record form. The implementation and data collection were conducted from June to September 2022. Data were analyzed by frequency, percentage, mean, standard deviation, and one-way repeated measures ANOVA with multiple comparisons by Bonferroni method.

The research results revealed that 1) at the 4-week after posttest phase and the 8-week after posttest phase, the parents had statistically significantly higher mean score of knowledge of daytime toilet training for early childhood than that of the pre-test phase (p < .001), in addition, at the 8-week after posttest phase, the parents also had statistically significantly higher mean score of knowledge of daytime toilet training for early childhood than that of the 4-week after posttest phase (p < .05); and 2) at the 4-week after posttest phase and the 8-week after posttest phase, 90% and 96.67% of the children had ability in daytime urination control.

This research suggests that preschool teachers should utilize this daytime toilet training model for early childhood to care for children at the child development centers. This will help the children enhance their ability in daytime urination control.

Development of a Video Media in Prevention of Infection for Patients Undergoing Hemodialysis

Oraphan Buapeng — 2024-04-30

This developmental research aimed to develop and evaluate the efficiency of a video media in prevention of infection for patients undergoing hemodialysis. The samples were 42 new chronic kidney disease patients undergoing hemodialysis at hemodialysis units of three hospitals and one private hemodialysis clinic in Chiang Mai Province. The research instruments consisted of a video media storyboard, an opinion towards the developed video media questionnaire, a demographic data questionnaire, a knowledge on prevention of infection for patients undergoing hemodialysis test with a reliability of .71, and a satisfaction towards the video media questionnaire. The implementation and data collection were conducted from January to August 2021. Data were analyzed using frequency, percentage, mean, standard deviation, and paired t-test. The efficiency of the video media was tested according to Meguigans’ standard criteria.

The research results revealed that 1) the video media length was 9 minutes 32 seconds and the content consisted of incidence of infection, impacts of infection, factors related to infection, and infection prevention practices; 2) the efficiency of the video media was 1.60; 3) after watching the video media, patients had statistically significantly higher mean score of knowledge on prevention of infection for patients undergoing hemodialysis than that of before watching the video media (t = 16.579, p < .001); and 4) the mean score of satisfaction towards the video media for overall and each domain among patients was at a highest level.

This research suggests that nurses in hemodialysis units should provide this video media for patients undergoing hemodialysis every episode of hemodialysis. This will help patients increase their knowledge on prevention of infection.

Effect of Promoting Health Literacy Program Based on the PBRI’s Model with Seven Color Ping-Pong Life Traffic on Health Literacy among Diabetic and Hypertensive Patients at Community in Chanthaburi Province

Pennapa Pisaipan — 2024-04-30

This quasi-experimental research aimed to examine the effect of promoting health literacy program based on the PBRI’s Model with seven color ping-pong life traffic on health literacy among diabetic and hypertensive patients. The 27 samples were composed of 11 diabetic patients and 16 hypertensive patients living in Chanthanimit Sub-district, Mueang Chanthaburi District, Chanthaburi Province. The research instruments included a promoting health literacy program based on the PBRI’s Model with seven color ping-pong life traffic and a health literacy assessment form for diabetic and hypertensive patients with reliabilities in the range of .49–.98. The implementation and data collection were conducted from April to October 2023. Data were analyzed using frequency, percentage, mean, standard deviation, and Wilcoxon signed-rank test.

The research results revealed that 1) after receiving the program, the diabetic patients had statistically significantly higher score of health literacy than that of before receiving the program (Z = -2.941, p < .01), and 2) after receiving the program, the hypertensive patients had statistically significantly higher score of health literacy than that of before receiving the program (Z = -3.042, p < .01).

This research suggests that healthcare providers in primary care units should adopt this promoting health literacy program for diabetic and hypertensive patients in their communities. This will help the patients increase their health literacy and modify their health behaviors.

Effect of the Cognitive Behavioral Therapy Self-help Booklet on Addiction Relapse among Patients with Amphetamine Dependence

Monthakan Uten — 2024-04-30

This quasi-experimental research aimed to study the effect of the cognitive behavioral therapy self-help booklet on addiction relapse among patients with amphetamine dependence. The participants were 44 patients with amphetamine dependence receiving therapy at a hospital in Chiang Mai Province and were equally divided into an experimental group (n = 22) and a control group (n = 22). The research instruments included the cognitive behavioral therapy self-help booklet, a demographic questionnaire, an amphetamine relapse record form, and a urine methamphetamine test kit. The implementation and data collection were conducted from May 2020 to January 2021. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-square test, independent t-test, McNemar test, and Chi-square test for trend.

The research results revealed that 1) at the after posttest phase and the follow up after posttest phase, the experimental group had statistically significantly lower number of patients with amphetamine relapse than that of the pretest phase (p < .001 and p < .05, respectively); and 2) at the after posttest phase and the follow up after posttest phase, number of patients with amphetamine relapse of the experimental group were not different from the control group.

This research suggests that psychiatric nurses should adopt this cognitive behavioral therapy self-help booklet to care for patients with amphetamine dependence. This will help the patients reduce the amphetamine relapse.

Effectiveness of a Supportive-Educative Nursing System Program on Knowledge and Maternal Behavior in Care for Children with Post-COVID-19 at Home

Jaruwan Sanongyard — 2024-04-30

This quasi-experimental research aimed to examine the effectiveness of a supportive-educative nursing system program on knowledge and maternal behavior in care for children with post-COVID-19 at home. The samples were 80 mothers caring for children with post-COVID-19 at home and were equally divided into an experimental group (n = 40) and a control group (n = 40). The research instruments included a supportive-educative nursing system program, a general information questionnaire, a maternal knowledge in care for children with post-COVID-19 at home assessment form with a reliability of .79, and a maternal behavior in care for children with post-COVID-19 at home measurement form with a reliability of .84. The implementation and data collection were conducted from January to August 2023. Data were analyzed using frequency, percentage, paired t-test, and independent t-test.

The research results revealed that 1) after the experiment, the experimental group had statistically significantly higher mean scores of knowledge in care for children with post-COVID-19 at home and behavior in care for children with post-COVID-19 at home than those of before the experiment (t = 5.298, p < .001 and t = 15.325, p < .001, respectively); and 2) after the experiment, the experimental group had statistically significantly higher mean scores of knowledge in care for children with post-COVID-19 at home and behavior in care for children with post-COVID-19 at home than those of the control group (t = 4.688, p < .001 and t = 14.176, p < .001, respectively).

This research suggests that nurses should utilize this supportive-educative nursing system program for mothers caring for children with post-COVID-19 at home. This will help mothers improve their knowledge and behavior in care for the children.

Factors Affecting the Behavior of Using Herbal Medicines to Relieve Muscle Aches among Farmers in Si Samrong District, Sukhothai Province

Aphirut Rungrueang — 2024-04-30

This predictive correlational research aimed to study the factors affecting the behavior of using herbal medicines to relieve muscle aches among farmers. The samples were 317 farmers in Si Samrong District, Sukhothai Province. The research instruments included a demographic questionnaire, a knowledge regarding herbal medicines relieving muscle aches test with a reliability of .72, an attitude towards herbal medicines relieving muscle aches questionnaire with a reliability of .84, a satisfaction towards herbal medicines relieving muscle aches questionnaire with a reliability of .94, a trustworthiness towards herbal medicines relieving muscle aches questionnaire with a reliability of .92, and a behavior of using herbal medicines to relieve muscle aches questionnaire with a reliability of .92. Data were collected from October to November 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that the mean score of behavior of using herbal medicines to relieve muscle aches among farmers was at a moderate level (M = 37.29, SD = 6.63). Attitude towards herbal medicines relieving muscle aches, satisfaction towards herbal medicines relieving muscle aches, trustworthiness towards herbal medicines relieving muscle aches, and male gender could statistically significantly co-predict the behavior of using herbal medicines to relieve muscle aches among farmers at 47.50% (R² = .475, p < .05). The most predicting factor was trustworthiness towards herbal medicines relieving muscle aches (Beta = .380, p < .001).

This research suggests that related agencies should enhance trustworthiness, satisfaction, and attitude towards herbal medicines relieving muscle aches among farmers. This will help farmers increase the behavior of using herbal medicines to relieve muscle aches.

Assessment of the Impact of the COVID-19 Pandemic on Antenatal Care Clinic and Well Child Clinic Services in Primary Care Unit in U Thong District, Suphan Buri Province

Jareesri Kunsiripunyo — 2024-04-30

This descriptive research aimed to assess the impact of the COVID-19 pandemic on antenatal care clinic and well child clinic services in primary care unit. The participants consisted of 22 directors, 22 heads of antenatal care clinic, and 22 heads of well child clinic in sub-district health promoting hospitals in U Thong District, Suphan Buri Province. The research instrument was a semi-structured interview form of assessment of the impact of the COVID-19 pandemic on antenatal care clinic and well child clinic services in primary care unit. Data were collected from October to November 2022. Data were analyzed by content analysis, frequency, percentage, mean, and standard deviation.

The research results revealed that there were five main impacts on antenatal care clinic and well child clinic services, including 1) no compliance with the measures of COVID-19 prevention; 2) lack of protective equipment such as PPE set; 3) lack of budget; 4) increase staff workload; and 5) decrease number of clients. However, antenatal care clinic had to stop the antenatal care service, whereas telephone or line application following was provided. For well child clinic, the service pattern was modified to active home visit approach.

This research suggests that in case of the pandemic of any communicable disease, the healthcare workers in sub-district health promoting hospitals should modify the service pattern by applying various social medias in order to provide the essential basic services continuously.

Effect of Telehealth Service Delivery on Medication Adherence and Viral Load among Stable People Living with HIV at the Antiretroviral Clinic, Borai Hospital, Trat Province

Sirirat Leaungsomnapa — 2024-04-30

This quasi-experimental research aimed to examine the effect of telehealth service delivery on medication adherence and viral load among stable people living with HIV. The samples consisted of 20 stable people living with HIV at the antiretroviral clinic, Borai Hospital, Trat Province. The research instruments were composed of the telehealth service delivery of the antiretroviral clinic, a demographic record form, a medication adherence assessment form, a viral load record form, and an opinion on telehealth service delivery of the antiretroviral clinic questionnaire. The implementation and data collection were conducted from January to December 2023. Data were analyzed using frequency, percentage, median, interquartile range, Wilcoxon signed-rank test, and McNemar test.

The research results revealed that 1) after receiving the telehealth service delivery, the score of medication adherence among people living with HIV was not different from that of before receiving the telehealth service delivery, 2) after receiving the telehealth service delivery, the undetectable viral load among people living with HIV was not different from that of before receiving the telehealth service delivery, and 3) all people living with HIV needed the same telehealth service delivery of the antiretroviral clinic.

This research suggests that the executives of Borai Hospital should promote this telehealth service delivery for stable people living with HIV. This will help stable people living with HIV obtain more convenient services.

Factors Related to Palliative Care Practices of Nurses in Neonatal Intensive Care Unit

Sutthirat Charoenphornphong — 2024-04-30

This descriptive correlational research aimed to investigate the relationship among experience of palliative care, palliative care training, attitude toward palliative care, self-efficacy in palliative care, and palliative care practices in neonatal intensive care unit (NICU) of nurses. The samples were 97 registered nurses working in NICUs at five tertiary hospitals in Northern Thailand. The research instruments consisted of a demographic questionnaire, an attitude toward palliative care in NICU assessment form with a reliability of .81, a self-efficacy in palliative care in NICU assessment form with a reliability of .93, and a palliative care practices in NICU questionnaire with a reliability of .92. Data were collected from January to April 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, Eta correlation, Spearman rank correlation, and Pearson’s product moment correlation.

The research results revealed that 88.70% of nurses had palliative care practices in NICU at a high level. Experience of palliative care was positively statistically significantly related to palliative care practices of nurses (η = .200, p < .05). Attitude toward palliative care was positively statistically significantly related to palliative care practices of nurses (r_s = .450, p < .001). In addition, self-efficacy in palliative care was positively statistically significantly related to palliative care practices of nurses (r = .550, p < .001).

This research suggests that nurse executives should promote palliative care practices to nurses as well as provide palliative care training. This will help nurses enhance their competency in palliative care practices in NICU.

Factors Influencing Dengue Hemorrhagic Fever Prevention and Control Behavior among Village Health Volunteers in Wang Thong District, Phitsanulok Province

Anutida Pramyothin — 2024-04-30

This predictive correlational research aimed to study the factors influencing dengue hemorrhagic fever (DHF) prevention and control behavior among village health volunteers. The participants were 255 village health volunteers in Wang Thong District, Phitsanulok Province. The research instruments included a personal factor questionnaire, a knowledge about DHF test with a reliability of .71, a health belief model questionnaire with a reliability of .88, a social support questionnaire with a reliability of .82, and a DHF prevention and control behavior questionnaire with a reliability of .92. Data were collected from June to July 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that the mean score of DHF prevention and control behavior among village health volunteers was at a moderate level (M = 30.40, SD = 7.45). Duration of work, perceived susceptibility of DHF, socioemotional aid, and information aid were statistically significantly accounted for 52.60% of the variance of DHF prevention and control behavior among village health volunteers (adj. R² = .526, p < .05). The most predicting factor was information aid (Beta = .443, p < .001).

This research suggests that related agencies should provide information aid regarding DHF prevention and control as well as promote socioemotional aid and enhance the perceived susceptibility of DHF among village health volunteers.