JOURNAL OF THE POLICE NURSES

Full Journal

2023-12-29T11:39:35+07:00

HEALTH PROMOTION AND PREVENTION FOR SARCOPENIA IN OLDER ADULTS

2023-08-28T13:42:55+07:00

Sarcopenia, a geriatric syndrome, becomes more prevalent with advanced age. Typically, it results from progressive muscle mass loss and decreased muscle strength and/or physical function, leading to functional decline and an increased risk of falls and fractures, requiring hospitalization. If early sarcopenia screening is not appropriately administered, the profound impacts of delayed prevention and treatment can result in adverse health outcomes, increased dependency, and a diminished quality of life for older adults. Given the essential role that nurses play in providing healthcare to older adults, understanding the concept of sarcopenia is crucial. This article aims to propose guidelines for managing sarcopenia in older adults, emphasizing the importance of early screening for sarcopenia in hospitals and community settings. The ultimate goal is to raise awareness, prevent sarcopenia, and mitigate its progression or severity, enabling older adults to maintain their independence.

NURSING CARE FOR OLDER PERSONS WITH DEMENTIA USING EVIDENCE-BASED CARE IN CARING

2023-11-30T10:10:06+07:00

Dementia poses a significant health challenge, primarily affecting the elderly and showing a continuous upward trend. As a chronic disease, dementia affects various aspects of the elderly population's life, encompassing physical, mental, behavioral, social, economic, and overall quality of life. Currently, although there is a cure for dementia, the majority of treatments follow a palliative approach, yielding limited results. The key to caregiving lies in preserving the abilities of the elderly. To impede the progression of dementia in the elderly, nurses should engage in care practices that focus on promotion, prevention, treatment, and rehabilitation, utilizing evidence-based approaches, which ensures that the elderly and their caregivers receive care tailored to their specific needs. The primary objective of this article is to enhance nurses' knowledge and understanding in caring for the elderly with dementia, with a focus on maintaining their ability to self-care, decelerating disease deterioration, and concurrently alleviating the caregiving burden in a sustainable manner.

NURSING CARE FOR PATIENTS WITH ISCHEMIC STROKE TO PREVENT COGNITIVE IMPAIRMENT

2023-10-15T22:18:33+07:00

Stroke is a major contributor to cognitive impairment, attributed to diminished blood supply and oxygen deficiency leading to neuronal degeneration in the brain. Cognitive impairment adversely affects various patient abilities, including memory, language and communication, visuo-spatial skills, attention, and executive functions. Additionally, it results in decreased physical abilities such as movement, balance, and performing daily activities, consequently necessitating assistance from others for daily living. These factors contribute to delayed and inefficient nervous system recovery. Nevertheless, nurses play a crucial role in the rehabilitation of patients with ischemic stroke. Currently, multiple evidence-based practices are employed in nursing care to enhance stroke recovery, mitigate complications, and improve the patient's quality of life. Nurses should focus on caring for stroke patients to prevent cognitive impairment, foster interhemispheric brain connections, enhance brain structuring and functioning (neuroplasticity), and facilitate efficient neurological recovery.

MYOCARDITIS FROM THE mRNA COVID-19 VACCINE

2023-08-22T21:41:02+07:00

The Messenger Ribonucleic acid (mRNA) vaccine is the most effective type of vaccine against COVID-19 infection, demonstrating over 90% efficacy in preventing COVID-19 infection and reducing the severity and mortality of the disease. It is recommended for use in the population aged 12 years and older. The most concerning adverse event after mRNA vaccination is myocarditis. Although the mechanism of myocarditis after vaccination is still unknown, it is primarily observed in males younger than 30 years old, often related to the second dose of vaccine, and consistently occurring within 3 to 7 days. Common symptoms include chest pain, shortness of breath, and sensations of
a fast, fluttering, or pounding heart. Adverse events are rare; however, heart failure and shock occur in severe cases. Cardiac MRI may show irregular EKG and Cardiac enzyme is abnormal. Most myocarditis cases are completely reversible. Compared with the advantages of mRNA vaccination against COVID-19 infection, it is recommended. However, individuals at a high risk of myocarditis should consult medical professionals to assess the risk-benefit ratio before vaccination.

NURSING'S ROLE IN CONTRACEPTION AMONG ADOLESCENTS

2023-12-07T19:35:15+07:00

Although the global teenage pregnancy rate is decreasing, in Thailand, adolescents are engaging in sexual behavior at an earlier age, and many of them have more than one sexual partner. The lack of sufficient knowledge to prevent pregnancy may lead to unintended pregnancies, abortions, and sexually transmitted diseases. The use of effective contraception methods is, therefore, fundamental to preventing teenage pregnancy. Thailand is guided by the National Adolescent Pregnancy Prevention and Solution 2017–2026 policy, where nurses play a crucial role in its implementation. Their responsibilities include increasing knowledge, providing counseling for teenagers, and assisting them in choosing a suitable birth control method. Therefore, nurses must have updated knowledge about contraception to keep pace with current changes, enabling them to practice nursing effectively and increase birth control rates among teenagers engaging in risky sexual behavior. This ensures that teenagers have access to accurate and appropriate birth control methods.

NURSING FOR THE PREVENTION OF POSTPARTUM FLATULENCE IN MOTHERS AFTER CESAREAN SECTION

2023-08-15T21:56:16+07:00

This article aims to present the causes, consequences, and prevention guidelines for flatulence resulting from cesarean sections to promote the good health of postpartum mothers. Flatulence is the most common complication observed after a cesarean section, leading to slow postpartum recovery—a factor contributing to prolonged hospitalization and increased healthcare expenses. Additionally, there are consequences for maternal roles in building postpartum bonding behavior. Through a review of literature and research, the causative factors of flatulence include
the pathophysiology of postpartum mothers after a cesarean section, the use of anesthetics, post-operative pain, and side effects of analgesics. Other contributing factors involve eating behaviors, excretion, and stress/anxiety. However, flatulence is preventable. Therefore, nurses should enhance their understanding of evidence-based flatulence prevention after cesarean sections, assisting postpartum mothers in maintaining healthy behaviors and introducing effective flatulence prevention strategies.

กองบรรณาธิการ

2023-12-29T11:29:30+07:00

Editor

2023-12-29T11:34:03+07:00

WORKING AS A NURSES IN AN EMERGENCY UNIT AT A GENERAL HOSPITAL

2023-07-13T06:50:00+07:00

The purpose of this study was to describe the experiences of team mentors mentoring nurses working in the Emergency Unit. The qualitative research methodology of Heidegger's interpretative phenomenology was employed. Twelve registered nurses with at least 2-year experience in Emergency department work were included. Data were collected through in-depth interviews, voice recordings, field notes, and observations. The data were transcribed verbatim and then analyzed using the interpretative method proposed by Crist and Tanner, ensuring trustworthiness based on the criteria of Guba and Lincoln.

The findings related to experiences with a team mentor could be categorized into eight themes as follows: 1) Screening patients requiring diverse skills, 2) Monitoring symptoms to determine admission or discharge, 3) Assisting in resuscitation and expediting procedures, 4) Referring patients, 5) Providing emergency medical services, 6) Offering disaster services, 7) Performing other assigned tasks, 8) Taking the results from work. The results of this study gain an understanding of the variety of tasks of registered nurses in the Emergency Department. Registered nurses care for patients of all diseases and ages, including all levels of treatment urgency. Therefore, they must have a wide range of medical knowledge and skills to be able to evaluate, diagnose, and provide nursing care appropriately and quickly.

EFFECTS OF THE INTEGRATED SMOKING CESSATION SERVICE SYSTEM IN PRIMARY HEALTHCARE SERVICE ON SMOKING STATUS

2023-08-27T23:16:11+07:00

This quasi - experimental research aimed 1) to compare the smoking status of smokers after receiving services from the integrated smoking cessation program in primary healthcare services with a group that receives standard nursing care, and 2) to compare the smoking status of smokers after receiving counseling from the national telephone smoking cessation service with a group that receives standard nursing care. The sample of the study consisted of smokers aged 18 to 75 who smoked either cigarettes or roll-your-own cigarettes in Nakhon Pathom province. Participants were stratified into three groups, each comprising 72 individuals: 1) those receiving the integrated smoking cessation service system in primary health services, 2) those undergoing counseling from the Thailand National Quitline (TNQ) counselor, and 3) those receiving standard nursing care. Matching was performed based on age and nicotine addiction levels. The research utilized the Integrated Smoking Cessation Service System in Primary Health Services as the experimental tool, and data collection involved a questionnaire assessing smoking cessation prevalence at the 6-month mark. Descriptive statistics and bivariate logistic regression analysis were employed for data analysis.

The research revealed successful smoking cessation rates as follows: 55.56% for the group receiving the integrated smoking cessation service system, 40.28% for the TNQ counseling group, and 5.56% for the standard nursing care group. Comparing the smoking status of each group, individuals in the integrated smoking cessation service system group exhibited a 21.25 times higher likelihood of successful quitting compared to those receiving usual care (OR = 21.25, 95%CI = 7.00 - 64.50). Similarly, the group receiving counseling only from the TNQ had an 11.47 times higher chance of successful quitting compared to the standard nursing care group (OR = 11.47, 95%CI = 3.77 - 34.89). Therefore, the implementation of an integrated smoking cessation service system in primary healthcare facilities is recommended to enhance smoking cessation efforts in the community.

THE EFFECTS OF A SELF-HELP GROUP PROGRAM ON QUALITY OF LIFE AMONG CAREGIVERS OF CHILDREN WITH PHYSICAL IMPAIRMENTS IN UDON THANI PROVINCE

2023-08-27T23:09:23+07:00

This study employed a quasi-experimental one-group pretest-posttest design to explore the effects of a self-help group program on the life quality among caregivers of children with physical impairments. The participants included 30 primary caregivers of children with physical impairments from the Udon Thani Special Education Center, selected through purposive sampling. The research instruments comprised a 12-week self-help group program with four different types of support activities—sharing emotional and social support, providing information, offering education and skill development, and advocating for caregivers. Content validity, examined by three experts, yielded a content validity index of .67 – 1.00. The research instrument for collecting data from caregivers was the quality-of-life questionnaire of the World Health Organization Quality of Life Brief-Thai (WHOQOL-BREF-THAI). The reliability was .84. Data analysis involved percentage, mean, standard deviation, and paired t-test.

The research results demonstrated that, compared to before the intervention, the mean scores for the quality of life of caregivers for children with physical impairments significantly improved at the .05 level. Therefore, nurses and healthcare teams should establish self-help groups for caregivers of children with physical impairments in the community. Furthermore, the program can be adapted for use with patients having different illnesses to enhance the patient’s quality of life and to promote the quality of life for caregivers in terms of physical, mental, social relations, and the environment.

DEVELOPMENT OF NURSING SERVICE SYSTEM FOR PATIENTS WITH SEPSIS, CHAIYAPHUM HOSPITAL

2023-10-15T22:22:21+07:00

Sepsis is a major cause of mortality in hospital patients. This research and development (R&D) study aimed to develop and evaluate a nursing service system for patients with sepsis at Chaiyaphum Hospital (CPH Sepsis Nursing Service System). The sample consisted of three groups selected through purposive sampling. Group 1 included 43 professional nurses working in the medical wards. Group 2 comprised a multidisciplinary team with 30 healthcare providers, and Group 3 consisted of medical records of patients with sepsis, totaling 189 cases. The study was divided into three phases: 1) the situation analysis phase; 2) the nursing service system development phase; and 3) the evaluation phase of the nursing service system development. Four instruments were utilized to collect data, including an opinion survey questionnaire for executives/multidisciplinary teams, a knowledge test, a nursing practice skills assessment form, and a satisfaction questionnaire for the multidisciplinary team regarding the nursing service system. The reliability indices of the research instruments were .53, .75, and .90, respectively. Descriptive statistics, including the Wilcoxon signed-rank test, were employed to analyze the data.

The findings revealed that the developed nursing service system for patients with sepsis at Chaiyaphum Hospital was practical in the medical wards. Professional nurses exhibited higher nursing knowledge and skills than before the use of the developed nursing service system (Z = -5.733 and Z = -5.726, p = .000, respectively). The majority of multidisciplinary team members were highly satisfied with the developed nursing service system for each issue (M = 4.17 - 4.73). Additionally, mortality outcomes among patients with sepsis decreased from 78.08% before the use of the nursing service system to 66.67% and 62.65% after using the developed nursing service system.

A STUDY OF THE SITUATION OF A CARE MODEL FOR EARLY CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS AT THANYABURI HOSPITAL

2023-10-15T11:49:54+07:00

This study employed a mixed methods approach with the aim of examining the state of the care model for patients in the early stages of chronic obstructive pulmonary disease (COPD) at Thanyaburi Hospital. The conceptual framework utilized for this study was based on Donabedian's (2003) service quality assessment, encompassing the dimensions of structure, process, and results. Data collection involved a focus group discussion with seven healthcare providers, as well as individual discussions with 10 patients and their relatives. Additionally, a self-management assessment was conducted with twenty COPD patients. Descriptive statistics were applied for quantitative data analysis, while content analysis was employed for qualitative data.

The findings indicated that the guidelines for the structural aspects of the caring model for COPD patients were intangible and inconsistent. Most healthcare teams provided routine and functional care based on their prior experience in patient care. Continuous monitoring and evaluation of care were inconsistent. The patient care process was general and lacked specificity in terms of empowering patients for enhanced self-management. Outcome evaluation primarily focused on physical assessments and did not prioritize self-management behavior. Consequently, there is a need for a clearly defined care model for early-stage COPD patients, emphasizing the promotion of patient empowerment for self-management. Outcome evaluations of the behavior aspect should encompass both self-management behavior and physical capacities, assisting COPD patients to be able to manage current symptoms, slow the progression of the disease, and improve their overall quality of life.

A RESULT OF DEVELOPING A DISCHARGE PLANNING APPLICATION FOR PATIENTS WITH CORONARY HEART DISEASE

2023-11-23T09:21:04+07:00

This research and development aimed to create and assess the effectiveness of a discharge planning application for patients with coronary heart disease. The sample group included 30 patients with coronary heart disease admitted to the Cardiac Intensive Care Unit of Somdech Phra Pinklao Hospital from July to September 2020. The sample was selected based on inclusion criteria. The research consisted of 3 phases: 1) analyzing problems and assessing needs; 2) designing and developing the application following the principles of 3E 2S 1M (edible materials, exercise, emotions, smoking/stimulant cessation, and medication); and 3) testing and evaluating the application's effectiveness. The research instruments included a group discussion recording form, discharge planning application for patients with coronary heart disease, a knowledge assessment, and
a satisfaction assessment form. The instrument's content validity was verified by three experts. The Index of item objective congruence for the knowledge assessment form ranged from .67 to 1.00, and reliability, assessed by Cronbach’s alpha coefficient, was .70. Data were analyzed using mean, standard deviation, and paired t-test.

The research findings revealed that patients with coronary heart disease, after using the discharge planning application, had a statistically significant increase in the average knowledge score based on the principles of 3E 2S 1M, compared to before using the application (M = 18.30,
SD = 1.30, and M = 16.40, SD = 1.67, t = 6.67, p = .000). Overall, patients with coronary heart disease showed a high level of satisfaction with the use of the discharge planning application (M = 4.44, SD = .43).

Therefore, nurses should utilize the discharge planning application to promote knowledge about edible materials, exercise, emotions, smoking/stimulant cessation, and medication, thereby supporting patients with coronary heart disease and enhancing their self-care efficiency.

THE DEVELOPMENT OF A HEALTH LITERACY MODEL FOR MEDICINAL USE OF CANNABIS AMONG VILLAGE HEALTH VOLUNTEERS IN PRANBURI DISTRICT, PRACHUAP KHIRI KHAN PROVINCE

2023-10-23T22:35:26+07:00

The objectives of this research and development study were 1) to study a health literacy model for the medicinal use of cannabis among village health volunteers (VHVs), 2) to develop a health literacy model for the medicinal use of cannabis, and 3) to investigate the outcomes of using a health literacy model for the medicinal use of cannabis. The samples consisted of village health volunteers (VHVs) in Pranburi District, Prachuap Khiri Khan Province, and the study was conducted in three phases. In Phase 1, the sample included 320 VHVs. In Phase 2, there were 10 VHVs serving as informants. In Phase 3, the sample comprised 48 VHVs, divided into experimental and control groups with 24 VHVs in each group. The research instruments included a health literacy questionnaire on the use of medical cannabis, a discussion point recording form, and a satisfaction questionnaire. Quantitative data were analyzed using statistics: percentages, averages, standard deviations, and t-tests. Content analysis was used for qualitative data.

The results revealed that: 1) VHVs exhibited a moderate level of health literacy in the use of medical cannabis (M = 53.79, SD = 15.57). 2) The health literacy model for the medicinal use of cannabis included assigning a person in charge, providing information on medical cannabis through lectures by medical staff and personnel, updating knowledge through messages, video media, electronic posters, and addressing queries in a LINE group, along with community fieldwork to periodically disseminate knowledge. 3) The results of the use of this model indicated that the mean scores of health literacy in medical cannabis use in the experimental group both all and each part were statistically significantly higher than those in the control group (p < .05). Furthermore, the experimental group demonstrated that health literacy in the use of medical cannabis after the intervention significantly increased from a moderate to a higher level. The average satisfaction level regarding the use of this model among VHVs in the experimental group was at the highest level (M = 4.65, SD = .36).

Consequently, healthcare providers should encourage implementing this model to enhance health literacy in the use of medical cannabis among VHVs in other districts of Prachuap Khiri Khan Province. This approach aims to promote VHVs to be knowledge providers about the medicinal use of cannabis and ensure safety for the population.

A COMPARISON OF CORPITOLINOL 60 AND SAFFLOWER OIL FOR PRESSURE INJURY PREVENTION IN CRITICALLY ILL CHILDREN: THE RANDOMIZED CONTROLLED TRIAL WITH DOUBLE-BLINDED

2023-10-15T21:22:24+07:00

The randomized controlled trial with double-blinded aimed to compare the effect of caring for pediatric patients with safflower oil versus Corpitolinol 60 on the rate of pressure injuries in new pediatric patients. The participants were critically ill children who were hospitalized in PICU, Ramathibodi Hospital. The block of four randomization technique, using computer, was applied to recruit the participants into the study. The participants were randomly assigned to the Corpitolinol60 group (n = 159) and the safflower oil group (n = 161). The Data collection used the record form, record form of the pressure injury, and Braden Q scale. The sensitivity and specificity of Braden Q score were .92 and .59, respectively. The area under the curve (AUC) was found as .84. Data were analyzed using descriptive statistics, Chi-square test, and Fisher exact test.

The results of study revealed that genders, ages, diagnosis, criteria of ICU admission, sedative drugs, vasoactive drugs, using ventilator, hypoxemia, enteral feeding, immobilization, defecation frequency, serum albumin, nutrition profile, length of stay in ICU, and Braden Q score were no statistically significant difference between both groups. Moreover, the rate of pressure injuries in new pediatric patients was no significant difference between Corpitolinol 60 and safflower oil. Therefore, safflower oil was non-inferior to Corpitolinol 60 in prevention of pressure injury among critically ill children.

THE HOPES OF MOTHERS REGARDING LOW BIRTH WEIGHT PREMATURE INFANTS: MATERNAL EXPERIENCES

2023-12-07T20:10:58+07:00

This qualitative research aimed 1) to explore the perception of mothers regarding the meaning and impact of preterm birth and the low birth weight of their child and 2) to examine the mothers' hopes based on their lived experiences. The participants were ten mothers of newborns that were admitted to two provincial hospitals through purposive sampling. Data were collected by in-depth interviews and were simultaneously analyzed throughout the research period. The data used content analysis based on Colozi’s method. Then, data saturation was ascertained when interviewing the tenth mother.

The research revealed that the hopes of mothers regarding low birth weight premature infants had two main findings. First, regarding the mothers' perception and impact of preterm birth and low birth weight: 1.1 the perception of preterm birth meant delivering a baby before the medically designated date; low birth weight; and 1.2 the perception of low birth weight premature infants affects both the infant's health and maternal mental health. Second, regarding the mothers' hopes for their low birth weight preterm infants, 2.1 all of the participants expressed hopes that their infants would be healthy and receive quality healthcare services; 2.2 the factors contributing to hope included confidence in the healthcare team, medical advancement, the positive responses of infants to treatment, and emotional support; 2.3 the characteristics of hopeful mothers included having a sense of empowerment, having mental stability, and having positive social relationships; 2.4 the positive outcomes of maternal hope included strengthened mental resilience, self-care, lifestyle adjustments, maternal roles, and future life planning.

This study provides foundational information for further research and the development of programs to promote hope and encouragement for mothers facing the challenges of preterm birth and low birth weight.

LIVED EXPERIENCES OF NORTHEASTERN (ISAAN) MOTHER IN PROMOTING PRESCHOOL CHILDREN’S EXECUTIVE FUNCTIONS

2023-12-07T19:38:56+07:00

This hermeneutic phenomenology study aimed to explore the experiences of mothers in the Northeastern region of Thailand in promoting executive functions in preschool children. The study included 20 mothers from the Northeastern region of Thailand with both male and female preschool children aged between 3 and 6 years old, selected purposively based on inclusion criteria. Data were collected through in-depth interviews and field notes, and thematic analysis was employed for data analysis. Trustworthiness was ensured through triangulation, member checking, and peer debriefing.

The results indicated that mothers from the Northeastern region of Thailand, with ages ranging from 21 to 38 years, had diverse educational backgrounds, with 60 percent graduating from lower secondary school, and 85 percent having 2 to 3 children. Seven themes emerged from their experiences, including 1) raising according to birth and learning from real life, 2) teaching them to think and explaining reasons, 3) being a role model, 4) teaching and advising according to age, 5) prohibiting and admonishing, 6) addressing disobedience with punishment, and 7) letting them go.

These findings suggest strategies to enhance executive functions in preschool children by encouraging quality time with their families for learning life skills. Mothers are advised to act as positive role models, guide their children in the right direction, and strike a balance between restraining and supporting children to express their emotions, feelings, and behaviors appropriately.

PREDICTORS OF BOWEL PREPARATION QUALITY IN PATIENTS UNDERGOING COLONOSCOPY

2023-08-27T15:55:42+07:00

This predictive research aimed to examine the predictors of bowel preparation quality- bowel preparation knowledge, health literacy, patient activation, bowel preparation behavior, and patient-health care provider communication with patients undergoing colonoscopy. The sample included 193 outpatients undergoing colonoscopy at a high-level tertiary hospital. Data were collected using questionnaires that evaluated bowel preparation knowledge, health literacy, patient activation, bowel preparation behavior, communication between patient and health care provider, and bowel preparation quality. The reliability indices of the research instruments were assessed using Cronbach’s alpha coefficients, yielding values of .70, .94, .83, .79, and .94, respectively. Data analysis employed hierarchical binary logistic regression statistics with the backward Wald method.

The results of this study revealed that patients with higher levels of patient activation, health literacy, knowledge about bowel preparation, and positive bowel preparation behavior exhibited better bowel preparation quality, with odds ratios of 2.93, 2.05, 1.34, and 1.28, respectively. However, patient-provider communication was not identified as a predictor of bowel preparation quality.

Hence, healthcare providers should encourage patients undergoing colonoscopy based on patient activation, health literacy, bowel preparation behavior and knowledge to allow patients to access bowel preparation quality.

ASSOCIATION BETWEEN INTRINSIC MOTIVATION AND DISEASE CONTROL BEHAVIORS AMONG OLDER ADULTS WITH HYPERTENSION IN CHIANG RAI PROVINCE

2023-08-27T23:21:44+07:00

This descriptive correlational research aimed to study 1) intrinsic motivation and disease control behaviors among older adults with hypertension and 2) the association between intrinsic motivation and disease control behaviors among older adults with hypertension in Chiang Rai Province. The study framework utilized the concept of self-determination theory by Deci and Ryan (1985). The sample consisted of individuals aged 60 years and over with hypertension receiving services at Subdistrict Health Promoting Hospitals in Chiang Khong District, Chiang Rai Province, from April to May 2023. 312 participants were selected. The research instruments included a demographic data form, intrinsic motivation questionnaires, and questionnaires on disease control behaviors among older adults with hypertension. The content validity indices of both questionnaires were 1.0, and reliability, as measured by Cronbach’s alpha coefficients, showed values of .81 and .85, respectively. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient.

The research results found that: 1) Participants exhibited a high level of intrinsic motivation for disease control among older adults with hypertension (M = 81.38, SD = 5.18), and they demonstrated a high level of behaviors for disease control among older adults with hypertension (M = 56.61, SD = 4.62); and 2) Older adults with hypertension who had a high level of intrinsic motivation showed statistically significant correlation with a high level of behaviors for disease control (r = .411, p = .000).

This study demonstrated that intrinsic motivation is an important factor related to disease control behaviors among older adults with hypertension in Chiang Rai Province. These results provide health providers with insights to promote intrinsic motivation among older adults with hypertension to encourage appropriate disease control behaviors.

SELF–MANAGEMENT OF NURSING STUDENTS WITH LONG COVID

2023-10-15T11:33:15+07:00

The aim of this descriptive research was to investigate Long COVID and self-management among nursing students with Long COVID. A total of 206 nursing students with Long COVID from year 1 to 3 were selected using purposive sampling. The questionnaires on Long COVID and self-management with Long COVID were used for data collection. Expert evaluated the content validity and reliability of the research instruments to be .81 and .85, respectively. Descriptive statistics were employed for data analysis.

The results showed that among the 206 nursing students with Long COVID, 98 exhibited residual Long COVID symptoms. The most prevalent residual symptoms of Long COVID were fatigue and tiredness (69.39%), followed by body aches and joint pain (46.94%). The overall level of self-management for residual symptoms of Long COVID was moderate (M = 3.47, SD = .95). Regarding self-management and residual symptoms of Long COVID-19, the most reported aspect was the prevention of reinfection (M = 4.31, SD = .74), followed by the management of fatigue and tiredness (M = 3.95, SD = .86).

FACTORS PREDICTING HYPERTENSION PREVENTIVE BEHAVIORS AMONG MONKS IN MUEANG DISTRICT, CHIANG RAI PROVINCE

2023-11-12T10:38:50+07:00

This predictive research focused on hypertension preventive behavior and related influencing factors among monks in Mueang District, Chiang Rai Province. The sample size calculated using G* Power 3.1 software resulted in 111 monks aged 20 years and over in Mueang District, Chiang Rai Province. Data collection tools included a health belief plan questionnaire on preventing hypertension for monks, divided into five aspects: perceived risks, perceived severity, perceived benefits of practice, perceived barriers to practice, and perceived self-efficacy in preventing hypertension. Additionally, a hypertension preventive behavior questionnaire for monks was utilized. The instruments were tested for reliability and validity, with Cronbach’s alpha coefficients of .93 and .70, respectively. Data were analyzed using descriptive statistics and logistic regression analysis.

The results indicated that most monks in Mueang District, Chiang Rai Province, had a moderate level of hypertension preventive behaviors (76.6%). Factors predicting hypertension preventive behaviors among these monks with statistical significance were perceived risks
(OR = .07, 95%CI = .01 - .47, p = .01), perceived benefits of practice (OR = 33.31, 95%CI = 2.47 - 448.62, p = .01), and perceived self-efficacy in preventing hypertension (OR = 12.83, 95%CI = 3.35 - 49.10, p = .00). These factors, together, could predict 36% of the hypertension preventive behaviors.

FACTORS INFLUENCING TRANSITION TO MOTHERHOOD AMONG PREGNANT TEENAGERS

2023-10-25T22:02:18+07:00

This predictive research aimed to identify factors influencing the transition to motherhood among first-time pregnant teenagers. The participants consisted of 99 pregnant teenagers aged 10 - 19 who visited the antenatal clinic at Police General Hospital. Data were collected through demographic, social support, self-esteem, attitude towards pregnancy, and maternal identity exploration questionnaires. These questionnaires were evaluated for content validity by three experts, and each version had a content validity index of 1.00. The reliability values were .97, .85, .89, and .94, respectively. Data analysis included frequency, percentage, mean, standard deviation, and multiple linear regression analysis.

The results showed that self - esteem, pregnancy planning, attitude towards pregnancy, good quality antenatal care, and social support were able to be utilized to co-predict the transition to motherhood among the participants who are pregnant teenagers by 47.7% (R = .691, R² = .477, R²_Adjusted = .449, F(5,93) = 16.981, p = .000). The variables predicted with statistical significance at the .05 level were attitudes towards pregnancy and self-esteem.

The results revealed that self-esteem, pregnancy planning, attitude towards pregnancy, good-quality antenatal care, and social support collectively predicted the transition to motherhood among the pregnant teenagers by 47.7 (R = .691, R² = .477, R²_Adjusted = .449, F(5,93) = 16.981,
p = .000). The variables that significantly predicted the transition at the .05 level were attitudes towards pregnancy and self-esteem.

It is recommended that nurses focus on promoting positive attitudes towards pregnancy and enhancing self-esteem to facilitate an appropriate transition to motherhood for pregnant teenagers.

DEVELOPMENT OF A CARE MODEL FOR CHILD PATIENTS WITH TRANSFUSION-DEPENDENT THALASSEMIA (TDT) AT PRANANGKLAO HOSPITAL

2023-12-07T19:36:40+07:00

The objectives of this action research were 1) to investigate challenges in caring for children with Transfusion-Dependent Thalassemia (TDT) at Phranangklao hospital, 2) to develop a care model for children with TDT at Phranangklao hospital, and 3) to evaluate the effectiveness of this care model. The research followed the action research process, including planning, action, observation, and reflection, during the period from June to September 2023. Participants included multidisciplinary personnel, pediatric thalassemia patients requiring blood transfusions, and their caregivers. Data collection methods comprised in-depth interviews, focus groups, observations, recordings, and satisfaction assessments. Data analysis involved content analysis and statistical analysis.

The research findings revealed that:

1. Problems of caring for children with TDT at Phranangklao hospital were founded in 4 main points: 1) delayed service, long waiting times, 2) standards and guidelines not yet comprehensive, 3) unclear educational activities and 4) development of information systems.

2. The care model comprised 1) reducing service steps, 2) supporting self-management, 3) developing care standards and guidelines, and 4) developing information databases.

3. The average satisfaction level of multidisciplinary personnel with the care model was high (M = 4.40, SD = .69), and the average satisfaction level of service recipients with the care model was very high (M = 4.62, SD = .54).

4. Service procedures at the outpatient clinic could be reduced from 17 steps to 5 steps, reducing waiting time from 160 minutes to 42 minutes. The average number of days spent in the hospital decreased from 603 minutes to 495 minutes.

EFFECTS OF ENHANCING ATTITUDE PROGRAM TOWARDS THE ELDERLY AMONG NURSING STUDENTS ON ELDERLY CARING BEHAVIOR

2023-07-06T09:15:00+07:00

This quasi-experimental research aimed 1) to compare elderly caring behavior among nursing students between the experimental group, which received an attitude-enhancing program, and the control group, which received standardized learning management, and 2) to compare elderly caring behavior among nursing students in the experimental group, before and after receiving the program and during the follow-up period. The sample comprised 56 police nursing students, randomly assigned with 28 students in each group. The enhancing attitude program towards the elderly was used for the experimental group, while a behavioral assessment of compassionate elderly care was used for data collection in both groups. The content validity index, determined by three experts, ranged from .67 to 1.00, and the Cronbach alpha coefficient was .92. Data were analyzed using descriptive statistics, independent t-tests, and Repeated Measure ANOVA.

The results of this study revealed that police nursing students, after receiving the program and during the follow-up period in the experimental group, had higher mean scores of elderly caring behavior than those in the control group at a significance level of .05. Police nursing students in the experimental group also demonstrated statistically significant differences in mean scores of elderly caring behavior in each period at a significant level of .05., with the greatest increase observed during the follow-up period.

Therefore, the attitude-enhancing program towards the elderly can be further extended to develop caring behavior in nursing students. It may serve as a guideline for nurturing caring behavior among individuals responsible for elderly care or the care of chronically ill patients, such as caregivers in nursing homes or chronic disease care centers.

THE EFFECT OF THE BUDDHIST GROUP COUNSELING MODEL ON ENHANCING IDDHIPADA 4 AMONG POLICE NURSING STUDENTS

2023-06-01T20:47:32+07:00

This research employed a quasi-experimental design 1) to compare the effect of the Buddhist group counseling model on the Iddhipada 4 among police nursing students between the experimental and control groups, and 2) to compare the effect of the Buddhist group counseling model on the Iddhipada 4 among police nursing students in the experimental group before the experiment, immediately after the experiment, and during the 1-month and 4-month follow-up periods. The sample comprised 32 third-year police nursing students from the academic year 2021, divided into an experimental group and a control group, each consisting of 16 students. The experimental tool utilized was the Buddhist group counseling model, and data were collected using the Iddhipada 4 measurement scale, validated by five experts with a content validity index of .94 and proven Cronbach's alpha coefficient equaled to .93. Data analysis employed descriptive statistics and repeated measures ANOVA.

The results revealed that:

1. After the experiment, police nursing students in the experimental group that received the Buddhist group counseling model had higher mean scores of the Iddhipada 4 than those in the control group, which received conventional teaching at the significance level of .05.

2. Police nursing students in the experimental group, having received the Buddhist group counseling model, demonstrated higher mean scores of the Iddhipada 4 after the experiment and during the 1-month and 4-month follow-up periods than those before the experiment at a significance level of .05. (M = 3.45, M = 3.36, M = 3.49, and M = 3.09, respectively; F (1.877, 28.159) = 10.285, p = .001).

Therefore, the Buddhist group counseling model should be used to develop the Iddhipada 4 for nursing students, enabling them to adapt and manage the stress associated with studying and living independently.

EXPLORATORY FACTOR ANALYSIS OF HEALTH SERVICE SYSTEM MANAGEMENT COMPONENTS AT SRISANGWAN HOSPITAL, MAE HONG SON PROVINCE

2023-02-26T21:18:47+07:00

This research was descriptive research aiming to 1) study the components of the health service system management of Srisangwan Hospital and 2) examine the influence of these components in the success of health service system management. The sample included government officers, government employees ministry of public health staff, and full-time employees of Srisangwan Hospital, totaling 400 participants. The research instruments were the health service system management questionnaire and the questionnaire about the success of health service system management, both demonstrating an index of item-objective congruence (IOC) between .67 and 1.00, with Cronbach's alpha coefficients of .98 and .95, respectively. Descriptive analysis, exploratory factor analysis, and multiple linear regression analysis were employed for data analysis.

The findings revealed that the health service system management at Srisangwan Hospital comprises three components: teamwork potential, strategic management, and leadership. Together, these three elements can predict the success of Srisangwan Hospital's health service system management at 50.20%, with statistical significance at the .05 level. (R = .709, R² = .502, R²_Adjusted = 49.8, p < .05).

THE DEVELOPMENT OF THE TRAINING COURSE TO ENHANCE ENGAGEMENT LEADERSHIP FOR DRUG ABUSE PREVENTION OF POLICE NURSING STUDENTS

2023-11-15T10:03:44+07:00

The purposes of this research were to develop and evaluate the training course to enhance engagement leadership for drug abuse prevention of police nursing students. The sample comprised 30 third-year police nursing students, academic year 2022. The research instruments were 1) the interview note with experts examining the components of leadership and training course, 2) the training course to enhance engagement leadership for drug abuse prevention of police nursing students, approved by 5 experts, with the content validity equaled to 1.00, and 3) the evaluation form of engagement leadership for drug abuse prevention in knowledge, skill, and characteristic aspects, approved by the 5 experts, with the Index of item objective congruence (IOC) at 1.00 and with Cronbach's Alpha Coefficient at .82, .81, and .80, respectively. Quantitative data analysis was conducted by the calculation of percentage, mean, standard deviation, paired t-test, and content analysis was used for qualitative data.

The results of the research showed that the training course to enhance engagement leadership for drug abuse prevention of police nursing students exhibited the suitability at the highest level (M = 4.98, SD = .05), and was capable of encouraging engagement leadership for drug abuse prevention of police nursing students in terms of knowledge, skills, and characteristics at the highest level (M = 4.90, SD = .22). Moreover, it was found that after having implemented the training course, the average score of engagement leadership for drug abuse prevention of police nursing students was higher than the average score before implementing the training course, with statistical significance at the level of .05.

THE DEVELOPMENT OF PERSONALIZED CARE MODEL FOR ENHANCING DEVELOPMENTAL SKILLS IN EARLY CHILDHOOD WITH LOW-FUNCTIONING AUTISM

2023-11-23T09:41:42+07:00

This research and development study aimed to assess the situation, develop a personalized care model, and evaluate its effectiveness for early childhood with low-functioning autism. The sample included 1) 40 children with low-functioning autism, aged 3-5 years, 2) 40 parents of children with early childhood autism, and 3) 6 professional nurses. Research tools included 1) a group conversation data recording form, 2) an individualized care guide to enhance developmental skills in early childhood with low-functioning autism, 3) a guide to enhance developmental skills in early childhood with low-functioning autism, 4) an assessment form for the severity of autism symptoms in children, 5) an assessment form for the knowledge and skills of caregivers, and 6) a nurse satisfaction assessment form. The content validity indices for tools 2-6 were .84, .81, .97, .86, and .96, respectively. The reliability of the assessing tool for the severity of autism symptoms in children is .93 and for the assessment form for the knowledge and skills of caregivers, it is .84. Data analysis involves content analysis, descriptive statistics, and t-tests.

The findings revealed that:

1. The situation of caring and enhancing developmental skills in early childhood with low-functioning autism followed an inpatient caring program and responded to the problems and needs of children with autism and their families. However, it lacked specificity in addressing individual problems, and the duration of developmental promotion needed to be extended to at least 3-4 rounds for evaluation every 3 months. Moreover, the caregiver's involvement in the care of children with autism lacked a clear model.

2. The personalized care model for enhancing developmental skills in early childhood with low-functioning autism consisted of 5 individual nursing process steps.

3. The results of the effectiveness of the personalized care model showed that the average severity of autism symptoms in the experimental group, which received care according to the personalized care model, differed from that in the control group, which received care according to the regular service program, both before and after the experiment, with statistical significance at the .05 level. Moreover, the knowledge and skills of caregivers in caring for early childhood with autism were significantly higher after the experiment, with statistical significance at the .05 level, and nurse satisfaction with the use of the personalized care model was at the highest level.

THE EFFECTS OF A RESOURCE-ENHANCING PROGRAM ON THE STRESS MANAGEMENT SKILLS OF CAREGIVERS OF DIABETES MELLITUS PATIENTS IN THE COMMUNITY

2023-11-12T10:41:50+07:00

This quasi-experimental research aimed to 1) compare the stress management skills of caregivers of diabetes mellitus patients in the community of the experimental group before and after a resource-enhancing program, and 2) compare the stress management skills of caregivers of diabetes mellitus patients in the community, before and after a resource-enhancing program, between the participants who attended an experimental group and a control group. The sample consisted of 44 caregivers of diabetes mellitus patients, recruited based on inclusion criteria, and randomly assigned to the control and experimental groups, each comprising 22 subjects. The experimental group participated in the resource-enhancing program, which spanned four sessions conducted once a week for four weeks, while the control group received routine care. The research instruments included a personal data questionnaire, the resource-enhancing program, and a stress management skills scale, achieved a Cronbach’s alpha coefficient of .87 for content validity by three experts. Data analysis employed descriptive statistics and t-tests.

The research findings indicated that 1) the mean post-test score (M = 72.05, SD = 11.01) of participants in the experimental group, after engaging in the program, was significantly higher than the pre-test score (M = 55.50, SD = 14.98) (t = 3.92, p = .000), and 2) the mean difference in stress management skills scores between the pre-test and post-test in the experimental group was significantly greater than that of the control group receiving routine care (t = 4.14, p = .000).

Therefore, the resource-enhancing program proved effective in enhancing the stress management skills of caregivers of diabetes mellitus patients in the community.

EFFECTS OF CASE-BASED LEARNING AND SIMULATION-BASED LEARNING COMBINED WITH REFLECTION ON NURSING STUDENTS’ CLINICAL DECISION-MAKING ABILITY

2023-12-12T15:03:00+07:00

This quasi-experimental research aimed to compare clinical decision-making ability of the third-year nursing students before and after attending the case-based learning (CBL) and simulation-based learning (SBL) approach and to compare the difference in clinical decision-making ability between the 2 groups, a control group and an experimental group. Sixty third-year nursing students were randomly selected and divided into 2 groups, 30 students in each group. The research tools consisted of 2 parts: 1) lesson plans and instructional media were employed as the experimental tools, and 2) a Clinical Decision-Making. A questionnaire was used for data collection. Content validity was assessed by three panels of experts, with Cronbach's alpha coefficient at .75. The data were analyzed using paired t-test and independent t-test.

Findings revealed that, after studying, the experiment group had significantly higher scores of clinical decision-making ability compared with before studying at .05 level (M = 39.07, SD = 1.33 and M = 23.77, SD = 2.11; t = 33.99, p = .000). Meanwhile, the experimental group had significantly higher scores of clinical decision-making ability than the control group at .05 level (t = 32.72, p = .000).

COMPETENCIES IN INFORMATION AND COMMUNICATION TECHNOLOGY IN THE 21ST CENTURY OF NURSING STUDENTS AT POLICE NURSING COLLEGE

2023-11-23T09:53:12+07:00

The purpose of this survey research was to study police nursing students' competencies in information and communication technology in the 21st century. The population was 274 police nursing students, academic year 2021, 1^st – 4^th years. The research instrument was the information and communication technology competency questionnaire in the 21st century, with a content validity index of .67 - 1.00. The reliability coefficient of the questionnaire was .90. Data were collected using Google Form and analyzed using the descriptive statistics: frequency, percentage, mean, and standard deviation.

The research results were as follows: Most police nursing students were female (95.99%). The age was between 17 - 22 years. The cumulative GPA was 2.50 - 3.54. Police nursing students’ competency average score in information and communication technology in the 21st century was quite high in all three dimensions. The aspect with the highest mean score was the attitude (M = 4.29, SD = .57), followed by the skills (M = 4.26, SD = .59), and the least was the knowledge (M = 4.18, SD = .59).

2023-12-29T11:36:06+07:00