Journal of health and health management

A Scenario of Nursing Organization Management Royal Thai Air Force Hospital During A.D. 2027-2031

Sirina Kamontalapisake — 2024-12-27

The purpose of this descriptive research was to study a scenario of nursing organization management at Royal Thai Airforce hospital during A.D.2027-2031. The Delphi technique was used in this study. Key informants were 18 experts in nursing organization management at Royal Thai Air Force Hospital. The process of conducting research consists of three steps. In step one, all experts were interviewed about nursing organization management. In step two, interviewed data were analyzed to develop a questionnaire, which was then sent to the same experts to gather their opinions on the likelihood of future scenarios based on each question. In step three, the data were analyzed for median and interquartile range, and the results were sent back to the experts for confirmation of their opinions. The result scenario of nursing organization management at Royal Thai Air Force Hospital during A.D.2027-2031 consists of 7 components as follows: 1) Organizational management planning 2) Nursing service 3) Knowledge and information technology management 4) Innovation and quality improvement 5) Human resource management 6) Educational management and 7) Preparedness for Military Medical Missions, Emergency Response and Disaster Management. The research findings suggest that the future scenario of nursing organization management at Royal Thai Air Force Hospital during A.D. 2027-2031 should focus on developing seven key areas. This serves as a guideline for nursing administrators in planning and formulating management policies for nursing organizations in Royal Thai Air Force hospitals to ensure continued efficiency.

Leadership of Nursing Administrators in the Crisis of COVID-19: Delphi Technique

Rin Namkhayan — 2024-12-27

This qualitative research used the Delphi technique. The purpose of the study is leadership styles and leadership characteristics of nursing administrators during the COVID-19 crisis situation. The samples were 21 experts who is administrator or manager on the pandemic COVID-19. Samples were selected by purposive sampling which consisted of 3 doctors providing care for COVID-19 patients, 2 heads of nursing in government hospitals, 3 nursing managers in private hospitals, 7 supervisors and head wards of government hospitals, and 6 supervisors and head wards of private hospitals. The research instruments consisted of a semi-structured interview form and a 5-level rating scales questionnaire on leadership styles and leadership characteristics of nursing administrators. Data were analyzed by content analysis method, median, and interquartile The research results found that: 1. Leadership styles of nursing administrators during the COVID-19 crisis consists of leadership according to the situation, including: 1) 7 items of directive leadership 2) 6 items of leadership selling ideas 3) 6 items of participatory leadership and 4) 7 items of distributed leadership and 6 items of transformational leadership. 2. Leadership characteristics of nursing administrators during the COVID-19 crisis consists of 4 areas: 1) 10 items of self-leadership 2) 9 items of thinking process leadership 3) 10 items of leadership in relationships with others, and 4) 7 items of digital leadership.

The Effect of the Program to Develop the Skills Among Registered Nurses and Emergency Medical Officers in the Patient Screening Section in the Outpatient Department and the Emergency Department at Mae Tang Hospital, Chiang Mai Province

Jiranun Kheowsri — 2024-12-27

This one-group pretest-posttest design aimed to compare the knowledge and patient triage skills among registered nurses and emergency medical officers in the patient screening section before and after implementing the triage skills development program. The purpose of this study included evaluating the accuracy of the patient sorting and a satisfaction evaluation. The sample was selected purposively and included 21 healthcare workers from Mae Taeng Hospital’s accident and emergency department and outpatient department who work at the patient screening sites, including 18 registered nurses and three emergency medical officers. The experimental instrument was the triage skill development program, which included coaching and the practice of triage skills. The questionnaires for demographics, knowledge, triage skill observation record, satisfaction with the triage skill development program, and the results records were among the data collection tools. It was found that the research instrument has a consistency index between .67-1.00, reliability for the knowledge assessment tool =.85, the skill observation instrument =.84, and the satisfaction assessment tool =.96. Descriptive statistics and paired t-test statistics were used to analyze the data. Regarding the implementation of the program into practice, it was found that the mean triage knowledge scores (=12.61, SD=3.20 vs =17.76, SD=2.41, t=-6.162, p<.001) and the mean triage skill scores (=9.19, SD=2.44 vs =11.00, SD=21.67, t=-8.047, p<.001) were much higher than before. There was a decrease in the rates of over-triage and under-triage. The percentage of patients who were incorrectly triaged and not discovered to be worse off was declining. Satisfaction was at the highest level (=4.57, SD=.51). Patient triage skills are developed through this program. This program will ensure that patients receive services that are timely, appropriate, and accurate, and also help reduce patient risk, which creates quality and improved service results.

Predicting Factors of Health Literacy Among Older Adults with Uncontrolled Type 2 Diabetes Mellitus

Jariya Supruang — 2024-12-27

This study aimed to the level of health literacy and investigating the factors predicting health literacy in the elderly with type 2 diabetes mellitus who cannot control their blood sugar levels. The purposively selected sample was 166 elderly people with type 2 diabetes mellitus who could not control their blood sugar levels from Bang Bo District, Samut Prakan Province. The instruments employed in the research were 1) personal information questionnaires, 2) family information questionnaires, 3) questionnaires on environment, 4) community participation questionnaires, and 5) health literacy questionnaires by the approval of test contents from five experts with a score in the range of .83 - .88 and reliability test of the questionnaire on 6 components of the health literacy questionnaires; the knowledge and understanding at KR 20 equal to .82 and Cronbach’s alpha coefficients of the access skill, community skill, self-management skill, decision skill and media literacy skill questionnaires equal .82, .82, .84, .86, and .88, respectively. Data analysis employed descriptive statistics and Stepwise multiple regression analysis. The findings revealed that the sample had basic health literacy (M=48.27, SD=8.88). The number of times they participated in community activities and their income could predict health literacy 44.2% (R²=.442). This study suggested that nurses or health team personnel should systematically inform patients about diabetes and have patients interact more with each other every time they attend a community event.

Burnout and Mental Health of Public Health Workers In Sub-district Health Promoting Hospital Sakon Nakhon Province After the Severe Outbreak Situation of COVID-19

Jarinthip Chomchaipon — 2024-12-27

This descriptive study aims to investigate the levels of burnout and mental health among public health workers in Sub-district Health Promoting Hospitals (SHPH) in Sakon Nakhon Province. The second objective was to study strategies for promoting and preventing burnout and mental health issues. The data was collected during March to June 2023 divided in two phases study. The first phase, a multi-stage random sampling method was employed, resulting in a sample size of 274 public health workers. Data were collected using a burnout assessment scale and a mental health status assessment tool. Quantitative data were analyzed using frequency, percentage, mean, and standard deviation. In the second phase, a purposive sampling method was used to select 25 key informants for qualitative data collection, which involved in-depth interviews and focus group discussions. The qualitative data were analyzed using content analysis. The study found that the majority of personnel had an overall burnout score at a low level. However, when categorized by specific aspects, it was found that 86.5% of personnel had a low level of emotional exhaustion, 82.5% had a low level of depersonalization and 61.0% had a high level of personal accomplishment. Regarding mental health status, which was categorized into depression, anxiety, and stress, the majority were within normal levels at 62.8%, 57.3% and 90.5%, respectively. Key strategies for promoting mental health and preventing burnout included crisis adaptation abilities, support from the healthcare system, teamwork, effective communication and professional development opportunities.

Effectiveness of Catholic Spiritual Development Program on Spiritual Strength of Palliative Elderly Caregivers

Wanida Sriworakul — 2024-12-27

The research design was quasi-experimental one group pretest-posttest design. The purpose was to investigate the effectiveness of the Catholic Spiritual Development Program on Spiritual Strength of Palliative Elderly Caregivers. Thirty Caregivers from the Catholic Hospital were selected to participate the Catholic Spiritual Development Program. They took pretest and posttest. Data were analyzed by using descriptive statistics and t-test. The results revealed that 90% of the participants were female, 73.33% were Buddish, 80% were caregivers who have offered caring for more than a year, 76.67% were hired caregivers. The caregivers who participated the Catholic Spiritual Development Program had a higher achievement score on the posttest than the pretest (p<.05). Conclusion and recommendations, the Catholic Spiritual Development Program on Spiritual Strength of Palliative Elderly Caregivers significantly developed and enhanced the spiritual strength of caregivers. It should be supported and extended to all palliative elderly caregivers, not only in the hospitals but also in the communities.

Relationships Between Barthel ADL Index and Quality of Life of Elderly at LatYai Sub-District, Mueang District, Samut Songkhram Province

Puangtip Chaiphibalsarisdi — 2024-12-27

The purposes of this descriptive research were to study the quality of life and examine the relationship between personal factors, Barthel ADL index and the Quality of life of Elderly at LatYai Sub-District, Mueang District, Samut Songkhram Province. The sample of 125 elderly with quota sampling. The research instruments included the personal factors record, Barthel ADL Index and WHOQOl BREF THAI questionnaires. The data were analyzed by using descriptive statistics for personal factors and ADL data. In addition, the data of quality of life were analyzed by using descriptive statistics, Chi-square test and Fisher exact test. The results of the study revealed that overall quality of life of the elderly was at the good level (69.60 %). The scores of the quality of life of physical, psychological, social relationship and environmental domains also were at the good level with the percent of 66.40, 70.40, 73.60 and 68.00 relatively. In addition, the personal factors including age, marital status, residence, have diseases and Barthel ADL index had a significant correlation with the quality of life of the elderly (p<.01). The results of the study can use data on the elderly. To improve and develop the quality of life of the elderly in accordance with the traditions, context, identity, and living conditions in the area.

Effectiveness of Back School Programs on Pain and Gait Speed in Patients with Chronic Non-specific Low Back Pain

Jirawat Tiwawatpakorn — 2024-12-27

This study was designed as a randomized controlled trial with control group to study the effectiveness of Back School programs on pain and gait speed in patients with chronic nonspecific low back pain. In 60 patients with Non-specific low back pain (12 males 48 female, mean age 57.60±6.86 yr., BMI 22.27±2.61 kg/m²), 30 randomized subjects, the control group received standard treatment. The experimental group participated in 2 training activities with a Back School program manual and program compliance record form. Data were collected 2 times (At baseline and 2 months). The tools for data collection were the Numerical Rating Scale (NRS) and Maximal 10-Meter Gait Speed (10-MGS). In this study, paired t-test statistics were used to test within the experimental and control groups, and independent t-test statistics were used to test between the experimental and control groups at 2 months. It was found that subjects of the experimental group had improvement on mean NRS and 10-MGS significantly (p<.001). The control group had improved on mean NRS significantly (p<.001), But the average Maximal 10-Meter Gait Speed (10-MGS) of the experimental group was better than the control group. Conclusion: The Back School program is effective in reducing pain and improve gait speed. This school program can be applied to the context of a community hospital or Sub-District Health Promoting Hospital with similar contexts

A Study of Hemodialysis Specialist Nurse Roles

Amarin Aranyakanon — 2024-12-27

The purpose of this descriptive research was to study the role of hemodialysis specialist nurse by using the Delphi technique. Participants were 18 experts. The delphi technique consisted of 3 steps: Step 1: Interview experts about the role of hemodialysis specialist nurse; Step 2: Analyze the data from the interviews and create a questionnaire for the experts to estimate the importance of the role of hemodialysis specialist nurse; and Step 3: Calculate the median and interquartile range from the data from the second round and return the questionnaire to the same group of experts to confirm their answers. The data was then used to calculate the median and interquartile range again to summarize the role of hemodialysis specialist nurse. The results of the research found that: The role of the hemodialysis specialist nurse consists of 6 roles as follows: 1) The role of hemodialysis nurse practice 40 items; 2) The role of education and consultation 11 items; 3) The role of coordination and communication 7 items; 4) The role of safety and risk management manager, 10 items; 5) The role of developer of nursing quality in caring for hemodialysis patients, 12 item and 6) The role of innovation and technology initiator, 7 items. From this research, it was found that Hemodialysis specialist nurse should have roles in all 6 areas as mentioned above to serve as a guideline for nursing administrators in determining roles that are consistent with the expertise of Hemodialysis specialist nurse and as a guideline for the further development of Hemodialysis specialist nurse.

Promoting the Use of Herbs to Relieve Constipation for the Elderly in the Community: A Case Study of Boonrueang Subdistrict, Chiang Khong District, Chiang Rai Province

Suwanan Kaewjantha — 2024-12-27

This article aimed to study guidelines for promoting the use of herbs to relieve constipation for the elderly in Boonrueang Subdistrict, Chiang Khong District, Chiang Rai Province. This study was conducted in relieving constipation herbs in Thai traditional medicine textbooks and the Boonruang Subdistrict. The focus group discussions with 12 key informants were used to select herbs to relieve constipation for the elderly. The chemical identification of the herbs was examined using Thin-Layer chromatography and the total phenolic content was determined. The approach was developed to promote the use of relieve constipation herbs for the elderly in the community. The results found that 3 types of herbs were suitable for treating constipation for the elderly, including Terminalia chebula Retz., Senna siamea (Lam.) Irwin & Barneby., and Cassia alata L. When comparing the chemical identification between the selected herb and the herbs regularly used in the Thai Traditional Medicine Demonstration Hospital and Clinic of the School of Traditional and Alternative Medicine, it was found that 3 types of herbs had Rf values similar to the original herbs. The extract from Terminalia chebula Retz. had the highest total phenolic content, followed by Senna siamea (Lam.) Irwin & Barneby., and Cassia alata L., respectively. The approach to promoting the use of herbs to treat constipation for the elderly in the community is to provide the elderly with the herbal knowledge and demonstrating simple methods of making herbal medicine so that the elderly can learn how to make herbal medicine to treat constipation.

Factors Affecting Quality of Life among of Muslim Older: Minburi

Surapan Panomrit — 2024-12-27

The purpose of this descriptive research is to Study the level of quality of life and factors related to the quality of life of the Muslim elderly: Minburi community. The sample group consisted of 230 elderly people in the Minburi community. The sample was selected by simple random sampling. The tools used to collect data include personal information. General health status questionnaire regarding mental health and questionnaire on quality of life of the elderly World Health Organization Brief Thai Edition (WHOQOL-BREF-THAI) which has been checked for accuracy by experts and calculate confidence using the Cronbach alpha coefficient. The reliability value was 0.81. Data analysis was obtained. By distributing frequencies, percentages, means, and standard deviations. Analyze the relationship to the quality of life of Muslim elderly using Multiple linear regression. The results of the research found that 1) The level of overall quality of life in terms of physical, mental, and social relationships and environmental is at a moderate level and 2) Factors that have a statistically significant effect (p<.05) on the quality of life of Muslim elderly people: Minburi Community including mental health conditions, income, and age, affecting overall quality of life in terms of social relationships. and environmental As for the age factor Affects the quality of life in terms of physical Suggestions: Relevant agencies can use this as a guideline in promoting health among Thai Muslim elderly. To be consistent with the cultural lifestyle of Thai Muslim elders and is basic information for further research on related issues.

Effect of the Perceived Health Belief Promoting Program on Preventive Behaviors Coronavirus Disease 2019 (Covid-19) in Community-Dwelling Older Adults

Chamaipron Janjuy — 2024-12-27

Coronavirus disease is an important public health problem that affects older adults physical, mental, social, and economic Therefore, it is necessary to encourage older adults to have preventive behaviors. Coronavirus disease 2019 is appropriate and continuous. This quasi-experimental study aimed to evaluate the effectiveness of a health belief promoting program on preventive behaviors coronavirus disease 2019. Fifty eligible participants were selected for both the experimental and control groups using random assignment into the experimental group (n = 25) and control groups (n = 25). The experimental group received the health belief promoting program, while the comparison group received standard care. Data collection occurred pre- and post-intervention, utilizing questionnaires on personal information, prevention behaviors coronavirus disease 2019, and the health belief promoting program. The analysis involved descriptive statistics paired t-test and independent t-test statistics. Results revealed a significant increase in prevention behavior coronavirus disease 2019 scores post-intervention compared to pre-intervention within the experimental group (t₂₄ = 12.05, p <.01). Additionally, the experimental group exhibited significantly higher postintervention prevention behavior scores compared to the comparison group (t₄₈ = 2.75, p < .01). In conclusion, the health belief promoting program effectively enhanced preventive behaviors against coronavirus disease 2019. Therefore, it is recommended for adoption by community caregivers to instill health beliefs and promote preventive behaviors among older persons.

Effectiveness of a Health Behavior Modification Program Among Late Working-Age People in Muang District, Chaiyaphum Province with Central Obesity

Suwimolrat Robrujen — 2024-12-27

This research study was a quasi-experimental study with two groups of pre- and post-test measures. This study compared the clinical outcomes, preventive behaviors, quality of life within the experimental and control groups and between the experimental group and the control group in working-age people with central obesity. The standard selected by simple random sampling. 30 people in each group. Experimental instruments are a program among late working-age people with central obesity for a duration of 8 weeks . Preventive behaviors questionnaire, quality of life assessment and clinical outcome record. Cronbach’s alpha coefficients were 0.88 0.91 and 0.92 respectively. Data were analyzed using descriptive statistics, independent samples t-test and paired samples t-test for 2 sample groups with pre- and post-tests. The results showed after using the health behavior modification program, body mass index and waist circumference. The experimental group had a statistically significant decrease (p<.001). Overall health behavior scores were statistically significantly increased (p<.001). In terms of exercise and stress management, scores increased significantly (p<.001).Food consumption remains unchanged. Overall quality of life scores were statistically significantly increased (p<.001).For the mental and environmental dimensions, the scores were statistic significantly increased (p<.05). The control group’s BMI and waist circumference scores, overall health behavior scores, and overall and individual quality of life scores remained unchanged. and the results showed a comparison of clinical outcomes, preventive behaviors, and quality of life between the experimental and control groups. After the experiment, it was found that the health behavior modification program impacted clinical outcomes, and body mass index. There was no statistically significant difference (p>.05); however, waist circumference decreased significantly more in the experimental group compared to the control group (p<.05). The preventive behavior scores in stress management were significantly higher in the experimental group than in the control group (p<.01). The physical, mental, social relationships, and environmental quality of life scores of the experimental group were significantly higher than those of the control group (p<.01).

Factors predicting the Reaction to Stressors of Pregnant Women Encountering COVID-19

Amporn Niemkulrak — 2024-12-27

The objective of this research is to study the reaction to stressors and factors predicting the reaction to stressors of pregnant women encountering COVID-19. The sample group consisted of 120 pregnant women aged 20-45, selected through multiple stage sampling. The research tools included basic demographic information, intrapersonal stressors, interpersonal stressors, external stressors, and the reaction to stressors questionnaires, with Cronbach’s alpha reliability coefficients of 0.89. Data analysis was conducted using descriptive statistics and stepwise multiple regression analysis. The results revealed that the overall of the reaction to stressor was at a high level (M = 3.67, SD = 0.62), and significant predictors of reaction to stressors in pregnant women during the COVID-19 were intrapersonal stressors, education level, and the number of pregnancies, accounting for 38.1% (R²= .381) of the variance in the reaction to stressors, with statistical significance at the .05 level. These findings can be used to inform the planning of care and support for pregnant women facing new infectious diseases, to reduce the risk of stress, improve coping mechanisms, and enhance overall health outcomes for pregnant women.

Personal Factors, Personality Types, and Stress affecting to Employees’ Burnout: A Case Study of a Food Service Company in Bangkok

Chukiat Chakchaichon — 2024-12-27

The objectives of this survey research were 1) to study personality types, the level of stress, and employees’ burnout. 2) to compare the mean difference between stress and employees’ burnout of male and female; to compare the mean difference between stress and employees’ burnout of Generation Y and Z. 3) to study the intercorrelationships among age, personality types, stress, and employees’ burnout. 4) to study the causal factors of employees’ burnout by using personal factors (age), personality types, and stress. The samples comprised 77 employees selected by simple random sampling. The research tools were: Holland’s Six Vocational Personality Types questionnaire, a stress inventory, and a Maslach Burnout Inventory-(MBI) which had reliability .885, .828 and .843, respectively. The statistics used to analyze the data were arithmetic mean, standard deviation, Pearson’s correlation, and multiple regression. The research results were: 1) the level of stress, and employees’ burnout which they reported in the range between high and moderate levels. 2) there was not a statistically significant difference in stress, and burnout of male and female employees ; there was not a statistically significant difference in stress, and burnout of generation Y and Z. 3) Artistic Personality Type was significantly positively correlated with emotional exhaustion and burnout (r=.283 and .264, p<.05); Conventional Personality Type was significantly positively correlated with professional efficacy (r=.338, p<.01) and significantly negatively correlated with stress, emotional exhaustion, cynicism and burnout (r= -.306, -.338, -.368, p<.01 and -.261, p<.05, respectively). 4) Artistic personality Type and stress were significant predictors of employees’ burnout, explaining 50.9%.

Artificial intelligence Leadership (AI-leadership) of Nursing Administrators at Private Hospitals in Thailand: A Qualitative Study at Generated Themes used Thematic Analysis Approach

Tawiphong Buboharat — 2024-12-27

This qualitative study armed to study the meaning of AI leadership and the components of AI leadership, the problems and needs of AI capability development. The participants included senior, mid-level, and junior nursing administrators, selected initially through purposive sampling and subsequently expanded through snowball sampling until data saturation was reached with key importance 25 participants across three private hospitals. Data were collected via in-depth, semi-structured interviews, audio-recorded, and transcribed verbatim. Data analysis employed thematic analysis approach and using ATLAS.ti 6.1 to identify major and sub-themes. The study findings: AI- leadership among nursing administrators refers to the ability to use data and AI-powered technologies for effective decision-making, management, and process improvement. Nursing administrators emphasized using data to develop strategies, enhance transparency, foster team collaboration, and improve service quality. They also supported skill development in technology use and fostered a data-driven culture to ensure comprehensive, high-standard patient care. The study identified 21 sub-themes within 6 major themes: 1) Data management, analysis, and decision-making; 2) Innovation and quality improvement; 3) Team collaboration and communication; 4) Quality assessment and monitoring; 5) Strategy development and management; and 6) Partnership in human and organizational development.

Nursing care for patients with antineutrophil cytoplasmic autoantibodies-associated glomerulonephritis treated by plasma exchange: Hemodialysis nurse’s Roles

Sasimaporn Onputta — 2024-12-27

Plasmapheresis is an adjunctive therapy to immunosuppressive treatment for patients with ANCA-associated glomerulonephritis (AAGN), a condition marked by necrotizing glomerulonephritis with minimal or absent immune complex deposition and small vessel vasculitis, which may lead to irreversible renal damage. This therapeutic approach functions by removing pathogenic antibodies and other harmful substances from the bloodstream, returning cellular components, and replenishing plasma, thus improving clinical outcomes. Given the complexity of the plasma exchange process and the associated risk of complications, dialysis nurses must possess in-depth knowledge of AAGN and the specific indications for plasma exchange. Nurses are responsible for providing comprehensive care throughout all procedural stages, promptly addressing any issues, and demonstrating proficiency in equipment preparation, filter setup, and solution management as outlined by medical protocols. Additionally, nurses play a critical role in educating patients and their families on self-care practices that may reduce disease progression, effectively manage symptoms, and prevent further renal decline.

Self-Care Strategies for Counseling Psychologist

Kittitat Sangsong — 2024-12-27

Self-care refers to the practices individuals engage in to maintain or enhance their own health, happiness, and well-being, especially during times of pressure. It is a crucial component in preventing, managing, or mitigating stress and its associated adverse effects that may arise in demanding work environments. For counseling psychologists, self-care is essential, as it enables them to maintain energy and happiness effectively. It is vital for counseling psychologists to uphold and promote optimal well-being in their physical, emotional, and spiritual aspects, ensuring they meet their professional responsibilities without impairment. Without proper self-care, counseling psychologists may experience stress, compassion fatigue, and burnout, which hinder their ability to provide effective services. Self-care for counseling psychologists is divided into six domains: 1. Physical self-care 2. Professional self-care 3. Relational Self-Care 4. Emotional Self-Care 5. Psychological self-care 6. Spiritual self-care. These six areas of self-care guide counseling psychologists in adopting self-care practices that prevent workrelated impairments and negative impacts on their physical health, mental health, life satisfaction, work performance, and social interactions.

Integrated Palliative Care Model for Patients and Families Emphasizing Concept of Spirituality: Saint Louis Model

Oraphun Lueboonthavatchai — 2024-12-27

This article aims to propose the model for integrating palliative care for patients and their families that emphasizes the concept of spiritual dimensions: the Saint Louis Model. The author has studied on relevant concepts, theories, and documents, then analyzed, synthesized, and complied to be practical steps by using principles of nursing process. Then, propose the practical steps to 15 experts in palliative care and spiritual dimensions, and adjusted for getting critiques in a focus group meeting with 10 experts before final adjusting to 5 practical steps. They are 1) Assessing, focus on communication to build good relationships and trust, 2) Problem analysis, use questioning techniques and attentively listen to the patients expressing their problems and needs with sincerity, 3) Planning, explain the objectives and careplan politely, emphasis on using clear words that easy to understand until the participants realize and accept to participate in the action-plan, 4) Operation, focus on dealing with problems efficiently, with politeness, gentleness, and respect for human dignity. Let the patients express their problems, and answer the questions, then give them advices appropriately, as well as give them the opportunities to do what they want such as apologizing for what they still have in minds, and 5) Evaluation, summarize based on observing, asking and talking with the patients and families. After that,it was used to practice with 5 patients and their families, and it was found that the objectives were achieved. The results were found that patients and families accepted and had good relationships with practitioners. They could explain their problems and needs clearly, and accept planning and execution together. The patients felt calm, relieved, and ready for passing away, while their families felt satisfied and accepted the situation.

Nursing Care for Patients with Dengue Shock Syndrome Receiving Hemodialysis: Hemodialysis nurse’s Roles

Rattanaporn Saelim — 2024-12-27

In adults, dengue fever can become severe, particularly when plasma leakage leads to dengue hemorrhagic fever (DHF) or advances to dengue shock syndrome (DSS), marked by critically low blood pressure. This syndrome involves plasma leaking from capillaries, abnormal clotting, thrombocytopenia, and an immune response that can result in fluid accumulation in the pleural cavity and abdomen, as well as potential organ failure. Acute kidney injury (AKI) is a serious complication, affecting approximately 10% of dengue cases and contributing to increased hospitalization and mortality rates. Circulatory failure leads to reduced renal perfusion, resulting in hemolysis, muscle breakdown, and acute tubular necrosis. Patients may present with decreased urine output, uremia, fluid overload, and metabolic acidosis, often necessitating dialysis. The role of hemodialysis nurses is therefore critical. They must possess specialized knowledge and skills in sustained low-efficiency dialysis (SLED) and continuous renal replacement therapy (CRRT). Additionally, they need experience managing AKI patients with complications during dialysis and addressing complex issues promptly. This includes preparing dialysis machines, configuring blood filters, and organizing dialysis solutions according to the physician’s plan to ensure safe, effective, and timely patient care.