Boromarajonani College of Nursing, Uttaradit Journal https://he01.tci-thaijo.org/index.php/unc <p>&nbsp; &nbsp; &nbsp; <img src="/public/site/images/uncjournal/logo116.jpg" width="536" height="119">&nbsp;&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; <img src="/public/site/images/uncjournal/หน้าแรก_ภาษาอังกฤษ.jpg" width="532" height="396"></p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> วิทยาลัยพยาบาลบรมราชชนนี อุตรดิตถ์ สถาบันพระบรมราชชนก กระทรวงสาธารณสุข en-US Boromarajonani College of Nursing, Uttaradit Journal 0859-6808 <p>Boromarajonani College of Nursing, Uttaradit Journal attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit <a href="https://creativecommons.org/licenses/by-nc/4.0/">https://creativecommons.org/licenses/by-nc/4.0/</a>&nbsp;. The ideas and opinions expressed in the Boromarajonani College of Nursing, Uttaradit are those of the authors and not necessarily those of the editor .</p> Effectiveness of Learning with an Online Computer Lesson towards Behavioral Change in Early Sexual Intercourse Prevention among Grade 8 Secondary School Students https://he01.tci-thaijo.org/index.php/unc/article/view/240374 <p>&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This was a two-group pretest-posttest quasi-experimental study. The study aimed to assess the effectiveness of learning with an online computer lesson towards behavioral change in knowledge, attitude, life skills, and early sexual intercourse prevention behavior among grade 8 secondary school students in Kamphaenf Phet Province. The samples were classified into intervention group and control group. Each group consisted of 42 samples. Purposive sampling was employed to recruit the samples. The intervention group was assigned to learn by online computer lesson whereas the comparison group learned from the regular lesson. Data were collected in the intervention group and the control group before and after learning by online computer lesson within 3 months. The research tools included online computer lesson and a questionnaire, which met the standard quantification criteria of validity and reliability, for data collection. Data were analyzed by frequency, percentage, Wilcoxon Signed Rang test, Mann-Whitney u test. The significant level was considered at .05.&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The results found that after the intervention, the experimental group had higher knowledge about sex education, attitude toward sexual intercourse prevention, life skills of sexual intercourse prevention, and sexual intercourse prevention than before the intervention and higher than the control group significantly.</p> Pramote Wongsawat Ananya Kooariyakul Pankarin Hoyrat Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 The Effect of Brief Cognitive Behavioral Intervention with Family Participation on Amphetamine Use Among Adolescents with Amphetamine Dependence During Rehabilitation https://he01.tci-thaijo.org/index.php/unc/article/view/244003 <p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</strong>The purposes of this quasi-experimental research were to compare amphetamine use in adolescent with amphetamine dependence during rehabilitation before and after receiving brief cognitive behavioral intervention with family participation, and to compare amphetamine use between adolescent with amphetamine dependence who received brief cognitive behavioral intervention with family participation and those who received regular nursing care at Uttaradit Hospital. Forty couples sample were adolescents with amphetamine dependence and their father or mother, 20 couples subjects were randomly assigned to experimental group and control group, who met the inclusion criteria. The research instruments consisted: 1) Brief cognitive behavioral intervention with family participation developed by the researcher, 2) Amphetamine use assessment scale. The instruments were tested for content validity by 5 professional experts. The reliability of the 2<sup>nd</sup> instruments was reported by Cronbach’s Alpha coefficient of .90.&nbsp; Data were analyzed using descriptive statistics and t-test</p> <p>Results were as follow:</p> <ol> <li>Amphetamine use of adolescents with amphetamine dependence who received brief cognitive behavioral intervention with family participation was significantly lower than that before at <em>p.05</em> level.</li> <li>Amphetamine use of adolescents with amphetamine dependence during rehabilitation who received brief cognitive behavioral intervention with family participation was significantly lower than those who received the regular nursing care, at <em>p .05 </em>level</li> </ol> Auttapon Yimyanyong Pennapa Dangdomyouth Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 Stress, Fears of Childbirth, and Couvade Syndrome Among First-Time Expectant Fathers https://he01.tci-thaijo.org/index.php/unc/article/view/244005 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The purpose of this descriptive correlational research was to explore couvade syndrome and the correlation of stress, fears of childbirth with couvade syndrome in first-time expectant fathers. The subjects were selected following the inclusion criteria and consisted of 85 first-time expectant fathers who brought their wives to the antenatal clinic at Maharaj Nakorn Chiang Mai Hospital and Chiang Mai Health Promotion Center region 1 Hospital, from March to May 2020. The research tools comprised demographic data, Couvade syndrome questionnaire, Suanprung Stress Test-20 (SPST-20), Paternal Fear of Childbirth Scale (P-FOCS). Data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient.</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Results of the study revealed that most of subjects (90.60%) had low level of couvade syndrome. Mean score of couvade syndrome was 34.98 (SD = 24.35). Subjects had couvade syndrome from 1 to 49 symptoms. The most common of physical symptoms included increased appetite, weight gain, food cravings, back pain and fatigue accounted for 68.23, 64.70, 63.53, 56.47 and 54.12% respectively. The most common of psychological symptoms included more happy, early morning waking up, sleeping less than usual, sleeping more than usual, and feeling irritable accounted for 90.59, 56.46, 51.76, 50.59 and 49.41% respectively. Stress had a significant positive correlation with couvade syndrome (r = .61, p&lt;.01). Fears of childbirth had a significant positive correlation with couvade syndrome (r = .39, <em>p&lt;.01</em>). The findings suggest that the result of this study can provide basic information to develop effective nursing care plans that reduce the couvade syndrome in first-time expectant fathers.</p> Patcha Suwanarod Nantaporn Sansiriphun Chavee Baosoung Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 Factors Effected to Cervical Cancer Screening Among Risk Group of Women in Nakhorn Chum, Nakhon Thai District, Phitsanulok Province https://he01.tci-thaijo.org/index.php/unc/article/view/250451 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The cervical cancer screening can help to early detect cancer for early treatment. This research aimed to study the behaviors for cervical cancer screening and factors effected to cervical cancer screening among the risk groups women in Nakhon Chum, Nakhon Thai District, Phitsanulok Province. The 219 samples were self- administration questionnaires. The data were analyzed by using frequency, percentage, adjusted odds ratio (95% CI) and binary logistic regression analysis.&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Results showed that: the samples had behaviors for cervical cancer screening 44.29%. Factors effected to cervical cancer screening were 1) age; increasing age had behavior for cervical cancer screening 1.067 times of the younger. (Adjusted Odds Ratio = 1.067, <em>p-value &lt;.009</em>) 2) the single status and woman who no husband had receive cervical cancer screening less than marital status 65.70% (Adjusted Odds Ratio = .343, <em>p-value&lt;.049</em>) 3) the samples who increased attitude score will have behavior for cervical cancer screening 1.132 times. (Adjusted Odds Ratio = 1.132<em>, p-value&lt;.010</em>) and 4) the samples who had high perceived barriers score had behavior for cervical cancer screening less than 13.20%. (Adjusted Odds Ratio=.868, <em>p-value = .013</em>)</p> Mali Jaruk Copyright (c) 2021 2021-06-28 2021-06-28 13 1 Unit Cost and Durable Articles uses Analysis of Simulation based learning in Faculty of Nursing, Praboromarajchanok Institute https://he01.tci-thaijo.org/index.php/unc/article/view/250454 <p>Simulation based learning (SBL) provides student with opportunities to practice their clinical and decision-making skill through various real-life situational experiences. This descriptive study aims to estimate the unit cost of Simulation based learning by using Activities Based Costing (ABC) with Education Provider perspective. Moreover, the value of durable articles uses is also analyzed. 4 Nursing colleges under Praboromarajchanok Institute were investigated the SBL activities include Nursing Laboratory, SimMan®, SimMom® and SimBaby®. The learning activities were investigated and recorded with activity form. Labor, material, and capital costs were retrieved with fiscal years 2020. Data were analyzed using Microsoft excel which determine the amounts and percentages.</p> <p>Nurse students at 4 Nursing colleges, Faculty of Nursing, Praboromarajchanok Institute were completely trained with Simulation based learning which composes of Nursing Laboratory, SimMan®, SimMom® and SimBaby®. Simulation based learning was included in 3 courses i.e., Bachelor of nursing science students, Practical nursing students and Academic training services. The average direct cost presented at 7,054,470.61 per college. The percentage of labor, material, and capital costs showed 63.38, 6.56 and 30.06, respectively. The unit cost of SimMan®, SimMom® and SimBaby® were 142,234.01, 228,826.10 and 213,317.36 per 1 time of scenario lesson, respectively. In addition, the value of durable articles uses in overall capital depreciation on Nursing laboratory and SimMan® presented valuably when changing the output with hours per person per time. Whereas, the value of durable articles uses of SimMan®, SimMom® and SimBaby® capital depreciation was not valuably.</p> <p>The number of hours for using the higher education capitals should be considered in order to improve the valuable capitals.</p> Suchada Nimwatanakul Worawut Saengthong Noppcha Singweratham Atiya Srakshetrin Kittiporn Nawsuwan Copyright (c) 2021 2021-06-28 2021-06-28 13 1 Development of Functional Competency Evaluation Form Of Registered Nurses in Operating Room under the University Hospitals https://he01.tci-thaijo.org/index.php/unc/article/view/250456 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This research and development proposed to 1) develop an evaluation form on job performances of nurses working at the operation room under the university hospitals, 2) verify the content validity, and reliability of the evaluation form on job performances of nurses working at the operation room under the university hospitals. 3) studied the results of implementing the competency evaluation form on construct validity and competency level of registered nurses in operation room under the university hospitals. This research consisted of 3 steps including 1) develop an evaluation form on job performances of nurses working at the operation room. In this step, the researcher developed the evaluation form by using the concept of specific job performances based on the criteria of The Thai Perioperative Nurses Association together with rubric principle for the measurement scale, 2) validate the quality of the evaluation form on job performances of nurses working at the operation room by computing the reliability between 2 evaluators. Then, 30 nurses working at the operation room were evaluated and data were analyzed by Pearson Correlation Coefficient, and 3) implement the evaluation form on job performances with 330 nurses working at the operation room. These samples were selected using multi-stage sampling technique and data collection were done between August and October 2017. Confirmatory factors analysis was employed to analyze construct validity of the evaluation form.&nbsp;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results revealed that 1) the evaluation form on job performances of nurses working at the operation room under the university hospitals consisted of 3 phases including 1.1) preoperative stage which involves 6 job performances, 1.2) operative stage included 5 job performances, 1.3) postoperative stage consisted of 4 job performances, 2) the evaluation form quality checking indicated that the evaluation form had content validity and inter – rater reliability at 0.99 3) The level of competency of professional nurses under operating rooms university hospital including preoperative period, surgery period and after surgery period were at level 4 for all issues</p> Padungsin Pengcha-um Boonreang Khajornsin Taneenart Na-soontorn Copyright (c) 2021 2021-06-27 2021-06-27 13 1 Factors Influencing on Patient Safety Culture as Perceived by Registered Nurses in Phrae Hospital https://he01.tci-thaijo.org/index.php/unc/article/view/192459 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Safety culture is an important to the health outcomes of patients. Achieving the goal of becoming a quality hospital which focuses on providing effective and safety health services for patients. The purpose of this study was to identify the factors influencing on patient safety culture as perceived by professional nurses who working in Phrae hospital. The samples consisted of 146 registered nurses providing services to the inpatient department at Phrae hospital and had working experienced at least one year. The research questionnaires consisted of three sections: (1) demographic data (2) the factors influencing patient safety culture and (3) patient safety culture as perceived by registered nurses at Phrae hospital. The questionnaires were tested for content validity by using the Index of item objective congruence of the questionnaires were in the range 0.60 – 1.00 and reliability of the questionnaires were tested by Cronbach’s Alpha reliability Coefficient which was .92 and .95 respectively. Data were collected by using the questionnaires and analyzed by using frequency, percentage, mean, standard deviation and multiple regression analysis with stepwise selection method.&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The findings were: 1) the level of the patient safety culture as perceived by professional nurses was at the high level (= 4.05, SD = .43) 2) task factor, technology and equipment factors, organization factors and work environment factors were the factor influencing on patient safety culture as perceived by professional nurses who working in Phrae hospital which accounted for 66.8% (R<sup>2</sup> = .668, <em>p &lt; .05</em>)</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Nursing administrators should promote to learning about safety culture. Including supporting resources in operations for achievement in continuously creating a patient safety culture in the organization.</p> Rachanita Khianpo Laddawan Daengthern Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 Causal Factors Affecting the Learning Strategy of Faculty of Nurse in State University https://he01.tci-thaijo.org/index.php/unc/article/view/250457 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This research aimed to 1) study and synthesize learning strategies of nursing students State university 2) create a model of the equation for the learning strategy structure of nursing students State university 3) check the consistency of the equation model for the learning strategy structure of nursing students State university With empirical data. The sample consisted of nursing student northeastern state university currently. Studying in Year2, Semester1, Academic Year 2018, amount 8 institutions and the number of students is 480, which is derived from multi-stage random sampling. The variables were divided into 2 groups: 1) predictor variables 2) dependent variables in learning strategy of faculty of Nurse. The questionnaire factors affecting the learning strategy of faculty of nurse covered to 20 observed variables. The data were analyzed by using structural equation model with latent variable.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;The findings revealed;</p> <p>1 Components of the learning strategy of nursing students Public universities have 3 components which are 1) problem identification and learning planning, 2) practice of educational activities, and 3) evaluation and improvement.</p> <p>2. Modeling the relationship of factors affecting the learning strategy of nursing students Public universities found that factors affecting the learning strategy of nursing students State university Which has direct influence is Self-efficacy Motivation for achievement And the future orientation Which has direct and indirect influence is the perceived ability of oneself And the indirect influence is Attitude towards learning And pride in the institution</p> <p>3. Model validity results It was found that the model was in harmony with the empirical data. X<sup>2</sup>= 94.963, <em>df</em> = 74, <em>p</em> = .051, CFI = 0.998, TLI = .994, RMSEA = .024, SRMR = .031 และ X<sup>2</sup>/<em> df</em> = 1.283 considering the magnitude of the predictive variables affecting the learning strategy of nursing students, it was found that factors of self-efficacy Motivation for achievement And future orientation factors Had a direct influence on the learning strategy of nursing students with statistical significance at the level of .01 . And the prediction coefficient (R2 = 0.708) explained that the three predictor variables could explain 70.80% of the learning strategy components of nursing students.</p> Nichapat Maneephan Jumlong Wongprasert Parichat Rattanarat Copyright (c) 2021 2021-06-24 2021-06-24 13 1 An Analysis of Factors Affecting the Growth of Humanized Health Care Identity of Nursing Students Using the Latent Growth Curve Model https://he01.tci-thaijo.org/index.php/unc/article/view/250459 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The purpose of this research were study growth of humanize health care identity and to determine the effect of hypothesized covariates on growth of humanize health care identity of nursing students. The sample consisted of nursing students in nursing colleges under the jurisdiction of Institute of Praboromarajchanok, Ministry of Public Health. The research instrument was 1) the humanize health care identity scale, 2) the questionnaire is relationship between teachers and students, 3) the questionnaire is relationship between students and peer, and 4) the attitude toward the nursing profession of nursing students’ scale. The data were analyzed by descriptive statistics, Pearson's correlation coefficient and the latent growth curve model, SPSS for Windows and Mplus were employed for data analysis.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The result revealed that:</p> <ol> <li>The growth of humanize health care identity of nursing students using the latent growth curve model was fitted with empirical data. The mean intercept and slope were 4.261 and .088, respectively, indicate that on average, nursing students had initial humanize health care identity status of 4.261 and steady increase in growth rate of 0.088 over time.</li> <li>The substantial covariate factor effecting on growth of humanize health care identity of nursing students were the attitude toward the nursing profession, relationship between students and peer.</li> </ol> Supranee Meunya Pakorn Prachanban Copyright (c) 2021 2021-06-29 2021-06-29 13 1 Development of e-Learning Activities in Gerontological Nursing Course to Enhance Knowledge for Caring Older People among Nursing Students https://he01.tci-thaijo.org/index.php/unc/article/view/247040 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This development research aimed to 1) develop learning activity by using <em>electronic learning</em> in a course of Gerontological Nursing, 2) study the results of using e-learning activities in a course of Gerontological Nursing by comparing the knowledge before and after using electronic learning and examining the learners’ satisfaction after using electronic learning. The population of this study was 187 second year nursing student, Boromarajonani College of Nursing, Udon Thani. &nbsp;The quantitative approach was used. The research process composed of three phases including Phase 1: the analysis of situation; Phase 2: the design and development of learning activity; Phase 3: the analysis and conclusion. Statistical analyses were calculated comprising of frequency, percentage, mean, standard deviation, and pair t-test. The results showed: 1 the electronic learning should be used as a complement to promote self-learning of the learners; 2 the e-Learning activities consisted of 3 aspects, including 1. Administrator 2. Learners, and 3. Activity service and appropriateness of the e-Learning activities was good which confirmed by the experts; 3 the knowledge mean score of post-tests was significantly higher than pre-test with the p-value &lt; .05. The mean scores of satisfactions regarding to the user friendly and usefulness were showed at high level. The results of this study represented the advantages of e-Learning activities’ applying in the course of Gerontological Nursing to enhance knowledge of caring for older people. Therefore, it is advisable to encourage the teachers for integrating the e-Learning activities in other courses. In addition, the limitations when applying the e-Learning activities should be minimized to increase the students’ learning opportunities</p> Pornpun Manasatchakun Thawatchai Khueansombat Chaweewan Sridawruang Chiraporn Worawong Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 Factors Influencing the Online Learning Behaviors of Nursing Students: The Lower Northern Region https://he01.tci-thaijo.org/index.php/unc/article/view/250460 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The purpose of this predictive correlation study were to: 1) examine the level of online learning behaviors among nursing students, and 2) investigate the predictive factors of the online learning behaviors among nursing students. Sample were 170 nursing students by stratified random sampling from the lower northern region, Thailand. Data were collected by using online questionnaire, the online learning behaviors and the factors influencing online learning behavior questionnaire include seven aspects; Observe learning, Self-efficacy, Self-regulation, Achievement motive, Intention, Environment</p> <p>and Social support. The questionnaire was reviewed by five experts. The content validity index &nbsp;were .93, .94, .95, .90, .95, .96, .98 and .98 respectively. Cronbach's alpha coefficient reliability were .88, .97, .96, .95, .95, .97, .92, .93 and .84 respectively. Data were analyzed using descriptive statistic such as frequency, percentage, mean, standard deviation, and Stepwise multiple regression analysis was performed as inferential statistic. The results were as follows:</p> <p>1) The online learning behaviors of nursing students was at the highest level (&nbsp;<em>= 4.17, SD =.35)</em></p> <p>2) The factors influencing the online learning behaviors of nursing students of the lower northern region were self-regulation, observe learning and achievement motive. Those factors can predict 63.60 % of variance of the online learning behaviors with statistical significance (<em>p&lt;.01</em>)</p> Nichakarn Songthai Waraporn Yottavee Pataporn Saengkhiew Copyright (c) 2021 2021-06-28 2021-06-28 13 1 The Interventions to Promote Glycemic Control Medication Management of Patients with Type 2 Diabetes in Thailand: A Systematic review https://he01.tci-thaijo.org/index.php/unc/article/view/244330 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Diabetes Mellitus has been a public health problem of Thailand. The Purpose of this systematic review was to synthesize interventions to promote glycemic control medication management and their outcomes among patients with type 2 diabetes in Thailand. The published-related research papers from January 1<sup>st</sup> 2010 to 31 June 2020 were searched from electronic databases, including ThaiLis, ThaiJo, CINAHL, Google scholar and ScienceDirect. There were 7 papers met the inclusion criteria. The findings of the study showed that interventions to promote diabetes medication management of patients with type 2 diabetes in Thailand could be categorized into 3 patterns, including: 1) pharmacist-driven interventions, 2) education with instructional media, 3) education with social support, and 4) reminders for medication use. All these four patterns could enhance clinical outcomes, including reduced glycosylated hemoglobin levels or fasting blood glucose levels and also could help to improve the effectiveness of medication use behaviors. Therefore, the authors suggested that health care providers should apply these interventions for Thai patients with type 2 diabetes so that they can control their blood sugar levels. In addition, further research with large sample sizes is needed.</p> Ausanee Wanchai Awinon Buaprachum Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 Self-Management Behaviors of Persons with Type 2 Diabetes Living in Urban Area https://he01.tci-thaijo.org/index.php/unc/article/view/244262 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This phenomenological qualitative research aimed to describe self-management behaviors of persons with diabetes type 2 living in urban area. Participants were 30 persons with type 2 diabetes living in Phitsanulok Municipality. Data were collected by in-depth interview. The results of the study showed that participants perceived 2 major themes of self-management behaviors: 1) managing mind to not being stressed with diabetes, which included 2 subthemes: setting goal for long living and trusting health personnel and 2) changing self-management behaviors by following advices of health personnel, which included 5 subthemes: eating, exercising, taking medication to reduce blood sugar levels, foot careม and stress management. Therefore, based on this research, most persons with type 2 diabetes living in urban area had good self-management behaviors while some of them had not good self-management behaviors; the researchers suggested that health care providers may ask these persons to be role models in sharing about their management behaviors with other persons with type 2 diabetes so that all patients can manage themselves effectively.</p> Supanat Swannakit Ausanee Wanchai Chanakan Sangkhamkul Apichead Poonsub Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 Factors Affecting to Health Promotion Behaviors of Diabetic Patients in Phrae Province https://he01.tci-thaijo.org/index.php/unc/article/view/240354 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The aim of this predictive correlational research was to health promoting behavior and to examine factors predicting health promoting behavior among diabetic patients in Phrae Province. The samples, with multiple stage sampling used to recruit the samples, included 298 patients with type 2 diabetes. Data, collected by using questionnaire, with a reliability of .87, and analyzed by using descriptive statistics and stepwise multiple regression analysis, was found at significant level of.05. The results revealed that diabetic patients had overall of health promoting behavior were at good level, (&nbsp;= 3.25 SD =.777 ).The studies showed that 7 factors were significantly positive correlation which were The family support was the strongest predictor of health promoting behaviors among diabetic patients (β =.318), followed by health services (β =.221) , self- esteem (β .207), perceived self- efficacy (β=.162), caregiver (β=.113) ,perceived barriers (β =0.109) and having caterer (β =.094) These variables can predict health promoting behaviors among diabetic patients at 53.5 % with the significant level of .05.</p> <p>&nbsp;</p> Chatree Matsee Civilaiz Wanaratwichit Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 The Development of Fall Prevention Nursing Practice Guidelines for Older Persons in Community https://he01.tci-thaijo.org/index.php/unc/article/view/250461 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This action research aimed to develop fall prevention nursing practice guidelines for older persons in community. Phase I was study the incidence of falls, internal and external factors affecting falls in older persons. Phase II was undertaken to develop a fall prevention nursing practice guidelines. Lastly, Phase III was implemented to evaluated effects of implementing the fall prevention nursing practice guidelines. Key informants were aged 65 years and over with a history of chronic disease and the Timed Up and Go Test was assessed with a duration of more than 15 seconds, totaling 30 people, 3 professional nurses, 12 Public health volunteers and&nbsp; elderly care volunteers. Data were collected from September 2016 to September 2017</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The research found that the incidence of falls 21.2%. Falling is associated with having chronic disease statistically significant at the .01 level, falls were associated with hypertension and osteoarthritis. statistically significant at the .05 level, and falls were correlated with balancing by using Timed Up and Go Test assessment with statistical significance at .05 level. Prevention nursing practice guidelines included 1) Guidelines for older adults with no history of falls 2) Guidelines for older adults with history of falls in the past 1 year. There were effects of nursing practice guidelines on decrease of incidence of falls, number of falls, depression score and increase of balance</p> Paralee Opasanant Sunee Punyawong Copyright (c) 2021 2021-06-28 2021-06-28 13 1 Correlational between Personal Factors and Health Literacy On Health Status among Buddhist Monk at Ongkharak District, Nakhorn Nayok Province https://he01.tci-thaijo.org/index.php/unc/article/view/243372 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Descriptive correlational research aimed to identify health literacy that can forecast health status among Buddhist monks in Ongkharak District, Nakhon Nayok Province. The samples consisted of 223 Buddhist monks who registered with Nakhon Nayok Provincial Office of Buddhism. The instrument is Thai Health Literacy Scales with the reliability of .96. Data collection was conducted from October to December, 2018. Statistics used for data analysis included descriptive statistic and Chi-square test.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The research results revealed that 1) the overall mean score of health literacy is moderate level ( X= 157.91, SD = 31.706) 2) personal factor included age was associated with diastolic blood pressure (c<sup>2</sup> = 13.427, <em>p</em> = .009)&nbsp;&nbsp; educational level was associated with diastolic blood pressure (c<sup>2</sup> &nbsp;= 14.983, <em>p</em> = .020), chronic disease was associated with body mass index (c<sup>2</sup> = 7.914, <em>p</em> = .019) and chronic disease was associated with waist circumference (<em>p</em> = .035). However, all of the dimensions of health literacy were not associated with health status among Buddhist monks.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Based on the results of the study, better health literacy is a necessity for behavioral change among Buddhist monks in order to enhance their health condition. Health literacy will provide Buddhist monks with the ability to access information and to have a better understanding of the data, which will allow monks to analyze the information accurately.</p> <p>&nbsp;</p> Khanitta Wisitcharoen Kamonwan Akarakpongsakorn Jaruwan Taitao Nattharinee Pksee Nattamon Ngoenlun Parichart Pontong Manisa Srichan Sasivimol Pises Sumonlrat Vinijjariyawat Inthira Buthawises Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-30 2021-06-30 13 1 Factors Predicting the Nursing Professional Intention of Nursing Students in Colleges of Nursing under the Ministry of Public Health https://he01.tci-thaijo.org/index.php/unc/article/view/250464 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The purposes of this research aimed to study the intention of nursing profession of nursing students, to study the relationship between selected factors and intention of nursing profession, and to study factors predicting the nursing professional intention of nursing students in Colleges of Nursing Under the Ministry of Public Health according to the Theory of Planned Behavior proposed by Ajzen (1991). The sample group used in the research was 457 nursing students from 1<sup>st </sup>to 4<sup>th</sup> year derived from multi-stage random sampling. The research instruments were questionnaires consisting of 5 parts: 1) demographic data 2) attitude towards the nursing profession 3) subjective norm about nursing profession 4) perceived behavioral control of nursing profession and 5) nursing professional intention. The overall reliability of the questionnaires by using Cronbach's alpha coefficients was equal to .95. The data were analyzed using mean, standard deviation and multiple regression analysis.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The result revealed as follows;</p> <ol> <li class="show">Intention in the nursing profession of nursing students when considering the overall level, nursing students had the intention of practicing in the nursing profession at a moderate level (Mean = 3.31 SD. = .66). When considering each year it was found that the third year nursing students had the intention of practicing in the nursing profession at a high level (Mean = 3.57 SD. = .84) while the fourth year, second year, and first year nursing students had the intention to the nursing profession at a moderate level, respectively (Mean= 3.29 SD. = .53, Mean= 3.19 SD =.50 และ Mean= 3.10 SD =.52).</li> <li class="show">The relationship between selected factors and intention of nursing profession revealed that the attitude towards nursing profession, subjective norm about nursing profession, and perceived behavioral control of nursing profession had a positive correlation with intention of nursing profession with statistical significance at .01 level with correlation coefficient between .128 and .674.</li> <li class="show">Factors predicting the nursing professional intention of nursing students by stepwise multiple regression analysis it was found that the perceived behavioral control of nursing profession mostly affecting the intention of nursing profession in the form of standardized score equal to .479, attitude towards nursing profession and subjective norm about nursing profession affecting the intention of nursing profession in the form of standard score equal to .330 and - .170, respectively. Moreover, it can explain the variance of nursing professional intention of nursing students at 52.10 percent with statistical significance at the level of .01 (R<sup>2</sup> = .521, <em>p &lt;.01</em>).</li> </ol> Sarinya Polsingchan Komwat Rungruang Copyright (c) 2021 2021-06-28 2021-06-28 13 1 Health System Development for Unintended Adolescent Pregnancy https://he01.tci-thaijo.org/index.php/unc/article/view/242186 <p>Unintended adolescent pregnancy represents one of the most significant problems that continue escalating. Rapid expansion of urbanization direct impact on changing social culture which has socialized inappropriate sexual attitudes and behaviors, especially among adolescent. Unintended adolescent pregnancy affects both physical and psychological health among adolescent and their family. Moreover, it impacts on national social and economic. The most of pregnancy among adolescent are unintended pregnancy. The factors related to unintended adolescent pregnancy involve both individual and socio-environmental factors level.&nbsp; Thus, the present study employed the Ecological Model to clarify these factors which might be able to explain the interactions of the individual and socio-environmental factors influencing unintended adolescent pregnancy.</p> <p>The present study aims to study health system development for the prevention of unintended pregnancy among adolescent by using Ecological Model. The unintended adolescent pregnancy was a complex problem. So, using Ecological Model might be able to explain the interactions of the individual and socio-environmental factors, individual factors, interpersonal factors, organizational or institutional factors, community factors, and public policy factors. The findings of the present study might lead to health system development for the prevention of teenage sexual risk behaviors as suitable for modern Thai society.</p> Sitanan Srijaiwong Dujduean Khiaolueang Nattamon Kosai Patcha Suwanarod Sukanya Muenglaeng Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 Nursing Care People with Diabetes: Nurses’ Role in pandemic of Covid 19 https://he01.tci-thaijo.org/index.php/unc/article/view/249510 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The rapid spreading of COVID-19 globally has extensively brought many consequences on care particularly for diabetes patients who are the large group of chronic illness in the world. Many diabetes patients are experiencing barrier of care due to the policy related to COVID-19 prevention. Diabetes risk to chronic complication, severe complication and increase motality. This article aims to review the evidence of nursing care on diabetes management, specific considerations during the COVID-19 pandemic for people living with diabetes and role of nusres.</p> Sasidhorn Chidnayee Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 Preparation of Family Caregivers of Patient with Stroke on Transitional Care from Hospital to Home https://he01.tci-thaijo.org/index.php/unc/article/view/250449 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Stroke remains a leading cause of serious long-term disability remaining which burden to family caregiver caring for stroke survivors. It is because of unexpected traumatic event that suddenly happened in their families, caregivers often experience an overwhelming of depression, and isolation; a decline in physical and mental health; and reduced quality of life. Therefore, handling those problems are difficultly for family caregivers to face with. This article aimed to provide a practical strategy for preparing and assisting family caregivers to caring people with stroke. This article discusses issues related to stroke caregiving and nursing roles by using the transitional care model and proposes comprehensive strategies designed to assist caregivers adapting to a new role. Suggested strategies include an effect of stroke and caring need among people with stroke, the concept of a transitional care model, and preparation of stroke care relatives based on the concept of a transitional care model. Caring stroke patients in the transitional phase from hospital to home was divided into 2 phases: 1) being admitted to the hospital for treatment; and 2) being discharged from the hospital. This suggestion can assist nurses and encourage family caregivers who providing care for patients and help the caregiver adapt to new roles bring the well-being of the patient.</p> Nuntakarn Paksee Thitdhi Srivisai Saneh Khunkaew Copyright (c) 2021 https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1 Prevention of Depression among Nursing Students https://he01.tci-thaijo.org/index.php/unc/article/view/245161 <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Depression is a significant mental health problem among nursing students. Nursing students are also an at-risk group for depression because nursing students have to adapt to their physical development, psychological development, and new environments. If they cannot adapt, it affects their mental health, developing various problems, especially depression. Depression is a cause to drop out from the college, repeat class or retirement. The most severe impact of depression in nursing students is a suicide. Considerable evidence shows that effective prevention of depression should be the focus by reducing risk factors and enhancing protective factors, which help nursing students maintain good mental health and a successful nursing education outcome</p> Thanapol Bundasak Narumol Jungasem Alisa Supsung Wanna Chaichanarungruang Copyright (c) 2021 Boromarajonani College of Nursing, Uttaradit Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2021-06-29 2021-06-29 13 1