Boromarajonani College of Nursing, Uttaradit Journal <p>&nbsp; &nbsp; &nbsp;&nbsp;<img src="/public/site/images/uncjournal/logo11.jpg" width="707" height="157">&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;The Boromarajonani College of Nursing Uttaradit Journal invites original works in nursing and the health sciences that demonstrate scholarship and new knowledge.&nbsp; Published since 2008, the Journal is indexed in the Thai Citation Index (TCI) level 1 and the ASEAN Citation Index (ACI).&nbsp; Nurses, healthcare professionals and leaders, including students, lecturers, and scholars throughout Thailand and other countries, are invited to submit their manuscripts for double-blind peer review. The Boromarajonani College of Nursing Uttaradit Journal publishes original manuscripts two issues per year online in both Thai and English languages.&nbsp;</p> <p>&nbsp;</p> <p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; </strong><span style="text-decoration: underline;">Published 2 issues/Year</span></p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; No. 1 January – June&nbsp; &nbsp; &nbsp; &nbsp;&nbsp; No. 2 July – December</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Published 2 issues/Year 18 – 20 articles per issues.</p> <p>&nbsp;</p> <p><strong>Print ISSN:</strong> 0859-6808 Publication from 2008 – 2017</p> <p><strong>Online ISSN:</strong> 2651-0936 Publication from 2018 – onwards</p> <p><strong>Journal Abbreviation:</strong>&nbsp;BCNUT J Nurs.</p> <p>&nbsp;</p> <p>&nbsp;</p> en-US <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=""></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> (Waraporn Yottavee) (Yonlada Ngeanmuang) Thu, 26 Dec 2019 11:26:18 +0700 OJS 60 Safety Leadership and Safety Performance in Health Organization: A Systematic Review <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Safety leadership results in safety practices of&nbsp; staff&nbsp;in every organization that focuses on safety. Research&nbsp;objectives&nbsp;for systematic review of evidence to safety leadership and safety practices of health organizations Search for research papers from national and international database journals. Published&nbsp;during 2009 - 2018. The characteristics of research studies were statistically analyzed using descriptive statistics including frequency and percentage. The assessment of the quality of research studies included 10 articles from 2 researchers using the criteria for quality evaluation according to research standards. The reliability was 82 percent (according to the criteria) using Kappa statistic . The test revealed that there was no significant difference between the assessors (k = .026, <em>p = .83</em>)</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The results showed that the researches mostly used the concepts of safety leadership mostly included integrated concept as the samples (n=5) and&nbsp; the concept of&nbsp; transformation leadership mostly used the integrated concept&nbsp; (n = 3). In addition, the researcher mostly used safety performance in health organizations , include safety participation and safety compliance (n=7). Safety leadership has relationship and direct effect on safety performance in health organizations (n ​​= 6). The study shows that health organizations to focus on the concept of safety leadership and safety performance. However, there should be experimental research studies and long-term follow-up of the outcomes to provide a characteristics pattern of safety leadership in health care organizations, which will benefit health organization executives in the further</p> สุทธิชารัตน์ จันติยะ, เพชรน้อย สิงห์ช่างชัย, พัชราภรณ์ อารีย์ Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 10:46:09 +0700 Effects of A Family Nursing Intervention based on The Illness Believe model on Ability of Health Behavior in Post Operation of Cataract Patients and Ability of Health Behavior of Their Families with Cataract Patients <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This quasi-experimental research pretest-posttest control group design aimed to compare ability of health behavior in post operation of cataract patients and ability of health behavior of their families with cataract patients between the experimental group and the control group. The sample were 120 persons with cataract patients who more than 60 years and the first received phacoemuscification with intraocular lens under local anesthesia at Prachomklao Hospital, Phetchaburi province and families with cataract patients. The sample was purposively selected. Each group consisted of 60 patients that 30 cataract patients and 30-member families and lived with patients. The instruments in this study were ability of health behavior questionnaires and ability of health behavior of their families’ questionnaires. Data were analyzed by using descriptive statistics, paired t-test, and independent t-test.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Findings revealed that the experimental group received the program had more the mean scores ability of health behavior in post operation of cataract patients and ability of health behavior of their families with cataract patients were significantly different than the control group received regular program (<em>p </em>&lt;.01). The findings suggest that this program can be applied with cataracts patients in order to prevent complication in the future.</p> ปาณิสรา - ส่งวัฒนายุทธ, ใบบัว เศวตสุวรรณ, สมัย นงนุช Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 10:47:18 +0700 Lived experience of Women with Breast Cancer after Receiving Chemotherapy <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This qualitative research uses phenomenological approach to describe and give insights into the post-chemo experiences of women with breast cancer. Twenty breast cancer patients selected for their first-hand experience with chemotherapy are the primary contributor to this research. Information was gathered in the province of Uttaradit and Sukhothai through in-depth interviews, observations, and Colaizzi’s method of data analysis. The results showed that the experience of women with breast cancer after receiving chemotherapy was that of 1) Seeking information to make decisions; 2) Obtaining knowledge necessary for Health Care; 3) Physical suffering including Dizziness, Giddiness, Fatigue, Nausea, Bone Pain, Bladder Pain, Hematuria, Black Fingernails, Hair Loss, and Weight Loss; 4) Mental suffering that goes from the feeling of dread, of discouragement, of being dead-alive, to the feeling of melancholic sorrow; 5) Self-care during treatment; 6) Changing one’s way of thinking to gain self-confidence; and that of 7) Gaining support from the family. With children as their best encouragement to fight through disease, and their partner as the one who is always there for comfort and consolation.</p> ภราดร ล้อธรรมมา, อนัญญา คูอาริยะกุล, วราภรณ์ ยศทวี, นัยนา แก้วคง, ศศิธร ชิดนายี Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 10:55:53 +0700 Factors Affecting Protection of Sexual Risk Behaviors Among High School Students in Banklang Subdistrict, Wangthong District, Phitsanulok Province <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;The purpose of this predictive research was to study the factors affecting protection of sexual risk behaviors among high school students in Banklang subdistrict, Wangthong district, Phitsanulok province. The subjects were 230 high school students in Banklang subdistrict. The data were collected by using questionnaires with Cronbach’s Alpha Coefficient of .70 – .87. The data were analyzed for frequency, percentage, mean, standard deviation, Pearson Product Moment Correlation Coefficient, Eta coefficient and Stepwise Multiple Regression Analysis.</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The results revealed that Perceived efficacy to protect sexual risk behaviors (β = .517, <em>p &lt; .001</em>), teacher supervision (β = .143, <em>p = .009</em>), alcohol drinking behavior (β = -.118, <em>p = .03</em>) and financial support from parents (β = -.112, <em>p = .04</em>) could predict the protection of sexual risk behaviors among high school students for 35.7 %.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; It is recommended that students should be encouraged the perceived efficacy to protect sexual risk behaviors by public health authorities in order to promote the protection of sexual risk behaviors. They should be closely supervised by teachers. Alcohol-control policies and strategies on students' drinking should be enforced. Besides, the parents should control the financial support for their children</p> พิมขวัญ เพนเทศ, สุพัฒนา คำสอน Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 10:57:43 +0700 Experience of Homebound Elderly Care by Using WE CAN DO by TIM <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;This phenomenology qualitative research aimed to study the experience of using the model of network group WE CAN DO by TIM. Twenty participants were volunteers, homebound elderly, caregivers, sub district administrative organization (SAO) District Health promotion Hospitals (DHPH) and project manager&nbsp;of homebound elderly care using WE CAN DO by TIM and participation of area network. Data were collected using the semi-structure interview for in-depth interview. Thematic analysis was used for data analysis. We found four themes: 1) New experience for project managers, two subthemes: Heart of intervention and learn from role model, 2) Sankong Waisai network group: Community’s need, Volunteer and Elderly happiness, 3) Outcome from using intervention: happy and happy, role change from receiver to taker, and 4) Key success factor and barrier</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; WE CAN DO by TIM and participation of area network are importance for homebound elderly care and can change their behavior from receiver to taker who can help the others.</p> <p>&nbsp;</p> ศศิธร ชิดนายี, วราภรณ์ ยศทวี, นัยนา อินธิโชติ, มณฑา อุดมเลิศ Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 10:59:28 +0700 Current Problems and Care Needs of Older Adults Living in Local Administrative Organization Responsibility Area in the Lower Southern of Thailand <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This qualitative research aims to examine current problems and care needs of older adults living in local administrative organization responsibility area. The study was carried out in the lower southern of Thailand. Semi-structured, and focus group discussions were conducted with participants. The participations were selected based on criteria. The participations were the persons who responsibility for improving quality of life for older adults and older adult leaders. Data were recorded, transcribed, content checked by the researchers, and then coded. Thematic content analysis was used to analyze data.</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; A total of 33 key informants participated in focus discussion. The results revealed four principal domains. First, physical, mental, and social problems of older adults were 1) physical problems were chronic illness such as hypertension, diabetes mellitus, knee osteoarthritis, musculoskeletal disease, dementia, heart disease, gout, cancer and also the complications from chronic illness such as cataract and peripheral neuropathy. 2) mental problems were low self-esteem, loneliness, and depression. 3) social problems were poverty, neglect, and financial abuse. Second, current practices of local administrative organization on older adults care were 1) budget allocation for older adult activities, 2) establishing older adult quality of life, and 3) providing health services for older adults. Third, care needs of older adults living in local administrative organization responsibility area were 1) promoting older adult grouping for self-reliance, 2) reviewing older adult welfare allowance, 3) setting policy related to older adults hiring and extending the retirement age, 4) establishing quality of life center for older adults, 5) improving channel of communications for older adults, 6) improving long term care services, and 7) providing transportation to older adults for doctor visits. Last, other suggestions were 1) pre-retirement preparation for work-force age, 2) social organization especially safety issue, and 3) building health park or exercise corner in public park for older adults</p> กิตติพร เนาว์สุวรรณ, มาริสา สุวรรณราช Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:00:35 +0700 Factors Predicting Stress on Family Caregivers of Stroke Survivors in Selected Community <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This predicting correlational study aims at examining factors predicting stress on family caregivers of stroke survivors based on the Ecological System Theory. The study utilized a stratified random sampling and recruited 99 family caregivers of stroke patients following the inclusion criteria. Data were collected using questionnaires, including the demographic data questionnaire of family caregivers and stroke patients, self-efficacy questionnaire, Barthel Index of Daily Live Activities, questionnaire of relationships among patients, family caregivers and family, social support questionnaire, caregiver stress questionnaire and illness beliefs questionnaire. All data were analyzed using descriptive statistics and multiple linear regression.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The result showed that duration of care was significantly positively correlated with stress of family caregivers&nbsp; (r= .30, <em>p&lt;.05</em>);&nbsp; self-efficacy, relationships among patients, family caregivers and families, and illness beliefs were significantly negatively correlated with stress of family caregiver (r=-.48, <em>p&lt;.01</em>; r= -.374<em>, p&lt;.01</em>; r = -.25, <em>p&lt;.05</em>, respectively). Care duration and self-efficacy could significantly predict stress of family caregivers (<em>p &lt; .05),</em> equally 27.4 percent (R<sup>2</sup>adj = .26, F = 5.35) using the prediction formula for standardized regression equation: Z<sub>stress of family caregivers </sub>= -.44<sub>self-efficacy </sub>+.21<sub>care duration</sub>. Findings suggest that an enhancement self-efficacy program be provided for family caregivers at home resulting in decreased stress for caring stroke survivors</p> นพรัตน์ สวนปาน, แสงทอง ธีระทองคำ, สมนึก สกุลหงส์โสภณ Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:01:34 +0700 Behaviour of Traditional Medicine and Alternative Medicine selected among Strokes’ Carers <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;Carer is one of key persons in choosing treatment for stroke patients at home. This qualitative research study aimed to examine the behavior of traditional medicine and alternative medicine selected by strokes’ carers. The purposive sample consisted of twelve strokes’ carers in rural areas of Nakhon Sawan Province. Data were gathered by demographic&nbsp; form, semi-structured interviews and observations. Thematic analysis approach was utilized for data analysis. The findings illustrated the behavior of strokes’ carers in deciding to choose traditional medicine and alternative medicine for rehabilitating stroke patients. Two themes were emerged from the data. First theme was the values of traditional medicine and alternative medicine.&nbsp; Second theme was the use of traditional medicine and alternative medicine as resources of hope for a cure. The findings demonstrated the situation of using traditional medicine and alternative medicine in stroke patients. This also showed the understanding of the relationship between the lifestyle and health beliefs among rural people. The results of this study can be used to appropriately improve the health service system, especially traditional medicine and alternative medicine. It would also respond to the public health policy in accordance with the plan of developing alternative and complementary use services in stroke</p> มธุรดา ม่วงมัน Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:02:22 +0700 Factors Predicting Resilience in Nursing Students of Boromarajonani Nursing College, Uttaradit <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This predictive correlation research aimed to examine factors predicting resilience among nursing students at Boromarajonani Nursing College, Uttaradit. A total of 232 undergraduate nursing students were recruited. A data was collected using the following questionnaires: 1) the demographic data 2) the resilience inventory 3) the Thai-stress test and 4) the peer relationship questionnaire. Data were analyzed by using descriptive statistics and stepwise multiple regression. The results revealed that the peer relationship, stress, and income could jointly explain 37.3 percentages of the variance of resilience in undergraduate nursing students (<em>p &lt; .01</em>). For each of factors was statistically significant as follows: the peer relationship (β = .537, <em>p &lt; .01</em>), stress (β = -.191, <em>p &lt; .01</em>) and income (β = .146, <em>p &lt; .01</em>). The equation of predictor was presented below : Z<sub>(resilience)</sub>= .537Z <sub>peer relationship) </sub>- .191Z <sub>(stress)</sub> + .146Z <sub>(</sub><sub>income)</sub></p> อนัญญา คูอาริยะกุล, วิมล อ่อนเส็ง, ศศิธร ชิดนายี, ศุภิสรา สุวรรณชาติ, ณัฏฐ์ฌาฑ์ สร้อยเพ็ชร Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:05:24 +0700 Using Massive Open Online Courses (MOOCs) To Develop Dialogue Reflective Thinking and Deep Listening Process Among Nursing Students <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The purposes of this research were to study the results of learning management using massive open online courses (MOOCs) to develop the process of dialogue, reflection and deep listening of second year nursing students at Boromarajonani College of Nursing, Uttaradit. &nbsp;Subjects were nursing students (n=102) who enrolled in a second year in a bachelor's degree at Boromarajonani College of Nursing, Uttaradit. They were studying on a Principles and Techniques in Nursing Practicum. Instruments consisted of 1) learning management plan using online learning in public open systems (MOOCs) to develop the process of dialogue, reflection and deep listening 2) training manual 3) computer network link system 4) knowledge questionnaire 5) satisfaction questionnaire. Data analysis was implemented by using on Mean, Standard Deviation (SD.) and Independent t-test.</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Findings revealed that the process of dialogue, reflection and deep listening process based on the learning management plan using massive open online course (MOOCs) among nursing students after learning by utilizing it were statistically higher than before learning <em>(p &lt;.05</em>). For satisfied evaluation, nursing students almost satisfied on the learning and teaching with MOOCs in the high level (Mean = 4.08, SD. = .51). For each item, the majority of satisfaction was high. Preparation before teaching and learning in a massive open online course (MOOCs) that was in the high level.</p> นภดล เลือดนักรบ, ประภาพร เมืองแก้ว, วราภรณ์ ยศทวี, ดวงดาว เทพทองคำ, วาสนา ครุฑเมือง, สุปราณี หมื่นยา, วิภาวรรณ นวลทอง Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:06:09 +0700 The Development of Online Fidelity Simulation-Based Program (OFSP) Encouraging the Knowledge of Nursing Care for COPD with Acute Exacerbation Patient <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;These study and development aimed to explore students’ problems and needs, develop the program, and evaluate the effectiveness of online fidelity simulation-based program (OFSP) in nursing care for patients with exacerbation of COPD.&nbsp; This study consisted of three phases: 1) Studying the problems and needs of learning in 12 participants by focusing group and data analyzing through content analysis, 2) Developing the OFSP. The CVI was .98. 3) the result of experimenting and studying OFSP. The instruments were questionnaires about knowledge and satisfaction. The CVIs of questionnaires were .83 and .94, respectively and the reliabilities were equal to .96 and .93, respectively. Then, Descriptive statistics and Paired t-test were used to analyze the data.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Result of study shows the students’problems in learning approach as follow:1) most of the student able to remember and understanding little of the study field, 2) the students were not confident in applying knowledge in real situations. The students’ needs composed of 1) require more time to learn, 2) need some easy access to learn materials anywhere, anytime, and enjoyable. The OFSP consisted of three phases: 1) Pre-Brief phase, 2) Scenario phase, and 3) Debriefing phase. According to participants’ knowledge scores, the post-test scores (&nbsp; X= 9.57, SD = 1.46) were higher than the pre-test score ( X= 6.10, SD = 2.06) at p-value of .001.&nbsp; Moreover, participants reported the highest level of satisfaction on this program ( X= 4.35, SD = .61). Therefore, this program must be used in teaching and learning plan.&nbsp; Teacher should prepare the step to use the program in creating an effective teaching</p> วันดี แก้วแสงอ่อน, จามจุรี แซ่หลู่ Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:07:03 +0700 Measuring Fear of Falling in Thai Community-dwelling Older Adults with a New Measure <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Fear of falling (FOF) is a major problem for community-dwelling older adults, which can lead to activity restrictions and contribute to disability. The FOF Questionnaire (FFQ) was developed for the assessment of FOF based on Lazarus and Izzards’s conceptual definitions of fear and appraisals of harm. Later, the shorter FFQ was developed and has been translated into the Thai language. The purposes of this study were to explore the psychometric properties of the Thai Short-FFQ and examine FOF in Thai older adults living in a community. A total of 330 Thai community-dwelling older adults completed the survey (64.8% female, aged 69.92±7.11 years). A high number of Thai older adults reported FOF (93.6%) with a high mean FOF rating of 7.16 (SD=2.65) on a 1-10 scale. The reliability of the Thai Short-FFQ was examined as well as the construct, concurrent, convergent, and divergent validity.&nbsp; Principle component factor analysis confirmed that the short scale had one component, “harm outcomes,” explained 68.72% of the variance. The mean score was 20.83 (SD=2.9; range11-24), with a Cronbach’s alpha of .91. This Thai Short-FFQ had a significant moderate correlation with the FOF rating 1-10 (<em>r</em>=.3, <em>p</em>&lt;.001) and the Falls Efficacy Scale-International (<em>r</em>=.46,<em>p</em>&lt;.001), whereas it had a low correlation with the Thai Geriatric Anxiety Scale (<em>r</em>=.25,<em> p</em>&lt;.001). The relationship between the Thai Short-FFQ and the Center for Epidemiology Studies Depression (CESD) scale was not statistically significant (<em>r</em>=-.05). Multiple regression analyses indicated that visual impairment, concern about falls, and anxiety were significantly associated with the Thai Short-FFQ (<em>R<sup>2</sup></em>=.23, <em>Adjusted R<sup>2</sup></em>=.23, <em>F </em>(3, 326) = 33.05, <em>p</em>&lt; .001). The findings suggest that the Thai Short-FFQ has excellent psychometric properties and is valid to use in further research aimed at assessing the FOF in terms of appraisals of harm falls this might cause to Thai community-dwelling older adults.</p> Sutthida Phongphanngam, Helen W Lach, Sangduen Phomkaewngam, Sutthilak Chantawang Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:07:55 +0700 Effects of a Supportive –Education Nursing System Program on Anxiety of The Patient’s Family in Respiratory Intensive Care Unit <p>&nbsp; &nbsp; &nbsp; &nbsp;&nbsp;The purpose of this research was to examine the effects &nbsp;of &nbsp;a&nbsp; supportive –education&nbsp; nursing&nbsp; system &nbsp;program&nbsp; on an anxiety of&nbsp; the&nbsp; patient’s family in Respiratory&nbsp; Intensive Care&nbsp; Unit. &nbsp;This quasi-experimental was undertaken through this study, Subjects were a first degree relative of critically ill patients admitted in Respiratory intensive care unit (RCU) at Uttaradit Hospital. The subjects were assigned into the control group (n = 30) and the study group (n = 30) equally. The control group received the routine nursing care, while the experimental group received the supportive –education nursing system program. The two groups were matched in terms of gender, age, and level of education. The research instruments were the supportive–education nursing system program, family needs in critical care and anxiety inventory.The instruments were tested for the content validity and reliability used Cronbach’s alpha coefficient. The data were analyzed by using descriptive statistics and t-test statistic.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Results showed that prior to experiment; the study group had an average of anxiety score at a high level ( = 3.21, SD.= .19) after an experiment; the study group had an average of anxiety score at medium level ( X = 2.39, SD. = .13) with significantly different (<em>p </em>= 0.001). When comparing the anxiety of family members of patient with critical respiratory illnesses in Uttaradit Hospital between the experimental group and control. It was found that the control group and experimental group had an average level of anxiety scores at a moderate level ( X = 2.84, SD.=.18; = 2.39, SD. = .13) with statistically significant differences (<em>p = .001</em>).The results from this study confirmed that effects of a supportive-education nursing system program on anxiety of the patient’s family in Respiratory Intensive Care Unit to decrease the anxiety of the patient’s family.</p> อรทัย หลาวทอง, วัสสิกา สิงโตทอง Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:09:06 +0700 Depression and Quality of life among elderly Living in Muang NakhonSawan Province. <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The purpose of this study was to determine a depression condition and quality of life among older people living in Muang district, Nakhonsawan province. Purposive sampling was used to recruit a sample into this study, followed the inclusion criteria. A total of 265 older people was recruited. The quality of life and depression status was evaluated using WHOQOL-BREF-THAI and 9Q, respectively. A descriptive analysis was used to summarize the demographic data, and Pearson’s product monument correlation was used to determine the relationship between depression status and quality of life.</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Older people were a risk to be a depression of up to 3.58%. Score in the WHOQOL-BREF-THAI showed that the total mean score of quality of life was moderate at 2.49 SD = .52. In addition, the depression levels were a correlation with total quality of life (r = -.40), in the domain of Psychological was found a strong correlation with the depression levels and the domain of social relationships were found a low correlation with depression (r = -.27). The age and marital status were statistically significant with quality of life at .05.</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This study confirmed that the psychological among older people should be implemented by co-operating with their family and community for improving the psychological aspect. In addition, the multi-disciplinary team should be implemented to improve depression status.</p> วงศ์สิริ แจ่มฟ้า, ศิริรัตน์ จำปาเรือง, พิมพวรรณ เรืองพุทธ Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:12:39 +0700 Cognitive reasoning : New approach for rehabilitation of executive function in traumatic brain injury <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;Traumatic brain injury has both structural and functional deterioration, depending on the severity of the injury, where perception, memory, attention, decision making, reasoning and behavioral expression.&nbsp; It is the integration of cognitive process that has an effect to the well being of the living-style. The rehabilitation of executive function in traumatic brain injury patients is by integrating daily activities. The process consists of the evaluation of executive function by applying the tools which can evaluate the activities that needed to be evaluated. The clinical monitoring of traumatic brain injury patients is by stimulating realistic brain management with reasoning, together with continuous promotion on the use of cognitive processes with a goal, in order to have proper behavioral expression. Therefore, in designing the important daily activities, must be considered to be in accordance with the context of each case of a traumatic brain injury patient and passed the evaluation.&nbsp; This will result in being considered as achieving the success of the brain rehabilitation in the aspect of using cognitive reasoning, leading to obtaining the balance of life in the traumatic brain injury patients.</p> พิทักษ์ ทองสุก, ศราวิน เทพสถิตย์ภรณ์ Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 10:56:58 +0700 Physical Activities in Children with Congenital Heart Disease <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Naturally, every child needs movement, play, and activities. Children with congenital heart disease also have the same needs. However, parents' perception and understanding of proper physical activity still full of doubts about safety. This effected to parenting overprotection behavior that means limit physical activities and exercise of their child. Nurses who familiar with the child and their parents play important roles to give information for understanding and awareness of safety physical activity among children with congenital heart disease. This &nbsp;article aims to propose guidelines/roles of nurses in &nbsp;promoting physical activity&nbsp;in children with heart disease. It is allowed parents to be confident and can promote physical activity appropriately that benefit for children with congenital heart disease to have a good quality of life and catch up normal growth and development</p> อลิษา ทรัพย์สังข์, บุษกร ยอดทราย Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:23:18 +0700 Sexuality Education and Teachers' Attitudes towards Sexual Double Standard Influencing on Sexual Risk Behaviors Among Adolescents <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Sexuality education plays an important role in reducing sexual risk behaviors among adolescents<strong>. </strong>The sex education was driven by the teachers. They plays an important role in sexuality education. Recent social changes, teacher had different attitudes towards sexuality education. The most of them continue remain on greater acceptance of sexual double standard. It emphases on abstinence until marriage for female adolescents and free sex for male adolescents. Teachers’ attitudes toward sexual double standard effect to negative outcomes of sex education program in school. Teachers changed the topics or contents of sex education based on their attitudes and discussed about sexual issues with male and female adolescents differently and less concern about safe sex and contraceptive method for female adolescents. It led to increasing prevalence of pregnancy among adolescents. The objectives of this study about sexual risk behaviors among adolescent in the recent. So, the sex education teacher preparing should concern improving positive attitudes toward sexual issues that correspond to the change of adolescent sexual behaviors in contemporary society, for ufo leading</p> สิตานันท์ ศรีใจวงศ์, ศิริอร สินธุ, เอมพร รตินธร, ชูเกียรติ วิวัฒน์วงศ์เกษม Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 10:58:30 +0700 Multimodal PainManagement: Goal setting for Postoperative Pain <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; The aim of this article is to present a concept of multimodal pain management. Pain causes discomfort and &nbsp;suffering that requires the proper steps to be monitored&nbsp; &nbsp; and &nbsp;treated&nbsp;&nbsp;However, in traditional Thai culture, it was believed that post-operative pain was an inevitable symptom which everyone had to be patient and wait until the pain subsided. Nowadays, the concept of pain management has been changed. Pain is a very important symptom that should be concerned and properly managed to promote a patient’s quality of life, prevent complications, and reduce the length of stay in the hospital. In a multimodal pain managing approach, multiple drug use, integrated with other non-pharmacology treatments, is one of the most preferable protocols for effectively managing pain and reducing unpleasant side effects. A goal setting for postoperative pain, a non-pharmacological approach would be a patient managing their expectations for the pain through setting individual goals for the pain management process. This means that the patient can effectively pre-determine their mental state to self-manage their post-operative pain levels. This activity shows nursing autonomy to provide the best care for the patients since each patient is unique in his or her own perception of pain, as well as different in dealing with pain. Therefore, individual goal setting will direct how the patient will be responsible for preferable and acceptable pain management toward the ultimate outcome.</p> จุฑารัตน์ สว่างชัย, ชุลีพร ปิยสุทธิ์, ศิริพร แก้วกุลพัฒน์ Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:03:20 +0700 Mental Health and Academic Achievement of Nursing Students <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This article aimed to demonstrate that mental health and learning achievement were important aspects for nursing students. As Faculty of Nursing, Suan Dusit university; seriously focuses of nursing education on enhancing the students to be high responsible persons, deliberated, strong leadership, high problem-solving skills, and effectively working with team might cause mental stress, anxiety which may finally turn to be depressive illness. Then, Thai Mental Health Questionnaire was applied on 378 students from year 1 to year 4 in order to assess their mental health and explore the effects of mental health on their learning achievement. The findings were baseline data for nurturing them appropriately.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Results showed that overall mental health of year 1 to year 4 students were at normal level. Only Social Function aspect of year 1 students and Depression aspect of year 2 students showed slightly below normal level. Their learning achievement were from good to excellent level. Their mental health put positive effect on their learning achievement; except in year 4, it was found that Depression has negative reinforcement effect. Thus, patterns of nurturing year 1 to year 4 students were 1) Environmental arrangement 2) Caring network by teachers 3) Student – Peer Assisted care 4) Expand channel for interactive communication and 5) Competency enhancement activities. Therefore, to help nursing students accomplished their expected learning achievement, mental health surveillance to reach for the risky and nurturing system arrangement are two main responsibilities for nursing institutions.&nbsp;</p> ธนิดา พุ่มท่าอิฐ, รังสรรค์ มาระเพ็ญ, อริยา ดีประเสริฐ Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:04:22 +0700 Adaptation of Womanwith Breast Cancer <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; This article aims to present guidelines for woman with breast cancer&nbsp; to have mental strength, positive thinking, calming and understanding the nature of life. Understanding about breast cancer and treatment will affect the efficiency of self-care and adaptation ofbreast cancerpatients .</p> วราภรณ์ ยศทวี, นัยนา แก้วคง, ภราดร ล้อธรรมมา, ศศิธร ชิดนายี, จุฬาวรี ชัยวงค์นาคพันธ์, สุทธาทิพย์ ทุมมี Copyright (c) 2019 Boromarajonani College of Nursing, Uttaradit Journal Thu, 26 Dec 2019 11:13:06 +0700