Journal of The Royal Thai Army Nurses https://www.tci-thaijo.org/index.php/JRTAN <p>วารสารพยาบาลทหารบกเป็นวารสารวิชาการและงานวิจัยที่เกี่ยวข้องกับการพยาบาล การศึกษาพยาบาล การส่งเสริมสุขภาพ สาระในวารสารพยาบาลทหารบก บทความวิชาการ บทความวิจัย บทความพิเศษ และปกิณกะ ซึ่งแต่ละฉบับอาจมีเนื้อหาดังกล่าวหลากหลายที่แตกต่างกันไปจัดพิมพ์เผยแพร่ปีละ 3 ฉบับ มกราคม-เมษายน พฤษภาคม-สิงหาคม กันยายน-ธันวาคม</p> <p><span style="font-size: 110%;"><strong>ISSN 1513-5217 (Print) </strong></span></p> <p><span style="font-size: 110%;"><strong>ISSN 2651-2181 (Online) </strong></span></p> en-US <p>บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย</p> <p>บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก</p> <p><span class="fontstyle0">The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those<br>of the editor or Royal Thai Army Nurses Association.</span></p> saisamorn2006@hotmail.com (พันเอกหญิง ผศ. ดร. สายสมร เฉลยกิตติ) hakkaijunk@hotmail.com (ร.อ.หญิง ภัทริกา วงศ์อนันต์นนท์) Thu, 22 Aug 2019 18:02:40 +0700 OJS 3.1.0.1 http://blogs.law.harvard.edu/tech/rss 60 Health Literacy of Prevention Diabetes Mellitus Type 2 in School Age Children https://www.tci-thaijo.org/index.php/JRTAN/article/view/210343 <p>School age children are important to Thailand because they will be the adults who will make decisions about Thailand’s development in the future. To ensure children are physically and mentally healthy, intelligent, and responsible for their health and society, it is necessary to prevent non-communicable diseases in school age children, which are increasing and becoming a serious health problem. In order to be intelligent and healthy, children must have sufficient understanding of what it means to be healthy in order to make good decisions about how to take care of themselves, including their eating habits and lifestyle. This health literacy is important to prevent type 2 diabetes, allowing all children to grow to adulthood.</p> วราพรรณ วงษ์จันทร์ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210343 Wed, 21 Aug 2019 00:00:00 +0700 The Curriculum for Nursing Students in The 21st Century: Case Study and Transformative Learning https://www.tci-thaijo.org/index.php/JRTAN/article/view/210346 <p>Learning in the 21st century is the learning of constant change in the world. Now, nurses work in the complex health problems and more serious everyday, therefore the lesson learning wants to change the teaching methods that encourage learners to have more analytical thinking. Using case studies in combination with transformative learning has three main stages include stage 1 to present case study, stage 2 to determine their own transition planning and implementation, and stage 3 to implement and reform into new life. It helps to achieve internal critical self-reflection and to gain new experience and a profound understanding of own. The development of new nursing care plan differs from individual to consider a holistic approach to a real lifest7yle and contribute to the professional development of nursing.</p> ปาณิสรา ส่งวัฒนายุทธ, สรัลรัตน์ พลอินทร์ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210346 Wed, 21 Aug 2019 00:00:00 +0700 Nurses and Promotion to Reminiscence in Older Adults https://www.tci-thaijo.org/index.php/JRTAN/article/view/210349 <p>When the age increase will changes in physical, mental, and health. Therefore, it is important that nurse have to prepare to care for the older adults in all dimension. In particular, the mental illness has increased when entering the older. Psychosocial therapy is an alternative care to help improve the mental health of the older adults and help to reduce the negative feelings. Psychosocial therapy is activity to care, related to older person in psychology and society. There are many types depending on the objectives and expected results. In this article talk about the reminiscence, that the one type of psychosocial therapy in the older adults. The nature of older adults will forget the new events that just happened, while able to remember the past story. Thinking about the past is one of the behaviors of the older adults. It’s consistent with the experience and appropriate for use in the older adults. This article aims to present about reminiscence, classification of reminiscence, mechanism of reminiscence, selection of form of reminiscence, Bringing the reminiscence to achieve the expected results, the role of nurses to step of reminiscence, nurses and promotions to reminiscence in older adults and case study.</p> ญานิศา ดวงเดือน ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210349 Wed, 21 Aug 2019 00:00:00 +0700 Role of Nurse in Decrease Burden of Caregivers of Older Persons with Dementia https://www.tci-thaijo.org/index.php/JRTAN/article/view/210353 <p>The disease progression of dementia, which have been linked to declining memories and activities of daily living with mood and behavior changes that declining relationship for older persons with dementia and spouse caregivers who are not understand each other. Spouse caregivers may respond to these declining relationship with stress and burden. Nurses can play a pivotal role in providing care to older persons with dementia and caregivers by giving education, counseling, support and collaboration. These caring help the caregivers to understand and be able to provide proper care for the patients. Furthermore, the patients and caregivers understand each other that is good for the caregivers to care the older persons with dementia effectively.</p> รุ่งนภา อุดมลาภ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210353 Wed, 21 Aug 2019 00:00:00 +0700 Nursing Role and Sustainable Development Goal (SDGs) https://www.tci-thaijo.org/index.php/JRTAN/article/view/210360 <p>Sustainable Development Goals-SDGs is a development process from Millennium Development Goals-MDGs to promote healthy and well-being of the people. From MDGs consisted of 8 goals developing to 17 goals of SDGs, which the 3rd goal related to good health and well-being for all people. Nurses have their roles in four dimensions of health related to targets of 3rd goal. In addition, nurses can support to do activities to achieve other goals of SDGs. In health care system, nurses who work at primary care level can participate in promoting, supporting many activities to meet goals because they are close to the people in community, realize and understand need of the people and reinforce for strengthening community. However, nurses leader and administrators should analyze how nurses can perform and participate in health care team to achieve Sustainable Development Goals in 2030.</p> พรรณี ปานเทวัญ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210360 Wed, 21 Aug 2019 00:00:00 +0700 Recovery-Oriented Nursing for People with Mental Illness https://www.tci-thaijo.org/index.php/JRTAN/article/view/210364 <p>The recovery concepts in mental health services have been continuous by Changed and development over the past 20 years. Today’s concept of recovery is “recovery orientation” which attempts to move away from traditional concept which based on the bio-medical model. However, the concept of recovery oriented services for people with mental illness is still infancy in Thailand. In this article, is focused on the development of recovery concepts and the impacts of varying concepts on the contemporary recovery oriented care for people with mental illness. Also, the recommendations to improve recovery-oriented practices were identified in this article. The professionals can enhance those strategies to promote the clients’ hope, self-management and sense of belonging in community that can assist people with mental illness to achieve meaningful goals on their own recovery journey.</p> รวีวรรณ อินจุ้ย, จิราภา ศรีรัตน์, อัจฉรา อุไรเลิศ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210364 Wed, 21 Aug 2019 00:00:00 +0700 Risk Factors and Prevention of Stroke in Hypertensive Patients https://www.tci-thaijo.org/index.php/JRTAN/article/view/210370 <p>Risk factors of stroke in hypertensive patients divided into 2 parts were 1) personal factors were male, increasing ages, diabetes mellitus, obesity, hyperdyslipidemia, atrial fibrillation, family history with stroke, duration of hypertension illness, and high blood pressure. 2) health behavior factors were no adherence to anti-hypertensive medication, no exercise, inappropriate consuming, alcohol consumption and smoking. If no behavior change or inappropriate treatment will leading to main organ complications especially brain causes ischemic or hemorrhagic stroke. Patient with stroke will confront with remain disability which is effect to patient minds and burden caregiving to the family and also high cost patient care. So, the stroke prevention in hypertensive patients by advice the adherence to anti-hypertensive medication, appropriate consuming, regular exercise, no alcohol consumption and tobacco cessation are important to prevent stroke in the future.</p> ณฐกร นิลเนตร ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210370 Wed, 21 Aug 2019 00:00:00 +0700 Self-Efficacy Theory and Self-Healthcare Behavior of the Elderly https://www.tci-thaijo.org/index.php/JRTAN/article/view/185482 <p>At present, Thailand has an elderly population (aged 60 and above) of up to 11 million people, accounting for 17 percent of the total population. The key is that the late-aged population (aged 80 and over) will increase dramatically from 1.5 million people in 2017 to 3.5 Millions of people in the next 20 years. Although the problem of self-care and self help is not an issue now, up to 5%, of this late elderly population requires assistance in daily activities as they are Unable to engage in basic routines (e.g. eating themselves, in the bathroom, dressing themselves). especially the late seniors who cannot help themselves, There are as many as 19 percent of the elderly in the same age. Many research results indicate that the important factors that influence the expression of health behaviors of the elderly include self-efficacy; I.e. if the elderly have a high level of self-efficacy, they will have good and proper health behaviors. Therefore, the theory of self-efficacy is important in applying to ensure the elderly in performing healthy behaviors. Review of theoretical concepts on building one's own abilities and study empirical evidence will allow health personnel to design appropriate activities to help older people be confident in expressing appropriate health behaviors.</p> PHASIT SIRITED, Noppawit Thammaseeha ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/185482 Wed, 21 Aug 2019 13:16:47 +0700 Psychosocial Rehabilitation Program Development for Schizophrenia Patients with an Amphetamine Use Disorder https://www.tci-thaijo.org/index.php/JRTAN/article/view/210376 <p>The purpose of this research was to study the development of a psychosocial rehabilitation program for patients withSchizophrenia and an amphetamine use disorder, and then to study the results using quasi-experimental designs. Five steps were utilized to develop the program: 1)analysis of the problems; 2) planning; 3) prototype; 4) test and improve the program; and 5) a training program. The program had design as a series of eightactivities that were compared using a pretest–posttest experiment. The dependent variables were social functioning, quality of life, re-admit and a return to using drugs; which was tested using twenty person samples. The measuring instruments were social functioning assessment, quality of life assessment, along with follow-up after treatment. The results showed that the two groups’ quality of life and social functioning score increased immediately after treatment, and also after one and three months of treatment. However, the social functioning score of the experimental group was higher than the control group’s score. In addition, after threemonths the experimental group’s numbers for not returning to drug use was higher than those for the control group. Moreover, the control group’s return for inpatient treatment was significantly higher; at a statistical level of .05</p> ศุกภนิตย์ พลไพรินทร์, ศิริลักษณ์ สว่างวงศ์สิน, ศศินันท์ รักษาทรัพย์ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210376 Wed, 21 Aug 2019 00:00:00 +0700 Team Effectiveness of Nursing Instructors under The Ministry of Public Health https://www.tci-thaijo.org/index.php/JRTAN/article/view/210379 <p>The research was quantitative research to study the team effectiveness of nursing instructors under the Ministry of Public Health. A sample of 325 was randomly selected from nursing instructors under the Ministry of Public Health. The research instrument was a questionnaire which used to collect data were (i) a personal information questionnaire; (ii) an opinion of emotional intelligence and individual characteristics; (iii) an opinion of servant leadership; and (iv) an opinion of team effectiveness. The data were analyzed using descriptive statistics. Findings revealed that team effectiveness of nursing instructors under the Ministry of Public Health was a high level (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}"> = 4.14). The team relationships and team problem-solving were highest level (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}"> = 4.20), and team members, team leader, and organizational environment (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}">&nbsp;= 4.19, 4.14, 3.88 respectively).</p> ชูศรี มโนการ, ศศิญา บัวผุด, รัศมิ์ลภัส ใจยะสิทธิ์ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210379 Wed, 21 Aug 2019 00:00:00 +0700 The Effects of Cinnamomum porrectum Essential Oil Inhalation on Human Autonomic Nervous System and Emotional States https://www.tci-thaijo.org/index.php/JRTAN/article/view/189404 <p><em>Cinnamomum porrectum</em> (Roxb.) Kosterm commonly known as Thep-Ta-Ro and Safrole laurel is found in Asian countries and used in traditional Thai medicine. The aim of this research is to investigate the effects of <em>C. porrectum</em> essential oil inhalation on autonomic nervous system (ANS) and emotional states. This research is an experimental study using A-B design. Twenty-five healthy participants aged between 20 and 35 years old were recruited. The participants filled out a questionnaire on emotional states before and after they inhaled 8% of <em>C. porrectum</em> essential oil <em>via</em> face mask (2 ml/min). ANS parameters were recorded using BIOM7000 Patient Monitor. Data were analyzed using paired simple t-test. Mean changes of the ANS parameters and emotional states of participants were compared before and after the inhalation of <em>C. porrectum</em> oil. The mean systolic and diastolic blood pressure increased significantly from 104.55 (±7.54) to 106.01 (±7.46) mmHg (p-value &lt;0.001) and from 63.55 (±5.10) to 65.24 (±5.11) mmHg (p-value &lt;0.001) respectively. Similarly, the mean heart rate increased significantly from 78.25 (±9.1) to 79.83 (±9.1) mmHg (p-value &lt;0.001) and the mean respiratory rate increased significantly from 17.02 (±1.98) to 18.06 (±2.16) bpm (p-value &lt;0.008). Regarding the emotional states, the mean scores of active feelings increased significantly from 3.48 (±2.48) to 5.97 (±1.87) (p-value &lt;0.001) and the mean scores of fresh feelings increased significantly from 4.15 (±2.53) to 6.63 (±2.06) (p-value &lt;0.001).&nbsp; It can be concluded that <em>C. porrectum</em> essential oil seems to have stimulating effects on ANS parameters and emotional states.</p> นิดา นุ้ยเด็น, วินัย สยอวรรณ, วรสิทธิ์ ศิริพรพาณิชย์, Tewelde Gebregiorgis Foto, ชนิดา พลานุเวช, นิจศิริ เรืองรังษี ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/189404 Wed, 21 Aug 2019 00:00:00 +0700 Nursing Faculty Competencies to Produce Nursing Graduates in response to Population Health Needs in Thailand https://www.tci-thaijo.org/index.php/JRTAN/article/view/177951 <p>Nursing faculty is recognized as a key person in producing nurses to address population health needs. The current population needs demand competent nurses to response effectively. Nursing faculty plays an important role in teaching pre-licensing nursing students to be qualified nurses. However, a little is known about competencies of nursing faculty members in Thailand. This study aimed to identify and propose a "model faculty member" in nursing in response to health needs of the population. Descriptive qualitative methods were applied. Review literature on faculty competencies in education and nursing profession lead researchers to develop semi-structure interview guide for focus group of stakeholders.&nbsp; Qualitative data from 3 groups of stakeholders, including 8 nursing students, 6 health sector employers, and 9 faculty members and administrators, were analyzed using content analysis combined with data from literature to formulate the model of faculty competencies. The propose model was validated by a group of 9 experts in nursing education. The result revealed that the model faculty composed of five key competencies, namely 1) nursing competencies, 2) pedagogy competencies, 3) personal development competencies, 4) ethical and moral competencies, and 5) research and academic services competencies. The finding is benefit to prepare the faculty necessary to educate future generations of nurses.</p> Dr.Sukjai Charoensuk, Thongsouy Sitanon, Kamolrat Turner, Suparpit von Bormann, Krisada Sawaengdee ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/177951 Wed, 21 Aug 2019 14:00:28 +0700 Effectiveness of “Breastfeeding Support Package” to The Ability to Breastfeed among Postpartum Women https://www.tci-thaijo.org/index.php/JRTAN/article/view/210383 <p>Effectiveness of “Breastfeeding Support Package” to the ability to breastfeed among postpartum women This Quasi-experimental research (two groups) was aimed to evaluate the effectiveness of “Breastfeeding Support Package” (BFSP) to the ability to breastfeed among postpartum women. Participants were mothers admitted to the postpartum wards. There were 80 mothers, 40 each in both the control and study group. Participants in the control group were assigned to receive routine standard care to promote breastfeeding whereas the study group received “BFSP”. The questionnaires and interview were used for collecting the data. Descriptive statistics were used for analyzing the data.&nbsp;The results revealed that mothers in the study group had a higher rate to achieve exclusively breastfeed their child up to six months than mothers in the control group (57.50 % VS. 30.00%). Moreover, the mean score of knowledge related to breastfeeding in the study group was statistically significantly higher than those in the control group ( = 19.02, 17.42 respectively; p&lt;.05). The mean score of perception of self-efficacy to breastfeed among the two groups was not significantly different (p&lt;.05).</p> พรพิมล อาภาสสกุล, อุษา วงศ์พินิจ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210383 Wed, 21 Aug 2019 00:00:00 +0700 Predictive factors of postpartum weight retention https://www.tci-thaijo.org/index.php/JRTAN/article/view/182784 <p>This predictive research aimed at studying the predictive factors of gestational weight gain, postpartum dietary intake, breastfeeding, postpartum depression, and postpartum confinement (yuu fai) on postpartum weight retention at 4-6 weeks. The subjects were 87 mothers who came for a postpartum checkup unit at Warinchamrab Hospital and Sunpasitthi- prasong Hospital. Data were collected by the demographic questionnaire, 24-hr dietary recall, and the Edinburgh Postnatal Depression Scale. Data were analyzed using multiple linear regression analysis. According to the findings, the postpartum mother weight retention at 4-6 weeks had a mean of 5.77 kilograms (S.D. = 3.55). Gestational weight gain and postpartum confinement (yuu fai) were able to co-predict postpartum weight retention at 62.8 percent with statistical significance (F = 30.063, p &lt; .001, adjusted R2 = .628). Gestational weight gain was able to predict postpartum weight retention the most (β = .465, t = 5.840, p &lt; .001), followed by postpartum confinement (β = .444, t = 5.571, p &lt; .001).</p> ณัฐรินทร์ สกุลนิธิวัฒน์ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/182784 Wed, 21 Aug 2019 14:23:05 +0700 The Development Of Nurse Anesthetists’ Competency Assessment Scale, Phramongkutklao Hospital https://www.tci-thaijo.org/index.php/JRTAN/article/view/210386 <p>The purpose of this research was to develop and set standards for nurse anesthetists’ competency scale in Phramongkutklao hospital. The research was conducted in two main phases. The first phase was consisted of 2 steps. The first step was to explore and to select the essential nurse anesthetists’ competency by using focus group.The second step was to construct the competency scale by using the Behaviorally Rubrics score, testing the content validity index by 7 experts, then testing the quality of the instrument by inter-rater reliability and Hoyt, s analysis of variance, which was tested by 7 nursing anesthetists directors, 45 nurse anesthetists. The second phase was to cut-off point by 7 nurse anesthetists’ experts. The results are as follows: The nurse anesthetists’ competency scale in Phramongkutklao hospital consisted of 6 domains 43 items. The 6 domains are patient care before anesthesia(7items), patient care between anesthesia(13items), patient care after anesthesia(8items),use and maintain medical equipment(5items), coordinate communication(5items), develop quality(5items). The quality-testing results of instrument are as follow; CVI is 1, inter-rater reliability is .96 and Hoyt, s analysis of variance is .99. The cutting point of nurse anesthetists’ competency scale in Phramongkutklao hospital is T38.87</p> ปาณิสรา สะอาดไหว้, สุวิณี วิวัฒน์วานิช ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210386 Wed, 21 Aug 2019 00:00:00 +0700 Quality of Work Life, Work Life Balance and Psychological Well-Being of Registered Nurses in Medium-Sized Private Hospitals in the Bangkok Metropolitan https://www.tci-thaijo.org/index.php/JRTAN/article/view/210391 <p>The objectives of this research were to study: 1) the relationship between registered nurses’ quality of work life and work life balance with psychological well-being; and 2) the factors could be jointly predict registered nurses’ psychological well-being in medium-sized private hospitals in the Bangkok Metropolitan. The samples were consisted of 296 registered nurses in medium-sized private hospitals in the Bangkok Metropolitan. Data were collected by questionnaires which consisted of 4 parts: personal factors, quality of work life, work life balance, and psychological well-being. Statistical parameter used in this research were Pearson’s product moment correlation coefficient, and stepwise multiple regression analysis. Results showed that: 1) registered nurses’ quality of work life and work life balance (work/personal life enhancement) were positively related to registered nurses’ psychological well-being and registered nurses’ work life balance (work interference with personal life and personal life interference with work) was negatively related to registered nurses’ psychological well-being and 2) registered nurses’ quality of work life (social integration and growth and security), work life balance (personal life interference with work and work/ personal life enhancement) could jointly predicted 36.20 percentage of registered nurses’ psychological well-being in medium-sized private hospitals in the Bangkok Metropolitan at statistically significance at .01 level.</p> สุพักตรา แจ้งจิตร์, ทิพทินนา สมุทรานนท์ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210391 Wed, 21 Aug 2019 00:00:00 +0700 Factors Influencing Parental Competence in First-Time Postpartum Mothers https://www.tci-thaijo.org/index.php/JRTAN/article/view/174761 <p>The purpose of this study was to determine the influences of age, antepartum depression, postpartum depression, desire for a child, and family functioning on parental competence in first-time postpartum mothers. Subjects were 100 mothers who have had a first-time postpartum mothers in family planning clinic at King Chulalongkorn Memorial Hospital. The research instruments used to collect data included personal data interview, Edinburgh Postnatal Depression Scale, Thai Family Functioning Scale, and The Parenting Sense of Competence Scale. Descriptive statistics, Pearson product-moment correlation, and Multiple linear regression were used to analyze the data. The results revealed that age, antepartum depression, postpartum depression, desire for a child, and family functioning could predict parental competence in first-time postpartum mothers by 35% (R2 = .350, p &lt; .001). However, only family functioning could statistical significantly predict parental competence in first-time postpartum mothers (β = .469, p &lt; .001). However, age, antepartum depression, postpartum depression, and desire for a child was predicted to parental competence with no statistical significance (p = .887, .198, .654 and .133 respectively).</p> สุนีย์ กลีบปาน, วรรณา พาหุวัฒนกร, ฉวีวรรณ อยู่สำราญ, วิมลนันท์ พุฒิวณิชพงศ์ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/174761 Wed, 21 Aug 2019 14:32:25 +0700 Social Activities Participation Model of Older Person in Ban Mor Sub-district, Muang District, Phetchaburi Province https://www.tci-thaijo.org/index.php/JRTAN/article/view/170469 <p>This study is mixed method by using quantitative method in older person demographic information, social activities participation level, and factors related to social activities participation. While, qualitative method was used to explain quantitative data for success factors which were promote older person participating in social activities participation continuously. Quantitative data were analyzed by stepwise multiple regression analysis with significant difference at level .05 and qualitative data were using interpretation method.</p> <p>The result showed that social activities participation were in low level. The most social activities older person were involve was religious activity. Education level effected to social activities participation 4.1 % (R<sup>2</sup> = 0.041, p &lt; 0.001). Education and gender were predictor for social activities participation in older person 5.8 % (R<sup>2</sup> = 0.058, p = 0.001). The result of qualitative analysis found that factors were promoted social activities participation in older person were religious activity patterns, convenient transportation, having a pick up during activities, having incentive rewards, having invitation letter. The obstructive factors in social activities participation including personal factors which were older ages, having job, having child to take care.</p> jitrada singpunya, Werayuth Srithumsuk, Nathakorn Nilnate, Boonta Klinmalee, Bowornjit Maytharit, Aroonrat wangthanom ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/170469 Wed, 21 Aug 2019 00:00:00 +0700 Adaptive Factors Influencing Mental Health of Postpartum Mothers https://www.tci-thaijo.org/index.php/JRTAN/article/view/183803 <p><strong>Abstract </strong></p> <p>This descriptive study aimed to investigate the influences of age, postpartum fatigue, self-esteem, functional status after childbirth, and social support on mental health of postpartum mothers. The sample consisted of 129 postpartum mothers, attending postpartum follow-up for 4-6 weeks at Phramongkutklao Hospital. The research instruments included a personal data interview, Thai Mental Health Indicator, the Rosenberg’s Self-Esteem Scale, the Inventory of Functional Status After Childbirth, the Modified Fatigue Symptom Checklist, and the Multidimensional Scale of Perceived Social Support. Data were analyzed using descriptive statistics, Pearson correlation, and Multiple Linear Regression. The results revealed that 27.9% postpartum mothers had better mental health than general people, while mental health of 59.7% of them was equal to general people. Furthermore, age, postpartum fatigue, self-esteem, functional status after childbirth, and social support together could statistically&nbsp; significantly predict mental health of postpartum mothers by 49.5% (R2 = .495, F = 24.093, p &lt; .001). However, only postpartum fatigue (β = -.205, p &lt; .01), self-esteem (β = .466, p &lt; .001), and social support (β = .257, p &lt; .001) are the key factors that could statistically significantly predict mental health of postpartum mothers. The results suggest that nurse midwives should organize program to promote adaptive responses, self-esteem, and reduce postpartum fatigue by encouraging husbands and relatives for good mental health of postpartum mothers. <br>&nbsp;</p> สุพรรณิกา ปานศรี ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/183803 Wed, 21 Aug 2019 14:45:00 +0700 The Effects of Brief Intervention on Medication Adherence Behaviors of Schizophrenic Patients https://www.tci-thaijo.org/index.php/JRTAN/article/view/210396 <p>This study was a quasi-experimental research. The objective of research were to compared the medication adherence behaviors of schizophrenic patients, before and after received the brief intervention ; and between the groups that were received the brief intervention with the groups received routine nursing care. The samples were selected by the purposive sampling technique to include the schizophrenic patients. They were divided into two groups: 30 patients who were provided with a nursing care as the control group , and the other 30 patients who received brief intervention as the experimental group by simple random sampling and matching the sample group in terms of gender, age and education level. The intervention instruments was the brief intervention. Data were collected using the questionnaires of medication adherence behaviors. Data were analyzed by frequency, percentage and t-test. The results of this study showed that: The experimental group’s mean score of the medication adherence behaviors were significantly higher than before involving the brief intervention ; and significantly higher than control group at the level .05 (p&lt;.01).</p> ชวนนท์ จันทร์สุข, นฤมล จันทร์สุข, อัฌชา หร่ายลอย ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210396 Wed, 21 Aug 2019 00:00:00 +0700 The Effect of Using A Computer Assisted Instruction (CAI) About Nursing Care of Critical Patients with Intercostal Drainage Toward Knowledge of Professional Nurses in Police General Hospital https://www.tci-thaijo.org/index.php/JRTAN/article/view/210399 <p>The purposes of this study were to 1) compare knowledge of professional nurses about critical patients with intercostals drainage (ICD) in an experiment group of profession nurses before and after using a computer assisted instruction (CAI),2)compare knowledge of professional nurses about critical patients with ICD in experiment group and a control group, and 3) study satisfaction of professional nurses influence using CAI. The samples were purposive selection twenty critical professional nurses in Police General Hospital. They were divided into two groups by simple random sampling. The experimental group 10participants received CAI and control group 10participants received normal teaching. The instruments were 1) CAI about nursing care of critical patients with ICD,2) test of knowledge about nursing care of critical patients with ICD, and 3) questionnaires of satisfaction for professional nurses using CAI. The statistics were percentage, mean, median, quartile deviation, standard deviation, Wilcoxon Signed Rank test, and Mann-Whitney U test. The research results were:1) the experiment group after using CAI had higher median of knowledge about critical patients with ICD than before using CAI and statistically significance at .01 level,2) The experiment group of professional nurses had higher median of knowledge of professional nurses about critical patients with ICD than the control group and statistical significance at .01 level, and 3) The professional nurses had overall satisfaction the CAI about critical patients with ICD in high level. Therefore, new critical professional nurses should be encouraged to be taught and review knowledge with CAI along with practice in order to increased knowledge of nursing care.</p> สิริพร ทองดี ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210399 Wed, 21 Aug 2019 00:00:00 +0700 The Effectiveness of Resilience Enhancement Program by using Problem - based Learning in Undergraduate Nursing Students https://www.tci-thaijo.org/index.php/JRTAN/article/view/210401 <p>The quasi-experimental research aimed to examine the effectiveness of resilience enhancement program by using problem - based learning in undergraduate nursing students. The samples of this study were divided into 2 groups. The experimental group consisted of 30 nursing students. The control group consisted of 30 nursing students. Both groups were selected by simple random sampling. The research instrument were 1) The Resilience Enhancement Program 2) Resilience questionnaire. Cronbach’s alpha coefficient of the resilience questionnaire was 0.96. Data were analyzed by descriptive statistics, pair t-test and Independent t-test. The findings indicated that 1) the resilience mean score of the experimental group after receiving the resilience enhancement program was significantly different higher than before at .01 level. 2) After implementing the program, the experimental group was significantly different than control group at .01 level.</p> วันเพ็ญ แสงสงวน ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210401 Wed, 21 Aug 2019 00:00:00 +0700 The Effect of Individual Counseling to Enhance Positive Thinking of Postpartum Mothers with Unwanted Pregnancy In Songkhla Hospital https://www.tci-thaijo.org/index.php/JRTAN/article/view/210404 <p>This study aimed to (1) compare the levels of positive thinking of postpartum mothers with unwanted pregnancy in the experimental group before and after receiving individual counseling; and (2) compare the positive thinking level of postpartum mothers with unwanted pregnancy in the experimental group who received individual counseling with the counterpart level of postpartum mothers with unwanted pregnancy in the control group who received normal care. The research sample consisted of 14 postpartum mothers with unwanted pregnancy in Songkhla Hospital, obtained by purposive sampling technique. Then, they were randomly divided into 2 groups, the experimental group and the control group, each of which containing 7 patients.The experimental groupreceived individual counseling for 10 sessions, each of which lasted for 50 minutes. The research instruments were (1) a scale to assess positive thinking, with reliability coefficient of .94; and (2) an individual counseling program for enhancing positive thinking of postpartum mothers with unwanted pregnancy. The employed statistics for data analysis were the median, inter-quartile range, Wilcoxon Matched Pairs Singed-Ranks Test, and Mann- Whitney U Test. The results showed that (1) the post-experiment positive thinking level of postpartum mothers with unwanted pregnancy in the experimental group who received individual counseling was significantly higher than their pre-experiment counterpart level at the .01 level of statistical significance; and (2) the post-experiment positive thinking level of postpartum mothers with unwanted pregnancy in the experimental group who received individual counseling was significantly higher than the counterpart level of postpartum mothers with unwanted pregnancy in the control group who received normal care at the .01 level of statistical significance. This individual counseling program for enhancing positive thinking of postpartum mothers with unwanted pregnancy mayuse to individual counselingfor enhancing positive thinking of postpartum mothers with unwanted pregnancy between 14-30 years . The use of this shall be help postpartum mothers with unwanted pregnancy to continue to live a normal happy life.</p> คฑาวุธ แสงอรุณ, สุขอรุณ วงษ์ทิม, นิธิพัฒน์ เมฆขจร ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0/ https://www.tci-thaijo.org/index.php/JRTAN/article/view/210404 Wed, 21 Aug 2019 00:00:00 +0700 The Effects of an Intrinsic Motivation Program on The Stress Management Skills of Nursing Students https://www.tci-thaijo.org/index.php/JRTAN/article/view/210371 <p>The purpose of this quasi-experimental research using a two-group pretest-posttest design aimed at examining the effects of an intrinsic motivation program on the stress management skills of first- and second-year nursing students during 2017. The sample consisted of 70 nursing students, recruited using the inclusion criteria. They were randomly assigned to the control and experimental groups, with 35 subjects in each group. The experimental group participated in the intrinsic motivation program developed by the researcher based on the self-determination theory and experiential activities planner (EAP) learning process. Their activities comprised 8 sessions, once a week for 8 weeks. The control group received routine study activities. The research instruments were the following: 1) a personal data questionnaire; 2) the intrinsic motivation program, which was validated for content by 3 experts; 3) and a stress management skills scale for nursing students. The reliability of these questionnaires was determined with a Cronbach’s alpha coefficient of .88. The data were analyzed using descriptive statistics, dependent t-test, and independent t-test. The results of the study were as follows.</p> <p>1) After participating in the intrinsic motivation program, the mean scores for the students’ stress management skills (M = 64.11, SD = 10.86) were greater than their mean scores on their pretest (M = 51.34, SD = 12.36) at a statistical significance (t = 7.16, p&lt;.001).</p> <p>2) The mean difference between pretest and posttest stress management skills mean scores of the experimental group (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}"> = 12.77, SD = 12.60) were significantly greater than those of the control group ( <img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}">= .23, SD = 1.22) (t = 7.23, p &lt; .001).</p> <p>Recommendation</p> <p>The results of the study can be used as a guideline for the intrinsic motivation of nursing students and students in other fields of first year of education for preparation and development of stress-management skills in the further.</p> ณัฐธัญญา ประสิทธิ์ศาสตร์, ชมชื่น สมประเสริฐ, อังคณา จิรโรจน์ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210371 Thu, 25 Apr 2019 00:00:00 +0700 A DEVELOPMENT OF NURSING CARE IN PATIENTS WITH PERIPHERAL INTRAVENOUS INFUSION AT MEDICAL INTENSIVE CARE UNIT, FACULTY OF MEDICINE RAMATHIBODI HOSPITAL https://www.tci-thaijo.org/index.php/JRTAN/article/view/181571 <p>Caring for patients in intensive care units (ICU) and preventing complications of peripheral intravenous infusion is crucial. This experimental development research of two groups with pre-test and post-test designs was aimed at developing a working model for nursing patients with peripheral intravenous infusion at the Medical Intensive Care Unit, Faculty of Medicine, Ramathibodi hospital. The research was conducted from June 16 to September 15, 2017. The control area was in the Cardiac Care Unit, Ramathibodi hospital. The sample of work was care implementation for patients with peripheral intravenous infusion during pre- and post-experimental phases in total of 167 times. The sample of participants included 69 service receivers, 47 service providers/nurses, and 2 managers. The nursing care was measured in 5 aspects: quantity, quality, duration, satisfaction of individuals involved, and economics. Data was analyzed using descriptive statistics, T-values, Paired T tests, Wilcoxon Signed-Rank test, Mann-Whitney U test with the alpha level at .05, and content analysis.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The research findings revealed that the developed model applied 11 involved academics principles harmoniously with the context of the experimental area by using existing resources. The clearly written structures of workers, finance, equipment, and service systems helped the workers to understand and perform work by themselves. They were able to apply this model further in real contexts at Ramathibodi hospital, which emphasized simple but highly efficient work operations. The workflow chart to care for patients with peripheral intravenous infusion was clearly written by focusing on patient centeredness and nursing principles. After the experiment, the workers’ workload did not increase, but the accuracy rate to follow the standard increased (p=.003); work duration did not increase, the workers’ satisfaction did not decrease, and cost per service unit decreased (p&lt;.001). For recommendations, the research should be continuously conducted throughout the entire hospital and developed to be a good working model of the country with higher efficiency. Policies on health service provisions should be more intense by focusing more on integrative work and multidisciplinary participation for patients to receive quality nursing care.</p> วรันต์ภรณ์ พนสิทธิวนา, วิรัช ตั้งสุจริตวิจิตร, สมชาติ โตรักษา ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/181571 Wed, 21 Aug 2019 15:52:13 +0700 Characteristics of Head Nurse as Perceived by Health Care Team at Police General Hospital https://www.tci-thaijo.org/index.php/JRTAN/article/view/210434 <p>The purpose of this descriptive research was study characteristics of Head nurse as perceived by health care team at Police General Hospital. There were 3 characteristics, leadership professional’s nurse and management. The study sample were health care team at Police General Hospital including 247 nurses, 59 manager’s nurses and 148 doctor. The instruments was a rate scale on frequency of characteristics of head nurse. Data were collected by questionnaire. The validity of the questionnaire was conducted by 3 experts and the Cronbach’s alpha coefficient was.98. Data were analyzed by using mean, standard deviation, one way ANOVA.</p> <p>The results of this study were as follow:</p> <p>1. The characteristics of head nurse as perceived by health care team at Police General Hospital were revealed high. When considered in each aspect, it was found that leadership was revealed highest.</p> <p>2. The comparison on the mean level of the overall characteristics of Head nurse as perceived by health care team at Police General Hospital was found significant at the P &lt; .05 level.</p> ภาวินีย์   คงชินศาสตร์ธิติ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210434 Wed, 21 Aug 2019 00:00:00 +0700 The Effect of Individual Counseling to Enhance Self-Esteem of Depression Patients at Songkhla Rajanagarindraphychiatic Hospital in Songkhla Province https://www.tci-thaijo.org/index.php/JRTAN/article/view/210437 <p>This This study aimed to (1) compare the levels of self-esteem of depression patients in the experimental group before and after receiving individual counseling; and (2) compare the level of self-esteem of depression patients in the experimental group who received individual counseling with that of depression patients in the control group who received normal care.The research sample consisted of 14 depression patients who came to receive treatment at Songkhla Rajanagarindra Psychiatric Hospital, obtained by purposive sampling technique. Then, they were randomly divided into 2 groups, the experimental group and the control group, with 7 patients in each group. The experimental group received individual counseling for 8 sessions, each of which lasted for 50 minutes. The research instruments were (1) a scale to assess self-esteem, with reliability coefficient of .91; and (2) an individual counseling program for developing self-esteem. The employed statistics for data analysis were the median, inter-quartile range, Wilcoxon Matched Pairs Singed-Ranks Test and Mann-Whitney U Test.</p> <p>The results showed that (1) the post-experiment self-esteem level of depression patients in the experimental group who received individual counselling was significantly higher than their pre-experiment counterpart level at the .01 level of statistical significance; and (2) the post-experiment self-esteem level of depression patients in the experimental group who received individual counselling was significantly higher than the counterpart level of depression patients in the control group who received normal care at the .01 level of statistical significance.</p> อารี เงารังษี, สุขอรุณ วงษ์ทิม, นิธิพัฒน์ เมฆขจร ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210437 Wed, 21 Aug 2019 00:00:00 +0700 Development of a Family Participation Model for Promoting Child Development: A Case Study of Ban Sanpamuang Child Care Center, Mueang District, Phayao Province. https://www.tci-thaijo.org/index.php/JRTAN/article/view/172861 <p>This participatory action research aimed to develop a model of family participation for promoting child development and to study the effectiveness of a model of family participation for promoting child development. The samples in this study included: Group 1 for developed the model included 8 main leaders selected by purposive sampling method. Group 2 was the target group that included 31 dyads of children and their parent who was representing their family. The research methodology included 3 phases: preparation phase, implementation phase, and evaluation phase. The research instruments were parental behaviors on promoting child development questionnaires, and the Denver Developmental Screening Test II (Denver II). The data were analyzed by using descriptive statistics, t-test, and McNemar test. The study findings revealed 1) the family participation model for promoting child development consisted of 5 components: assessing the problem, data presentation and analysis, activities, parents’ participation, and evaluation; 2) the mean score of parental behaviors on promoting child development after using the model significantly increased at .05; and 3) child development after using the model significantly changed at .05.</p> จุฑามาศ ผลมาก, ปรัชญาพร ธิสาระ, ดาว เวียงคำ, อมรรัตน์ ดวงปัญญา ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/172861 Wed, 21 Aug 2019 20:35:19 +0700 Effect of chronic care model for slow progression of kidney in Tumbon Nongkhon Amphoe Meuang Ubonratchathani Province https://www.tci-thaijo.org/index.php/JRTAN/article/view/210439 <p>This study used quasi-experimental research design, the one group pretest-posttest to examine the effect of chronic care model for slow progression of kidney in Tumbon Nongkhon Amphoe Meuang Ubonratchathani Province. The sample were 110 chronic disease patients, consist of DM, HT and CKD stage 1-3. Who came to receive treatment at Nongkhon subdistrict primary health care unit, Ubonratchathani province. The instruments consisted of 2 part, 1) Data collection included of the personal data record form, and knowledge evaluation questionnaire 2) self-care handbook and health record form. The statistics applied for analyzing data are frequency, percentage, mean, standard deviation, pair t-test and Wilcoxon matched-pairs signed ranks test.</p> <p>The result of this study found that, The subjects significantly slow progression of kidney, had increasing of GFR and knowledgeable at the level of .01., the decrease of level of BUN and Creatinine after using the chronic care model at the level of .001.</p> <p>It is recommended that the chronic care model should be future used as guidance for prevent and slow progression of kidney disease, Furthermore, applying the model for other chronic diseases for decrease co morbidity and severity of disease is also suggested.</p> เพ็ญศรี จิตต์จันทร์, ธีรนุช ยินดีสุข, อินทนิล เชื้อบุญชัย ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210439 Wed, 21 Aug 2019 00:00:00 +0700 Factors Predicting Anxiety and Depression Among Newly Diagnosed Breast Cancer Patients https://www.tci-thaijo.org/index.php/JRTAN/article/view/171765 <p>This descriptive research design aimed to study the factors predicting anxiety and depression among newly diagnosed breast cancer patients. The sample group consisted of 107 patients aged 18 years and older, who were undergoing chemotherapy at outpatient department and breast cancer surgery at Siriraj Hospital. The data were collected using the demographic data form, Connor-Davidson Resilience Scale, Self-Blame Attributions, The State-Trait Anxiety Inventory (STAI) Form Y-I and Form Y-II, Hospital Anxiety and Depression Scale. Descriptive statistics, Pearson’s Product Moment Correlation, and Stepwise Multiple Regression Analysis were used in data analysis.</p> <p>The results of the study showed that the mean anxiety score was 2.82 (S.D. = 0.55) and the mean depression score was 0.98 (S.D. = 0.53). Resilience and trait anxiety could predict anxiety accounting for 72% of the variance (R<sup>2 </sup>= .720, p &lt; .001). Self blame and trait anxiety could predict depression accounting for 59% of the variance (R<sup>2 </sup>= .590, p &lt; .003).</p> <p>The findings yielded by the present study should be developed into screening assessment and care guidelines for breast cancer patients in terms of mental state during the newly diagnosed stage.</p> ภิญญดา วัฒนานุกิจ, ผ่องศรี ศรีมรกต, คนึงนิจ พงศ์ถาวรกมล, สืบวงศ์ จุฑาภิสิทธิ์ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/171765 Wed, 21 Aug 2019 20:58:11 +0700 Effects of a Smartphone Application on Knowledge Discharge Outcome among Patients with Mild Traumatic Brain Injury https://www.tci-thaijo.org/index.php/JRTAN/article/view/210442 <p>The purpose of this quasi-experimental research was to study the Effects of a smartphone application on knowledge discharge outcome among patients with mild traumatic brain injury. The sample group were 66 mild traumatic brain injury patients arrived at the Emergency Department. They were aged at least 18 years. The Glasgow Coma Scale equals to 15 points. The participants were purposive sampling into the controlled and experimental group, 33 for each group. The experimental group was received the suggestion for observed neurological system symptoms via the smartphone application. The controlled group was received the suggestion I accordance with the nursing standards. The data were collected by using the interview on the mild traumatic brain injury patients. All of the instruments were validated for content validity 0.98 by 5 professionals. When analyzed and compared the difference of knowledge scores within the group and between the controlled and experimental group, the Paired t-test and Independent t-test are used. The research results reveal that the experimental group has higher knowledge scores after the trial than before the trial with statistical significance 0.05 (t = 15.38, p &lt; 0.001). The knowledge scores of the experimental group are higher than the controlled group with statistical significance at level of 0.05 (t = 3.88, p &lt; 0.001).</p> ราชวัช ทวีคูณ, ชัจคเณค์ แพรขาว ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210442 Wed, 21 Aug 2019 00:00:00 +0700 Nursing Diagnosis and Care Planning Competencies of Professional Nurses A Private Hospital https://www.tci-thaijo.org/index.php/JRTAN/article/view/210443 <p>The purposes of this descriptive study were to examine the professional nurses’ diagnosis and care planning competencies in a private hospital. The sample comprised 32 professional nurses who worked for inpatient units and were selected by purposive sampling. The research tool was a competence appraisal checklist with 3 point rating scale and one open-ended note. The content validity of the tool was between 0.6-1.00, and its reliability was 0.88.The collected data were analysed by using descriptive statistics (frequency,percent, mean, and standard deviation), and content analysis. The findings were as follows. 1) Diagnosis competence of professional nurses was at moderate level. 2) Their care planning competence was also at the moderate level. Moreover, some issues of their both competences were disclosed. 1) Some diagnoses were incorrect and incomplete, no psychosocial diagnoses and diagnoses for discharge planning, without supporting data, and no diagnosis priority. 2) Some of care plans were absent; expected outcomes were unclear and unmeasurable; nursing activities were incomplete and excluded in psychological diagnoses, and uncovered 4 dimensions of nurses’ roles. Finally, 3) handwriting was illegible.</p> อารี ชีวเกษมสุข, การุณา เกวลิน ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210443 Wed, 21 Aug 2019 00:00:00 +0700 The Effect of Coaching Program on Breast Cancer - Preventive Behaviors in Women at Risk https://www.tci-thaijo.org/index.php/JRTAN/article/view/210451 <p>This study was a quasi experimental design. It aimed to (1) compare the breast cancer-preventive behaviors of women at risk before and after receiving the coaching program on breast cancer-preventive behaviors and (2) compare between the breast cancer-preventive behaviors of women at risk who received the coaching program and those who received usual care. The participant of women age 35-59 years who are relatives of the patient or secondary breast cancer and/or women receiving hormonal estrogen more than 5 years who received services at the hospital. Women at risk interested in joining a group of 75 women. The researcher selected participants by using simple random sampling of 40 women at risk equally divied into a contral group and experimental group. The experimental group received the program including attended a 60-minute coaching session on breast cancer-preventive behaviors at Lerdsin Hospital and home visits were provided 4th weeks after receiving the coaching session. Research tools included the coaching program on breast cancer-preventive behaviors. Data collection included a questionnaire on demographic information and Breast Cancer-Preventive Behaviors Questionnaire, the control group received usual care from the nurse professional at the outpatient surgery clinic of Lerdsin Hospital. The duration of the study was totally 8 weeks. To analyze the data, Descriptive statistics (percentages, means and standard deviation), The Wilcoxon Matched Pairs Test and The Mann-Whitney U Test were used.The results showed that breast cancer-preventive behaviors in women at risk after receiving the coaching program than before the coaching program at the significance level .05 and breast cancer-preventive behaviors in women at risk who had received the coaching program than those who had received usual care at the significance level .05. Therefore, nurses should use coaching program on breast cancer-preventive behaviors in the campaign to protect women at risk of breast cancer.</p> สมฤดี อรุณจิตร, รุ้งระวี นาวีเจริญ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210451 Wed, 21 Aug 2019 00:00:00 +0700 The Relationships of Knowledge, Attitude, and Smoking Cessation Promotion Behavior for Smoker Patients among Air Force Student Nurses https://www.tci-thaijo.org/index.php/JRTAN/article/view/210453 <p>This study aimed to examine level and relationships of knowledge, attitude and smoking cessation promotion behavior for smoker patients among Air Force student nurses. Samples were 86 Air Force student nurses. Questionnaires composed of demographic data, knowledge, attitude and smoking cessation promotion behavior questionnaires. Data were analyzed by descriptive statistic and Pearson product moment correlation coefficient.</p> <p>The results showed that majority of the samples’ knowledge level of smoking was good ( <img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}">= 11.17, S.D. = 1.64), their attitude was a good level (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}"> = 65.52, S.D. = 5.13), and smoking cessation promotion behavior for smoker patients was a medium level ( <img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}">= 19.58, S.D. = 3.10). The findings of the relationships revealed that<br>knowledge and attitude were significantly correlated to smoking cessation promotion behavior for smoker patients (r = 0.32, 0.36, p&lt;0.05, respectively).</p> <p>These results can be used to guide learning process about tobacco control for nursing student in the future.</p> จิรภิญญา คำรัตน์ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210453 Wed, 21 Aug 2019 00:00:00 +0700 A Confirmatory Factor Analysis of an Inpatient Department Users Experience Assessment form based on Healthcare Healing Environmental Concept https://www.tci-thaijo.org/index.php/JRTAN/article/view/210454 <p>The objective of this research was to develop and check the concordance confirmatory of the inpatient department users experience assessment form based on healthcare healing environmental concept. The sample size was 200 patients in the inpatient ward of a secondary hospital in Thailand. The data were collected using the developed questionnaire with the Index of Consistency (IOC) = 0.93 and the Content Validity Index (CVI) = 0.915., Confirmatory Factor Analysis (CFA) and consideration by item get the suitable result, there are 35 variables in 5 elements or factors left. When analyzing the confirmatory factors found that the weight values of the factors were positive value between 0.518-0.888 with statistically significant level = 0.05. The results of the concordance test of the users experience model were found that the chi-squared score = 400.216 at the degree of freedom (df) = 448, the probability = 0.902 (CMIN/DF), the goodness-of-fit index (GFI), The adjusted goodness-of-fit index (AGFI) and Confirmatory Fit Index (CFI) = 0.902, 0.863 and 1.000 sequentially, The Standardized Root Mean Square Residual (SRMR) = 0.000 and the root mean square error of approximation (RMSEA) = 0.000 which shows that the model of the inpatients department users experience factors comply with the empirical data in good condition.</p> พุทธชาติ แผนสมบุญ, โกศล จึงเสถียรทรัพย์, ธนวรรณ สาระรัมย์ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210454 Wed, 21 Aug 2019 00:00:00 +0700 The Selected Factors Affecting to Health-Preventive Behaviors of Primary Knee Osteoarthritis among Teachers in Nakhon Pathom Province https://www.tci-thaijo.org/index.php/JRTAN/article/view/210458 <p>Knee osteoarthritis is the significant public health problem which affects the elderly’s quality of life. It is necessary to provide early preparation for risk people to prevent and delay disease severity. This survey research was aimed to identify the correlation and influencing predictors among selected factors and health preventive behaviors. The samples consisted of 230 teachers who were working at the primary schools in Nakhon Pathom Province. Data were conducted from June to July, 2017. The research instruments were included the knee osteoarthritis severity assessment and preventive health behaviors questionnaire of knee osteoarthritis. These instruments were validated by experts with the reliability of 0.84 and 0.76 respectively. Data were analyzed by using descriptive statistics, Pearson’s Product-moment correlation coefficients and multiple regression.</p> <p>The results revealed that the disease severity perception was significantly related to preventive health behaviors, age, body weight, worked-year number. (r =.145; r = .247; r = .135; r = .755), age was correlated to male and female, and body mass index. (r = .426; r = .755), and age was associated with worked-year number (r = .838). The selected factors presented that female, body mass index, body weight, and age were significantly predicted preventive health behaviors which can be explained 11% of variance. The researchers suggest that nurses should develop health behavior modification program and focus on the influence of predicting factors to prevent and decelerate knee osteoarthritis severity for late adulthood group.</p> อุษา ตันทพงษ์, นงพิมล นิมิตรอานันท์, ศศิธร รุจนเวช ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210458 Wed, 21 Aug 2019 00:00:00 +0700 Patient Safety Culture: Perception of State Hospital Nurses https://www.tci-thaijo.org/index.php/JRTAN/article/view/210477 <p>The purpose of this descriptive study was to explore patient safety culture as perceived by nurses in state hospitals and compare perception of patient safety culture among nurses in different level of hospitals. Five hundred registered nurses were recruited by stratify random sampling of 10 % of the number of the regional hospital and general hospital.Data were collected using a 5-point Likert scale of the Hospital Survey on Patient Safety developed by AHRQ with Chronbach alpha coefficient of .79. Data were analyzed using frequency, percentage, mean, standard deviation, and independent T test.</p> <p>Results showed that the average perception scores of patient safety culture regarding management of safety, working safety, communication within units were at a high level and working of the supervisor/head of unit was at a moderate level. Supporting for safety culture regarding team work was not statistically significantly different (p = .11) between nurses of regional hospital and general hospital. Ninety four percent of nurses reported experience of reporting adverse event and the majority of them reported ≥21 times. The report of near miss incidence in general hospital was statistically significantly higher than that of regional hospital (p = .02). Nursing administrators should raise awareness on patient safety among nurses in regional and general hospitals and set policy on patient safety culture in their organizations.</p> สมพร สันติประสิทธิ์กุล, ปิยธิดา จุลละปีย, พิมพ์รัตน์ บุญยะภักดิ์, วิภาดา ศรีมันทยามาศ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210477 Wed, 21 Aug 2019 00:00:00 +0700 Health literacy of healthy Aging among Elderly in Bangkok Metropolitan : Development and Validation of Health literacy Scale https://www.tci-thaijo.org/index.php/JRTAN/article/view/210480 <p>Based on the physical changes for elderly into the decay of the body, these changes can affect to easily get illness, such as diabetes mellitus, hypertension, and depression. Health literacy is an important factor on developing health behavior and preventing diseases among elderly. Based upon the reviews, there has been conducted the health literacy’s scale, but no research study has been specifically designed for a Thai-version of the health literacy questionnaire for self-care (HLQFSC) among elderly. The purpose of this study was to develop and validate a Thai-version instrument measuring health literacy for self-care among elderly that covered its reliability and validity. The HLQFSC among elderly living in Bangkok was developed from Sorensen et al. (2012)’s framework and empirically validated the content by five experts for elderly concept, as well as reliability with Cronbach’s alpha coefficient as a pilot study. The HLQFSC was examined by descriptive statistics, Pearson’s correlation coefficient, and confirmatory factor analysis.</p> <p>The results showed that there were 600 elderly. Most participants aged between 60-65 years of old, and 69.2% of the participants were male. The mean of total health literacy was 3.58. The final version of the HLQFSC had 22 items, with the Cronbach’s alpha coefficient of 0.950. The confirmatory factor analysis showed that the model was fitted with acceptable fit using most criteria (χ2 = 656.32, df = 205, CFI = 0.99, GFI = 0.91, TLI = 0.98, RMSEA = 0.061), and also the 4-factors model was confirmed: 1) Assess 2) Understand 3) Appraise, and 4) Apply. The Thai-version of the HLQFSC had good psychometric properties. It can be used for assessing health literacy for self-care among elderly.</p> ภัทร์ธนิตา ศรีแสง, วราภรณ์ ดีน้ำจืด ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210480 Wed, 21 Aug 2019 00:00:00 +0700 Effects of Pulmonary Rehabilitation Program To Prevent Exacerbation in Patient With Chronic Obstructive Pulmonary Disease In Community https://www.tci-thaijo.org/index.php/JRTAN/article/view/210483 <p>This Quasi-experimental research aim to assess the effects of pulmonary rehabilitation program among chronic obstructive pulmonary disease(COPD) patients in community. 30 COPD patients who met the criteria were recruited in the study, The sample were split into 2 groups, 15 of them were experimental group who received pulmonary rehabilitation program the others 15 were comparative group who received normal care. Data gathering tools were personal interview form of COPD and risk factors of exacerbation, health assessment form, and evaluation of dyspnea were include DVAS, FEV1, PEF and blowing-sucking water bottom. The period of the study were 12 weeks. Data were analyzed by mean, standard deviation and use Mann- whitney U test The results revealed that the experimental group had an average of dyspnea score; from evaluation as following ; DVAS = 24 (S.D = 9.10) , FEV1 = 1.72 (S.D = 0.32) , PEF = 3.73 (S.D = 54.05) and blowing-sucking water bottom = 8.78 (S.D = 0.74). The comparative group had an average score of dyspnea from evaluation as following ; DVAS = 26 (S.D = 9.85), FEV1 = 1.69 (S.D = 0.32),PEF = 3.95 (S.D = 42.13) and blowing-sucking water bottom = 7.39 (S.D = 1.17). When compared dyspnea by Mann- whitney U test. Experimental group and comparative group was non-significant difference at .05 when assessment of DVAS, FEV1 and PEF but assessment of blowing-sucking water bottom found comparison group have dyspnea less than experimental group was statistical significant difference at .01 (p-value =.002)</p> ประเสริฐ ศรีนวล, จริยาวัตร คมพยัคฆ์, หทัยชนก บัวเจริญ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210483 Wed, 21 Aug 2019 00:00:00 +0700 The Relationship between The Knowledge, Attitude, and Perceived Nursing Skill Based on Patient Safety of Professional Nurses in Police General Hospital https://www.tci-thaijo.org/index.php/JRTAN/article/view/210484 <p>The purposes of this study were to 1) describe knowledge, attitude, and perceived nursing skill based on patient safety goals of professional nurses in Police General Hospital, and 2) examine the correlations among those three variables. Two-hundred and seventy-eight persons with professional nurses in Police General Hospital were recruited by stratified random sampling method. Study Instruments consisted of 1) the Personal Data Record Form, 2) the Patient Safety Knowledge Questionnaire which had the confidence at .71 (KR-20), 3) the Patient Safety Attitude Questionnaire, and 4) Perceived of Patient Safety Skill Questionnaire had the Cronbach’s alpha coefficient at .86 and .95 consequently. Descriptive statistics and Pearson Product Moment Correlation Coefficient analysis were used to analyse data.</p> <p>The results revealed that most of the samples’ knowledge level of patient safety was good (51.10%) and their attitude toward patient safety was at excellent level (46.40%). Perceived nursing skill based on patient safety was at excellent level (59.70%). There was a significant correlation between attitude and perceived nursing skill based on patient safety (r =.731, p &lt; .001), but the knowledge was not significantly correlated to attitude and perceived nursing skill based on patient safety (r = .057 and .018, p &gt; .05, respectively). The findings of this study suggest that the development of patients’ safety should be promoted in order to improve hospital’s quality.</p> ปุณยารัตน์ หัตถกี, ปริญญา แก้วสงค์ ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210484 Wed, 21 Aug 2019 00:00:00 +0700 Predicting Factors of Parents Caring Behavior for Exacerbation Prevention in School- Age Children with Allergic Rhinitis https://www.tci-thaijo.org/index.php/JRTAN/article/view/210488 <p>The purpose of this study were to determine the factors that predictors of parents caring behavior for exacerbation in school-age children with allergic rhinitis. This study sample included 213 parents of school-age children with allergic rhinitis. From using of multi-stage random sampling. Data were analyzed using descriptive statistic pearson’s product moment correlation coefficient and stepwise multiple regression. The major finding were as follows: 1) Parents caring behavior for exacerbation prevention in school-age children with allergic rhinitis was at appropriate high level (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}"> = 150.87, S.D. = 3.21) 2) Perceived self-efficacy, Perceived benefit, emotional support, appraisal support, instrumental support, income and information support were positively significantly correlated with parents caring behavior for exacerbation prevention in school-age children with allergic rhinitis. (r= .497, .403, .306, .279, .263, .237 and .227, p &lt; .01 at respectively) and perceived barrier were negatively significantly correlated with parents caring behavior for exacerbation prevention in school-age children with allergic rhinitis. (r = -.361, p &lt; .01) and 3) Perceived self-efficacy (β = .351), perceived benefit (β = .311), income (β = .150) and perceived barrier (β = -.133) were significant predictors and together account for 36.7 percent of the parents caring behavior for exacerbation prevention in school-age children with allergic rhinitis (R<sup>2</sup> = .367, p &lt; .05)</p> อุไรวรรณ เที่ยงสมบูรณ์, สุรศักดิ์ ตรีนัย ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210488 Wed, 21 Aug 2019 00:00:00 +0700 An Evaluation of the Bachelor Science in Nursing Curriculum (Revised. B.E. 2555) of The Royal Thai Army Nursing College https://www.tci-thaijo.org/index.php/JRTAN/article/view/210498 <p>The purpose of this descriptive research is to evaluate the Bachelor of Nursing Science Curriculum (Revised, B.E. 2555) of the Royal Thai Army Nursing College in terms of context, input, process, and product, based on the CIPP Model. There are 376 participants in this study, including 51 administrators and teaching staffs, 240 nursing students, 35 teaching support personnel, and 50 professional nurses. The tools of the study were the questionnaires for assessment of the Bachelor of Nursing Curriculum in terms of context, input, process, and product. The content validity of the tools was evaluated by 5 experts which IOC &gt; 0.5.</p> <p>Furthermore, descriptive statistics comprising of percentage calculation, arithmetic mean, and standard deviation were used to analyze the data. The research findings were: The philosophy of the curriculum was apparently consistent with the objectives of the curriculum. The objectives of the curriculum were paralleled with the social change and needs. The amount of credits of the curriculum structure was high. The amount of the credits of the teaching-learning arrangement in each subject of the curriculum, the teaching staffs’ competencies, and the sufficiency of the supporting factors were highly appropriate. The teaching-learning arrangement was evaluated at the highest level. Furthermore, the curriculum administration was evaluated at high level. The learning achievement of the second, third, and fourth year students were evaluated at moderate level. The opinions of the administrators and teaching staffs, the professional nurses, and the second, third, and fourth year nursing students themselves toward the nursing students’ personal characteristics were evaluated at high level. The results of this study could be a baseline information to improve and develop nursing curriculum.</p> ศิริพร พูนชัย, บุศย์รินทร์ อารยะธนิตกุล, อมราภรณ์ หมีปาน, อภิญญา อินทรรัตน์, พัชราภรณ์ อุ่นเตจ๊ะ, อายุพร ประสิทธิเวชชากูร, สรินทร เชี่ยวโสธร ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210498 Thu, 22 Aug 2019 00:00:00 +0700 District Recreation activity of Health Promotion happily Aging in Boleklong subdistrict Long district Phrae province https://www.tci-thaijo.org/index.php/JRTAN/article/view/210490 <p>In a district recreation activity of health promotion happily aging in Boleklong subdistrict Long district Phrae province, the participation of elderly in extended recreation and comparative of happy aging are studied and a program recreation activity of health promotion is developed. The research has a mixed methodology to perform qualitative research by focus group discussion and quantitative research by true experimental design, Pretest-Posttest control group design and analyzed by a Pair t-test and thematic analysis.</p> <p>Results: After participations of the elderly in program recreation activity of health promotion. Total participation average score were 4.05. The happiness of aging after participation to develop program recreation activity of health promotion is significant at .05. The program recreation activity of health promotion has 4 components 1) Handicrafts recreation was a hand-on activity with stretch finger and creating career of family and community 2) Matrix of nine squares training applied in five step dancing of Boleklong district including Saongam, Yokkhao, Sabadmee, Tumbit, Keangtawan 3) Songs and play folk music of Boleklong district, i.e. Joy song, Kaow song, Ramwongkongka song. 4) Story telling of Good health history, Culture, Traditions and Occupation.</p> <p>Conclusion: Program recreation activity of health promotion aging of Boleklong district was developed by participation process and can be used as a model for other communities.</p> ณัฐกฤษฏ์ ธรรมกวินวงศ์, ฉัตรสุดา มาทา ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0 https://www.tci-thaijo.org/index.php/JRTAN/article/view/210490 Wed, 21 Aug 2019 00:00:00 +0700