Ramathibodi Nursing Journal 2019-04-23T08:50:09+07:00 Supreeda Monkong Open Journal Systems <p>รามาธิบดีพยาบาลสาร เป็นวารสารทางการพยาบาลราย 4 เดือน จัดทำขึ้นโดยโรงเรียนพยาบาลรามาธิบดี คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี และสมาคมศิษย์เก่าพยาบาลรามาธิบดี มีระบบการบริหารจัดการแบบสากล คือ มีกองบรรณาธิการและผู้ทรงคุณวุฒิภายนอกตามจำนวนที่ สกอ.และ TCI กำหนด มีวัตถุประสงค์เพื่อเผยแพร่ผลการศึกษาค้นคว้า โครงการกิจกรรม การวิจัยทางการพยาบาลและสาขาอื่นที่เกี่ยวข้อง</p> The Development of an Innovative Learning Method with Augmented Reality Applications on Smartphone 2019-04-22T15:34:47+07:00 Saisamorn Chaleoykitti Sarintorn Chiewsothorn Yada Nuyleis <p>This article aimed to present the development of an innovative learning method with Augmented Reality (AR) applications on Smartphone to transfer knowledge for students in the Mental Health and Psychiatric Nursing course, Bachelor of Nursing Science Program, the Royal Thai Army Nursing College. This innovative virtual learning media that students learn through the application on the smartphone is in the early stage of development. Some topics were completed including therapeutic relationship, substance use problem and treatment, and emergency psychiatry nursing care. From this work, it is found that this teaching-learning method is useful for the generation Z nursing students. The authors deliver the virtual media instructional process using smartphone and the process of using for readers to study and apply it as appropriate.</p> <p><br>Keywords: Innovative virtual teaching, Augmented reality, Application, Smartphone, Psychiatric nursing</p> 2019-04-17T13:51:52+07:00 ##submission.copyrightStatement## The Effect of Oropharyngeal Colostrum Administration on Immunoglobulin A in Preterm Infants 2019-04-22T15:35:03+07:00 Kritsadaporn Lobbamrung Tipawan Daramas Jariya Wittayasooporn <p>Abstract:</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;The present study was a quasi-experimental reseach to investigate the effect of oropharyngeal administration of colostrum on the levels of immunoglobulin A in preterm infants with gestational age less than 32 weeks, who were admitted into neonatal ward at Queen Sirikit National Institute of Child Health. The 10 preterm infants were recruited based on the inclusion criteria. The preterm infants received oral administration 0.2 ml of colostrum every three hours for 7 consecutive days. The oral administration began within 48 hours after birth. The secretory immunoglobulin A (sIgA) in urine was measured before oropharyngeal administration of colostrum within 24 hours after birth and after oropharyngeal administration of colostrum on the 5<sup> th&nbsp;</sup>and 14<sup>th</sup> days after birth. Difference in the average of sIgA in urine was determined with the one-way repeated measure ANOVA. The result showed that the average level of sIgA in urine of the preterm infants before oropharyngeal administration of colostrum within 24 hours after birht was 117.47 ng/mL and after oropharyngeal admonistration of colostrum on the 5<sup>th</sup> and 14<sup>th</sup> days after birth was 101.97 ng/mL and 809.96 ng/mL, However, the average of sIgA in urine of pretern infants before and after oropharyngeal administration of colostrum were no statistical significant difference (p &lt; .05). Limitation of this study used a small sample group, it is recommended that more research using a bigger sample shoud be done to better understand the relationship of the levels of sIgA in preterm infants, receiving oropharyngeal administrion of colostrum, providing care to preterm infants.</p> 2019-04-17T15:13:04+07:00 ##submission.copyrightStatement## Adaptation in Older Persons with Visual Impairment 2019-04-22T15:35:05+07:00 Nutsuda Sangboon Mukda Detprapon Supreeda Monkong <p>This descriptive research aimed at investigating adaptation in older persons with visual impairment. Roy’s adaptation model was used as a conceptual framework in physiological mode, self-concept mode, role function mode and interdependence mode. The subjects of the study were 50 people aged 80 years and above and were purposively sampled by inclusion criteria. Data collection was done using two instruments including an individual information questionnaire and semi -structure interview about adaptation in older persons with visual impairment, and were analysed using descriptive statistics and content analysis. The study results revealed that 48 participants with visual impairment had low vision. The target population had 4 adaptation modes, the physiological mode; they could provide self care themselves but found difficulties in activities of daily living (ADL<sub>s</sub>) and in instrumental activities of daily living (IADL<sub>s</sub>). In the self - concept mode; which included, changing the way of thinking, stimuli, accepting the truth, and their perception of the KARMA. Considering the role function mode, the results indicated that the participants could take care of themselves and their family, however they also depended on the caregiver for some activities. Finding on the interdependence mode, showed that older persons had good relationships with their family, love, respect, values and care. This study provided important information for promoting adaptation in visual impaired participant depending on their individual ability to promote adaptation in the society appropriately and according to the potential of each older persons. This could also be used in planning and policy making for development and promotion services for visually impaired people in public health services.</p> 2019-04-17T15:26:47+07:00 ##submission.copyrightStatement## The Effect of Video Assisted Teaching Program on Ostomy Care Knowledge and Skills among New Ostomate’s Caregivers 2019-04-22T15:35:23+07:00 Sujinda Ladasoontorn Nirobol Kanogsunthorntrat Suchira Chaiviboontham <p>This quasi-experimental research design aimed to examine the effect of video assisted teaching program on ostomy care knowledge and skills among new ostomate’s caregivers. The Orem’s dependent care agency and Bloom’s taxonomy was used as the conceptual framework. The sample composed of 50 caregivers of new ostomate who were treatment at Ramathibodi Hospital divided into a control group and an experimental group 25 subjects each. The control group received routine instruction from enterostomal therapy nurses, then the experimental group received the video assisted teaching program plus routine instruction. Ostomy care knowledge were collected before and after teaching and after discharge 1 week and ostomy care skills were collected after teaching and after discharged 1 week. Instrumentation was composed of the video-assisted teaching program, Demographic Data Questionnaire, the Ostomy Care Knowledge Assessment Form, and the Ostomy Care Skill Assessment Form. Data were analyzed using descriptive statistics, Chi-square, t-test, and ANOVA statistics. Results of the study showed significant increase in knowledge and skill scores. No significant differences were found between the 2 groups with knowledge of ostomy care, but the experimental group had statistically higher mean score of skill than the control group. Based on the findings of the study, the video assisted teaching program should be used in order to teach new ostomates and caregivers about ostomy care.</p> <p><br>Keywords: Video assisted teaching program, New ostomates, Caregivers, Ostomy care knowledge, Ostomy care skills</p> 2019-04-17T16:07:42+07:00 ##submission.copyrightStatement## The Effects of a Continuing Care Program on the Perceived Self-Efficacy of Caregivers and Post- Concussion Syndrome in Persons with Mild Traumatic Brain Injury 2019-04-22T15:35:25+07:00 Panitnart Lum Teeranut Harnirattisai Dilok Tantongtip <p>This study used a quasi-experimental research design with pretest-posttest and control groups aimed at evaluating the effects of a continuing care program on the perceived self-efficacy of caregivers and post-concussion syndrome in persons with mild traumatic brain injury (mild TBI). The study was undertaken at a university hospital in Pathum Thani, Thailand from May 2017 to January 2018. A total of 72 mild TBI patients and their caregivers that met the inclusion criteria was studied. The experimental group participated in the continuing care program, designed based on self-efficacy theory and the concept of continuing care, whereas the control group received usual care by the nursing staff. The instruments used were a demographic questionnaire, the self-efficacy scale for mild TBI patient care, the Rivermead Post-Concussion Symptom Questionnaire, a continuing care program, a video regarding the caregiver’s experience in caring for mild TBI, and a handbook for mild TBI patients. Data were analyzed using descriptive statistics, independent sample t-test, and repeated measures ANOVA. The findings showed that the experimental group had a significantly greater mean score on the self-efficacy scale for caring for patients at weeks 1 and 4 after being discharged from the hospital, and greater than the control group (p&lt;.001). The experimental group decreased its mean score for post-concussion syndrome at weeks 1, 4, and 6 after being discharged from the hospital and the score was less than that of the control group (p&lt;.05). These results demonstrated that a continuing care program can increase the perceived self-efficacy of caregivers and decrease the post-concussion syndrome in persons with mild TBI. Healthcare teams can apply this program to prepare caregivers and persons with mild TBI, after being discharged from the hospital, for the prevention of the post-concussion syndrome and complications especially during the first 4 week.</p> 2019-04-22T09:11:49+07:00 ##submission.copyrightStatement## Pain, Physical Activity, and Quality of Life among Older Adults with Knee and Hip Conditions: A Comparative Study 2019-04-22T15:35:41+07:00 Nanthikarn Saengthon Suparb Aree-Ue Phichpraorn Youngcharoen Viroj Kawinwonggowit <p>The aim of this prospective study was to compare pain, physical activity, and quality of life among older adults undergoing hip and knee surgery between pre- and post-surgery. The ninety-five older adults (aged sixty years old and over) with hip fracture or hip-knee conditions scheduled for surgery and admitted at the general orthopaedic, private orthopaedic, intermediate orthopaedic, traumatic, and Somdej Pra Thep wards, a tertiary care hospital in Bangkok, were invited to participate in this study. The older adults who met inclusion criteria were recruited in this study. The participants were asked to sign an informed consent before they were interviewed by using the Numeric Rating Scale, the Modified Barthel Activities of Daily Index, and the Osteoarthritis of Knee Hip Quality of Life Questionnaire. Data were collected at the admission before surgery, before discharge to home, and the 6-week postoperative follow-up at the outpatient orthopaedic department. Descriptive statistic and inferential statistical analysis (paired t-test) were performed to analyze the data. A p-value of .05 was set for a statistically significant level.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results of this study show that there is a statically significant improvement of pain 6 weeks after surgery compared to before discharge (p-value = 0.03). This improvement was also observed in the quality of life 6 weeks after surgery compared to before surgery (p-value = 0.02). For the physical activity, the difference between 6 weeks before and after surgery was not statistically significant (p-value = 0.86)</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This study concluded that the findings from this study are beneficial for the healthcare team to understand the changes in pain and quality of life among older adults undergoing knee and hip surgery, and shed light on how to initiate any interventions to promote postoperative physical activity among this population. A long term monitoring change, more than 6-week follow-up, in pain, physical activity, and quality of life is also recommended.</p> <p>&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</p> 2019-04-22T00:00:00+07:00 ##submission.copyrightStatement## Factors Related to Adherence to Treatment in Essential Hypertensive Patients with Early Renal Insufficiency 2019-04-22T15:35:42+07:00 Kittima Taengsakha Wantana Maneesriwongul Panwadee Putawatana <p><strong>ABSTRACT</strong>: This descriptive study examine relationships between demographic factors, knowledge about hypertension, social support, disease characteristics, medication factors, and clinical setting with adherence to treatment among essential hypertensive patients with early renal insufficiency. A sample comprising of 376 essential hypertensive patients was purposively recruited at the hypertension clinic of Luang Phor Pern Hospital in Nakhon Pathom Province. Descriptive statistics, Pearson's Product Moment Correlation and Spearman's Correlation. The research tools included questionnaire on demographic characteristics treatment and clinic characteristics, the Adherence to hypertensive treatment questionnaire, the Hypertension knowledge questionnaire and the Social support questionnaire. These findings revealed that the patients knowledge about hypertension and social support had significantly positive relationships with adherence to treatment. Patients were significant less likely to adhere to treatment, if they had comorbidity or side effects of medications, such as frequent urination or dry coughing. In addition, convenient access and convenient hypertension clinic both had significant relationships with adherence to treatment. However, adherence to treatment did not show significant relationship with demographic factors examined. These findings emphasize the need for educating patients about medication and hypertension treatment, and for ensuring that they have social support from family, friends and health providers, in order to help patients adhere to treatment and thereby control blood pressure and preserve renal functions.</p> 2019-04-22T09:41:14+07:00 ##submission.copyrightStatement## Evaluation of the Project “the 3 Million 3 Years to Quit Smoking for the King throughout Thais” in Health Region 10 2019-04-23T08:50:09+07:00 Suvapat Nakrukamphonphatn Nitchanun Suwannakoot Amornrat Natason <p>An evaluation research project 3 million 3 years of the project quit for King in Health region 10. The theoretical framework used in this study was based on the concept of RE-AIM. The sample consisted 2 groups 1) 376 service users are community dwellers and 13 informants 2) 385 health care providers included village health volunteer, public health nurse officer, public health officer, district health office, province health office and 29 informants. Data were collected by questionnaire, indept-interview, non-participant observation. The instruments used in this study consisted of a questionnaire of project evaluation for service user, and a questionnaire of project evaluation for health care provider. The two latter questionnaires were tested for their reliabilities which equaled 0.98 and 0.95 respectively. The data were collected between October and December, 2017, and analyzed through descriptive statistics and content analysis. The results are as follows:</p> <ul> <li class="show">Most of service users (80.30) were male, with mean age of 48.21±14.19 The results in every aspect was a high level. The study also revealed that the highest mean was reach (3.90±1.19), effectiveness (3.83±1.22), implementation (3.76±1.00), adoption (3.65±1.31), and maintenance (3.62±1.10) respectively.</li> <li class="show">Most of health care provider (66.23) were female, with mean age of 45.94±9.63 The results in every aspect was a high level. The study also revealed that the highest mean was reach (3.87±0.80), effectiveness (3.74±0.88), implementation (3.71±0.91), adoption (3.68±0.92), and maintenance (3.65±1.00) respectively.</li> </ul> <p>Recommendations should maintenance promoting and follow up the project. Village health volunteer, should join a training course, standardized cessation techniques support and to develop up-to-date education media. Facilitating autonomous motivation and stimulation family support and social support for smoking cessation.</p> 2019-04-22T11:51:48+07:00 ##submission.copyrightStatement##