Nursing Journal 2019-01-30T16:41:48+07:00 Warisa Wikasilp Open Journal Systems วารสารพยาบาลสาร Mental Status and Health Promoting Behaviors among Older Persons in Pa-aordonchai Subdistrict Municipality 2019-01-30T16:31:15+07:00 กรรณิกา อุ่นอ้าย กนกพร สุคำวัง วิชยา เห็นแก้ว รัญชนา หน่อคำ ณัฐวรรณ พินิจสุวรรณ <p>Thailand has become an aging society. When the elderly population increases, health problems occur. A mental status examination is a preliminary screening for dementia occurrence which is one of the most common problems among older persons. Due to the dementia occurrence affecting older persons in all aspects and leading to violence in the last phase, these can prevent or delay the violence of dementia occurrence by promoting older persons to have good health promoting behaviors. The purpose of this descriptive study was to investigate mental status, health promoting behaviors, and the relationship between mental status and health promoting behaviors among older persons. Pender’s Health Promotion Model (Pender et al., 2006) was applied to a conceptual framework. One hundred and eleven older persons from Paordonchai Sub-District Municipality were specifically selected to enroll in this study. The data collection instruments composted of a Mini-Mental Status Examination (MMSE)-Thai 2002, and a health promoting behavior questionnaire. Descriptive statistics and Pearson’s product moment correlation coefficient were used for data analysis.</p> <p>The results showed that:</p> <ol> <li>&nbsp;All participants had normal mental status without dementia. The scores of MMSE were 18-<br> 28 (x ̅ = 24.22, S.D. = 2.07).</li> <li>&nbsp;The participants had health promoting behaviors at moderate levels (x ̅= 2.71, S.D. = 0.25).</li> <li>The mental status did not correlate with health promoting behaviors (r = -.126, p &gt; .05)</li> </ol> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results of this study can be applied as baseline information for health personnel in planning activities to promote health promoting behaviors among older persons.</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement## The Effects of the Local Wisdom Memory Training Program on Memory Ability Among Older Persons with Mild Cognitive Impairment 2019-01-30T10:39:38+07:00 จารุวรรณ ก้านศรี รังสิมันต์ สุนทรไชยา นภัทร เตี๋ยอนุกูล ภัทรวดี ศรีนวล นภัสสร ยอดทองดี เกรียงศักดิ์ ยศพิมพ์ <p>Regular memory training is one strategy to promote the memory ability and delay impairment among older persons with mild cognitive impairment. The present study was based on Quasi-experimental research.The objective was to study the effect of the local wisdom memory training program on memory ability among older persons with mild cognitive impairment. The sample was composed of 30 older persons with cognitive impairment evaluated the memory ability scores of 14-21 points, the ability to communicate in the Thai language, with individuals no uncontrollable chronic diseases.The sample was equally separated into experimental and control groups of 15 subjects each. The experimental group received the local wisdom memory training program on every 2 days per week, continuously for 5 weeks. The control group received a normal earn as usual.The research instrument included the local wisdom memory training program and&nbsp; the Mini-Mental State Examination- Thai 2002. Data were analyzed using t-test.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The research findings were as follows: The post-test memory ability score for older persons with mild cognitive impairment in the experimental group was higher than the pre-test score and the difference in mean scores of memory ability of older persons with mild cognitive impairment before and after participating in the local wisdom memory training program in the experimental group was higher than the control group at a statistical significance level (p&lt;.05)</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The conclusion and suggestion of this study, the local wisdom memory training program could enhance the memory ability for older persons with mild cognitive impairment. Thus, this program can be used to promote the memory ability among older adults with cognitive impairment in the community.</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement## Effects of Bowel Preparation with Oral Sodium Phosphate on Serum Potassium Levels and Side Effects in Gynecologic Patients. 2019-01-30T10:49:11+07:00 อุมาพร จำปาไหล เดชา ทำดี สุภมาส สุภาวงค์ แววนภา เนียมชำนาญ <p>Sodium phosphate solution (NaP) is commonly used for bowel preparation before surgery however it has been shown to significantly reduce the serum potassium level. This retrospective study aimed to investigate serum potassium level in gynecologic patients who received oral sodium phosphate solution for bowel preparation before surgery. Data from the database of a university hospital were collected from January to December 2016. The samples included 160 patients. The instruments used for data collection included the Serum Potassium Form and the Side Effect Evaluation Form. Data were analyzed using chi-square test.</p> <p>The results revealed that the serum potassium levels of the samples after administering NaP were significantly lower than before (p&lt; .001). The side effects found included cardiac arrhythmia (4.00%) and abdominal distention (36.00%).</p> <p>The results of the study indicate that NaP could reduce the serum potassium level. Therefore, a program to monitor the serum potassium level or the prompt treatment for hypokalemia among gynecologic patients who receive NaP for bowel preparation prior to surgery should be considered.</p> 2019-01-30T00:00:00+07:00 ##submission.copyrightStatement## Parental Knowledge and Perceived Self-Efficacy in Teaching Sex Education to Young Children 2019-01-30T11:00:41+07:00 ศรันย์ ปองนิมิตพร สุดธิดา แก้วขจร ลาวัลย์ สมบูรณ์ นิตยา ไทยาภิรมย์ <p>Thai children are facing problems with sex education. The problems will be resolved, if they have an appropriate understanding sex in early childhood.&nbsp;&nbsp; Although, children can learn about sex through a variety of media, they also need guidance and sex education. The role of parents is important in teaching children about sex. This descriptive research aimed to study the correlation of parental knowledge, perceived self-efficacy in teaching sex education to young children. The sample consisted of 303 parents of young children in Chiang Rai, selected by Stratified and purposive sampling. The instruments of this study were knowledge of sex education in early childhood questionnaires, perceived self-efficacy questionnaires, and practice of sex education for young children by parent questionnaires. The data were analyzed using descriptive statistics and Spearman's rank correlation coefficient.&nbsp;&nbsp; The results show that parents had a moderate level of knowledge, a high level of perceived self-efficacy, and a moderate level of sex education. Perceived self-efficacy correlated with sex education (r = .34, p &lt; .01; r = .73, p &lt; .01). The results indicated that parents should be knowledgeable, have perceived self-efficacy, and promote sex education for young children to have knowledge and appropriate understanding of sex.</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement## Factors Predicting Health Promoting Behaviors Among Buddhist Monks in Chiang Rai Province 2019-01-30T11:14:45+07:00 อลงกรณ์ สุขเรืองกูล ทวีลักษณ์ วรรณฤทธิ์ ประทับจิต บุญสร้อย ไพโรจน์ อุตศรี <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Thai people usually offer the delicious food which is high in carbohydrate and fat to the monk cooperate with the belief that exercise is forbidden for Buddhist monks. Therefore, risk to health problems is increased. The purpose of this descriptive study was to delineate the predicting ability of perceived benefit and barriers of health promoting behaviors, perceived self-efficacy and perceived social support to health promoting behaviors among Buddhist monks in Chiang Rai Province. Subjects were 359 monks residence in the temples of Chiang Rai Province who were purposively selected. The research instruments consisted of a 1) health promoting behaviors questionnaire, 2) perceived benefits of health promoting behaviors questionnaire, 3) perceived barriers of health promoting behaviors questionnaire, 4) perceived self-efficacy questionnaire, and 5) perceived social support questionnaire. The content validity and reliability of the research instruments were tested. Data were analyzed by using descriptive statistics and stepwise multiple regression.</p> <p>The study results demonstrated that perceived benefits and barriers of health promoting behaviors and perceived social support together accounted for 38.70% of health promoting behaviors among Buddhist monks <em>(p &lt; .001)</em>.&nbsp;</p> <p>The results of this study could be used as the data base to enhance health promoting behaviors program among Buddhist monks.</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement## Factors Predicting Sleep Quality Among Nursing Students 2019-01-30T11:24:01+07:00 จิราภรณ์ นันท์ชัย นริศรา ใคร้ศรี ลาวัลย์ สมบูรณ์ เทียมศร ทองสวัสดิ์ <p>Sleep quality of nursing students is an indicator of both physical and mental health&nbsp;&nbsp;&nbsp; affecting the quality of learning and graduation success. The purpose of this predictive correlational descriptive study was to determine predictive factors of sleep quality among nursing&nbsp;&nbsp; students such as age, college year, grade point average (GPA), sleep habits and stress. The participants were 217 nursing students of freshman, sophomore, junior, and senior classes of one nursing college from April to May 2017. Proportionate stratified random sampling was used.&nbsp; Data were collected using 1) the sleep habits questionnaire which showed the content validity index of 1, 2) the Suanprung Stress Test (Mahatnirunkul, Pumpaisarnchai &amp; Tapunya, 1997), and 3) the Pittsburgh Sleep Quality Index (Jirapramukpitak &amp; Tanchaiswad, 1997). The last three scales showed the reliability of Cronbach’s alpha efficiency of .70, .96 and .80, respectively. Data were analyzed using descriptive statistics, and enter logistic regression.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Results of the study showed that</p> <ol> <li class="show">More than half of the samples (66.36 %) had poor sleep quality.</li> <li class="show">Age, college year, GPA, sleep habits, and stress were accounted for 27.5% in sleep quality (Nagelkerke R2 = .275). Sleep habits and stress significantly predicted sleep quality (OR = .23; 95% Cl = .09-.57, p&lt;.01 and OR = 2.91; 95% Cl = 1.81-4.67, p&lt;.01 respectively).</li> </ol> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results of this study is useful for educational institution administrators and nursing instructors to promote students to have good sleep quality by means of providing activities to promote good sleep habits, using appropriate relaxing techniques starting in their freshman year as well as monitoring continuously until graduation.&nbsp;&nbsp;&nbsp;</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement## Effects of a Self-Management Supporting Program on Self-Management Behaviors and Blood Pressure among Older Adults with Hypertension 2019-01-30T11:30:00+07:00 วิชยา เห็นแก้ว เบญจมาศ ถาดแสง มณี กิติศรี ฉัตรชัย ไวยะกา <p>Hypertension is a common chronic disease among older adults. This quasi-experimental research aimed to examine effects of a self-management supporting program on self-management behaviors and blood pressure among older adults with hypertension<strong>.</strong> Subjects included 52 hypertensive older adults who attended the Ban Huai San Phlapphla District Health Promoting Hospital. The subjects were purposively selected and randomly assigned into an experimental group and a control group, with 26 persons in each group. Subjects in the experimental group received self-management supporting program 1.5 – 2 hours per week, once a week for twelve weeks while those in the control group performed usual care. The research instruments consisted of the Hypertension Self-management Supporting Program and handbook for self-management among older adults with hypertension. The instruments used for data collection consisted of 1) self-management behaviors for older adults with hypertension questionnaire 2) perception of self-efficacy for older adults with hypertension questionnaire &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;3) self-management for older adults with hypertension recording form and 4) sphygmomanometer and stethoscope. Data were analyzed using descriptive statistics, t-test, Mann-Whitney U test and Wilcoxon matched-pairs signed-ranks test.</p> <p><strong>&nbsp;</strong></p> <p><strong>&nbsp;</strong></p> <p><strong>The results of study</strong></p> <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong>The mean scores of self-management behaviors among older adults with hypertension in the experimental group (x̄ = 95.03, S.D. = 4.93) was statistically significantly higher than the control group (x̄ = 76.80, S.D. = 5.67) and higher than before the implementation of the program (x̄ = 76.26, S.D. = 8.35) (p &lt; 0.001). Both systolic and diastolic blood pressure median scores in the experimental group (median = 110 and median = 70, respectively) were statistically significantly lower than the control group (median = 130 and median = 80, respectively) (p &lt; .001 and p &lt; .05) and lower than before the implementation of the program (median = 130 and median = 80, respectively) (p &lt; .001, p &lt; 0.001, respectively)</p> <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong>Results of this study indicate that the self-management supporting program is ability to reduce the level of blood pressure<strong>. </strong>Therefore, the lead to further proper for controlling high blood pressure among older adults with hypertension.</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement## The Effect of A Program of Nurses Providing Information to Parents’ Knowledge and Satisfaction on Caring for Hospitalized Children 2019-01-30T16:41:48+07:00 กนกจันทร์ เขม้นการ สุวิชัย พรรษา จิดาภา ผูกพันธ์ จิระวรรณ บุตรพูล รรฤณ แสงแก้ว <p>The parents of pediatric patients require information in order to cope with the medical situation of their child. Therefore, specific, inclusive, modern, understandable, and repeatable media will help them to gain knowledge and satisfaction. The research aims to study the effects of nurses providing information to parents and the parents’ perception of satisfaction on caring for hospitalized children. The research methodology is quasi-experimental. The samples included 70 parents who were divided into two equal groups of 35 parents for the control group and the experimental group. The control group received normal nursing care and the experimental group received routine nursing care along with information provided through the program. The research tools included 1) motion info-graphic media title “when my baby is to be hospitalized”, 2) the questionnaire about knowledge of parents in child care, and 3) the questionnaire of perception of parental satisfaction in nursing care of children. The results showed that the knowledge in caring for pediatric patients admitted to hospital of parents in the experimental group was higher than the control group by the statistical significance (t=-3.80, p&lt;..01). Moreover, the perception of satisfaction in the field of communication of the control group was higher than the experimental group by the statistical significance (t=-2.36, p&lt;.05). The program of nurses providing information can be applied in real situations and can be described as unlimited time and place since the first treatment to continuous care at home.</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement## Quality Child Care Center Development by Participation of Related Personnel in Pa-aoedonchai Subdistrict, Meung District, Chiang Rai Province 2019-01-30T11:49:09+07:00 วรรณิตา สอนกองแดง อนงค์ สุนทรานนท์ กาญจนา พรหมเรืองฤทธิ์ ศรันย์ ปองนิมิตพร ลาวัลย์ สมบูรณ์ <p>Child care center is a community service which plays an important and essential role for early childhood caring in current family situation. Development of quality child care center needs participation from all related personnel in community. The purposes of this participatory action research were to build community participation in model formulation of quality child care center development, and evaluate the development model. Forty-one participants were purposively selected from the stakeholders. The research was conducted between May 2015 and November 2016. The research instruments included the guidelines for operation of quality child care center. Data were collected using group discussions, in-depth interview, observation of behavior and participation of related personnel, and quality of child center questionnaire. The reliability of quality child center questionnaire was .97. Quantitative data were analyzed using descriptive statistics and t-test. Qualitative data were analyzed using content analysis.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The study results were as follows:</p> <ol> <li>1. Related Personnel participate in the problem analysis and determine the need to solve the problem in which they find themselves. The problem has 6 parts. The planning phase, they have defined the development model and division of responsibilities according to the duties of personnel involved. And the evaluation phase, they have shared opinions, encourage each other and extend the timing according to the context of community. The mean score of behavioral observation and participation of related personnel is high score in every step of problem solving process but mean score of behavioral observation and participation of parents is low score in evaluation step of problem solving process.</li> <li>2. The mean score of standardized practice for quality child center increased from 70.39 to 85.03, and increased significantly (p&lt;.001) in every mean scores of standardized practice for quality child center.</li> </ol> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results suggested that participation in the improvement of six criteria of quality child care center by relevant people in the community significantly affected the overall achievement of quality child care center. For sustainable development of quality child care center, development of participation process should be continuously promoted in all aspects.</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement## The effectiveness of innovative cover of oxygen saturation probe in infants. 2019-01-30T13:30:08+07:00 รัชนี ชัยประเดิมศักดิ์ นันทพร พรธีระภัทร <p>A measurement of oxygen saturation level was evaluated by pulse oximeter. This caused many problems such as a skin ischemia and ulcer from some medical devices especially in infants age less than 1 year.&nbsp; The researcher was developed “Sandwich sat”. This was an innovative cover of oxygen saturation probe in infants. This descriptive research aimed to evaluate the effectiveness of the Sandwich sat innovation for infant in four aspects: 1) Innovation application 2) Safety 3) Pattern 4)<strong> Value by registered professional nurses</strong><strong>. </strong><strong>The sample consisted of 30 infants of the newborn nursery at the Queen Sirikit National Institute of Child Health, Thailand</strong><strong>. </strong><strong>The research instruments were structured interviews for a focus group and questionnaires</strong><strong>.</strong><strong> The </strong>Index of item objective congruence<strong> was 0</strong><strong>.</strong><strong>88 and the </strong>Inter – rater reliability was 0.82 <strong>respectively</strong><strong>. </strong><strong>The frequency, percentage, mean and standard deviation were used in the data analysis</strong><strong>.</strong></p> <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results were as follow</strong><strong>. </strong><strong>The overview effectiveness of the Sandwich sat innovation in </strong>the four aspects<strong> were at the high level</strong><strong>. </strong><strong>The registered professional nurses evaluated the effectiveness of the innovation in the value </strong>aspects<strong> at the high level </strong><strong>( </strong><strong></strong><strong>= </strong>4.25 , SD = 0.48 ) Pattern<strong>( </strong><strong></strong><strong>= </strong>4.20 , SD = 0.63 ) Safety <strong>( </strong><strong></strong><strong>= </strong>3.82 , SD = 0.76 ) &nbsp;&nbsp;Innovation application <strong>( </strong><strong></strong><strong>= </strong>3.15 , SD = 0.83 ). The results of the focus group found that it could be applied to skin but it could easily become dirty and detached from the&nbsp; Oximeter probe. It was suggested that the <strong>innovation could </strong>be applied<strong> on the skin of infant</strong><strong>. </strong><strong>It can use instead of elastic tape</strong><strong>. </strong>This innovation may be further developed by using new materials such as papers and silicones to improve the quality, effectiveness, and utility of this innovation.</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement## Developing of Innovation in Nursing Education: a Massive Open Online Course (MOOC) in Gerontological Nursing 2019-01-30T12:02:44+07:00 วณิชา พึ่งชมภู ณัฐธยาน์ สุวรรณคฤหาสน์ บำเหน็จ แสงรัตน์ <p>Developing of the Massive Open Online Course (MOOC) in Gerontological Nursing Course Project for the year 2017 of Faculty of Nursing, Chiang Mai University brought the new learning style and technology to apply in nursing education. The aim was to support the learning and teaching in nursing education by following the Thai National Education Policy 4.0. The project was implemented during 5<sup>th </sup>October 2016 to 31<sup>th </sup>June 2517. The total number of students were 570 persons. The new learning and teaching style was evaluated in two aspects including 1) Students Online Learning Behaviors in Thai MOOC System and 2) Student Learning Outcomes.</p> <p>The results of the project revealed that the Students Online Learning Behaviors in Thai MOOC System was at the high level (=4.26). Student Learning Outcomes Before and After Examinations Scores were statistically significantly difference (p &lt; .05). Therefore, the developing of innovation in nursing education on the Massive Open Online Course (MOOC) in gerontological nursing course was proved the effectiveness and should be promoted to use in teaching and learning for the nursing education.</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement## The Development of Emotional Intelligence in Nursing Students 2019-01-30T12:06:41+07:00 วิลัยพร นุชสุธรรม อำพัน เรียงเสนาะ สาวิตรี จีระยา <p>Emotional Intelligence is an ability to live with others creatively and happily. Persons with Emotional Intelligence are able to perceive their own emotions and needs, as well as be compassionate, responsible, and motivated. They can also make decisions to solve problems, build good relationship with others, be virtuous and valuable persons who are satisfied with life, have peace of mind, and can lead a happy life. Moreover, emotionally intelligent persons are motivated, goal-directed, determined, as well as confident to think and make decisions. They can use their intellectual capability to the fullest extent. Emotional Intelligence is crucial to nursing students since it allows them to develop significant characteristics for their lives. There are three aspects of emotional quotient development: 1)&nbsp; Emotional Intelligence development for goodness enables nursing students to control their own emotions and needs, be compassionate, and responsible to others; 2) Emotional Intelligence development for competence allows nursing students to cultivate self-recognition, motivation, appropriate decision-making ability, effective performance, and good relationship with others, and 3) Emotional Intelligence development for happiness allows nursing students to live happily, be proud of themselves and satisfied with life, as well as have peace of mind. Emotional Intelligence is a quality that is of great importance for nursing students. Thus, educational institute administrators and teachers should recognize the significance of Emotional Intelligence and promote its development in nursing students so that they can be ready for society and perform their nursing role happily and successfully.</p> 2017-12-29T00:00:00+07:00 ##submission.copyrightStatement##