Journal of Nursing Science and Health <p>เป็นวารสารที่จัดทำขึ้นเพื่อเผยแพร่บทความทางวิชาการและผลงานวิจัยทางการพยาบาลด้านความรู้ แนวคิดนวัตกรรมทางการพยาบาลและสาขาอื่นๆที่เกี่ยวข้องทางด้านสุขภาพ บทความที่ตีพิมพ์ประกอบด้วยบทความวิชาการ บทความวิจัย รายงานวิจัย ปกิณกะ และข่าวความเคลื่อนไหวในวิชาชีพพยาบาลและสุขภาพ โดยวารสารออกตีพิมพ์ปีละ 4 ฉบับ ทุกๆ 3 เดือน</p> en-US Journal of Nursing Science and Health 0125-7021 <p>ต้องเป็นบทความที่ใหม่ ยังไม่เคยตีพิมพ์ที่ใดมาก่อน</p> Contents <p>Content&nbsp;</p> -- -- ##submission.copyrightStatement## 2019-03-07 2019-03-07 41 4 A Concept Analysis: Masculinity <p>This article aimed to analyze the concept of masculinity by Walker and Avant’s concept analysis. According to the concept analysis of masculinity, the concept of masculinity can be summarized into four attributes as follows. 1) Physical attributes: they included being strong, having a good shape and being respectable personality. 2) Psychological attributes: they consisted of having a stable mood, not showing weakness or crying, success, competition, winner, power, dominance, leadership and autonomy. 3) Intellectual attributes: they included being logical and intelligent. 4)&nbsp; Social attributes: they consisted of three important roles: family roles, work roles, and sex roles. Understanding the concept of masculinity allows nurses to understand and be able to apply the knowledge to develop the approaches to promote and prevent health risk behaviors, such as alcohol and substance abuse, sexual risk behavior, violent behavior</p> เนตรชนก แก้วจันทา ##submission.copyrightStatement## 2019-03-06 2019-03-06 41 4 1 12 Developing nursing innovation to promoting early mobilization for cholangiocarcinoma patients who having critically ill after surgery <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Most post-operative cholangiocarcinoma (CCA) patients with critically ill were dependent on mechanical ventilators, retained surgery drains, had large post-operative abdominal wounds, and suffered pain symptom. These factors were barriers to early mobilization, which in turn, become risk of many complications, (such as flatulence, constipation, lung atelectasis, pneumonia, and deep vein thrombosis), leading to delayed post- operative recovery. This nursing innovation is developed to promote early mobilization for post-operative CCA patients with critically ill. The innovation consisted of three parts: 1) a tool to assess readiness and monitor patients during movement training, 2) promotion of mobility, and 3) outcome evaluation. After using the innovation in 10 CCA patients. The results indicated that post-operative CCA patients with critically ill, who received this innovation, had early mobilization, was safe while having body movement, and had no complication.</p> สุพัฒตรา - ศรีภักดี บุษบา - สมใจวงษ์ ##submission.copyrightStatement## 2019-03-06 2019-03-06 41 4 13 22 Noise induce hearing loss among burmese workers of rubber wood processing plant at Nakhon sri thammarat province <p>Rubber wood processing plant has a noisy process that affects hearing loss. The purpose of this study was to evaluate the exposure of noise and hearing loss among Burmese workers. This is a descriptive study. 92 samples were collected by sound measurement. Use of questionnaires and audiometric tests. Use descriptive statistics. The study found that 100 percent of the employees were over 85 dB and 64.1 percent of hearing loss were abnormal. Employers must implement Hearing Conservation measures at workplace for prevent noise induce hearing loss is an occupational disease.</p> อุไรวรรณ หมัดอ่าดัม ##submission.copyrightStatement## 2019-03-06 2019-03-06 41 4 23 33 Effects of a clinical nursing practice guideline for catheter-associated urinary tract infection on selected outcomes in Khonkaen Hospital <p>&nbsp;</p> <p>Abstract</p> <p>&nbsp;This quasi-experimental design aims to assess effects of a clinical nursing practice guideline for CAUTI prevention (CAUTI-CNPG) among 114 patients newly indwelled with urinary catheters in the medical department. Fifty seven patients were assigned to an experimental group and received care using CAUTI-CNPG while the other 57 were in a comparison group which received routine urinary care.&nbsp; Data collection took place before urinary care for each group and again 4 days after receiving the care.&nbsp;&nbsp;&nbsp; Results indicated that CAUTI occurred 65.9 times/1000 catheter-day in the comparison group but only 29.2 times/1000 catheter-day in the experimental group.&nbsp;&nbsp; When compared to the comparison group, the experimental group was 0.41 times less likely to develop CAUTI (RR= 0.41; 95% CI 0.19-0.92).&nbsp; Nurses who used the CAUTI-CNPG reported a high to highest level of satisfaction with the CNPG and expressed a 100% adherence to the CNPG protocol</p> <p>&nbsp;</p> Tiwakorn Klompanya ##submission.copyrightStatement## 2019-03-06 2019-03-06 41 4 34 43 Predicting factors of Spiritual Care Received Among Patients with End Stage Renal Disease Receiving Hemodialysis <p>This study is correlational predictive study. To study the level of spiritual care receives and predictive power of patient’s spiritual care receives in end stage renal disease receiving hemodialysis. Study included 97 patients receiving hemodialysis treatment in five regional hospitals, Southern Thailand. Data was collected between February and March 2017. The research instruments were (1) demographic data that included general information; and &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(2) spiritual care receives scale that was modified and tested for reliability (Cronbach’s alpha coefficient 0.92). Data analysis was performed using percentage, mean, standard deviation, and multiple regressions. The results were as follows: The mean score of spiritual care receives were at the high level ( x= 2.43, SD =0.22). The results of the multiple regression analysis were all independent variables jointly explained 28.9% of the sample variances in spiritual care receives (R<sup>2</sup>= 0.29, p&lt; 0.01) and the only factor predicting spiritual care receives with statistical significance was found to be religion (β= 0.12, p &lt; 0.01). According to the study findings patients receiving hemodialysis should enhance their spiritual receives in order to live better with their chronic illness and prolong treatment.&nbsp;</p> <p>&nbsp;</p> Oraya Yensamer ##submission.copyrightStatement## 2019-03-07 2019-03-07 41 4 44 52 Nursing innovation development: A tool for increasing the perceived risk of progression to end stage renal disease <p>Chronic kidney disease at the early stage does not generally show any abnormalities. Early screening and investigating the risk of kidney degeneration is, therefore, important for patients as they can be treated promptly. Perceived risk and severity of the disease make the patients more likely to avoid the threats that help to slow down kidney degeneration. The nursing innovation &nbsp;was &nbsp;developed from 26 empirical evidences. According to the evidence-based practice. The &nbsp;tool was a rating scale composed of 7 risk factors &nbsp;predicting the progression of the disease to the end stage.The scores of each factor were 1- 3 points, the total scores were translated into 5 levels. The results showed that the patients’s risk perception was higher after the use of innovation (t = 14.14, mean difference of 4.4, 95% CI 3.75 to 5.05, p&lt;0.001)</p> Ampornpan Theeranut Nonglak Methakanjanasak Khwanruen Kaenkong ##submission.copyrightStatement## 2019-03-06 2019-03-06 41 4 53 65 The effects of preparatory program on pain among older men undergoing cystoscopy <p>This quasi–experimental research aimed to study the effects of the preparatory program on pain. The samples were older men who underwent cystoscopy in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University. The subjects were sampling based on the inclusion criteria. The samples were separated into the experimental group and the control group: 15 persons each.The experimental group received a 3-stage preparatory program, including 1) on the appointment date, <br> 2) on the day of undergoing cystoscopy and 3) post cystoscopy. The control group received conventional nursing care. The research instruments consisted of: personal information record and the Numerical Rating Scale (NRS). Data were analyzed using descriptive statistics, Independent t-test and Mann-Whitney U.</p> <p>The results revealed that the older adults who received the preparatory program had less pain score than those who received routine nursing care with statistical significance including peri-cystoscopy (p &lt;0.001) and post-cystoscopy (p &lt;0.001).</p> Sirimart Piyawattanapong Kanjana Khuankeaw Mayuree Leethong-in ##submission.copyrightStatement## 2019-03-07 2019-03-07 41 4 66 75 Factors Affecting on Breastfeeding in the First-time Teenage Postpartum Mothers <p>This study was predictive correlational research. The purpose of this study was to study relationships and predictors of breastfeeding in the first-time teenage postpartum mothers. The sample were 120 the first-time teenage postpartum mothers during 2-3 days after delivery in Lerdsin Hospital and Samutsakorn Hospital. The samples were selected by purposive sampling. The research instrument was a questionnaire consisting of personal data, self-efficacy knowledge and attitude toward breastfeeding, family support in breastfeeding, and behavior in breastfeeding. The data were analyzed by frequency, percentage, mean, standard deviation, chi-square, Pearson’s product moment correlation coefficient and stepwise multiple regression.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results indicated that the attitude toward breastfeeding, perceived self-efficacy and family support were statistically significant at the moderate level relationships with the behavior of breastfeeding at p&lt;.01 (r = .328, .449 and .642, respectively). Perceived self-efficacy and family support were prediction of breastfeeding behavior at p&lt;.01 (r = .449 and .642, respectively).</p> maleewan Lertsakornsiri ##submission.copyrightStatement## 2019-03-06 2019-03-06 41 4 76 87 Comparing the estimation of blood loss using visual estimation and weighting method among mothers with vaginal delivery at Udon Thani Hospital <p>การเปรียบเทียบปริมาณการสูญเสียเลือดโดยการคาดประมาณด้วยตาเปล่าและการชั่งตวงเลือดในมารดาคลอดทางช่องคลอด โรงพยาบาลอุดรธานี</p> orathai Jaikwang ##submission.copyrightStatement## 2019-03-06 2019-03-06 41 4 88 95 Quality of postoperative pain management in women after cesarean section under general anesthesia <table> <tbody> <tr> <td width="566"> <table> <tbody> <tr> <td width="566"> <p><strong>คุณภาพการจัดการความปวดหลังผ่าตัด ในสตรีหลังผ่าตัดคลอดบุตรทางหน้าท้อง </strong></p> <p><strong>ที่ได้รับการระงับความรู้สึกแบบทั่วร่างกาย</strong><strong><sup>*</sup></strong></p> <p><strong>Quality of postoperative pain management in women after cesarean section&nbsp;</strong><strong>under general anesthesia</strong></p> </td> </tr> <tr> <td width="566"> <p>มณท์ธภัชรด์&nbsp; สุนทรกุลวงศ์&nbsp; พย.ม.<sup>**</sup>&nbsp; นิภา&nbsp; กิมสูงเนิน&nbsp; ส.ด.<sup>***</sup>&nbsp; รัชนี&nbsp; นามจันทรา&nbsp; พย.ด.<sup>***</sup></p> </td> </tr> <tr> <td width="566"> <p>Monthaphat&nbsp; Sunthornkulwong&nbsp; M.S.N<sup>**&nbsp; </sup>Nipa Kimsungnoen Dr.P.H.<sup> *** &nbsp;</sup>Rachanee Namjuntra&nbsp; D.N.S.<sup>***&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </sup></p> </td> </tr> </tbody> </table> <p><strong>บทคัดย่อ </strong></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; การวิจัยแบบพรรณนานี้มีวัตถุประสงค์ เพื่อศึกษาคุณภาพการจัดการความปวดหลังผ่าตัด ในสตรีหลังผ่าตัดคลอดบุตรทางหน้าท้อง ที่ได้รับการระงับความรู้สึกแบบทั่วร่างกาย ใช้ The nursing role effectiveness model เป็นกรอบการศึกษา กลุ่มตัวอย่างเลือกแบบเฉพาะเจาะจง เป็นพยาบาลวิชาชีพ 12 ราย และเวชระเบียนสตรีหลังผ่าตัดคลอดบุตรทางหน้าท้อง 290 ราย ผลการวิจัย พบว่า คุณภาพด้านโครงสร้าง: ความรู้การจัดการความปวดหลังผ่าตัดของพยาบาลวิชาชีพระดับปานกลาง คุณภาพด้านกระบวนการ: การจัดการความปวดหลังผ่าตัดของพยาบาลวิชาชีพ แบ่งเป็น บทบาทอิสระ ระดับพอใช้ บทบาทตามแผนการรักษาและบทบาทร่วมกับทีมสุขภาพระดับดี คุณภาพด้านผลลัพธ์: &nbsp;ความปวดหลังผ่าตัดในระยะ 2-8 ชั่วโมง ระดับสูง 1 และ 12-40 ชั่วโมง ระดับปานกลาง และ 48-72 ชั่วโมงหลังผ่าตัด ระดับต่ำ ข้อเสนอแนะ ควรพัฒนาการศึกษาและแนวปฏิบัติการจัดการความปวดหลังผ่าตัดคลอดบุตรทางหน้าท้อง</p> <p><strong>คำสำคัญ</strong><strong>:</strong> การจัดการความปวดหลังผ่าตัด การผ่าตัดคลอดบุตรทางหน้าท้อง</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; การระงับความรู้สึกแบบทั่วร่างกาย &nbsp;&nbsp;&nbsp;</p> <p>&nbsp;</p> <p><strong>Abstract </strong></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This descriptive research was aimed at studying the quality of postoperative pain management in women after cesarean section under general anesthesia. The nursing role effectiveness model was a conceptual framework. A purposive sample of 12 professional nurses and 290 medical records of women after cesarean section were recruited for study. The results consider structural quality was found the knowledge of postoperative pain management of professional nurses was a moderate level. Process quality was found the pain management of the professional nurses was classified as an independent role was a moderate level, a dependent role and an interdependent role were a good level. Outcome quality was found the postoperative pain in 2 to 8 hours at a severe pain, 1 and 12 to 40 hours at a moderate pain, and 48 to 72 hours at a mild pain. Suggestion: To developed an education and a guideline of postoperative pain management in cesarean section.</p> <p>Keywords: pain management, cesarean section<strong>,</strong>&nbsp;general anesthesia&nbsp;</p> </td> </tr> </tbody> </table> มณท์ธภัชรด์ - สุนทรกุลวงศ์ มณท์ธภัชรด์ สุนทรกุลวงศ์ ##submission.copyrightStatement## 2019-03-06 2019-03-06 41 4 96 104 Factors related with traffic accident among adolescent at a secondary school in Sungmen, Phrae province <p>Globally, Injuries resulting from road traffic crashes is major cause of deaths especially among adolescent. The purposes of this study were to determine the incidence of accidental traffic injury and to find the association between the associated risk factors, such as personal characteristics, knowledge of traffic safety regulation, compliance to traffic safety regulation and other factors. In order to verify factors associated with the accidental traffic injury, a binary logistic regression was utilized. The results showed that the cumulative incidence episodes and people of accidental traffic injury incidents in adolescent within a 6 months’ period were 22.5 and 42.54 respectively, and knowledge of traffic safety regulation, compliance to traffic safety regulation, driving speed, middle-aged adolescent, and compulsory motor insurance</p> wachira suriyawong ##submission.copyrightStatement## 2019-03-07 2019-03-07 41 4 105 114 Desire to study in Master of Nursing Science (Midwifery) among Professional Nurses in Northest Thailand <p>This survey research aims to study desire of nurses for engaging in Master of Nursing Program in Midwifery. Participants were 237 of professional nurses in obstetrics or maternal and child department at province hospital in Northeast. Data were collected by using questionnaires. The data were analyzed by applying descriptive statistics. The results found that majority of participants needed to study for improving knowledge, applying knowledge for existing work, and promote higher educational level. Special contents required were about advanced reproductive technology with midwife role and guideline and innovation in midwifery. This research was useful for curriculum development which served desires of nurses.</p> พร้อมจิตร ห่อนบุญเหิม ##submission.copyrightStatement## 2019-03-07 2019-03-07 41 4 115 124 Vegetarian diet and chronic kidney disease <p>Vegetarian diet or plant-based diet has been widely known and more popular among people with health concern. A numerous research articles have reported the health benefits of vegetarian meals in the prevention and healing of chronic kidney disease (CKD) and others both in experimental animal and epidemiological human studies. However, some investigators suggested that vegetarian diet would not be suitable for CKD according to their lack of energy and low protein content and to their high amounts of potassium and phosphate which may affect the kidney function<sup>1</sup>. To clarify such the difference, the research articles concerned studies will be reviewed to find out how vegetarian diet could affect the nutrition status of CKD patients and whether the food consumption of phytonutrients and their dietary balance should be managed and controlled for real health benefits.</p> Yupa Chanwikrai ##submission.copyrightStatement## 2019-03-07 2019-03-07 41 4 125 135 Caring of the older persons in aging society <p>Thailand is encountering the changes of population situation as happened worldwide, entering of aging society. It was estimated that Thailand will complete aged society in the year 2021. This change is a result of enormous decreasing number of fertility and longer life expectancy. Participation of all parties is crucial to effectively engage in aged society by preparations of personnel and systemic management including strengthen of family system and community system to prolong family period of elders and being self-care, including updating of data-based of aging population to close follow up and provide thoroughly help needed.</p> Chantana Ronnarithivichai ##submission.copyrightStatement## 2019-03-07 2019-03-07 41 4 136 144 Knowledge or fear of school age children with online media in Thailand 4.0 <p>School age children are seeking for a convenient, easy, challenge channel to reach learning source as fast as possible. Online media is a popular choice for most school children in the era where all the promotion is focused through innovation called Thailand 4.0. In the meantime, online media is easy channel to access the inappropriate media for children as well. &nbsp;They should get knowledge but it becomes a fear-inducing effect of perception and imitation. This article presents both the knowledge and the fear of school children. Object of the article is to support the key person to find ways to promote learning and reduce school age children’s fear. Pediatric nurse is a health-care provider with the opportunity to provide holistic child health care. Therefore, understanding the Fear of school age children 4.0 is knowledge of the mind can be used to assess the health of school children in normal and deviate health also.</p> <p>&nbsp;</p> อัจฉริยา วงษ์อินทร์จันทร์ ##submission.copyrightStatement## 2019-03-06 2019-03-06 41 4 145 154 Authors Guide Line <p>&nbsp;Authors Guide Line</p> -- -- ##submission.copyrightStatement## 2019-03-07 2019-03-07 41 4 155 155 Journal of  Nursing Science and Health Subscription form <p><strong>Journal of&nbsp; Nursing Science and Health</strong> <strong>Subscription form</strong></p> -- -- ##submission.copyrightStatement## 2019-03-07 2019-03-07 41 4 Checklist for manuscript submitted for publication <p>Checklist for manuscript submitted for publication</p> -- -- ##submission.copyrightStatement## 2018-12-27 2018-12-27 41 4