Nursing Journal of The Ministry of Public Health 2019-03-16T13:54:42+07:00 ดร.ศุกร์ใจ เจริญสุข Open Journal Systems <p><span style="text-decoration: underline;"><strong>วัตถุประสงค์<br></strong></span>วารสารพยาบาลกระทรวงสาธารณสุขจัดทำขึ้นเพื่อส่งเสริมและเผยแพร่ผลงานวิจัยและผลงานวิชาการด้านการพยาบาลทุกสาขาและการสาธารณสุขที่เกี่ยวข้อง เช่น บทความวิชาการ เป็นบทความทางการพยาบาล การศึกษาพยาบาล การบริหารและงานทางวิชาชีพ เป็นต้น</p> <p>ตั้งแต่ปี 2555 วารสารจัดพิมพ์ปีละ 3 ฉบับ (จากเดิมออกปีละ 2 ฉบับ) ฉบับที่ 1 มกราคม–เมษายน, ฉบับที่ 2 พฤษภาคม-สิงหาคม, ฉบับที่ 3 กันยายน–ธันวาคม (อัตราค่าสมาชิก 3 เล่ม 300 บาท/ปี)</p> <div id="__if72ru4sdfsdfrkjahiuyi_once" style="display: none;">&nbsp;</div> <div id="__if72ru4sdfsdfruh7fewui_once" style="display: none;">&nbsp;</div> <div id="__hggasdgjhsagd_once" style="display: none;">&nbsp;</div> E-book Implementation: Lesson Learned from Nursing Students’ Learning Outcome 2018-12-31T13:03:12+07:00 ปานทิพย์ ผ่องอักษร ละเอียด แจ่มจันทร์ <p>Higher education influence from advance technology, E-learning or blended learning is trendy advancement. E-book is well serviceable because of rapid access, up-to-date, comfortable, space free, portable, link to web or reference book promptly as well as no limit of place &amp; time over the world. E-book for suctioning is develop and implement for nursing students. Lesson learned of the learning outcome from their reflective note reveal 1) The character of E-book; colorful teaching tool, descriptive, image and sound is persuade to reading as well as easier procedure.&nbsp; 2) Enhance knowledge and skill;&nbsp; usable for self tutorial, repeat at anytime, lesson exercise and easy to find the topic.&nbsp; 3) Improve confident; more confident than paper reading. Prepare before practice, portable&nbsp; for anytime review. 4) Pleasure; high&nbsp;satisfy, need more E-book for all nursing skills in order to review before practice or examination.</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## Home-based Fall Prevention Guideline in Thai Contexts for Elderly People 2018-12-31T13:03:15+07:00 เยาวลักษณ์ คุมขวัญ อภิรดี คำเงิน อุษณีย์ วรรณลัย นิพร ขัดตา <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; often result in reduced quality of life due to losses of functional ability, severe injuries or even death in older persons. This article presents home-based fall prevention guidelines for older people in Thai contexts. We examined factors related to falls in older persons including external, internal</p> <p>and precipitating factors and conducted a literature review related to fall prevention interventions. Twelve principles identified for effective fall prevention. These principles are represented as a series of 12 P’s in accordance with the meanings ascribed in Thai language. These include: P1: Assessment (including gait and balance, vision, activity of daily living, and fall risk), P2: Change, P3: Modifications, P4: Realization, P5: Attitudinal adjustment, P6: Protection, P7: Prevention, P8: History of fall, P9: Medical consultation, P10: Psychological adjustment, P11: Motivation, and P12: P physical activity. Health professionals, caregivers and older persons can apply these principles to guide the design of fall prevention activities for older people living at home.</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## The Effect of Health Promotion Program of Academic Staffs with Risk of Hypertension 2018-12-31T13:03:13+07:00 กาญจนา โกทิยะ ซูไฮลา อาหวัง นูรอา ซีราหะยีเจ๊ะ อาแซ เบ็ญจมาภรณ์ ศรีเมือง จารีญา อาแว ตรีฤทัย ไชยสวัสดิ์ นัรมีน เจ๊ะแล อารีนา กุลยานันต์ ศิริพันธุ์ ศิริพันธุ์ <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong>From annual health checkup of Princess of Naradhiwas University academic staff, they were found in the high risk of hypertension rate. This&nbsp;quasi-experimental research aimed to investigate the effect of health promotion programon Princess of Naradhiwas University academic staffwho have risk hypertension.The specific selected subjects were 30 academic staff of Princess of Naradhiwas University who has risk hypertension. Research tool is health promotion program and data were collected using personal health questionnaire, health promotion questionnaire, hospital health checkup data (Body Mass Index, waistline, systolic and diastolic blood pressure),and hypertension disease and self-health care pre-test. Data were analyzed using frequency, percentage, mean, standard deviation, and t-test. The study found that an average score of knowledge on hypertension and prevention after receiving health promotion program is significantly higher than before (t= -4.06 p&lt;.05). Average score of health behavioral change after receiving health promotion program is significantly higher than before (t= -2.29, p&lt;.05)&nbsp; Systolic blood pressure after receiving health promotion program is significantly lower than before. (t= 3.58, p&lt;.05). The finding suggests that anybody who has risk hypertension should be encouraged to join health promotion program as well as following up the behavioral changes appropriately and consecutively, leading them to be healthier and having better life.</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## The Development of a Care Model for Home-bound and Bed-bound Chronically ill Patients 2019-02-06T13:39:10+07:00 ณิสาชล นาคกุล <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong>The purpose of this action research was to develop the care model for home-bound and bed-bound chronically ill patients in Suratthani Municipality. The research had three phases, 1) analyze the situation of the chronically ill patient who was home-bound and bed-bound, 2) develop a care model and 3) evaluation of the implementation of the model before and after.&nbsp; The samples were135 home-bound and bed-bound patients and 22 members of the team provided care for chronically ill patients. The tool&nbsp;&nbsp;of the study was a semi-structured interview questionnaire which was used to interview and a focus group. The Barthel’s ADL and the patients’ perception of health questionnaires were used to evaluate before and after the development of the care model.&nbsp; The reliability of questionnaires were .76 and .97. Descriptive statistics were used such as percentage, mean and SD. Inferential statistics including Wilcoxon Matched pairs signed rank test were used.&nbsp; The results of the team development showed five topics that developed the care model for chronically ill patients who were home-bound and bed-bound. These were 1) The development of the&nbsp;potential care team 2) The development of a follow-up system 3) The implementation of participation of the patient care network 4) Self care support and 5) Social support.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results of the care model’s development for 135 chronically ill patients who were home-bound&nbsp;and bed-bound found capable of performing basic tasks at the significance level of .05 (w=-2.122).</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## Health Promotion for Preschool Aged Children whose Age 2-5 years-old in Child Developmental Center at Khet Bang Phlat, Bangkok: Family Management 2019-03-16T13:44:38+07:00 อรนุช ชูศรี ณัฐรพี ใจงาม ศรีสุดา วงศ์วิเศษกุล ปณวัตร สันประโคน <p>This study aimed to study the ability, effort to managed, and parents’ maturity of management, and to compare the mean difference of family management in health promotion for pre-school children age between 2-5 years old at Child Development Center in Bang Phlat. Data were collected from 95 of parents, or primary caregiver through questionnaire of ability, effort, and parents’ maturity. Data analysis was using descriptive statistics and one-way ANOVA. The results indicated that parents reported the score on management ability, management effort, and parental mutuality are moderate level with mean of 43.55, 12.43, and 29.40 respectively. The mean scores of parental mutuality in health promotion were not statistically significantly different (p&gt;.05). Parental perception on health promotion management ability from WatThepakorn Child Development Center were more than Suan Prig Children Development Center and Wat Bang Phlat Children Development Center, while parental perception on management effort from Suan Prig Children Development Center were more than WatWimuttayaram and Wat Bang Phlat. The findings will be using as a guideline for teachers and caregivers in Child Development Center to organize activities with families to participating in health promotion emphasis on health behaviors such as exercise, diet consume.</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## The Effect of the Objective Structured Clinical Examinations (OSCEs) Test to Clinical Skill Practices in Basic Medical Care of Nursing Students 2018-12-31T13:03:34+07:00 กชกร ธรรมนำศีล กาญจนา ปัญญาเพ็ชร์ สุปราณี น้อยตั้ง จินตนา อาจสันเที๊ยะ <p><strong>&nbsp;&nbsp;&nbsp;&nbsp; </strong>The purpose of the descriptive study was to examine the effect of the Objective Structured Clinical Examinations (OSCEs) to clinical skill test in Basic Medical Care (BMC). The total of 119 undergraduate students from senior nursing student at Faculty of Nursing, Saint Louis College Academic year 2017 were recruited by a purposive sampling technique. The OSCEs included three components 1) Clinical scenarios (8 sets), 2) checklist form and criteria recorded score for clinical skills and 3) satisfaction for the OSCEs. Data were analyzed using descriptive statistics. Eight sets of the OSCEs clinical scenario were implemented to test clinical skills of BMC in nursing students. The result revealed that the OSCEs could evaluate and examine the different of each&nbsp;clinical skill in BMC. The majority of nursing students passed the OSCEs test (96.7%). Most of them had the skill of history illness assessment (92.4%). 70.6 % of them had a low score in the skill of problem lists and differential diagnosis. The majority of senior nursing students had a total score of the OSCEs at the excellent level (68.1%). Three percent of them had a poor level. The satisfaction score in total had a highest level (X=4.66, SD=.51) Findings provide evidence of the applicability of the eights&nbsp;OSCEs BMC to inform the development and delivery of simulation activities for nursing students. The OSCEs BMC could evaluate the difference of an individual clinical skills as well as improve nurse&nbsp;students’ skills.</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## The Effect of Alcohol Cartoon on Increasing Alcohol Knowledge and Attitude among Primary School Students 2019-03-16T13:51:55+07:00 ดลนภา ไชยสมบัติ บัวบาน ยะนา สุทธินี นันทฤทธิ์ จันทนิภา แจ่มแจ้ง <p><strong>&nbsp;&nbsp;&nbsp;&nbsp; </strong>This quasi experiment research aimed to demonstrate the effect of the alcohol cartoon on increasing alcohol knowledge and attitude among grade 5 and 6th primary school students in Phayao province in order to prevent alcohol consumption in the future.&nbsp; A quasi-experiment was implemented in two primary schools with 77 students voluntarily participating in the program (intervention, n=36; control, n=41). Assessment was conducted by self-administered questionnaire at baseline and exit point&nbsp;(4 weeks after baseline). Data were analyzed using descriptive statistic, dependent and independent t-test. The findings revealed that there was a positive effect of the alcohol cartoon on the increase of alcohol knowledge after implementing the program (p&lt;.05) in intervention school as well as alcohol knowledge in intervention school was significant higher than control school (p&lt;.05). Alcohol attitude increased after reading cartoon in intervention school; but there was no difference between intervention and&nbsp;control group. Research suggests this alcohol cartoon is appropriated in educating primary school students; however, the content of alcohol attitude in this cartoon should be developed as well as other alcohol attitude activities in school should be promoted in order to prevent alcohol consumption among school students.</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## The Effects of Health Belief Application Program in Older Adults on Risky Coronary Artery Disease in Community 2019-03-16T13:46:28+07:00 ปณวัตร สันประโคน อรนุช ชูศรี ชูศรี ศรีสุดา วงศ์วิเศษกุล <p><strong>&nbsp;&nbsp;&nbsp;&nbsp; </strong>The lacks of perceived risk in disease severity affected on reducing in perception on health threat.&nbsp; Moreover, perceived benefit and perceived self-efficacy affected to low self-protective behavior. This study was quasi-experimental research designed in the pretest-posttest control group. The purpose of the study was to test the effects of health belief application program among older adults in Community. The samples consisted of 70 older adults who risky coronary artery disease (CAD). 35 subjects in each group were equally assigned by random assignment to an experimental group and a control group, and both of those were no difference in the characteristics. Those of the experimental subjects were received in the program for 6 weeks, but those of the control group were received usual care. Then data were collected and analyzed with descriptive and independent t-test statistics. The finding indicated that after applying for the program, the mean of health belief score in the experimental group was found of being better than the control group with statistical significance (p&lt;.05). It could be concluded that the health belief application program was the useful method for the increased health belief in older adults who risky in coronary artery disease in the community. Thus, researchers have the suggestions for the future research that should be promoted this programs for testing on self-protective behavior in older adults <strong>Keywords:</strong> coronary artery disease (CAD); health belief; older adults.</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## Effects of Positioning by Using Maneevada Knowledge Program on Duration Active Labor and Satisfaction for Childbirth Among Primiparous Women 2018-12-31T12:05:22+07:00 จงสฤษฎ์ มั่นศิล ศิริวรรณ แสงอินทร์ พิริยา ศุภศรี <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong>Prolonged labor is a crisis that increase maternal and fetal complications, cesarean section rate and dissatisfaction for childbirth. This two – group posttest comparative experimental design aimed to determine effects of positioning by using Maneevada knowledge program on active labor period and childbirth satisfaction among primiparous women. Sample included of 50 rimiparous women giving birth at Phramongkutklao hospital. Convenience sampling with inclusion criteria was used to recruit the participants. Participants were randomly assigned to either an experimental group (n=25) or a control group (n=25). Experimental group received positioning by using Maneevada knowledge program as well as a routine nursing care while control group received a routine nursing care. Data were collected by using demographic and obstetric data collect tool and the birth satisfaction scale. Descriptive statistics and independent t-test perform for data analysis. The finding found that the experimental group had significantly shorter active labor period than the control group mean 144 min. and was satisfaction for childbirth than the control group. (t48=-10.77, p=.01 and t48=12.79, p=.01, respectively) This study confirmed the effectiveness positioning by using Maneevada knowledge had shortened duration active labor and more satisfaction for childbirth. Therefore, hospitals should be used this program as a guideline to promote the progress of labor and satisfaction for childbirth.</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## A Longitudinal Study of Headache, Fatigue, Sleep Disturbance, and Performance in Patients with Mild Head Injury 2019-01-02T14:18:55+07:00 นิภาวรรณ สามารถกิจ อริยาวรรณ วรรณสีทอง <p><strong>&nbsp;&nbsp;&nbsp;&nbsp; </strong>This descriptive research aimed to explore and compare the occurrence of symptoms including headache, fatigue, sleep disturbance, and performance of patients with mild head injury at 24 hours, 1 month, 2 month, 3 month and 6 month after the injury. Fifty-nine patients were consecutively recruited by the inclusion criteria at a Trauma ward of Chon Buri Hospital during June 2016 to June 2017. Research instruments included the Personal Information questionnaire, the Brief Pain Inventory (BPI) questionnaire, the Barrow Neurological Institute (BNI) questionnaire, the Fatigue Scale, the Verran and Synder-Halpern Sleep Scale, and the Rivermead Head Injury Follow Up questionnaire (RHFUQ). Data were analyzed by using descriptive statistics, and Repeated Measures ANOVA. The results showed that at 24 hours, the 1<sup>st &nbsp;</sup>month, 2<sup>nd</sup> month, 3th month and 6th month after head injury, the samples reported having headache for</p> <p>72.9 %, 51.3 %, 33.8 %, 24.2 %, and 16.9% respectively. The occurrence of fatigue were 95.1 %, 89.6 %, 77.5 %, 57.4 % and 64.4 % respectively, while 100% of samples reported that they had sleep disturbance all the time after head injury. Although the samples reported having no change in the level of their performance, they found that it was more difficult to perform activities of daily living by&nbsp;the 1st month, 2nd month, 3rd month and 6th month after the injury. The mean scores of the severity of headache, fatigue and sleep disturbance at 24 hours were significantly different (p &lt; .001), from those in the 1st month, 2nd month, 3rd month and 6th month post injury. However, the mean score of the performance was not significantly different at all the time of the study. The findings reflect that nurses and health care providers should emphasize the issue of symptom occurrences including headache,</p> <p>fatigue, and sleep disturbance in patients post minor head injury. Symptom assessment should be continuously performed in order to early manage any symptoms occurred in order to enhance performance among this population.&nbsp;</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## Process of Physical Activity Associated with Health Care Behaviors of Thai Elderly Systematic Revie 2018-12-31T12:32:54+07:00 วัชราภรณ์ เรืองสิทธิ์ จำลอง วงษ์ประเสริฐ กุลธิดา กุลประฑีปัญญา <p><strong>&nbsp;&nbsp;&nbsp;&nbsp; </strong>The purposes of this systematic review were to review the literature, synthesisand summarizing to the knowledgeabout process of physical activities associated with health care behaviors of Thai elderly. A systematic review of the literature was selected from existing evidence electronic databases. The samples of research were 98 research studies, published during 2007-2016. Results of&nbsp;this studied were found process of physical activities associated with health care behaviors of Thai elderly including 1) education program such as health promotion program, empowerment program, counseling program, self-efficacy program, self-management promotion program 2)exercise activities 3) group process 4) meditation practice and 5) art and music activities . Finding of systematic review indicate that the conclusion can explainprocess of physical activities associated with health care behaviors of Thai elderly. This is benefit for guideline practice in order to promote the elderly to practice health care behaviors sustainably.</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## Development of Wound Dressing E-Learning Lesson for Nursing Student in Srimahasarakham Nursing College 2019-03-16T13:54:42+07:00 อัจฉรา มีนาสันติรักษ์ พัชรี แวงวรรณ ชาลี ศิริพิทักษ์ชัย อัญญา ปลดเปลื้อง ทรงสุดา หมื่นไธสง <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This research and development aimed to: 1) develop the wound dressing e-learning lesson for nursing student, 2) compare the learning achievement between pre test and post test of the student though e-learning lesson, and 3) to study the opinions towards wound dressing e-learning lesson. The samples were purposive sampling 46 second year bachelor nursing students who studied through e-learning lesson in Principles and Techniques in Nursing subject, first semester of 2017 academic year. The research instruments were e-learning lesson, the multiple choice achievement test, and an opinions questionnaire of development of e-learning on wound dressing.&nbsp; The data were analyzed by statistics such as frequency, percentage, mean, and standard deviation.&nbsp; Paired T-test was employed for testing mean difference at the .05 level of significance.&nbsp; The result of the study revealed that the efficiency of wound dressing e-learning lesson at 97.64 / 92.15 which was more than criteria set 80/80. The learning achievement post test was higher than pre test at the .05 level of significance.&nbsp; The opinions towards wound dressing e-learning lesson found that the overall were rate in high level. (&nbsp;&nbsp;<img title="\bar{x}" src="\bar{x}"> =3.69)</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement## Factors Related to Self-Care Behaviors using Thai Traditional Medicine and Alternative Medicine of Village Health Volunteers in Thung Saliam District, Sukhothai Province 2019-03-16T13:50:26+07:00 ฉัตรณรงค์ พุฒทอง ปัทมา สุพรรณกุล สุคนธ์ธิกา นพเก้า <p>The objectives of this correlational research was to study self-care behaviors using&nbsp; Thai&nbsp; The objectives of this correlational research was to study self-care behaviors using&nbsp; Thai&nbsp;traditional medicine and alternative medicine of village health volunteers and to examine factors related&nbsp;to self-care behaviors of village health volunteers in Tung Saliam District, Sukhothai Province. The samples&nbsp;were 394 village health volunteers. The systematic random sampling was used to recruit the samples.&nbsp;Data were collected by using questionnaire with a reliability of .81, analyzed by using descriptive statistics,&nbsp;Pearson correlation coefficient and ETA at significant level of .05.&nbsp; The results revealed that 63.2% of the samples had low levels of self-care behaviors using&nbsp;Thai traditional medicine and alternative medicine styles follow by 91.4.% had excellence level of the&nbsp;Thai traditional medicine and alternative medicine knowledge and&nbsp; 98.5% had low level of attitude toward&nbsp;to self-care behaviors.&nbsp; The factors related to self-care behaviors of village health volunteers using&nbsp;Thai traditional medicine and alternative medicine in positive correlation was attitudes towards to&nbsp;self-care behaviors (r=.260, p&lt;.001) For the knowledge had negative correlation with self-care&nbsp;behaviors (r=-.241, p&lt;.001) at the significance level of .05. The suggestion: the attitudes toward self-care behaviors using Thai traditional medicine and&nbsp;alternative medicine is an important factor that should be developed as a behavioral change program for&nbsp;village health volunteers.</p> 2018-12-31T00:00:00+07:00 ##submission.copyrightStatement##