Nursing Journal of The Ministry of Public Health https://www.tci-thaijo.org/index.php/tnaph <p><span style="text-decoration: underline;"><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">วัตถุประสงค์</span></span></span></span></span></span><br></strong></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">วารสารพยาบาลกระทรวงสาธารณสุขจัดทำขึ้นเพื่อส่งเสริมและเผยแพร่ผลงานวิจัยและงานวิชาการด้านการพยาบาลทุกสาขาและงานด้านการแพทย์</span></span></span></span></span></span></p> <p><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">ตั้งแต่ปี 2555 วารสารการพิมพ์ปีที่ 3 มกราคม - เมษายน, ฉบับที่ 2 พฤษภาคม - สิงหาคม, ฉบับที่ 3 กันยายน - ธันวาคม</span></span></span></span></span></span></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> The Nurse Alumni Association of the Ministry of Public Health en-US Nursing Journal of The Ministry of Public Health 0857-3743 <p>บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้</p><div id="__if72ru4sdfsdfrkjahiuyi_once" style="display: none;"> </div><div id="__if72ru4sdfsdfruh7fewui_once" style="display: none;"> </div><div id="__hggasdgjhsagd_once" style="display: none;"> </div> Comfort amidst Pain during Childbirth: From Theory to Practice https://www.tci-thaijo.org/index.php/tnaph/article/view/213510 <p>Kolcaba’s Nursing Theory explains concepts about comfort, stating that comfort can occur, even when people are faced with health-threatening situations.&nbsp; The same is true for comfort during childbirth in which positive feelings can occur.&nbsp; And if comfort during childbirth is properly promoted, women in labor can perceive greater comfort.&nbsp; Even when pain is unavoidable, feelings of comfort can originate with the woman in labor as a result of preparation for childbirth and care from health providers based on physical, psycho-spiritual, social and environmental needs met during childbirth. This paper proposes concepts on comfort as it applies to childbirth.&nbsp; The instrumentation employed evaluated comfort during childbirth, promotion of comfort and the experiences of the author as a guideline for the care of women during labor and childbirth.</p> มาวศรี มานุช สุนันทา ศรีมาคำ ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 1 11 Family Management: Concept and Implementation Guidelines to Help Families of Children with Chronic Illness https://www.tci-thaijo.org/index.php/tnaph/article/view/213514 <p>Chronic illness is a health problem that needs continual care. Nowadays, the number of children with chronic illness is increasing. Chronic conditions have impacts on children and their families. Families play an important role in the care of their children during their illness. However, families differ in their ability for care&nbsp; of their children during their illness. If the family is not able to manage problems, it will affect the quality of care for their sick children. The Family Management Framework describes family management styles and purposes to assist family members to effectively manage their children with chronic conditions. The purpose of this article is to present the Family Management Framework and how health care providers, especially nurses, can apply this framework to help the families appropriately manage chronic conditions of the children, in the context of each family, for the improvement of quality of life.</p> พัชรี วัฒนชัย ยุพาภรณ์ ติรไพรวงศ์ ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 12 23 Factors Predicting Physical Activity Behaviors Among Grade 4-6 Students in Nongkula Sub-district, Bang Rakam District, Phitsanulok Provinc https://www.tci-thaijo.org/index.php/tnaph/article/view/213519 <p>The purpose of this predictive descriptive research study were to describe the level of physical activity and to determine the predicting factors regarding predisposition, enablement, and reinforcement factors for physical activity behavior among grade 4-6 students in Nongkula Sub-district, Bang Rakam District, Phitsanulok Province. The sample consisted of 350 students from grade 4 to 6. They were selected by proportional stratified random sampling and simple random sampling. Data were collected by questionnaires. The content validity was examined by the Item-Content Validity Index (I-CVI) and yielded a value of .80–1.00. The reliability of the knowledge questionnaire was assessed by KR-20&nbsp; and obtained a value of .70. The reliability of attitude, self-efficacy towards physical activity, enabling factors, reinforcing factors and physical activity behavior were assessed by Cronbach’s alpha, and achieved values of .70, .70, .71, .71 and .72 respectively. Data were analyzed using descriptive statistics and stepwise multiple regression with the significance level of .05.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results showed that the samples had positive physical activity behavior (&nbsp;<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}">=3.70, SD=.673). In addition, stepwise multiple regression analysis revealed that reinforcing factors (β=.41, b=.48, p&lt;.001), gender (β=.22, b=2.70, p&lt;.001), and nutritional status (β=-0.12, b=-2.69, p=.011) accounted for 21.6% of predicting physical activity behaviors among students.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The study suggested that the public health personnel should recommend parents and teachers support continuous physical activity for their children, including the provision of appropriate advice regarding physical activity for children of different gender and nutritional status, designing programs to increase knowledge regarding the benefits of physical activity and continually monitoring nutritional status among students. These activities will lead to improved health of students.</p> ภัสราพร ทองวัตร นิทรา กิจธีระวุฒิวงษ์ ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 24 36 Evaluation of Methamphetamine Addiction Treatment in the Voluntary Drug Treatment System at Tambon Health Promoting Hospitals, Amnat Charoen Province https://www.tci-thaijo.org/index.php/tnaph/article/view/213625 <p>This survey study aimed to evaluate&nbsp; methamphetamine addiction treatment in the voluntary drug treatment system at Tambon Health Promoting Hospitals, Amnat Charoen Province. The addiction treatment was evaluated using the context, input, process, and products as a guiding framework.In addition, this study evaluated rehabilitation staff knowledge regarding methamphetamine addiction treatment. The population of this analysis consisted of 46 rehabilitation staff who provided methamphetamine addiction treatment in the voluntary drug treatment system at 46 Tumbol Health Promoting Hospitals, Amnat Charoen Province.The results showed that, 1) Context: the therapeutic staff members highly agreed with the importance and appropriateness of drug policies, 2) Input: most hospitals had one therapeutic staff member. All of the therapeutic staff had undertaken a counselor training program. The budget and narcotic urine testing tools were sufficiently supported, 3)Process: most of the participants moderately agreed with the process of drug treatment, and 4)Product: most of the patients completed the treatment program.More than 85% of the patients were able to discontinue drug usage within 3 months after the treatment program.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Most of the therapeutic staff had knowledge on addiction therapy at high and highest levels (82.6%).&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;The findings suggest that the therapeutic staff should be provided with an appropriate training program, so that they can help addicted patients to stop using drugs. Narcotic testing equipment should also be adequately supplied.</p> กัลยาณี สุเวทเวทิน สัมมนา มูลสาร ธีราพร สุภาพันธุ์ ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 37 50 Quality Evaluation of the Google My Maps Application in Home Visits of Nursing Students in the Faculty of Nursing, Ubon Ratchathani University https://www.tci-thaijo.org/index.php/tnaph/article/view/213635 <p>This descriptive research aimed to investigate quality and satisfaction of the Google My Maps application in home visits of nursing students. The sample as selected by the purposive sampling and consisted of 85 third-year nursing students in the Faculty of Nursing, Ubon Ratchathani University, enrolled in the Community Nursing Practicum in the second semester of the academic year 2017. The instruments of this research included a questionnaire on quality of Google My Maps application in home visits and a questionnaire on satisfaction of Google My Maps application in home visits of nursing students. The questionnaire used for collecting data had a content validity and reliability by Cronbach’s alpha coefficient of .96, and .94. The data were analyzed using descriptive statistics, means, and standard deviation.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results showed that quality of Google My Maps application in home visits of nursing students was at the high level (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}">=4.30, SD=.47). Considering by aspect, every aspect of quality of Google My Maps application in home visits of nursing students was at the high level as follows: utility (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}">=4.35, SD=.54), accuracy (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}">=4.31, SD=.56), appropriateness (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}">= 4.27, SD=.53), and feasibility (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}">=4.26, SD=.51), respectively and satisfaction of Google My Maps application in home visits of nursing students was at the high level (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}">=4.32, SD=.52). The application of Google My Maps is suitable for using in home visits of nursing students and community public health officers. The results can be used for&nbsp; primary health service planning to improve efficiency.</p> ภูษณิศา มีนาเขตร สิริทรัพย์ สีหะวงษ์ อังศวีร์ จันทะโคตร ณัฐสุดา คติชอบ ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 51 63 Early Warning Signs and Symptoms for Screening and Diagnosing Pulmonary Tuberculosis Among Diabetes Mellitus Patients in Phukhieo-Chalermpragiet Hospital, Chaiyaphum Province https://www.tci-thaijo.org/index.php/tnaph/article/view/213649 <p>&nbsp; &nbsp;&nbsp;This retrospective case control research study aimed to investigate&nbsp; early warning signs and symptoms for screening and diagnosing pulmonary tuberculosis in Diabetes&nbsp; Mellitus patients using medical records.&nbsp; The participants were divided into 2 groups. The study group consisted of 59 pulmonary tuberculosis with Diabetes Mellitus patients (DM/PTB) and the control group&nbsp; included 166&nbsp; Diabetes Mellitus patients without tuberculosis (non-DM/PTB). Comparative statistics with Odd Ratios (OR) under 95 percent&nbsp; confidence&nbsp; interval was used for data analysis. It was found that the prevalence rate of new pulmonary tuberculosis in Diabetes Mellitus was 14.99 cases per 1,000 diabetes mellitus, prevalence rate of pulmonary tuberculosis in male and female Diabetes Mellitus patients accounted for 7.62 and 7.33 cases per 1,000 diabetes mellitus. Mostly were in the age range of 50-59 years, representing 59 cases per 1,000 diabetes mellitus and living outside the municipality, representing 12.45 cases per 1,000 diabetes mellitus. &nbsp;Clinical signs and symptoms for screening and diagnosing pulmonary tuberculosis in diabetic patients were anorexia or eating unhealthy food, low fever or chronic fever, weight loss more than 3 kilograms in 3 months, frequent hypoglycemia, chronic cough&nbsp; and&nbsp; possession of Glycated hemoglobin (HbA1c)&nbsp; higher than 8.5 milligrams per cent.&nbsp; The results showed that Pulmonary tuberculosis prevalence rate in diabetic patients was at a high level. The findings suggest that screening clinical signs and symptoms for all diabetic patients should be addressed. Early investigation and diagnosis&nbsp; of Pulmonary tuberculosis in diabetic patients will be useful for patients to receive fast treatment &nbsp;and prevent&nbsp; further spread of Pulmonary tuberculosis.</p> อเนก หล้าเพชร ปิยะนุช พรหมสาขา ณ สกลนคร ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 64 73 Quality Evaluation of the Google My Maps Application in Home Visits of Nursing Students in the Faculty of Nursing, Ubon Ratchathani University https://www.tci-thaijo.org/index.php/tnaph/article/view/214885 <p>This descriptive research aimed to investigate quality and satisfaction of the Google My Maps application in home visits of nursing students. The sample as selected by the purposive sampling and consisted of 85 third-year nursing students in the Faculty of Nursing, Ubon Ratchathani University, enrolled in the Community Nursing Practicum in the second semester of the academic year 2017. The instruments of this research included a questionnaire on quality of Google My Maps application in home visits and a questionnaire on satisfaction of Google My Maps application in home visits of nursing students. The questionnaire used for collecting data had a content validity and reliability by Cronbach’s alpha coefficient of .96, and .94. The data were analyzed using descriptive statistics, means, and standard deviation.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results showed that quality of Google My Maps application in home visits of nursing students was at the high level ( =4.30, SD=.47). Considering by aspect, every aspect of quality of Google My Maps application in home visits of nursing students was at the high level as follows: utility ( =4.35, SD=.54), accuracy ( =4.31, SD=.56), appropriateness ( = 4.27, SD=.53), and feasibility ( =4.26, SD=.51), respectively and satisfaction of Google My Maps application in home visits of nursing students was at the high level ( &nbsp;=4.32, SD=.52). The application of Google My Maps is suitable for using in home visits of nursing students and community public health officers. The results can be used for&nbsp; primary health service planning to improve efficiency.</p> ภูษณิศา มีนาเขตร สิริทรัพย์ สีหะวงษ์ อังศวีร์ จันทะโคตร ณัฐสุดา คติชอบ ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 51 63 The Effectiveness of a Health Literacy Development Program in Patients with Type 2 Diabetes Risking to Chronic Kidney Disease https://www.tci-thaijo.org/index.php/tnaph/article/view/214887 <p>The purpose of a quasi-experimental study with two group pre-test and post-test design was conducted to examine the effects of a health literacy development program on health literacy, self-management behaviors, urine sodium, blood sugar and glomerular filtration rate of type 2 diabetes mellitus patients risking to chronic kidney disease.&nbsp; The sample consisted of the patients with uncontrolled type 2 diabetes mellitus at risk of chronic kidney disease, having a blood glucose level between 155 and182 milligrams per deciliter and glomerular filtration rate at stage 1 and 2, living in Charoensin District, Sakon Nakhon Province. The sample was selected by stratified random sampling and put into experimental and comparative groups. Each group included 30 persons. Research instruments included 1) a 12 week program of health literacy development which was developed based on the concept health literacy pathway model; 2) a handbook of health literacy for delaying the progression of renal failure from diabetes; and 3) a questionnaire. Content validity indexes of health literacy and self-management behavior sectors were .97 and 1.00, respectively. Kuder-Richardson of health literacy was .78 and Cronbach’s alpha coefficient of self-management behaviors was .84. Data were analyzed by descriptive statistics and Independent t-test. The results revealed that after enrolling in the program, the mean scores of health literacy and self-management behaviors of the experimental group were higher than those of before enrolling in the program and higher than the comparative group at p-value &lt;.05. Urine sodium and blood sugar of the experimental group were lower than before enrolling the program and lower than the comparative group at p-value &lt;.05. The mean glomerular filtration rate was higher than before enrolling in the program and higher than that of the comparative group, but not significantly higher at p-value &lt;.05.</p> สายฝน สารินทร์ สุทธีพร มูลศาสตร์ วรวรรณ ชัยลิมปมนตรี ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 64 73 Suffering of the Mothers with Low Birth Weight Infants Hospitalized https://www.tci-thaijo.org/index.php/tnaph/article/view/214900 <p>This qualitative research study aimed to explore the suffering of mothers who gave birth to low birth weight infants. The participants consisted of 24 mothers with low birth weight infants who were hospitalized in newborn care units at regional public hospitals in Eastern Thailand. An in-depth interview with open-ended questions was used to collect data. Qualitative content analysis was conducted for data analysis. The findings revealed 5 themes of mother’s suffering including, 1) mother’s suffering characteristics: anxiety/stress, sadness, sleeplessness, and no appetite; 2) causes of mothers’ suffering: fear of complications and death of infants; 3) factors affecting mothers’ suffering: the health condition of infants, and family support, 4) the means to reduce suffering: creating hope, making merit, praying, and accepting the infant’s condition; and 5) outcomes of reducing suffering: living with suffering, reduced suffering, and having hope. The findings enhance understanding about mother’s suffering. Nurses or other health care providers could develop nursing interventions for reducing suffering based on these findings.</p> ณัชนันท์ ชีวานนท์ จินตนา วัชรสินธุ์ พีระภาพ คำแพง ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 102 115 Factors Associated with Quality of Life among Cancer Patients with Palliative Care at the End of Life residing in Chiang Rai Province. https://www.tci-thaijo.org/index.php/tnaph/article/view/214903 <p>A cross-sectional study aimed to determine the factors associated with quality of life of cancer patient with palliative care in hospitals, Chiang Rai province, Thailand. The participant was registered in continuity of care in hospitals in Chiang Rai, Thailand among 110 cases. The study between July and September 2018.Data was collected by a structured questionnaire (EORTC QLQ-C30). Both descriptive and inferential statistics was employed in data analysis. Chi- square test was used for analysis of the association between designated variables and quality of life among cancer patient with palliative care. The study found that 3 factors was significant with quality of life in the part of role (p&lt;0.05) which education, duration of illness and palliative performance scale (PPS Score). In the part of symptoms and impact was significant with 4 factors which education, family medical history, duration of illness and PPS Score. Interestingly, from the part of status and quality of life was significant with 3 factors which marital status, education, position of cancer and PPS score. The variables were considered significant with p-value &lt;0.05. In conclusion the important factor for quality of life of cancer patients with palliative care was education. The provider have to focus on the patient living the life by themselves and improve practice skills and caregiver skills. In order to increase the quality of life of palliative car patient in the end of life that they passed away with the dignity of humanity.</p> วิภาดา พึ่งสุข พิษณุรักษ์ กันทวี ภัทรพล มากมี ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 116 128 The Effectiveness of a Health Literacy Development Program in Patients with Type 2 Diabetes Risking to Chronic Kidney Disease https://www.tci-thaijo.org/index.php/tnaph/article/view/214895 <p>The purpose of a quasi-experimental study with two group pre-test and post-test design was con­ducted to examine the effects of a health literacy development program on health literacy, self-management behaviors, urine sodium, blood sugar and glomerular filtration rate of type 2 diabetes mellitus patients risking to chronic kidney disease. The sample consisted of the patients with uncontrolled type 2 diabetes mellitus at risk of chronic kidney disease, having a blood glucose level between 155 and182 milligrams per deciliter and glomerular filtration rate at stage 1 and 2, living in Charoensin District, Sakon Nakhon Province. The sample was selected by stratified random sampling and put into experimental and comparative groups. Each group included 30 persons. Research instruments included 1) a 12 week program of health literacy development which was developed based on the concept health literacy pathway model; 2) a handbook of health literacy for delaying the progression of renal failure from diabetes; and 3) a questionnaire. Content validity indexes of health literacy and self-management behavior sectors were .97 and 1.00, respectively. Kuder-Richardson of health literacy was .78 and Cronbach’s alpha coefficient of self-management behaviors was .84. Data were analyzed by descriptive statistics and Independent t-test. The results revealed that after enrolling in the program, the mean scores of health literacy and self-management behaviors of the experimental group were higher than those of before enrolling in the program and higher than the comparative group at p-value &lt;.05. Urine sodium and blood sugar of the experimental group were lower than before enrolling the program and lower than the comparative group at p-value &lt;.05. The mean glomerular filtration rate was higher than before enrolling in the program and higher than that of the comparative group, but not significantly higher at p-value &lt;.05.</p> สายฝน สารินทร์ สุทธีพร มูลศาสตร์ วรวรรณ ชัยลิมปมนตรี ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 86 101 The Effects of a Thai Massage Program on the Office Syndrome among Personnel https://www.tci-thaijo.org/index.php/tnaph/article/view/214906 <p>This quasi-experimental research aimed at investigating the effects of Thai massage program on the office syndrome among personnel. The samples consisted of 30 personnel of Phrapokklao Nursing College, Chanthaburi who had worked in office and were equally divided into an experimental group (n = 15) and a control group (n = 15). The research instruments included a device of trunk forward flexion test, a Back Scratch Test, a questionnaire of eye fatigue, and a 13-posture Thai massage program for relaxing. The implementation and data collection were conducted from May to July, 2018. Statistics used for data analysis included frequency, percentage, Wilcoxon signed-ranks test, and Mann-Whitney U test.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The research results revealed that after receiving the Thai massage program, the experimental group had statistically significant higher mean scores of trunk forward flexion and right shoulder flexibility than those before receiving the program at the .05 level, and had statistically significant lower mean score of eye fatigue than that before receiving the program at the .01 level; whereas the mean score of left shoulder flexibility was not statistically significant different; and it was found that the experimental group had statistically significant higher mean different scores of trunk forward flexion and right shoulder flexibility than those in the control group at the .05 level. However, the mean different scores of left shoulder flexibility and eye fatigue were not statistically significant different between two groups. The findings suggest that personnel with office syndrome should apply Thai massage for their self-cares in order to increase trunk forward flexion and shoulder flexibility as well as to reduce eye fatigue.</p> <p>&nbsp;that personnel with office syndrome should apply Thai massage for their self-care in order to increase trunk forward flexion and shoulder flexibility as well as to reduce eye fatigue.</p> โสภา ลี้ศิริวัฒนกุล คณิสร เจริญกิจ วิภารัตน์ ภิบาลวงษ์ ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 129 141 Effects of Teaching Using Media with Demonstration on Suture and Incision and Drainage Ability of Nursing Students https://www.tci-thaijo.org/index.php/tnaph/article/view/214909 <p>This quasi-experimental research aimed to study nursing students’ abilities in suture and incision and drainage and to compare their suture and incision and drainage abilities of before and after reciving an instruction using media with demonstration based on predetermined criteria. The sample was purposively selected from 106 fourth year nursing students of the Boromarajonani College of Nursing, Songkhla. The instrument was an evaluation form of suture, incision and drainage ability which was validated by 3 experts, yielding IOC ranging from .67-1.00, and tested for reliability by Cronbach’s alpha coefficient, giving a value of .79. Data were analyzed using descriptive statistics and one-sample t-tests. The results were as follows;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1) Most students had a very good level of suture,incision and drainage ability (80.19% and 88.68%, respectively) followed by a good level (15.09% and 9.43%, respectively).</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2) The mean score of suture, incision and drainage ability after reciving instruction using media with demonstration was 86.60 and 89.80, respectively, which was significantly higher than the specified criteria (80) (p=.001).</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Colleges of Nursing should adopt an instruction using media with the demonstration method to improve students’ abilities in nursing procedures.</p> ทรงฤทธิ์ ทองมีขวัญ จารุณี วาระหัส ขวัญเรือน สนิททรงฤทธิ์ ทองมีขวัญ จารุณี วาระหัส ขวัญเรือน สนิทวงศ์ ณ อยุธยา พนัสยา วรรณวิไล สิริมาส วงศ์ใหญ่ ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 142 151 A Study of Consistent Condom Use Among Males Living With HIV Drug Resistance1 https://www.tci-thaijo.org/index.php/tnaph/article/view/214913 <p>The present study was based on a descriptive correlational research design aimed at studying the correlations between consistent condom use and related factors using Theory of Planned Behavior among primary and secondary males with HIV drug resistance (HIVDR).&nbsp; The subjects were purposively sampled 55 subjects. Data were collected using questionnaires, including personal data, illness and treatment, sexual intercourse in three months and in the past, HIV infection, condom use behaviors and correlations between consistent condom use and related factors. The findings of the study revealed that 72.7% of the subjects always used condoms during sex. Concerning the correlations between consistent condom use and related factors, intention to use condom was correlated with consistent condom use with statistical significance (r=.534, p&lt;.001) and perceived behavioral control of condom use was correlated with consistent condom use with statistical significance (r=.402, p=.002). According to the findings, campaigns should encourage males with HIVDR in their intention to use condom during sex with a spouse/partner by raising their awareness of the importance of condom use every sexual intercourse. Support for males with HIVDR who have perceived behavioral control of condom use when there is a need to use condoms to prevent the spread of HIVDR to spouses/partners, prevent them from getting more infections.</p> พิกุล เขื่อนคำ พูลสุข เจนพานิชย์ วิสุทธิพันธ์ สมนึก สังฆานุภาพ ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 152 164 The Application of Protection Motivation Theory in Promoting the Behaviors Slowing Down the Progression of Degeneration of CKD Stage 3 Patients in a Community https://www.tci-thaijo.org/index.php/tnaph/article/view/214914 <p>The purpose of this Quasi-experimental study was to evaluate the effects of a program applying the Protection Motivation Theory in promoting the slow progressive behavior in Chronic Kidney Disease (CKD) stage 3 patients in community. The sample was CKD stage 3 patients in Phanomdongrak district, Surin province. Of 58 participants were divided into two groups; an experimental group and comparison group which consisted of 29 patients in each group. The research was conducted over a period of 6 weeks, with 2 weeks for the intervention and the other 4 weeks for follow-up period. The data collection was conducted by questionnaire for the pre - test, post- test, and follow-up period. The statistical analysis was performed by using percentages, means, standard deviations, Chi-square tests, independent t-test and repeated measure ANOVA.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; After the intervention, the experimental group had significantly higher mean score of perceived severity, perceived vulnerability, perceived self-efficacy, perceived response efficacy,&nbsp; and preventive behavior&nbsp; than before intervention and those&nbsp; the comparison group (p&lt;.05).</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The findings from this study support that program application of the Protection Motivation Theory could beneficially improve preventive behavior for promoting the slow progressive in CKD stage 3 patients in community, which can be applied to other similar groups of&nbsp; chronic disease populations.</p> ชญานิศ ศุภนิกร วีณา เที่ยงธรรม เพลินพิศ บุณยมาลิก ##submission.copyrightStatement## 2019-08-31 2019-08-31 29 2 165 177