Journal of Ratchathani Innovative Health Sciences

High Risk Pregnancy: The Nurse Midwife Roles

รัตนาภรณ์ ธนศิริจิรานนท์ — 2019-08-31

The midwifery nurse is a health care provider who has an important role among the caring of high risk pregnant women who face with problems of medical and obstetrical during the period of pregnancy, intrapartum and postpartum. Recently, the trend of high risk pregnancy has increasing as gradually such global and Thailand. Complications of high risk pregnancy effect to the physical and psycological of pregnant mother, fetus and newborn. They gain of the rates of mathernal death, still birth, and neonatal death. Therefore, the midwifery nurse should perform their roles for investigaing, screening, assessing, and assitting to diagnose high risk pregnancy through the good quality and effectively of the nurse midwife nursing which aims to support safty pregnancy, reduce the rate of maternal and neonatal mortality, and also fetal and neonatal malbility.

THE MODEL SCREENING RISKS OF HYPOGLYCEMIA AMONG DIABETIC PATIENTS

เตือนใจ ภูสระแก้ว — 2019-08-31

The aim of study was developed a screening risks scoring system for hypoglycemia among diabetic patients. The study consisted of 2 phases as follows: Phase 1 was a case-control study designed to find potential risk factors that may have led to hypoglycemia among diabetic patients. The quality of the research tool was verified for validity and reliability. The sample of 360 patients met the criteria. The data was analyzed by calculating adjusted odds ratios, 95% CI of the ORs using multiple logistic regression models. Phase 2 was the subsequent creation of a screening tool based on the risk factors identified from the first phase. A population-based cohort of 1,200 participant, We observed individuals who were admitted with hypoglycemia at baseline for 10 months for the development of screening risks. Multivariate logistic regression model coefficients were used to assign a score to each category of the variable categorist. The screening risk score value was derived from a receiver operating characteristic curve and the 95% CI in order to find a suitable cut-off point. The evaluate of validity and precision for the screening risk score was considered sensitivity, specificity, accuracy, predictive value and Likelihood Ratio of the test. The validity of the score was tested in patients receiving treatment at the outpatient department by prospective follow-up of 10 months. The gold standard of the study was fasting blood sugar.

Results: The first phase is Risk Factors for Hospitalization Due to hypoglycemia in Diabetic Patient in North Thailand. It was published in Journal of Diabetes Mellitus, 2014. For the second phase, screening tool for assessing risks of hypoglycemia among diabetic patients has been developed. The risk score of each independent variable or each item of the tool was obtained by using the beta coefficients of the equation deriving from the multiple logistic regression model. The risk score for each participant ranged from 0 to 12 points. The quality of the screening risk was estimated as follows: the area under the ROC curve was 0.814 (95%CI=0.783-0.846; P-value < 0.001), which was good, the most reasonable cut-off point was 5, sensitivity 82.1% (95%CI=0.74-0.91), specificity 75% (95%CI=0.74-0.77), PPV 43.8% (95%CI=0.41-0.47), NPV 94.8% (95%CI=0.94-0.95) and Likelihood Ratio Positive 3.41 and Accuracy of test 77.1%.

The Effect of Health Promotion Program for Patients of Diabetes Mellitus at Dongbang Health Promoting Hospital, Muang District, Ubon Ratchathani Province

ฐิติมา โกศัลวิตร — 2019-08-31

The purpose of this quasi–experimental research was to study effectiveness of health promotion program for patients with Diabetes Mellitus at Dongbang Health Promoting Hospital, Muang District, Ubon Ratchathani Province.The sample consisted of 30 diabetics. The program was applied from Pender’s health promotion model. The experimental group had health promotion program. The duration of program implementation was 12 weeks. The instruments used in this research were health promotion program based on Pender’s concept. The methods used were a visual slide display, a good model presentation, a training demonstration, a self-caring handbook, and focus group. instrument consisted of questionnaire about health promoting behaviors. The Cronbach’s alpha reliability was 0.88. The collected data were analyzed by using percentage, mean, standard deviation and paired t-test.

The study results were as follows : After the health promoting behavior program, the Patients DM had better health behaviors than before the health promoting behavior program with statistically significant ( t = 20.10, p<.001).The Mean of FBS was decrease after the program. The program had increased positive health promoting behavior.

A Study of Motorcycle Driving Behaviors Among Student Nurses, Ratchathani University

มนัสชนก แก้วโท — 2019-08-31

This research is a descriptive research. The purpose of this research was to study motorcycle driving behaviors among student nurses, Ratchathani University. The samples of this research were 73 student nurses who had injuries from motorcycle driving, selected by purposive random sampling. The research instrument was the questionnaire adapted from Pongsit Boonruksa (2012). The reliability was 0.81. Data analysis was done by frequency and percentage. The results of the study revealed that: 27.40% of the student nurses who had injuries do not have a driver’s license. Most samples self-reported that they did not comply to traffic regulations including: 94.52% modify or construct a vehicle, 67.12% do not wear a helmet, 69.86% do not wear a safety helmet, 61.64% use of mobile phones while riding, 87.67% carry more than one pillion passenger, and 63.01% riding against the flow of traffic. Furthermore, driving behaviors provided that 75.34% do not check the condition of the motorcycle, 83.56% overtake a vehicle during rush hour and 79.45% do not tap a horn to alert another driver who might turn in front of you.

Factor related to first of the graduate of the Bachelor of Nursing At Ratchathani University

วนิดา หาจักร — 2019-08-31

This research is a correlation research (Correlational). The research aimed to study the factors that are related to the results of the first-class nursing and midwifery license examination. Of Rajabhat University Ubon Ratchathani Province. The sample group used was graduates of Bachelor of Nursing Science Program, Class 20, Academic Year 2018 of Rajthani University. Ubon Ratchathani province, where 121 applicants were registered for a first class nursing and midwifery license, using Simple Random Sampling method, Sampling without Replacement method By using the formula of Krejcie & Morgan. Data were collected by using a questionnaire consisting of 4 parts: 1) general data questionnaire, part 2 questionnaire. Listing out the first graduates of the three were rescued by the faculty and the university, and the fourth feedback on teaching and other factors. Which affects the exam, analyzing data by using descriptive statistics Pearson's correlation coefficient And the Spearman correlation coefficient. The study indicated that Most samples With a cumulative grade point average of 2.51 - 3.00, 48.8 percent, using a 1 month preparation period, 60 percent of the total examination through 7 subjects, 21.5 percent of preparation is at a high level, 52.1 percent have opinions about the help from professors and universities Moderately suitable 59.5% and the results from the data analysis showed that the GPA and the test results were positively correlated with the results of the examination as a professional practitioner. Ambulance and midwife first class (r = 0.49,0.36) and the preparation of graduates. Graduate teaching management And the assistance from professors and universities is not related to the results of the first-class nursing and midwifery professional registration examination (r = 0.137, p> 0.05), (r = - 0.072, p> 0.05), (r = 0.012, p> 0.05)