Nursing, Health, and Education Journal

The effect 0f using the Kindee Youyaow application to promote DASH dietary behavior and control blood pressure in patients with hypertension

2024-11-16T16:45:53+07:00

Introduction: Maintaining normal blood pressure levels is very necessary in patients with high blood pressure. Consuming the DASH diet can control blood pressure levels.

Research objectives: To study the effects of the Kindee Youyaow application to promote DASH dietary behavior and control blood pressure in patients with hypertension

Research methodology: This study was a Quasi - experimental research conducting with one group pretest and posttest designs. Sample size by G*power analysis. Conduct research 30 patients with uncontrolled hypertension attending the Hypertension Clinic of Sungmen Hospital. The participants were joined with Kindee Youyaow application for facilitating and sharing experiences and information. The DASH program was advised the dietary control applying with self-management theory (Creer, 2000). The data analysis involved descriptive statistics, Paired T-test and Wilcoxon signed-rank test statistics.

Results: To conclusion, The sample group of 30 people,most of whom were female. The average age is = 64.79, SD ± 11.88. After using Kindee Youyaow application it was found that score of eating behavior and perception of DASH eating ability was significantly more than before the experiment (p < 0.001), The blood pressure level after using the application decreased significantly (p = 0.002,0.741,0.618)

Conclusion: The Kindee Youyaow application can to promote DASH dietary behavior and control blood pressure in patients with hypertension

Implications: Should be implementation the Kindee Youyaow application to promote DASH dietary behavior and control blood pressure in patients with hypertension

Effects of Discharge Planning on Self-Care Behavior and Infection Rates in Percutaneous Nephrostomy Patients, Lamphun Hospital

2024-10-11T14:22:32+07:00

Abstract

Introduction: Infection from a percutaneous nephrostomy is caused by incorrect care behavior. Discharge planning can help patients develop appropriate self-care behaviors after discharge from the hospital.

Objective: To investigate the effects of discharge planning on self-care behavior and infection rates in percutaneous nephrostomy patients.

Research Methodology: This study was quasi-experimental research with a 2-group design with post-test measurements. The sample was randomly selected into a control group and an experimental group of 16 participants each. The research instruments consisted of a lesson plan for providing self-care advice, a self-care guide, a self-care behavior questionnaire, and an infection record form. The data were analyzed by using Fisher's exact test and Mann-Whitney U test statistics.

Findings: The self-care behavior scores of the percutaneous nephrostomy patients in the experimental group were higher than the patients in the control group with statistical significance at .001. Furthermore, the experimental group had an infection rate of 6.25, which was significantly lower than the control group with an infection rate of 56.25%, with statistical significance at .01.Clearly, therefore, discharge planning improved the self-care behavior of the percutaneous nephrostomy patients and can reduce urinary tract infection rates.

Conclusions: Discharge planning promotes better self-care behavior and reduces infection rates in in percutaneous nephrostomy patients this group of patients.

Recommendations: The findings can be implemented in the care of percutaneous nephrostomy patients.

Keywords: discharge planning, self-care behavior, percutaneous nephrostomy patients

Sleep quality and factors related to sleep quality of nursing students

2024-11-16T17:30:46+07:00

Introduction: Good sleep quality in nursing students will improve their analytical thinking, performance, learning processes, and efficiency.

Objective: To examine sleep quality and factors related to sleep quality in nursing students at Boromarajonani College of Nursing Sawanpracharak Nakhonsawan.

Research methodology: The sample consisted of 268 students from the Bachelor of Nursing Program in the 1st-4^th year of the academic year 2024 by stratified random sampling. Data were collected by questionnaires consisting of personal data, Pittsburgh Sleep Quality Questionnaire, Stress Questionnaire, Perceived Environmental Disturbances Questionnaire, Sleep Habits Questionnaire, Social Media Use Questionnaire, and Workload Questionnaire. The content validity of the instruments was tested by experts and the reliability was tested by Cronbach's Alpha Coefficient with reliability values of .80, .80, .82, .83, .83, and .81, respectively. Data were analyzed using descriptive statistics and Spearman rank correlation.

Results: Results revealed that the sample was female (93.3%), 28.0% were in their first year, had a GPA between 3.01-3.50 (32.10%), and reported poor sleep quality of 52.40%. The significant factors related to sleep quality were stress, perception of environmental disturbance, social media use, workload, and sleep habits There was a statistically significant relationship with sleep quality (rs = .467 p < .001; rs = .254 p < .001; rs = .238 p < .001; rs = .294 p < .001; rs = .361 p < .001, respectively). The academic year and cumulative grade point average were not statistically significantly related to sleep quality.

Conclusion: Most nursing students had poor sleep quality, and stress, perceived environmental disturbance, social media use, workload, and sleep habits were statistically significantly related to sleep quality.

Recommendations: Educational institutions should focus on promoting good sleep habits, providing care and support for mental health problems, and workload, and providing an environment conducive to proper sleep for nursing students.

Keywords: Sleep quality, Nursing students

Effectiveness of Using the Nursing Practice Guidelines to Care for Patients with Hemorrhagic Stroke with Non-Operation Admitted to the Neurosurgery Intensive Care Unit

2024-11-28T06:19:52+07:00

The aim of this research was to develop and study the effectiveness of nursing practice guidelines for the care of hemorrhagic stroke patients receiving non-surgical treatment and admitted to the neurosurgical intensive care unit of Nopparat Rajathanee Hospital. The participants consisted of 90, divided into a control group of 45 and an experimental group of 45. The research instrument was the nursing practice guidelines for the care of patients with hemorrhagic stroke who received non-surgical treatment. The instruments used to collect data for patients consisted of 4 sets: a personal data record form, a screening form for the severity of hemorrhagic stroke, a modified Rankin scale, and an increased intracranial pressure assessment form. Data were analyzed using descriptive statistics: chi-squared test, Fisher's exact test, independent t-test, and repeated measure ANOVA. The results of the research found that after using the nursing practice guidelines, systolic blood pressure could be reduced significantly after 1 hour and 24 hours of admission. The incidence of intracranial hypertension and mortality were also significantly reduced. The results of the study showed that the developed nursing practice guidelines were effective in controlling blood pressure and reducing major complications in patients with cerebral infarction. They can be applied as care for this patient group in the intensive care unit to further improve nursing quality and clinical outcomes.

Effectiveness of an educational program on blood sugar control behaviors and blood sugar levels of women with gestational diabetes at the antenatal clinic, Udon Thani Hospital

2024-12-07T22:15:53+07:00

Introduction: Appropriate education will help increase confidence and skills in managing gestational diabetes mellitus, which will positively affect the mother's mental health and overall quality of life.

Research objectives: To study the effectiveness of an educational program on blood sugar control behaviors and blood sugar levels among women with gestational diabetes mellitus (GDM).

Research methodology: Forty pregnant women with GDM from Udon Thani Hospital's antenatal clinic participated in a four-week educational program based on Orem's self-care theory. Data collection included questionnaires on self-care knowledge and behaviors, plus clinical measurements of FBS and HbA1C. The program delivered three educational sessions, with data analyzed using descriptive statistics and paired t-test.

Results: Results showed that after participating in the program, participants' mean knowledge scores increased significantly from 12.9 to 18.4 (p<.001), and self-care behavior scores improved from 50.2 to 58.3 (p<.001). Clinical outcomes also showed significant improvements, with mean FBS decreasing from 165.3 to 115.6 mg/dL and mean HbA1C reducing from 7.7% to 5.1% (p<.001).

Conclusion: The study demonstrates that the educational program effectively improved knowledge, self-care behaviors, and clinical outcomes among women with GDM.

Implications: Recommendations include implementing this program as a standard care protocol for GDM patients, extending it to nearby healthcare facilities, and conducting further research with a control group to confirm its effectiveness.

Factor Influencing Health Promotion Behaviors of Village Health Volunteers (VHV) in the Service Area of Subdistrict Health Promotion Hospital in Pak Kret District, Nonthaburi Province

2024-12-15T16:40:56+07:00

Introduction:

The Ministry of Public Health have the goals of fostering good health among the population, ensuring happiness among healthcare personnel, and creating a sustainable health system. For individuals to achieve good health, it is essential that they adopt proper health behaviors, Health Promotion behaviors consistent of activities undertaken to enhance well-being and help individuals, communities and society reach their life goals.

Research Objectives:

The study the level of health promotion factors of Village Health Volunteers. The study the level of health behaviors of Village Health Volunteers. The study the factors influencing health promotion behaviors of Village Health Volunteers in the Service Area of Subdistrict Health Promotion Hospital in Pak Kret District, Nonthaburi Province.

Research Methodology:

This research is a descriptive study. The population and sample consist of Village Health Volunteers in the Service Area of Subdistrict Health Promotion Hospital in Pak Kret District, Nonthaburi Province a total of 124 people.

Research Results:

Personal factor: It was that female 85.5% ages most of whom were between 60-69 years old 37.90% The majority had completed primary education 53.20% were married 53.20% The duration of being a Village Health Volunteer for 11-20 years 26.61% Additionally, 75% had a chronic illness. Health promotion factors were at a high level, while health promotion behaviors were a moderate level.

Conclusion:

Factors influencing health promotion behaviors are Age Education The duration of being a Village Health Volunteer Chronic illness Health promotion factors are Perceived benefits Perceived barriers Self-efficacy.

Suggestions:

Provide opportunities for Village Health Volunteers to discuss and share opinions in order to identify barriers and Enhance the awareness of benefits and Self-efficacy.