Ramathibodi Nursing Journal 2020-06-15T15:21:55+07:00 Supreeda Monkong Open Journal Systems <p>รามาธิบดีพยาบาลสาร เป็นวารสารทางการพยาบาลราย 4 เดือน จัดทำขึ้นโดยโรงเรียนพยาบาลรามาธิบดี คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี และสมาคมศิษย์เก่าพยาบาลรามาธิบดี มีระบบการบริหารจัดการแบบสากล คือ มีกองบรรณาธิการและผู้ทรงคุณวุฒิภายนอกตามจำนวนที่ สกอ.และ TCI กำหนด มีวัตถุประสงค์เพื่อเผยแพร่ผลการศึกษาค้นคว้า โครงการกิจกรรม การวิจัยทางการพยาบาลและสาขาอื่นที่เกี่ยวข้อง</p> Delaying Knee Osteoarthritis Prior to Advancing Age 2020-05-09T06:52:38+07:00 Chatsuda Kankayant Apiradee Charoennukul Wittaya Wayo <p>Knee osteoarthritis is a chronic disease of the musculoskeletal system, which tends to be found among middle and old aged people continuously. This problem affects the physical, psychological, and economic aspects of patients. They may suffer from knee pain, joint stiffness, and difficulty in movement. When persons with knee osteoarthritis do not receive the proper treatment, the symptoms may be more severe, resulting in disability, stress, anxiety, and depression among patients, as well as the high cost for treatment. From a literature review, although the disease occurs gradually, continuously, and irreversibly, the strategies have been found to prevent and delay knee osteoarthritis since adulthood. These methods include a screening of the disease, finding related factors of knee osteoarthritis, and providing knowledge for proper care of knee joints. The purposes of this article was to review and summarize research studies about current knowledge on knee osteoarthritis and approaches to slow the disease. It is expected that knowledge summarized in this article can be applied to advise those at risk, especially middle-aged people, for performing healthy practice in delaying the onset of knee osteoarthritis before advancing age</p> 2020-05-07T10:42:32+07:00 Copyright (c) 2020 Ramathibodi Nursing Journal Effects of Facilitated Tucking on Pain Response to Heel Stick in Premature Infants 2020-05-09T07:02:07+07:00 Pratumwadee Thaobun Tipawan Daramas Chuanruedee Kongsaktrakol <p>This quasi-experimental research with a cross-over design aimed to investigate the effects of facilitated tucking on responses to pain, heart rates, and oxygen saturation. Purposive sampling was used to obtain 30 premature infants who were admitted into a neonatal intensive care unit at a university hospital. All subjects received the control condition and treatment condition, but the sequence of receiving the treatment was randomly assigned. The control condition included routine nursing care, while the experimental condition was when the infants received facilitated tucking. The Neonatal Infant Pain Scale (NIPS) was used to assess the pain scores. The Wilcoxon Signed-Rank test was used to analyze the data. The study results revealed that the mean pain scores of premature infants during and after heel stick at the 1st, 3rd , 7th, and 10th minutes and their mean heart rates after heel stick at the 1st minute in the experimental condition were lower than those in the control condition with statistical significance. The mean oxygen saturation of premature infants after heel stick at the 7th minute in the experimental condition was lower than that of infants in the control condition with statistical significance. The results of this study showed that facilitated tucking could reduce pain after heel stick in premature infants. Therefore, facilitated tucking should be utilized in clinical nursing practice to reduce pain from heel stick in premature infants.</p> 2020-05-07T10:47:00+07:00 Copyright (c) 2020 Ramathibodi Nursing Journal The Effect of Kangaroo Care on Sleep Duration in Preterm Infants 2020-05-10T13:30:02+07:00 Parinasupa Homsombat Jariya Wittayasooporn Tipawan Daramas <p>This study aimed to compare the average sleep duration of preterm infants between Kangaroo care and usual care. A quasi-experimental study with a crossover design was used. The samples consisted of 20 pairs of mothers and preterm infants recruited using purposive sampling from one university hospital, Pathum Thani Province, during May–September 2018. Each pair of samples was randomly assigned to either the experiment or the control situation first and vice versa. The Kangaroo care is a method of holding a baby that involves skin-to-skin contact. The sleep-wake state was evaluated using the tape record and evaluation guidelines. The data were analyzed using paired t-test or Wilcoxon Signed-rank test. The findings showed that the preterm infants during Kangaroo care had the average sleep time longer than during usual care with a statistical significance. The results of this study support the study hypothesis and assure the WHO<br>recommendation to provide Kangaroo care for at least one hour and keep continuing as long as possible for the optimum benefit of Kangaroo care.</p> 2020-05-07T10:52:28+07:00 Copyright (c) 2020 Ramathibodi Nursing Journal Factors Related to Depression among Patients with Moderate Traumatic Brain Injury 2020-06-15T15:21:55+07:00 Nachanok Aiadsuy Warisa Kanbuala Khemaradee Masingboon <p>This descriptive correlational research aimed to investigate depression in patients with moderate traumatic brain injury and the relationships of disability, communication ability, and social support to depression in patients with moderate traumatic brain injury. The transition theory was used to guide this study. The sample<br>consisted of 88 patients with moderate traumatic brain injury who followed up in regional hospitals. The sample was selected by the inclusion criteria. The five instruments used in the study were: 1) the Demographic Data Form; 2) the Disability Rating Scale; 3) the Communicative Effectiveness Index; 4) the Personal Resources Questionnaire; and 5) the Beck Depression Inventory. The data were analyzed using descriptive statistics and Pearson's product-moment correlation coefficient. The results revealed that the<br>majority of patients with moderate traumatic brain injury (59.09%) had mild depression. The disability was positively related to depression, while the communication ability and social support were negatively related to depression. This study suggests that nurses should be aware of depression in patients with moderate traumatic brain injury and promote communication ability and social support to care for this population.</p> 2020-05-07T11:58:16+07:00 Copyright (c) 2020 Ramathibodi Nursing Journal Development and Evaluation of Rama chest Cryo Arm in the Bronchoscopic Cryotherapy 2020-05-11T08:04:51+07:00 Chariya Laohavich Sarangrat Laungdamrongchai <p>Holding and stabilizing the cryoprobe is important for bronchoscopic cryotherapy in combination with endoscopic procedures successfully and precisely. This study aimed to develop and evaluate the use of the “Rama Chest Cryo Arm” device for bronchoscopic cryotherapy. Purposive sampling was used to recruit the 16 participants using this procedure at a tertiary hospital. The sample consisted of 3 nurse bronchoscopists<br>and 13 bronchoscopists. Research instruments included 1) the device “Rama-Chest Cryo Arm” 2) the data collection questionnaires, and 3) the evaluation form for using the device. The data were analyzed with descriptive statistics. The results showed that the mean score of total four aspects of the sample on the “Rama Chest Cryo Arm” device was on the highest level. The value of the “Rama Chest Cryo Arm” device was rated as the highest, followed by the usability, safety from contamination, and purpose relevancy, respectively. Therefore, the “Rama Chest Cryo Arm” device could be used as a choice at hospitals providing the bronchoscopic cryotherapy procedure.</p> 2020-05-07T12:00:17+07:00 Copyright (c) 2020 Ramathibodi Nursing Journal Health Status of Centenarians: A Case Study of Khon Kaen Province 2020-05-09T07:28:01+07:00 Kunlayarat Kadsanit Porntip Malathum Supreeda Monkong <p>This descriptive study aimed to describe the health status of centenarians, persons who were one hundred years old or older. The principle of comprehensive geriatric assessment was used as a conceptual framework. A sample of 34 older persons was recruited from a list of population census of people aged 100 years or older and living in Khonkaen Province, the northeast region of Thailand. The data were collected using questionnaires about personal and health data, interviews, and physical examination, and then, were analysed using descriptive statistics. The results revealed that the participants’ age ranged from 100 to 108 years with a mean of 102 years. From the interview, most participants were female and had acute illnesses in the past month, whereas one-third had chronic illnesses. They had some extent of cognitive impairment<br>assessed by a cognitive test, but could still communicate understandably. Almost half of the participants thought that their overall health was not healthy, but they perceived that they had better health conditions than others at the same age and gender. Moreover, most of them reported that their well-being was at the moderate to high level; they could perform basic and extended activities of daily living, except for the use of public transportation. From the physical examination, almost half of the participants had a low body mass index. Most of them had a normal range of waist circumference, respiratory rate, and heart rate, but had high blood pressure. All participants had hand grip strength at a very low level. The results of this study about health status among centenarians could be used as fundamental information for healthcare providers to further develop the appropriate health promotion program specifically for the group of long-lived population.</p> 2020-05-07T12:01:47+07:00 Copyright (c) 2020 Ramathibodi Nursing Journal The Effect of Rueseedutton Exercise Postures on Nutritional Status and Quality of Life in Older People** 2020-05-09T07:35:20+07:00 Amornrat Natason Phaksachiphon Khanthong Ananya Dechakhamphu <p>This quasi-experimental study used a one-group pretest-posttest with repeated measures design, which aimed to examine the effect of “Rueseedutton” exercise postures on the nutritional status and quality of life of older persons. Purposive sampling was used to recruit a sample of 23 older persons who lived in Muang District, Ubonratchathani Province. The subjects performed the exercise with the 15 “Rueseedutton” postures regularly, three times per week, 60 minutes per day for over three months. The instruments used in this study were 1) the WHOQOL questionnaire, 2) a set of instruments to assess nutritional status with anthropometry, and 3) “Rueseedutton” exercise video. The nutritional status and quality of life were measured at baseline and after exercise at 1 and 3 months. Data were analyzed using descriptive<br>statistics and one-way repeated measures ANOVA. The results revealed that the body mass index, the thickness of fat under skin, the percentage of body fat, and the percentage of body mass were not significantly different over time. However, these values exhibited a desirable trend. In addition, the total quality of life was at a good level, and its mean score at three months after exercise was significantly better than that at baseline. Therefore, this study should be used as basic information for promoting exercise to enhance the quality of life of older people.</p> 2020-05-07T12:02:50+07:00 Copyright (c) 2020 Ramathibodi Nursing Journal Effects of a Cardiopulmonary Resuscitation Training Program on Knowledge, Perceived Self-efficacy in Cardiopulmonary Resuscitation, and Chest Compression Performance among Nursing Students 2020-05-10T16:30:18+07:00 Pichaya Thongpo Kingkaew Udomchaikul <p>This study aimed to compare the knowledge of cardiopulmonary resuscitation and perceived self-efficacy in cardiopulmonary resuscitation among nursing students before and after attending a cardiopulmonary resuscitation training program, and to evaluate their chest compression performance after the training. The sample included 180 fourth-year nursing students. The instruments consisted of the Cardiopulmonary Resuscitation Training Program, the Knowledge of Cardiopulmonary Resuscitation Questionnaire, the Perceived Self-efficacy in Cardiopulmonary Resuscitation Questionnaire, and a manikin with skill reporters. Descriptive statistics and paired sample t-test were used in data analysis. The results revealed that knowledge of cardiopulmonary resuscitation and perceived self-efficacy in cardiopulmonary resuscitation of the students after the training significantly increased from the baseline. The percent correct scores of chest compression performance as recommended by the 2015 American Heart Association guidelines were 72.22% of correct hand placement, 90% of adequate depth, 7.22% of an adequate rate of compression, and 77.78% of full chest recoil. Therefore, the cardiopulmonary resuscitation training program should be initially established for nursing students before starting clinical practice to achieve better basic life support knowledge, perceived self-efficacy in cardiopulmonary resuscitation, and chest compression performance, especially the appropriate of chest compression rate based on the guidelines.</p> 2020-05-07T12:04:00+07:00 Copyright (c) 2020 Ramathibodi Nursing Journal