Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ <p>รามาธิบดีพยาบาลสาร เป็นวารสารทางการพยาบาลราย 4 เดือน จัดทำขึ้นโดยโรงเรียนพยาบาลรามาธิบดี คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี และสมาคมศิษย์เก่าพยาบาลรามาธิบดี มีระบบการบริหารจัดการแบบสากล คือ มีกองบรรณาธิการและผู้ทรงคุณวุฒิภายนอกตามจำนวนที่ สกอ.และ TCI กำหนด มีวัตถุประสงค์เพื่อเผยแพร่ผลการศึกษาค้นคว้า โครงการกิจกรรม การวิจัยทางการพยาบาลและสาขาอื่นที่เกี่ยวข้อง</p> en-US <p>บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น</p> supreeda.mon@mahidol.ac.th (Supreeda Monkong) Saisunee.unp@mahidol.ac.th (Saisunee Unipanityou) Tue, 28 Dec 2021 11:23:41 +0700 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 Caring for Children with Autism Spectrum Disorder (ASD) https://he02.tci-thaijo.org/index.php/RNJ/article/view/245284 <p>Autism spectrum disorders (ASD) are disorders of neurological development in which the exact cause is unknown. This situation leads to parental stress, anxiety,depression, negative emotional responses, role conflict due to the time-consuming nature of caring for these children, and family financial constraints. For children with ASD,they have behavioral problems, and impaired social interaction and communication. It<br>is difficult for parents to discover an autism spectrum disorder in their children early because they cannot simply communicate their problems with others. Their general appearance is similar to normal children; therefore, children with autism spectrum disorders lose the opportunity to receive proper treatment and care early due to insufficient parents’ knowledge regarding autism. If these children obtain the proper treatment and care, they will grow up and succeed in their lives and studies. The cares for children with ASD from this study are behavioral and social interventions, and pharmacological therapy. This article aims to review the etiology, pathophysiology, diagnosis, clinical manifestations, and interventional management of children with ASD.</p> <p>Keywords: Care, Children, Autism spectrum disorder, Interventional management</p> Pimsiri Bhusiri, Nuengruetai Kanchantr, Prapawan Praevanich, Chavalee Boonto, Parvinee Saiklang Copyright (c) 2021 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/245284 Fri, 24 Dec 2021 00:00:00 +0700 Promotion of Health Management for Individuals and Families among Patients with Thyroid Cancer Receiving Radioactive Iodine-131: Nurses’ Roles https://he02.tci-thaijo.org/index.php/RNJ/article/view/242937 <p>Patients with thyroid cancer undergoing radioactive iodine (I-131) often obtain unwanted side effects of I-131, including physical and psychological impacts.The family is concerned with patients’ illness and does not understand how to care for patients exposed to radioactive I-131. This article presents knowledge about thyroid cancer, types, signs and symptoms, objectives of I-131 treatment, and nurses’ roles in<br>promoting health management of patients with thyroid cancer receiving radioactive I-131 and their families. The individual and family self-management theory is used as a guide to assist patients for preparation, healthcare practice, and self-monitoring. To develop self-management skills and abilities of patients, nurses have set mutual goals with patients to practice healthy behavior during the process of receiving I-131. Nurses’ roles include giving support and encouragement, promoting planning and practicing<br>appropriate health behaviors, and strengthening cooperation among patients, families,and healthcare providers for self-management of patients and encouraging families to help patients achieve a good quality of life.<br>Keywords: Thyroid cancer, Radioactive Iodine-131, Individual and family selfmanagement,<br>Nursing roles</p> Panisara Songwatthanayut, Komson Kaewraya, Wilaiwan KomKhum Copyright (c) 2021 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/242937 Fri, 24 Dec 2021 00:00:00 +0700 Development of an Aortic Valve Retractor for Minimally Invasive Aortic Valve Replacement https://he02.tci-thaijo.org/index.php/RNJ/article/view/242115 <p>Mini aortic valve replacement retractor is a device designed to dilate the aortic valve in a minimally invasive aortic valve replacement (Mini AVR) procedure. Where the incision is small, and the pathological condition is deep, the operation field is limited.This retractor would facilitate the surgeon to see the surgical site in the narrow space of the deep cavity. The Mini AVR retractor is made from stainless steel, similar to surgical<br>tools. The inventing process of this device is simple and inexpensive. A set of Mini AVR retractors consists of flexible, six-sized blades with a small and long handle. The Mini AVR retractor has advantageous characteristics in its flexible blades, which can be chosen to suite the aortic valve. In addition, a small and long handle can reach the aortic valve position, and it is easy for the surgeon’s assistant to hold. At the same time, it does not interfere with the surgeon’s eyesight during the operation. These characteristics will<br>facilitate the surgeon to conduct the surgery quickly and safely. Also, this product is low-cost. Results from the evaluation by surgeons and scrub nurses using the Mini AVR retractor revealed that the mean score of overall satisfaction with this device was at the highest level. Thus, the Mini AVR retractor should be applied to improve the procedure quality for minimally invasive aortic valve replacement.<br>Keywords: Mini AVR retractor, Minimally invasive aortic valve replacement,<br>Satisfaction</p> Pimnada Pichaiphanupatt Copyright (c) 2021 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/242115 Fri, 24 Dec 2021 00:00:00 +0700 บทบรรณาธิการ https://he02.tci-thaijo.org/index.php/RNJ/article/view/255692 Supreeda Monkong Copyright (c) 2021 https://he02.tci-thaijo.org/index.php/RNJ/article/view/255692 Sat, 01 Jan 2022 00:00:00 +0700 Association between Personal Factors, Health Status, and Health Literacy about Falling, with Fall Prevention Behaviors among Older Adults Living in the Community https://he02.tci-thaijo.org/index.php/RNJ/article/view/248654 <p>Falls are a major public health issue globally, leading to injury, disability,and death. This study aimed to explore health literacy about falling and fall prevention behaviors and examine the association between personal factors, health status, health literacy about falling, and fall prevention behaviors. The sample consisted of 260 older adults, who were recruited according to inclusion criteria and multistage sampling. Data were collected using demographic data, health literacy about falling, and fall prevention behaviors questionnaires. Data analysis included descriptive statistics, Pearson’s Product Moment Correlation, Point Biserial Correlation, and Spearman’s Rank Correlation.Results revealed that older adults had health literacy about falling and fall prevention behaviors at a high level. Correlation analysis revealed that age, gender, education level,health problem, medication use, and health literacy about falling were significantly<br>associated with fall prevention behaviors. Therefore, health care personnel should promote health literacy about fall prevention to older adults, especially self-management and media literacy skills. These actions will assist them to have appropriate fall prevention behaviors and prevent falls in the future.<br>Keywords: Health literacy about falling, Fall prevention behaviors, Older adults, Falls</p> Kamonrat Kittipimpanon, Phachongchit Kraithaworn Copyright (c) 2021 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/248654 Fri, 24 Dec 2021 00:00:00 +0700 Effects of an Supportive-Educative Nursing Program on Caregivers’ Caring Capabilities and Abilities to Perform Activities of Daily Living of Muslim Patients with Stroke https://he02.tci-thaijo.org/index.php/RNJ/article/view/247984 <p><strong>ABSTRACT:</strong></p> <p>This quasi-experimental study aimed to determine the effects of an Supportive-Educative Nursing Program (SENP) on caregivers’ capabilities in caring for Muslim patients with stroke, and on the patients’ abilities to perform activities of daily living (ADLs). The sample consisted of 64 pairs of caregivers and patients with newly diagnosed stroke. They were assigned into the experimental or control groups, with 32 pairs in each group using the simple random method. The experimental group received the eight-week SENP, developed<br>by the researchers based on Orem’s Supportive-Educative Nursing System Theory, and the control group received usual care. The data collection instruments included the demographic data and health information of caregivers and patients form, the caregiver capabilities in caring for patient assessment form, and the Barthel ADL index for patients. Data were analyzed using descriptive statistics, paired t-test, and independent t-test. Results revealed that at posttest,the mean scores of both caregiver’s capabilities in caring for Muslim patients with stroke and abilities of the patients in ADLs in the experimental group were significantly higher than at pretest. Also, at posttest, the mean score of caregivers’ capabilities in caring for the patients and abilities of the patients in the experimental group were significantly higher than those of the control group. The findings of this study indicated that the SENP could be applied to promote caregivers’ capabilities in caring for Muslim patients with stroke at home to provide care effectively, thereby enhancing patients’ abilities to perform ADLs and prevent complications of a stroke. However, this program may need to be modified for suitable use in other contexts.<br>Keywords: Supportive-educative nursing program, Caring capabilities, Caregivers, Abilities<br>to perform activities of daily living, Muslim patients with stroke</p> Wineeta Prateepwattanaphan, Piyanuch Jittanoon, Aporntip Buapetch Copyright (c) 2021 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/247984 Fri, 24 Dec 2021 00:00:00 +0700 The Effects of a PRO-SELF Program on Urinary Control Behaviors and Urinary Incontinence in Patients with Prostate Cancer after Radical Prostatectomy https://he02.tci-thaijo.org/index.php/RNJ/article/view/248088 <p>This quasi-experimental research aimed to examine the effect of interventions based on the self-care concept called a ‘PRO-SELF’ Program for urinary control behaviors and urinary incontinence in patients with prostate cancer after radical prostatectomy. The sample consisted of 40 men with urinary incontinence after radical<br>prostatectomy being admitted to Ramathibodi Hospital. The participants were assigned either to an experimental group (n = 20) or a control group (n = 20). The research instruments consisted of the PRO-SELF program, a demographic questionnaire, a urinary control behavior questionnaire, and the 1-hour pad test. Data were analyzed using descriptive statistics, a chi-square test, a t-test, the Mann-Whitney U test, and the<br>Wilcoxon signed-rank test. The result revealed the higher means scores of the urinary control behaviors in the experimental group than in the control group before and after participating in the PRO-SELF Program significantly. Likewise, the experimental group had significantly lower means scores of urinary incontinence than the control group. The study illustrates that the PRO-SELF Program for urinary control effectively improved urinary control behaviors and reduced the urinary incontinence in patients with urinary<br>incontinence after radical prostatectomy. Hence, implementing the PRO-SELF Program is recommended for patients with prostate cancer after radical prostatectomy to promote better urinary control behaviors and lower urinary incontinence.<br>Keywords: PRO-SELF Program, Urinary incontinence, Urinary control behaviors,Prostate cancer, Radical prostatectomy</p> Nipawan Intachot, Sirilak Kitsripisarn, Pokket Sirisreetreerux Copyright (c) 2021 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/248088 Fri, 24 Dec 2021 00:00:00 +0700 Relationships between Personal Factors, Attitude, and Physical Activity Counseling Behaviors in Professional Nurses https://he02.tci-thaijo.org/index.php/RNJ/article/view/247092 <p>This correlational research aimed to examine the relationship between nurses’personal factors, attitude towards physical activity, and physical activity counseling behaviors to their patients. The sample included 74 nurses in the outpatient department in a university hospital. The instruments used in the study were the questionnaires to elicit demographic data, attitude towards physical activity, and physical activity<br>counseling behaviors. Data were analyzed using descriptive statistics and Pearson’s product-moment correlation coefficient. The results revealed that all participants were female with a mean age of 38.15 years and the median of work experience was 13 years. Half of them had normal body mass index (BMI) and had no underlying diseases.The majority of their physical activity behaviors were exercised sometimes. Nurses had an attitude towards physical activity at a high level, but their physical activity counseling behaviors were low. The frequency of exercise was positively associated with counseling behaviors. However, age, work experience, BMI, and attitude were not significantly associated with physical activity counseling behaviors. The results serve as information for the administrators to broaden scopes of nursing practice in line with the goal of the Thai National Health Development Plan. Moreover, employers should support the health<br>promotion program for employees to increase their physical activity level and realize physical activity as part of the health promotion and treatment program for clients.<br>Keywords: Counseling behaviors, Physical activity, Attitude towards physical activity,<br>Professional nurses</p> Thachamon Sinsoongsud, Wittapong Sinsoongsud, Noppawan Piaseu Copyright (c) 2021 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/247092 Fri, 24 Dec 2021 00:00:00 +0700 Experiences of Self-Care in Successful Smoking Quitters https://he02.tci-thaijo.org/index.php/RNJ/article/view/248563 <p>The purpose of this qualitative research aimed to explain the meaning and lived experiences of self-care in successful smoking quitters. The phenomenological approach was used to guide the study. A purposive sample of 10 successful quitters willing to participate in this study was recruited from a smoking cessation clinic of a government hospital. An in-depth interview with tape-recorded, observation, and field notes were performed to collect data. Then, audiotapes of the interviews were transcribed verbatim. Data were analyzed using Colaizzi’s method. The findings revealed that the meanings of self-care experiences in successful smoking quitters consisted of two major themes: 1) Intention to achieve a clear goal and 2) Having a strong mind to win over oneself. Experiences of self-care in successful smoking quitters consisted of four major<br>themes: 1) Encountering obstacles to quit smoking, 2) Using so many methods before successful smoking cessation, 3) Having important helpers to quit smoking, and 4)Achieved outcomes making them refrain from smoking again. The results of this study provide us with an understanding of lived experiences of self-care in successful smoking quitters. The knowledge that emerges from this study can be a guide to help smokers<br>who need to quit smoking and provides information for nurses and healthcare personnel in the multidisciplinary team to help people quit smoking successfully.<br>Keywords: Experiences, Self-care, Successful smoking quitters</p> Nipawan Sriyoha, Patsima Pattarateeranon, Pritsana Pusuwan, Pattaranun Dechapak Copyright (c) 2021 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/248563 Fri, 24 Dec 2021 00:00:00 +0700 The Effectiveness of Video Media about Diabetic Foot Assessment on Knowledge, Self-confidence, and Satisfaction of Nursing Students https://he02.tci-thaijo.org/index.php/RNJ/article/view/248958 <p>This one-group quasi-experimental study with the pretest-posttest design aimed to compare knowledge and self-confidence before and after using the video media about diabetic foot assessment and evaluate satisfaction after using the video media.The sample consisted of 106 fourth-year nursing students. The research instruments included the video media about diabetic foot assessment and the questionnaires for data collection consisting of 1) the demographic data form, 2) the knowledge questionnaire,3) the self-confidence questionnaire, and 4) the satisfaction with the video media about diabetic foot assessment. Data were analyzed using descriptive statistics and paired t-test. The results revealed that nursing students had significantly higher scores on knowledge and self-confidence in diabetic foot assessment after using the video media about diabetic foot assessment than the pretest scores. The nursing students were very<br>satisfied with the video media. The results showed that using video media in the teachinglearning<br>process should be applied to enhance the knowledge and self-confidence of nursing students before the actual nursing practice. Therefore, to strengthen nursing students’ knowledge and self-confidence before practicing in an actual situation, video media can be a suitable method to complement the teaching-learning process by enabling the learners to practice repeatedly until being confident.<br>Keywords: Video media, Diabetic foot assessment, Knowledge, Self-confidence,Nursing students</p> Suwatjana Noinam, Kamonrat Kittipimpanon, Phachongchit Kraithaworn, Thida Tongvichean Copyright (c) 2021 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/248958 Fri, 24 Dec 2021 00:00:00 +0700 Factors Related to Perceived Self-Efficacy for COVID-19 Prevention in Pediatric Nursing Staff https://he02.tci-thaijo.org/index.php/RNJ/article/view/250702 <p>This descriptive research aimed to examine factors related to perceived self-efficacy for coronavirus disease 2019 (COVID-19) prevention and explore the needs and barriers to COVID-19 prevention in a sample of 227 pediatric nursing staff at Ramathibodi Hospital. The research instruments for data collection consisted of a demographic form, the Knowledge Questionnaire about COVID-19 Prevention, and the Perceived Self-efficacy for COVID-19 Prevention Assessment Scale. Quantitative data were analyzed using descriptive statistics and Spearman’s Rho correlation. An in-depth interview was conducted with 30 pediatric nursing staff in Pediatric Department, and qualitative data were analyzed using content analysis. The finding showed that the pediatric nursing staff had a high level of knowledge and perceived self-efficacy scores for COVID-19 prevention. Knowledge was positively and significantly associated with perceived self-efficacy for COVID-19 prevention of pediatric nursing staff. The findings from in-depth interview showed that the problem or barriers for COVID-19 prevention among pediatric nursing staff included: 1) changing policy or practice guidelines, 2) a limited number of professionals for patient care, 3) shortage of personal protective equipment, 4)communication problems, and 5) lack of co-operation of pediatric patients in their practice. Moreover,the pediatric nursing staff had the needs about COVID-19 prevention: 1) sufficiency of personal<br>protective equipment and 2) training for updated knowledge of COVID-19 prevention and the use of personal protective equipment. Consequently, the organization should prepare sufficient personal protective equipment, provide on-demand knowledge continuously, and impose clear policy or guidelines for COVID-19 prevention in pediatric nursing staff.<br>Keywords: Knowledge, Perceived self-efficacy, COVID-19 prevention, Personal protective equipment, Pediatric nursing staff</p> Jiraporn Punyoo, Jongjai Jongaramraung, Tipawan Daramas, Dongruethai Buadong, Lawan Singhasai, Jirarporn Tunksakool, Sutasinee Saehoong, Pawanrat Panjatharakul, Amporn Thungkaeorungrueang Copyright (c) 2021 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/250702 Fri, 24 Dec 2021 00:00:00 +0700