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) Wed, 08 Jan 2020 16:26:33 +0700 OJS http://blogs.law.harvard.edu/tech/rss 60 Nursing Care for Pregnant Woman at Risk for Preterm Labour https://he02.tci-thaijo.org/index.php/RNJ/article/view/166041 <p>Preterm birth is a major public health problem. Premature infants may have many complications due to the organs may not properly function. In addition, the family members have to lose their time and financial costs of caregiving for premature infants with the need for long-term care disability. Therefore, prevention of preterm birth is very important. In the beginning, the pregnant women who are at risk for preterm labor should be clearly defined and it is very necessary to ensure that these patients would be under effective treatments. Nurses are the first healthcare team who meet pregnant women while they come for the antenatal care and for follow-up appointment. Therefore, the crucial role of nurses in antenatal care is screening of pregnant women who are at risk for premature labor, assuring that these patients would be under effective treatments, and educating the patients to change their health behavior and self-care while they receive progesterone to prevent from a preterm birth.&nbsp; Nurses should educate pregnant women who are at risk for premature labor to be able to notice early signs and symptoms that may be occurred by themselves and come to the hospital in time for treatments. Accordingly, the nurses should support the husband and family members of the patients to take part in caring for a pregnant woman to trying&nbsp; to&nbsp; conceive with an increasing in a gestational age or to be continued to delivery.</p> Tirawan Buayaem, Piengbulan Yapan, Suchittra Pongprasobchai Copyright (c) 2020 Ramathibodi Nursing Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/166041 Care of Patients with Permanent Cardiac Pacemaker: Nurse's Roles https://he02.tci-thaijo.org/index.php/RNJ/article/view/103746 <p>&nbsp;</p> <p><strong>Abstract</strong></p> <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong>Cardiac permanent pacemaker is a device inserted to patients who have a problem of severe bradyarrhythmia. This device prevents patients with severe bradyarrhythmia from cardiac dysfunction and helps the function of the heart work properly. However, the patient needs to use this device all his/her lifetime.&nbsp; This leads the patient with cardiac permanent pacemaker need to adapt his/her health behavior to live appropriately. Nevertheless, it has been found that a number of patients still have had improper health behavior, leading negative consequences to their lives. Nurses have important roles to help promote health behavior for these patients. Providing helpful information to the patient with cardiac permanent pacemaker from admission to discharge to home will help maintain proper health behavior in the patient in order to have good health status and quality of life.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> Laddawan Pensri, Noraluk Ua-Kit Copyright (c) 2020 Ramathibodi Nursing Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/103746 Tue, 07 Jan 2020 10:13:17 +0700 Nursing care: Patient with Neurogenic Lower Urinary Tract Dysfunction from Spinal Cord Injury for Urodynamic Study https://he02.tci-thaijo.org/index.php/RNJ/article/view/175484 <p>&nbsp; &nbsp; &nbsp; Patients with neurogenic lower urinary tract dysfunction from spinal cord injury need proper treatment, follow up and care for life to prevent complications including deterioration of renal function, urinary tract infection, loss of bladder compliance and high storage bladder pressure. Urodynamic study is to evaluate the status of the lower urinary tract dysfunction and follow up bladder pressure to guide the treatment. This study might cause anxiety in patients and families because it is not a common procedure and there are some complications from the test. Therefore, Urodynamic Nurses should be aware of these problems and provide nursing care for both physical and mental health in order to decrease anxiety, prevent complications of urodynamic study and achieved effective procedure. This article reviews the basic knowledge of neurogenic lower urinary tract dysfunction and complications, physiology of urination, urodynamic study and nursing role in caring these patients.</p> Mutita Jongwannasiri, Wit Viseshsindh Copyright (c) 2020 Ramathibodi Nursing Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/175484 Tue, 07 Jan 2020 13:36:16 +0700 Relationship among Health Literacy, Knowledge about Hypertension Control, and Health Behavior in Older Persons with Hypertension https://he02.tci-thaijo.org/index.php/RNJ/article/view/179176 <p>This study aimed to investigate the relationship among health literacy, knowledge about hypertension control, and health behavior in older persons with hypertension. Nutbeam’s conceptual framework of health literacy was used to guide this study. The sample consisted of 70 older persons with hypertension who were at least 80 years old in subdistrict health promoting hospitals, Chonburi Province. The sample was recruited according to the inclusion criteria and proportional stratified sampling. Data were collected by interviews using the questionnaires, including the Demographic Questionnaire, the Functional Communication and Critical Health Literacy Scales Questionnaire, the Hypertensive Knowledge Questionnaire, and the Self-Care Behavior in Hypertension Questionnaire. The data were analyzed using descriptive statistics, and Spearman’s Rho correlation coefficient. The sample had a mean score of health literacy at a moderate to high level. The mean score of knowledge about hypertension control and the mean score of total health behavior were at a moderate level. The analysis showed a significant positive relationship of health literacy to knowledge about hypertension control and health behavior, but knowledge about hypertension control was not statistically correlated with health behavior. The results showed that health literacy is essential to promote health behavior of older persons. Therefore, health care providers should find strategies to develop health literacy of older persons to critically use their knowledge for desirable health behavior to control hypertension appropriately</p> Kannika Kareesun, Porntip Malathum, Nuchanad Sutti Copyright (c) 2020 Ramathibodi Nursing Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/179176 Tue, 07 Jan 2020 13:49:20 +0700 Factors Related to Adherence to Multi-Drug Resistant Tuberculosis Treatment https://he02.tci-thaijo.org/index.php/RNJ/article/view/181645 <p>&nbsp; &nbsp; &nbsp; &nbsp;The purposes of this descriptive research study were to describe adherence to<br>treatment of multi-drug resistant tuberculosis (MDR-TB), and examine relationships between<br>patient factors, attitude towards MDR-TB and treatment, social support, disease characteristics,<br>medication factors, and clinical setting factors with adherence to treatment of multi-drug<br>resistant tuberculosis (MDR-TB). Purposive sampling was used to recruit a sample of 75<br>patients with MDR-TB who sought services at Makarak Hospital, Kanchanaburi Province.<br>Data were collected using a structured interview guide from September to December 2017.<br>Descriptive statistics and Chi-Square test were used to analyze the data. The study revealed<br>that attitude towards MDR-TB and treatment, overall and subscales of social support, as well<br>as convenient access to service, had significant relationships with adherence to treatment of<br>MDR-TB. However, age, gender, marital status, education, income, disease characteristics,<br>medication factors, distance to a clinic, traveling time to a clinic, waiting time at the clinic to<br>receive health services, convenience of the clinic, and frequency of appointment visits had no<br>significant relationship with adherence to treatment of MDR-TB. The results of this study are<br>useful for enhancing adherence to the treatment of MDR-TB. Patients should be informed<br>about the proper use of MDR–TB medications and the benefits of adherence to the treatment<br>of MDR–TB. Nurses should educate and motivate patients with positive attitudes towards the<br>treatment of MDR–TB, along with promoting social support and convenient access to services<br>to increase the MDR–TB cure rate.<br>Keywords: Multi-drug resistant tuberculosis, Adherence to treatment, Attitude, Social&nbsp;support</p> Nathakron Chantana; Wantana Maneesriwongul, Panwadee Putawatana Copyright (c) 2020 Ramathibodi Nursing Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/181645 Tue, 07 Jan 2020 13:56:10 +0700 Depression, Fatigue, and Physical Performance among Older Adults with Knee Osteoarthritis: A Correlational Study https://he02.tci-thaijo.org/index.php/RNJ/article/view/178959 <p>This descriptive correlational study aimed to examine the relationship among depression, fatigue, and physical performance in older adults with knee osteoarthritis. The participants were 144 older adults with knee osteoarthritis who met the inclusion criteria including age 60 years or older, not having cognitive impairment, and being active members of six senior citizens clubs located in Bangkok. The research instruments were 1) Personal data questionnaire, 2) The Multidimensional Assessment of&nbsp; Fatigue, 3) the Geriatric Depression Scale-15, and 4) Time Up &amp; Go Test. Data were collected from August to November 2017 and were analyzed using descriptive statistics, Pearson correlation coefficients and Spearman’s rank correlation coefficients. The results indicated that 29.90% of participants had depressive symptom (n = 43), and they had mild fatigue with mean score of 18.14 (SD = 8.66) and had slightly low physical performance of time get up and go test with mean of 12.60 seconds (SD = 2.22). A small positive correlation was found between&nbsp;&nbsp; depression and physical performance. Moderate positive correlations were found between fatigue and depressive symptom and between fatigue and physical performance respectively. The findings of this study emphasized the complexity of psychosocial problems in older adults with knee osteoarthritis by explaining the relationships among depression, fatigue, and physical performance. This information will be beneficial not only to initiate an intervention for alleviating psychosocial problems, but also to promote physical performance for delaying&nbsp; dependency and enhancing quality of life in older adults with knee osteoarthritis.</p> <p>&nbsp;</p> Usa Kongsombun, Suparb Aree-Ue, Phichpraorn Youngcharoen Copyright (c) 2020 Ramathibodi Nursing Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/178959 Tue, 07 Jan 2020 14:00:48 +0700 Effects of the Smart Diet Program Applying the Concept of Self-Regulation for Diabetes Control in Type 2 Diabetic Patients in Hospital for Tropical Diseases https://he02.tci-thaijo.org/index.php/RNJ/article/view/171010 <p>This quasi-experimental research aimed to study the effects of the smart diet program for diabetes control in type 2 diabetes patients. A sample of 30 patients was divided into experimental and comparison groups, with 15 patients in each group. The experimental group received the smart diet program applying the self-regulation concept to design the activities for 12 weeks. The program activities included knowledge of diabetes diet, skill training on self-observation, decision making, self-reaction, and supporting diet control behavior continuously and a follow-up telephone interview was done. Data collection was done during the pre and post intervention program on the 12<sup>th</sup> weeks by interviewing the subjects and testing of fasting blood sugar and HbA1c level. Data were analyzed by descriptive statistics and inferential statistics, i.e., Chi-square, Paired sample t-test, Independent t-test and Mann- Whitney U test.</p> <p>The research results showed that after the experimentation, the experiment group gained significantly higher level of perceived self-efficacy, outcome expectation of the diet control, and diet control behavior than before the experimentation (p &lt; .05). Fasting blood sugar and HbA1c level of the experimental group also significantly decreased compared to the pre-experiment program (FBS from 196.9 mg/dl to 141.4mg/dl, p = .014; HbA1c from 8.6 mg/dl to 6.9 mg/dl, p = .002). Therefore, this program should be recommended and applied to other public health facilities with similar context.</p> <p>&nbsp;</p> Kitiyagorn Klongdee, Sarunya Benjakul, Mondha Kengganpanich, Tharadol Kengganpanich Copyright (c) 2020 Ramathibodi Nursing Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/171010 Tue, 07 Jan 2020 14:03:18 +0700 Effectiveness of Teenage Pregnancy Prevention Program in Phayao Province. https://he02.tci-thaijo.org/index.php/RNJ/article/view/171576 <p>&nbsp; This quasi-experimental research was aimed to evaluate the effectiveness of school-based, teenage pregnancy prevention program. The subjects were seventh-grade students from 2 schools.&nbsp; They were divided into two groups: Both study and control groups had 51 volunteers. The study group received a school-based prevention program for five sessions, whereas the control group received normal school learning activities. The self-administered questionnaires were employed at the pre-post-tests and the follow up stages.&nbsp; The data were analyzed using percentage, mean, Repeated Measured ANOVA, Independent t-test and Paired t-test. The result revealed that the study group had higher mean post scores in sexual knowledge, attitude toward sexual behavior compared to pre-scores and the control group. However, the mean score differences regarding, parent-adolescent sexual communication skills, decision making and refusal skills, managing sexual desire skills, and sexual risk behavior between two groups, were not statistically significant (p&gt; 0.05). Conclusively, the school-based teenage pregnancy prevention program enhanced sexual knowledge and attitude toward appropriate sexual behavior of teenagers. Thus, school and government sectors should consider integrating this program into some extracurricular activities to prevent teenage pregnancy among school students.</p> <p><strong>Keyword:</strong> school-based programs, early adolescent, teenage pregnancy prevention</p> <p>&nbsp;</p> <p>&nbsp;</p> Cholada Chaikoolvatana, Idchayar Mornsaeng, Patcharin Chaibarn Copyright (c) 2020 Ramathibodi Nursing Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/171576 Tue, 07 Jan 2020 14:05:15 +0700