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) Fri, 22 Apr 2022 16:20:37 +0700 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 บทบรรณาธิการ https://he02.tci-thaijo.org/index.php/RNJ/article/view/257472 Supreeda Monkong Copyright (c) 2022 http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/257472 Mon, 25 Apr 2022 00:00:00 +0700 Validity and Reliability of the Health-Related Quality of Life Instrument for End Stage Renal Disease Patients undergoing Dialysis: A Modified Version https://he02.tci-thaijo.org/index.php/RNJ/article/view/255799 <p>This study aimed to modify and test the validity and reliability of the Thai Health-Related Quality of Life Instrument for Dialysis Patients (THAI-HRQOL-D),developed by the researchers in 2012. The sample for testing the validity and reliability of the instrument consisted of 244 participants undergoing dialysis (185 hemodialysis<br />and 59 peritoneal dialysis patients) who attended four dialysis centers in the eastern region of Thailand. The construct validity of the instrument was determined through exploratory and confirmatory factor analyses and the known-groups technique. Also,Cronbach’s alpha coefficients were used to test the internal consistency reliability of the instrument. The results yielded seven factors and explained 52.89% of the variance.These seven factors, consisting of 34 items, included health and functioning, living with symptoms, living with dialysis, socioeconomics and family, spirituality, psychological<br />well-being, and cognition. Through the confirmatory factor analysis, the adequate relative goodness of fit indices revealed that the measurement model fit the data. The internal consistency reliability, measured by Cronbach’s alpha coefficients, was good. The known-groups technique revealed that participants with a normal level of hematocrit<br />and serum albumin had a significantly higher mean score of the THAI-HRQOL-D than those with a low level. This study demonstrated that this disease-specific instrument has adequate validity and reliability to assess health-related quality of life among dialysis patients.<br />Keywords: Health-related quality of life instrument, Validity, Reliability, End stage renal disease patients undergoing dialysis</p> Noppawan Phinitkhajorndech, Soracha Wanichmontri, Orasa Panpakdee Copyright (c) 2022 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/255799 Fri, 22 Apr 2022 00:00:00 +0700 Translation and Validation of the Braden QD Scale (Thai version) for Predicting Pediatric Pressure Injury Risk in Pediatric Critically Ill Patients https://he02.tci-thaijo.org/index.php/RNJ/article/view/250645 <p>This study aimed to translate the Braden QD scale for predicting pediatric pressure injury risk from the original English version into the Thai version and validate the reliability of the Braden QD scale (Thai version) in critically ill patients admitted to the pediatric intensive care unit. This study was divided into Phase I: a translation process and verification, and Phase II: a testing process with critically ill pediatric patients.The sample consisted of 85 critically ill pediatric patients, aged one month to 18 years,admitted to the Pediatric Intensive Care Unit at Ramathibodi Hospital and met inclusion criteria. They were divided into ten patients for the first phase and 75 patients for the second phase. The interrater reliability and concurrent validity were used to determine psychometric properties of the Braden QD scale (Thai version). The result revealed a high intraclass correlation coefficient (ICC) between the Braden QD scale (Thai version)and the Braden Q scale. For the concurrent validity when the Braden Q scale was used as the reference, the correlation between the scores on the Braden QD scale (Thai version)and those on the Braden Q scale was significantly moderate and negative when the scores were reversed to obtain the same meaning. Hence, the Braden QD Scale (Thai version)is an acceptable tool to assess pressure injury risk in critically ill pediatric patients.<br />Keywords: Translation, Validity, Reliability, the Braden QD Scale (Thai version),Critically ill pediatric patients</p> Jiraporn Punyoo, Supatra Phaopant, Nattasit Katchamat Copyright (c) 2022 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/250645 Fri, 22 Apr 2022 00:00:00 +0700 Effects of Non-nutritive Sucking with Emptied Breasts on Breast-Feeding Performance in Preterm Infants https://he02.tci-thaijo.org/index.php/RNJ/article/view/248101 <p>This quasi-experimental research aimed to investigate the effect of non-nutritive sucking with emptied breasts on breastfeeding performance in preterm infants by comparing the breastfeeding performance between the preterm infants sucking on the emptied breasts and the preterm infants receiving routine nursing care. The breastfeeding performance included breastfeeding behaviors, the amount of milk that the infants can suck in the first 5 minutes, and the transition period from tube feeding to breastfeeding. The samples in this study were 46 postpartum mothers, and preterm infants admitted to a tertiary hospital in the northeast region of<br />Thailand. They were selected by purposive sampling based on the inclusion criteria. The motherpreterm infant dyads were equally divided into two groups: 23 dyads were in the control group,and the other 23 dyads were in the experimental group. The experiment consisted of sucking emptied breasts three times a day for 10 minutes for 10 days. When the infants had the postconceptional age of 34 weeks and the pediatrician allowed them to begin breastfeeding, the infants were breastfed. The data were recorded in the breastfeeding performance assessment form.Data were analyzed using Mann-Whitney U Test. The results showed that the breastfeeding behavior score and the amount of milk sucked in the first 5 minutes of preterm infants in the experimental group were significantly higher than those in the control group. Additionally, the transition period from tube feeding to breastfeeding of preterm infants in the experimental group was significantly shorter than in the control group. Therefore, health personnel should encourage<br />preterm infants to receive non-nutritive sucking with emptied breasts to promote better breastfeeding performance.<br />Keywords: Preterm infants, Emptied breast sucking, Breastfeeding performance</p> Phagamas Tongsiri, ๋Jariya Wittayasooporn, Tipawan Daramas Copyright (c) 2022 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/248101 Fri, 22 Apr 2022 00:00:00 +0700 Sleep Patterns in Adolescents with Cancer Receiving Chemotherapy between in Hospital and at Home https://he02.tci-thaijo.org/index.php/RNJ/article/view/249000 <p>This descriptive study aimed to compare sleep patterns between hospitalization and at home in adolescents with cancer receiving chemotherapy. The purposive sample consisted of 30 adolescents aged 10-18 years old, diagnosed with all types of cancer,and hospitalized for chemotherapy in two tertiary hospitals. Data were obtained using demographic and clinical characteristics questionnaires and a sleep diary. Descriptive statistics, dependent t-test, and Wilcoxon-signed rank test were used to analyze the<br />data. The results revealed that most adolescents with cancer got into bed between 8:00-8:59 PM, which was similar between hospitalization and at home. Most of them woke up early between 5:00-6:59 AM, which was earlier than those at home between 7:00-<br />7:59 AM. The most-reported time of getting out of bed was between 7:00-7:59 AM for both in hospital and at home. When comparing sleep patterns during hospitalization with those at home, the results showed that sleep patterns were significantly different.<br />The hospitalized adolescents reported longer sleep latency, more night awakenings,longer total wake time after sleep onset, more daytime naps, longer total naptime, shorter total sleep time, poorer sleep quality, and less feeling refreshed after waking up. There<br />were no significant differences in time in bed trying to sleep after the final awakening,wake up time earlier than planned, and caffeinated drinks. These results demonstrate that it is imperative that healthcare professionals should be aware of the sleeping problems,assess sleep patterns, and plan interventions for promoting sleep quality among hospitalized adolescents receiving chemotherapy and while at home.<br />Keywords : Adolescent, Cancer, Sleep pattern, Chemotherapy</p> Laddawan Supcharoenmark, Autchareeya Patoomwan, Jassada Buaboonnam Copyright (c) 2022 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/249000 Fri, 22 Apr 2022 00:00:00 +0700 Selected Factors Related to Health-Related Quality of Life in Patients with Peripheral Arterial Occlusive Disease https://he02.tci-thaijo.org/index.php/RNJ/article/view/248834 <p>This descriptive research aimed to examine the correlation between age,gender, the sense of coherence, social support, type of treatments, the severity of disease,and health-related quality of life in patients with the peripheral arterial occlusive disease.<br />Ferrans’s conceptual model of health-related quality of life was used as a conceptual framework. Purposive sampling of 80 patients with the peripheral arterial occlusive disease were selected from an outpatient department of Ramathibodi hospital. Data were<br />collected using four questionnaires: demographic characteristic data and medical history,the Peripheral Artery Disease Quality of Life Questionnaire (PADQOL), the Sense of Coherence (SOC-13) Questionnaire, and Social Support Questionnaire. Then, the data<br />were analyzed using descriptive statistics, Pearson’s product-moment correlation coefficient, Spearman rank correlation coefficient, and Point-biserial correlation. The results showed that the sample had a low health-related quality of life and a moderate<br />sense of coherence and social support. The sense of coherence, social support, and severity of disease were significantly positively correlated with health-related quality of life. However, age, gender, and type of treatments were not significantly correlated<br />with health-related quality of life. Type of surgery was significantly correlated with health-related quality of life. The findings of this study can be used to develop guidelines to care for these patients to improve health-related quality of life.<br />Keywords: Health-related quality of life, Peripheral arterial occlusive disease, Sense<br />of coherence, Social support</p> Sirirat Tanyabut, Kusuma Khuwatsamrit, Nirobol Kanogsunthornrat Copyright (c) 2022 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/248834 Fri, 22 Apr 2022 00:00:00 +0700 Developmental and Evaluation of the Use of Nursing Practice Guideline in Patients with Total Knee Arthroplasty https://he02.tci-thaijo.org/index.php/RNJ/article/view/250814 <p>This research and development study aimed to develop and evaluate clinical nursing practice guidelines (CNPG) for patients undergoing total knee arthroplasty.Soukup’s evidence-based practice model was used to develop the CNPG. This study included 30 registered nurses working at inpatient wards and 30 patients undergoing total knee arthroplasty and admitted to inpatient wards at a tertiary care hospital in Bangkok. The research instruments included the Nursing Practice Guidelines for Patients with Total Knee Arthroplasty and a process evaluation form for nurses using the CNPG.The contents of CNPG for patients undergoing total knee arthroplasty comprised three phases: 1) pre-operative phase, 2) post-operative phase, and 3) before and after discharge from the hospital phase. Data were analyzed using descriptive statistics. The process evaluation showed that nurses rated as good on satisfaction and reported that the CNPG was feasible to continue implementing in the clinic. For patients, the clinical<br />outcomes were good; the average pain score was less than three points in the three phases.Patients had an improvement in knee flexion. All patients were able to walk for more than 20 meters. The mean length of hospital stay was 2.98 days. It also leads to<br />satisfaction with the quality of nursing care. The results indicated that the clinical nursing practice guidelines are feasible to use in patients with total knee arthroplasty for achieving the nursing care quality; however, it may be modified to each context, as necessary.<br />Keywords: Development and evaluation, Clinical nursing practice guidelines, Evidencebased<br />practice model, Total knee arthroplasty</p> Maneewan Homepan, Suchira Chaiviboontham, Nirobol Kanogsunthorntrat Copyright (c) 2022 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/250814 Fri, 22 Apr 2022 00:00:00 +0700 Effectiveness of Implementing Clinical Practice Guidelines for Constipation Management among Patients with Cancer Receiving Palliative Care https://he02.tci-thaijo.org/index.php/RNJ/article/view/250388 <p>This implementation research aimed to investigate the effectiveness of implementing clinical practice guidelines (CPGs) for constipation management among patients with cancer receiving palliative care. The guideline implementation was based on<br />the CPGs implementation and strategies utilization framework of the Australian National Health and Medical Research Council. Participants consisted of two groups. Group 1 was patients with cancer, including 16 patients receiving palliative care before the CPGs<br />implementation and nine patients with cancer receiving palliative care during CPGs implementation. Group 2 was 42 healthcare personnel who utilized CPGs. Research instruments included 1) the CPGs for constipation management and the pamphlet regarding<br />constipation and self-care for constipation management, 2) the constipation assessment form, and 3) the health care personnel satisfaction for utilizing constipation management evaluation form. Data were analyzed using descriptive statistics. The results revealed that the incidence of constipation was 62.50 per 1,000 bed days of patients before CPGs implementation group, while it was 10.42 per 1,000 bed days of patients during the CPGs implementation group. The majority of healthcare personnel (92.20%) had a high level of satisfaction regarding utilizing CGPs for constipation management. This study suggests that the CPGs for constipation management among patients with cancer receiving palliative care can decrease constipation, and most healthcare personnel had a high level of satisfaction when using the guidelines. Therefore, these CPGs should be proposed to the nurse administrator for implementation to reduce constipation and improve the care quality in these patients.<br />Keywords: Clinical practice guidelines, Constipation, Palliative care, Patients with cancer</p> Jantree Orachon, Pratum Soivong, Warawan Udomkhamsuk Copyright (c) 2022 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/250388 Fri, 22 Apr 2022 00:00:00 +0700 Effects of an Epilepsy Control Program via the Line Application on Health Literacy and Health Behavior in Patients with Epilepsy https://he02.tci-thaijo.org/index.php/RNJ/article/view/252949 <p>This quasi-experimental research with a one-group pretest-posttest design aimed to assess the effects of an education program for adequate control of seizure recurrence via the LINE application on health literacy and health behavior. The conceptual framework to guide the study was based on Nutbeam’s health literacy concept and relevant literature. The participants were 18 patients with epilepsy who attended the outpatient neurological clinic at Rayong Hospital. All received an education program entitled “Epilepsy Control Program.” This program consisted of an education learning package about epilepsy and a skill-training program to<br />develop health literacy and health behaviors, distributed to the participants via the LINE application. The duration for accessing this program was six weeks. The instruments for data collection consisted of questionnaires to elicit personal data, health data, health literacy, and health behavior. Data collection on health literacy and health behavior was performed three times: at baseline, immediately after the program (or the sixth week from baseline), and the fourth week after the program ended (the tenth week). Descriptive statistics and one-way repeated measures ANOVA were used for data analysis. Findings revealed that the participants'<br />scores on health literacy and health behavior, measured immediately after the program and at the fourth week after the program ended, were higher than those at the enrollment time. This study demonstrated that the Epilepsy Control Program through the LINE application was an effective tool for promoting health literacy and health behavior in patients with epilepsy.However, this study might have limitations in concluding that the results occur from the program only because of no control group. Nevertheless, it is expected that integration of this educational program according to the individual’s context would be beneficial in decreasing the risks of<br />seizure recurrence.<br />Keywords: Epilepsy control program, Health literacy, Health behavior, Patients with epilepsy</p> ์Natthapan Kaewnguen, Poolsuk Janepanish Visudhtibhan, Anannit Visudhtibhan Copyright (c) 2022 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/252949 Fri, 22 Apr 2022 00:00:00 +0700 Effect of Health Empowerment on Community Participation for Youth Substance Abuse Prevention in Communities in Three Southern Border Provinces https://he02.tci-thaijo.org/index.php/RNJ/article/view/247024 <p>The participatory action research (PAR) aimed to explore the level of community participation, compare community participation in youth substance abuse prevention, and study the model for substance abuse prevention among youths in communities in three southern border provinces. The participants for the quantitative study were selected by random cluster sampling in each province: Yala, Pattani, and Narathiwat. They consisted of 342 participants,including community leaders, religious leaders, women leaders, youth leaders, public health volunteers, and religious scholars. Then 75 of 324 participants were selected for the qualitative research study. The research had been conducted for nine months. The data collection instruments included the Personal Information Questionnaire, the Community Participation in Prevention and Solution of Drug Problem Questionnaires and a semi-structured interview<br />guide for focus group discussions. Descriptive and paired t-test statistics were used to analyze quantitative data, and content analysis was used to analyze qualitative data. The results revealed that the overall of community participation of youth substance abuse prevention in communities in three southern border provinces was at a moderate level. The mean overall and subscales of<br />community participation scores after implementation of health empowerment were significantly higher than before implementation health empowerment. The model for success of youth substance abuse prevention in communities in three southern border provinces consisted of three models: the brother helping brother model, the community leaders as a leadership model, and the community committee model for youth substance abuse prevention in communities.Thus, healthcare providers and related personnel should use the concepts of health empowerment and community participation in preventing substance abuse among youths in communities.<br />Keywords: Health empowerment, Community participation, Youth substance abuse<br />prevention<br /><br /></p> Patimoh Nima, Lutfee Hajimad, Rosedee Lertariyapongkul Copyright (c) 2022 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/247024 Fri, 22 Apr 2022 00:00:00 +0700 The Effect of a Promoting Gratitude Program on Holistic Health in Nursing Students https://he02.tci-thaijo.org/index.php/RNJ/article/view/250543 <p>This quasi-experimental research aimed to examine the effect of a promoting gratitude program on holistic health in nursing students. Two southern nursing faculties were selected by cluster sampling allocated to an experimental group (n = 27) and a control group (n = 28). The experimental group received the promoting gratitude program. The control group received usual care. The instruments used in this study consisted of the Promoting Gratitude Program, the Demographic Questionnaire, the Holistic Health Record, and the Holistic Health Questionnaire. Demographic data and holistic health data were analyzed using descriptive statistics. The mean score of holistic health was analyzed using a t-test. The results revealed that the mean score of holistic health after the intervention was significantly higher than before and higher than that in the control group. Therefore, the Promoting Gratitude Program should be applied to enhance holistic health in nursing students.<br />Keywords: Gratitude, Holistic health, Nursing students</p> Pimpanit Pasri, Kanokwan Hounsri, Sarana Suwanruangsri, Karnsunaphat Balthip, Umaporn Boonyasopun Copyright (c) 2022 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/250543 Tue, 26 Apr 2022 00:00:00 +0700