Nursing Research and Innovation Journal

Effects of Prototype Triangular Latex Pillows on the Prevention of Pressure Injury in Older Adults*

Kwanjit Punpho, Baiboon Srithamma, Yotahka Dontree — Mon, 19 Aug 2024 00:00:00 +0700

This quasi-experimental study aimed to examine the effect of prototype triangular latex pillows on the prevention of pressure injury in older adults. The participants were 150 older adults aged 60 years and over, with a Braden scale less than 18 and no pressure injury.The study was conducted at Thammasat University Hospital from February 2022 to September 2023. The participants who met the inclusion criteria were randomly assigned into five groups,30 participants per group: one control group (CG) and four experimental groups (EGs) via sampling without replacement. The participants in the control group were positioned in a 30-degree side-lying posture with regular pillows or folded blankets to support and turn over every two hours. Participants in the first experimental group were positioned in a side-lying posture with a 40-degree firm latex pillow, whereas those in the second experimental group were positioned in a side-lying posture with 40-degree medium latex pillows. Participants in the third experimental group were positioned in a side-lying posture with a 45-degree firm latex pillow, and those in the fourth experimental group were positioned in a side-lying posture with a 45-degree medium latex pillow. Each participant was turning positions every two hours,three times. At each turn, pressure injury was assessed on the coccyx and left and right hip.Data were collected until each group had 30 participants completed the protocol. The data were analyzed using descriptive statistics and one-way ANOVA. The results showed that all participants had no pressure injuries after the program completion. For future studies, the duration of time should be extended and different degrees and densities of latex pillows should be examined on the prevention of pressure injury.
Keywords: Older adults, Pressure injury, Triangular latex pillow

Effect of a Transitional Care Program for Patients with Acute Coronary Syndrome Post Discharge by Telehealth Follow-up on Self–care Agency and Rehospitalization*

Mon, 19 Aug 2024 00:00:00 +0700

This experimental study aimed to examine the effects of the Transitional Care Program on self-care agency and rehospitalization after hospital discharge among patients with acute coronary syndrome who were admitted to King Chulalongkorn Memorial Hospital. The sample was assigned to the experimental group (38 participants) and the control group (38 participants) using a simple random sampling technique without replacement. The experimental group received the Transitional Care Program post discharge using video animation to deliver health information and telehealth follow-up post discharge that was developed from Naylor’s conceptual framework on transitional care. Data were collected using the following three questionnaires: the Demographic Questionnaire,the Self-Care Agency Questionnaire, and the Rehospitalization Questionnaire conducted by telephone follow-ups at 14 and 28 days after hospital discharge. Data were analyzed using the independent t-test and Fisher's exact test to compare differences in mean difference scores of self-care agencies and rehospitalization rates. The results showed that self-care agency in the experimental group significantly increased more than the control group on Day 14 and Day 28. In addition, the experimental group's rehospitalization was significantly lower than the control group with statistical significance.The findings showed that the program in this study increased the self-care agency and reduced rehospitalization. Therefore, nurses can apply this program for patients with acute coronary syndrome to improve self-care agency in controlling acute coronary syndrome exacerbation and reduce rehospitalization. However, there should be long-term follow-up on the program’s results, such as six months or one year after discharge from the hospital.
Keywords: Acute coronary syndrome, Rehospitalization, Self–care agency, Telehealth follow-up,Transitional Care Program

Effects of Treatment of Monks with Chronic Non-Communicable Diseases using Telemedicine in the New Normal Situation, Medical Outpatient Department, Priest Hospital

Chadsuphar Sirirachta, Renu Kwanyuen, Pojmalai Sangsanor, Unticha Saiboonsri — Mon, 19 Aug 2024 00:00:00 +0700

This quasi-experimental research aimed to study the results of treating monks with chronic non-communicable diseases with telemedicine in a new normal situation. A purposive sample was selected from monks with chronic non-communicable diseases, the medical outpatient department, Priest Hospital. There were 135 people receiving telemedicine treatment during the COVID-19outbreak using the guidelines of Medical Services Telemedicine of Priest hospital. The medicines were sent to monks by post, with pharmacists checking the correctness of medicine delivery. The care access was checked by the health promotion department to coordinate information on receiving medicines. The hospital was responsible for the expenses to reduce the risk of spreading the disease.Data were collected using health data records for sick monks and satisfaction questionnaires regarding telemedicine treatment follow-up. Data were analyzed using descriptive statistics and independent t-tests. The results of the study showed that most monks were 60-70 years old (42.2%), used telephones as communication devices (100%), had a need for someone to help using telemedicine (60%), and were interested in telemedicine treatment (98.5%). When comparing the results of laboratory tests before and after telemedicine treatment, it was found that the mean low-density lipoprotein cholesterol level score after using telemedicine was significantly lower than before. There were no differences in mean scores of body mass index, blood pressure, blood sugar, triglycerides,total cholesterol, and high-density lipoprotein levels. The overall satisfaction level with the service was at the highest level. In summary, telemedicine offers an additional option for monks with chronic non-communicable diseases to consult with their physicians, especially during infectious disease outbreaks like COVID-19. It provides a way to manage symptoms, prevent unnecessary hospitalizations, and maintain continuity of care while minimizing the strain on medical facilities and providers. Activities that promote self-care should be added to control the disease and monitor longterm results.
Keywords: New normal, Non-communicable disease, Sick monks, Telemedicine

Effects of the Smoking Cessation Program Using 5A’s Model with Motivational Interviewing on Smoking Abstinence and Urine Cotinine of Persons with Non-Communicable Diseases

Chantana Chuimiang, Apinya Siripitayakunkit, Soontaree Jianvitayakij — Mon, 19 Aug 2024 00:00:00 +0700

One of the most important risk factors for non communicable diseases and premature deaths is cigarette smoking. A one-group pre-posttest quasi-experimental study was conducted. The objective of this study was to examine the effects of the smoking cessation program using 5A’s model with motivational interviewing on smoking cessation behavior in persons with non-communicable diseases. The Transtheoretical Model was used as a conceptual framework combined with 5A's model and motivational interviewing techniques. The participants were 30 people with non-communicable diseases who visited the outpatient department at a district hospital selected by purposive sampling. The one-month program consisted of two individual counseling sessions and telephone follow-ups to help quit smoking.The outcome measured was smoking cessation behavior, confirmed by urine cotinine levels.Descriptive statistics, Fisher’s exact test, and a chi-square test were used to analyze the data.The results of the study showed statistically significant differences in smoking cessation behaviors before participating in the program and immediately after the program ended, with the proportion of smoking cessation decreasing by 50% without cotinine detected in their urine. When the sample was followed up for another 30 days after the program ended, 13 participants (43.33%) successfully quit smoking, and two relapsed. Nurses in non-communicable disease clinics could apply the 5A’s model with motivational interviewing for a smoking cessation program to help persons with non-communicable diseases quit smoking.Nurses should be trained in the motivational interviewing technique before using the program. Furthermore, a longitudinal study is needed.
Keywords: Motivational interviewing, Non-communicable diseases, Smoking cessation program, Smoking cessation behavior, Stage of change

Factors Associated with Psychological Distress among Patients with Lower Extremity Fractures

Udomluk Trakulmeenak, Phichpraorn Youngcharoen, Suchira Chaiviboontham — Mon, 19 Aug 2024 00:00:00 +0700

The aim of the study was to examine relationships among age, gender, income,current pain intensity level, social support, ability to perform daily activities,and psychological distress in patients with lower extremity fractures from accidents.The literature review was used as a conceptual framework. The sample consisted of 113 patients diagnosed with lower extremity fractures aged between 18 and 55 years old who had an appointment at the orthopaedic outpatient clinic. The Demographic Questionnaire, the Numerical Rating Scale, the Social Support Questionnaire, the Barthel of Activities of Daily Living Index, and the Psychological Impact Scale for Crisis
Events–10 were used for data collection. Data were analyzed using descriptive statistics and Pearson Product Moment Correlation Coefficient, Spearman rank correlation coefficient, and Point–biserial correlation coefficient. The results of this study revealed that most patients with lower extremity fractures had mild levels of psychological distress.Female patients had higher levels of psychological distress compared to male patients.Income, social support, and the ability to perform daily activities were significantly
negatively associated with psychological distress, while current pain intensity level was significantly positively associated with psychological distress. Age was not associated with psychological distress. The results could be used to plan the proper management of pain, provide health education to promote the ability to perform daily activities, and integrate family members in providing care to improve perceptions of social support,which could minimize psychological distress in patients with lower extremity fractures in the initial phase after the accident.
Keywords: Accident, Lower extremity fracture, Psychological distress

Relationships between Knowledge, Attitude, and Perception Towards Hand Hygiene Practices among Nursing Personnel in a University Hospital

Mon, 19 Aug 2024 00:00:00 +0700

This descriptive research aimed to examine the relationships between knowledge,attitude, and perception towards hand hygiene practices among nursing personnel in a university hospital. The sample comprised 2,687 nursing personnel, including registered nurses and practical nurses, at Ramathibodi Hospital, Bangkok. A random sampling method was used to recruit the participants. The research instruments included a personal data questionnaire, the Hand Hygiene Knowledge Test, the Attitude Towards Hand Hygiene Scale, and the Perception Towards Hand Hygiene Practices Scale, validated by experts and tested for reliability. Data were analyzed using descriptive statistics and Spearman's rank correlation coefficient. The results showed that most participants (59%) had a low level of knowledge about hand hygiene.More than half (57.5%) had negative attitudes towards hand hygiene, and 72.8% had negative perceptions towards hand hygiene practices. Knowledge and attitude towards hand hygiene were significantly positively correlated with the perception towards hand hygiene practices.Therefore, promoting knowledge and a positive attitude towards hand hygiene should be used to improve the more positive perception towards hand hygiene practices among nursing personnel, which will reinforce the improvement and development of hand hygiene behaviors in hospitals.
Keywords: Attitude, Hand hygiene, Knowledge, Perception, Practices

Nursing Students’ Knowledge and Satisfaction after Receiving Game-based Learning

Mon, 19 Aug 2024 00:00:00 +0700

This mixed methods research aimed to examine nursing students’ knowledge and satisfaction after receiving game-based learning. The research sample comprised the thirdyear students of Ramathibodi School of Nursing who experienced game-based learning regarding nursing care for children with dengue fever. In the quantitative research design, 98 nursing students were recruited using purposive sampling. The research instruments consisted of the Pretest and the Posttest Questionnaires on Knowledge of Nursing Care for Children with Dengue Fever and the Satisfaction with Game-based Learning Questionnaire. Quantitative data were analyzed using descriptive statistics and one-way repeated measures ANOVA. For the qualitative research design, an in-depth interview was conducted with 17 third-year nursing students who received the game-based learning. Qualitative data were analyzed using content analysis. The findings showed that the knowledge score after learning ended immediately was higher than before providing the game-based learning. The knowledge score after one month was lower than after learning ended immediately but higher than the knowledge score before providing the game-based learning. Nursing students who experienced game-based Learning were very satisfied. The results from the in-depth interview revealed that the D-Keng game helped promote learning, build learning motivation, and encourage learner-learner interaction. Based on the research findings, game-based learning should be encouraged in nursing education.
Keywords: Game, Game-based learning, Knowledge, Nursing students, Satisfaction

Experiences of Community Food Impacts and Resilience during the COVID-19 Pandemic

Narumon Piaseu, Phatcharaphon Whaikid, Noppawan Piaseu — Mon, 19 Aug 2024 00:00:00 +0700

This qualitative research aimed to explore the experiences of community food impacts and resilience during the COVID-19 pandemic. The participants were adults aged 20 and above residing in communities affected by the COVID-19 pandemic in Bangkok. Through purposive sampling, 100 participants were recruited. Data were collected between August 2021 and February 2022,using a personal data questionnaire,the Food Accessibility and Security Questionnaire,and semi-structuredinterviews.Data were analyzed using descriptive statistics and content analysis. Findings revealed that the COVID-19 pandemic significantly impacted communities' food and health. Effects on food included 1) food acquisition or access, 2) food quantity and quality, 3) food consumption,and 4)gastrointestinal systems. These effects also impact health,including both psychological and physical aspects. Community resilience included 1)Struggling to make ends meet, 2) Mutual help and support, 3) Community food care strategies,and 4) Navigating through crises. This study proposes recommendations for developing or improving food systems, planning for assistance, and community food care during crises systematically and ethically.These recommendations include creating environments that foster sustainable food production, processing, and efficient distribution and consumption, aiming to improve community nutrition,health, and well-being.
Keywords: Community, COVID-19,Food, Impacts, Resilience

Editorial Note

Supreeda Monkong — Mon, 19 Aug 2024 00:00:00 +0700

สารจากบรรณาธิการ
สวัสดีค่ะ วารสารวิจัยและนวัตกรรมทางการพยาบาล ฉบับที่ 2 ปี พ.ศ. 2567 มีบทความวิชาการ 1 เรื่อง โปรแกรมป้องกันการเกิดภาวะลิ่มเลือดอุดตันในหลอดเลือดดำในผู้ป่วยโรคไขสันหลัง บทความวิจัยทางคลินิก 6 เรื่อง ต้นแบบหมอนยางพาราสามเหลี่ยมต่อการป้องกันการเกิดแผลกดทับในผู้สูงอายุ โปรแกรมการดูแลระยะเปลี่ยนผ่านในผู้ป่วยโรคหัวใจขาดเลือดเฉียบพลันหลังจำหน่ายโดยวิธีติดตามภาวะสุขภาพทางไกลการรักษาพระสงฆ์อาพาธโรคไม่ติดต่อเรื้อรังด้วยระบบการแพทย์ทางไกล โปรแกรมการช่วยเลิกบุหรี่โดยใช้หลัก 5A’s ร่วมกับเสริมสร้างแรงจูงใจในการเลิกบุหรี่ ปัจจัยที่มีความสัมพันธ์กับความทุกข์ทางจิตใจในผู้บาดเจ็บกระดูกรยางค์ส่วนล่างหักจากอุบัติเหตุ ความรู้ ทัศนคติ และการรับรู้เกี่ยวกับการปฏิบัติเรื่องการทำความสะอาดมือของบุคลากรทางการพยาบาลในโรงพยาบาลมหาวิทยาลัย บทความวิจัยเกี่ยวกับการเรียนการสอน 1 เรื่อง ความรู้และความพึงพอใจของนักศึกษาพยาบาลที่ได้รับการจัดการเรียนรู้โดยใช้เกมเป็นฐานและบทความวิจัยในชุมชน 1 เรื่อง ประสบการณ์การได้รับผลกระทบด้านอาหารและการปรับตัวของชุมชนในสถานการณ์แพร่ระบาดของโควิด-19

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Development and Feasibility Study of a Prevention Program of Venous Thromboembolism in Patients with Spinal Cord Disorders

Suchada Chindamart, Wiphawadee Potisopha, Chonlapas Tungbutrawong — Mon, 19 Aug 2024 00:00:00 +0700

Venous thromboembolism is a common complication in patients with spinal cord disorders, resulting in the need for long-term care, an increased length of hospital stays, a higher cost of care, and an increased risk of death. Most patients with spinal cord disorders receive delayed investigation and treatment due to variant risk assessment and management. Based on a literature review, current evidence suggests employing pharmaceutical and non-pharmaceutical methods for preventing venous thromboembolism.Even though pharmaceutical prevention, especially low-molecular-weight heparin, is effective, the critical side effects, including the risk of bleeding, need to be considered.Thus, the researchers developed a program focusing on non-pharmaceutical strategies to prevent venous thromboembolism in patients with spinal cord disorders based on Soukup’s conceptual framework. This developed program was named “5E,” including 1) education, 2) elevation, 3) exercise, 4) enough fluid, and 5) early application of intermittent pneumatic compression. The content validity index evaluated by five experts was 1.00. After modification, the pilot program was tried out in two patients diagnosed with spinal cord disorders, and the results showed that the 5E program was feasible to implement in a clinical setting. However, the effect of this prevention program on venous thromboembolism must be studied further.
Keywords: Prevention program, Spinal cord disorder, Venous thromboembolism