Thai Journal of Nursing Council วารสารสภาการพยาบาลเป็นวารสารทางวิชาการที่มีการประเมินบทความและงานวิจัย โดยผู้ทรงคุณวุฒิที่มีความเชี่ยวชาญเฉพาะสาขา (peer review) กำหนดออกรายสามเดือน ปีละ 4 ฉบับ จัดทำโดยสภาการพยาบาล เพื่อเป็นแหล่งในการเผยแพร่ผลงานวิชาการ ทั้งด้านการพยาบาลทางคลินิกและชุมชน การศึกษาพยาบาล การบริหารการพยาบาล en-US (รศ. ดร สายพิณ เกษมกิจวัฒนา) (นางสาวภูษณิศา แก้วเขียว) Thu, 09 Jan 2020 15:13:39 +0700 OJS 60 Primary Care Cluster: Concept and Management of Registered Nurses’ Roles <p>Abstract:<br>A primary care cluster (PCC) provides health services in the context of families and communities. It integrates collaboration of multidisciplinary teams with application of supporting resources or services. The main purpose of a PCC is to enhance the capacity of health services in Thailand, where the PCC policy is implemented in accord with the World Health Organization’s Six Building Blocks of Health System.<br>Registered nurses play seven important healthcare roles in the implementation of the PCC policy, chiefly by integrating the principles of family medicine with those of nursing science. The seven roles are: 1) case management; 2) primary medical care; 3) care for the families of chronic and terminal patients; 4) disease prevention, health promotion, and rehabilitation; 5) community counselling and coordination; 6) referral<br>system management; and 7) empowerment. Major factors affecting primary care cluster operation include insuffcient manpower, the need for continued knowledge improvement, insuffcient budget and resources, and inadequate health service support. Thus, related agencies should be engaged in the process of solving these problems, whilst further studies of the outcomes of the primary care cluster policy are strongly recommended.</p> นครินทร์ สุวรรณแสง, ภราดร ยิ่งยวด Copyright (c) 2020 Thai Journal of Nursing Council Thu, 09 Jan 2020 00:00:00 +0700 Psychiatric Nurses’ Roles in Preventing Facebook Addiction in Adolescents <p>Abstract:<br>Facebook addiction is found in an increasing number of adolescents. However,no serious attention has been paid to this addiction. Unaware of the situation, healthcare personnel may assume that this addiction is a normal adolescent behaviour that is likely to stop when they grow older. Such an assumption could result in inappropriate care given to adolescent Facebook addicts and escalation of the severity of their addiction, a situation that may affect their studies, physical and mental health, and performance of their social roles. Therefore, psychiatric nurses play an important role in preventing Facebook addiction in adolescents, especially those with a high addiction risk. It is suggested that nurses cooperate with parents and teachers to provide proper education for adolescents. This article discusses Facebook addiction in terms of: its defnition; its mechanisms; its effects; its evaluation; and roles of psychiatric nurses in preventing it. It is expected<br>that this article will provide psychiatric nurses with basic knowledge of monitoring, preventing, and reducing risks of Facebook addiction</p> จุฑามาศ ทองประดับ Copyright (c) 2020 Thai Journal of Nursing Council Thu, 09 Jan 2020 00:00:00 +0700 Illness Representations and Quality of Life of Older People with Benign Prostatic Hyperplasia: A Correlational Study <p>Abstract:<br>Objective: To examine any correlation between illness representations and quality of life in older benign prostatic hyperplasia (BPH) patients.<br>Design: Descriptive correlational research.<br>Methodology: The participants were 383 BPH patients aged 60 years and older receiving medical care at the outpatient departments of four hospitals under the Bangkok Metropolitan Administration. Data were collected using the Illness Representation Scale and Quality of Life Scale. The data were analysed using descriptive statistics, and correlation-tested using Spearman’s Rank Correlation.<br>Results: The older BPH patients displayed a high degree of illness representations concerning disease characteristics, illness duration, personal means of illness control, illness control via medical treatment, mental association with the illness, and risk factors. The patients’ overall quality of life was moderate, whilst their wellbeing dimension of quality of life was high. Through their reflection, the patients identifed the consequences of their illness as disrupting their activities (r = -.102, p &lt; .05). The consequences of the illness, illness duration, emotional health, and risk factors were signifcantly related to the patients’<br>wellbeing dimension of quality of life (r = .103, .145, .128, .126, p &lt; .05, respectively). The patients’ representations of disease characteristics and risk factors were signifcantly related to their sexuality dimension of quality of life (r = -.147 and -.112, p &lt; .05, respectively).<br>Recommendations: Some older people have misconceptions about causes of illnesses. Nurses are advised to provide health education for older BPH patients to help them develop a correct understanding of their disease, adopt proper self-management methods, and achieve better quality of life.</p> กรณ์ นงค์กระโทก, ลินจง โปธิบาล, โรจนี จินตนาวัฒน์ Copyright (c) 2020 Thai Journal of Nursing Council Thu, 09 Jan 2020 00:00:00 +0700 Impacts of Public Health Volunteers’ Competency Development Programme on Their Knowledge and Perceived Self-Effcacy in Caring for Older People at the Risk of Dementia: A Bangkok-Based Case Study <p>Abstract:<br>Objective: To examine the impacts of a competency development programme for public health volunteers on their knowledge and perceived self-effcacy in caring for older people at the risk of dementia in Bangkok.<br>Design: Two-group quasi-experimental research with a pretest and a posttest.<br>Methodology: Fifty-eight public health volunteers in Bangkok were recruited from different communities chosen by means of simple random sampling. The volunteers were then equally assigned to an experimental group and a control group. The experimental group participated in the competency development programme for public health volunteers for 8 weeks, while the control group was given documentary materials on cognitive impairment screening and on caring methods for people at the risk of dementia. Data were collected using a demographic questionnaire, a dementia knowledge assessment questionnaire, and a perceived self-effcacy assessment questionnaire focusing on caring for older people at the risk of dementia.<br>The data were analysed using descriptive statistics (namely, frequency, percentage, mean and standard deviation), comparative paired t-test, and independent t-test.<br>Results: The experimental group’s mean posttest scores on knowledge and perceived self-effcacy were signifcantly higher than their pretest scores (p &lt; .001, p &lt; .001), and signifcantly higher than the control group’s scores (p &lt; .001, p = .024).<br>Recommendations: It is suggested that this programme be used to improve public health volunteers’ knowledge and perceived self-effcacy in screening and caring for older community members at the risk of dementia.</p> วิไล ตั้งปนิธานดี, สายสุนีย์ ดีประดิษฐ์; ภัชรินทร์ วงค์ศรีดา, สมนึก สกุลหงส์โสภณ Copyright (c) 2020 Thai Journal of Nursing Council Thu, 09 Jan 2020 10:54:44 +0700 Social Support for and Psychological Wellbeing of Older People in Nursing Homes <p>Abstract:<br>Objective: To study the correlation between social support for and psychological wellbeing of older people in nursing homes.<br>Design: Descriptive correlational study research.<br>Methodology: The participants were 110 older people residing in government-run nursing homes in upper-northern Thailand. The participants were recruited using the simple random sampling method from November 2018 to January 2019. Data were collected using a demographic data recording from, a social support questionnaire, and a psychological wellbeing questionnaire. Descriptive statistics and Pearson’s correlation coeffcient were used for data analysis.<br>Results: The participants received a moderate level of social support and displayed a moderate degree of psychological wellbeing. Social support was found to have a signifcant positive relationship with psychological wellbeing (r = .60, p &lt; .01).</p> <p>Recommendations: Healthcare providers in nursing homes should assess the quality of social support for older people and evaluate their psychological wellbeing. Emotional support, promotion of self-esteem, and participation in a mutual obligation network are highly recommended methods of enhancing their psychological wellbeing.</p> ฤดีมาศ พุทธมาตย์, โรจนี จินตนาวัฒน์, ลินจง โปธิบาล Copyright (c) 2020 Thai Journal of Nursing Council Thu, 09 Jan 2020 00:00:00 +0700 Effectiveness of Cold Compression for Treatment of Postpartum Perineal Injury: A Systematic Review <p>Abstract:<br> Perineal injury commonly occurs as a result of either spontaneous laceration or episiotomy, or both, during the vaginal and pelvic floor enlargement to facilitate delivery during childbirth. Perineal injury causes postpartum discomfort and pain, affecting both the mother and the newborn.</p> <p>This systematic review presents a summary of the methods of cold compression and its effectiveness in treating postpartum perineal wounds. This review is based on a corpus of published and unpublished experimental and quasi-experimental research studies conducted from 2007 to 2017 on effectiveness of cold compression for postpartum perineal wound treatment, both in Thai and in English. The studies were appraised, and their main fndings were extracted, using standardised tools developed by the Joanna<br>Briggs Institute. The quality of the studies and the validity of the extracted fndings were then examined by the researcher and co-researcher. The acquired data were analysed using the narrative summary approach because the studies had been conducted using different methodologies, which adopted varied outcome evaluation methods practiced over different periods of time.</p> <p>Eight research studies met the inclusion criteria: fve randomised experimental studies with control groups and three quasi-experimental studies. The most common forms of cold compression were ice, cold packs and cold sanitary napkins, all of which were found to signifcantly reduce postpartum perineal pain. Of the three forms, cold packs were identifed by mothers as being signifcantly more satisfactory than ice.</p> <p>Based on the review’s fndings, any of the three forms of cold compression can be chosen for treatment of postpartum perineal pain, at the recommended temperature of 10 to 15 degrees Celsius for 10 to 15 minutes per session. Also, further studies of the effectiveness of cold compression in larger sample groups are recommended.</p> กฤษณา ปิงวงศ์, กัญญาณัฐ สิทธิภา, ฐิติพร แสงพลอย Copyright (c) 2020 Thai Journal of Nursing Council Thu, 09 Jan 2020 00:00:00 +0700 Factors Influencing Maternal Health Literacy in Pregnant Women <p>Abstract:<br>Objective: To study how age, educational level, family income, order of pregnancy, social support, number of antenatal visits, and the number of group-based antenatal education sessions could influence maternal health literacy.<br>Design: Cross-sectional predictive research.<br>Methodology: The participants consisted of 211 pregnant women at Siriraj Hospital’s Maternity Clinic, who had a gestational age of 37 weeks or more. Data were collected using a personal record form, a social support questionnaire, and the Maternal Health Literacy Scale. Descriptive statistics and multiple linear regression were used for data analysis.<br>Results: Age, educational level, family income, order of pregnancy, social support, the number of antenatal visits, and the number of group-based antenatal education sessions were capable of jointly explaining 35.40% of variation in the participants’ maternal health literacy (R2 = .354, F = 15.920, p &lt; .0001). The factors with statistically signifcant influence on maternal health literacy were social support (β = .534, p &lt; .0001), family income (β = .172, p = .005), order of pregnancy (β = .151, p = .016), and the number of group-based antenatal education sessions (β = .131, p = .024).<br>Recommendations: Nurses should provide healthcare information that responds to the health status and needs of pregnant women, especially primigravidae and those with low income. At least two group-based antenatal education sessions are recommended. Moreover, healthcare information should also be provided for husbands and family members to promote maternal health literacy in pregnant women.</p> สินีนาท วราโภค, เอมพร รตินธร, ปิยะนันท์ ลิมเรืองรอง Copyright (c) 2020 Thai Journal of Nursing Council Thu, 09 Jan 2020 13:53:21 +0700 Predictive Factors for Systemic Inflammatory Response in Trauma Patients <p>Abstract:<br>Objective: To study the predictive power of age, comorbidity, substance use, and severity of physiological change on trauma patients’ systemic inflammatory response syndrome.<br>Design: Descriptive predictive study.<br>Methodology: The sample consisted of 147 conscious trauma patients admitted to hospital within 24 to 72 hours after injury, with 15 points on the Glasgow Scale. Data gathering instruments were a demographic data form, a comorbidity evaluation form, a substance use evaluation form, the Modifed Early Warning Score (MEWS), and the Systemic Inflammatory Response Syndrome (SIRS) form. The data were analysed using<br>binary logistic regression, with the level of signifcance set at .05.<br>Results: The majority of the participants were male (68.7%) aged averagely 46.95 years (SD = 19.59%), with those aged 18 to 40 forming the largest group (42.2%). Comorbidity and substance use were found in 36.7% and 57.1% of the participants, respectively. The most common comorbid condition was hypertension (18.4%), whilst the most commonly used substance was alcohol (47.6%). Most of the participants (79.6%) displayed mild degrees of MEWS. SIRS was detected in more than half (55.1%) of the participants, with mild SIRS being most common (42.9%). Based on the analysis, the factors of age, substance use, and MEWS were capable of signifcantly predicting incidence of SIRS in 31% of the trauma patients (Nagelkerke R2 = .31, p &lt; .05), whereas the factor of comorbidity was not.<br> Recommendations: Nurses should perform SIRS evaluation on middle-aged and older patients, patients with a history of substance use, and patients with a moderate to severe degrees of MEWS, in the emergency department. This could quicken SIRS detection, reduce complications, and determine proper treatment processes for each patient.</p> สมคิด รูปงาม, สุพร ดนัยดุษฎีกุล, อรพรรณ โตสิงห์, จตุพร ศิริกุล Copyright (c) 2020 Thai Journal of Nursing Council Thu, 09 Jan 2020 14:45:52 +0700 Impacts of a Training Programme for Caregivers on Their Knowledge and Skills in Providing Home-Based Care for Postoperative Colorectal Cancer Patients <p>Abstract:<br> Objective: To study the effectiveness of a caregiver training programme on their knowledge and skills in caring for colorectal cancer patients recovering at home after surgery.<br>Design: Two-group quasi-experimental research with a pretest and a posttest.<br>Methodology: For this study, 60 pairs of caregivers and colorectal cancer patients were recruited according to the inclusion criteria and divided into a control group (31 pairs) and experimental group (29 pairs). The control group was given standard care, whilst the experimental group received standard care and participated in the caregiver training programme. The data collecting instrument was the caregiving knowledge and skill assessment form. Descriptive statistics, chi-square test, independent t-test, repeated measure ANOVA, and post hoc comparison were employed for data analysis.<br>Results: The majority of caregivers in this study were female (78.30%). Most were married (68.30%) and averagely 63.98 years of age (SD 13.36), and 45 percent were either the patients’ daughters or sons. The experimental group’s mean scores on knowledge and skills before discharge and two weeks after discharge were signifcantly higher than those of the control group (p &lt; .05). An analysis of the experimental group’s performance showed signifcant differences in their mean caregiving knowledge and skill scores prior to<br>training participation, before the patients’ discharge, and two weeks after the patients’ discharge (p &lt; .01; p &lt; .01; and p &lt; .05, respectively).<br>Recommendations: The caregiver training programme could increase the participating caregivers’ knowledge and skills in caring for patients before discharge and two weeks after discharge. Nurses could apply the programme to improving caregivers’ knowledge and skills in pre-discharge and home-based care</p> สมจีน ยะหัวฝาย, ผ่องศรี ศรีมรกต, เกศศิริ วงษ์คงคำ, เชิดศักดิ์ ไอรมณีรัตน์ Copyright (c) 2020 Thai Journal of Nursing Council Thu, 09 Jan 2020 15:07:04 +0700