https://he02.tci-thaijo.org/index.php/apnj <p>วารสารการปฏิบัติการพยาบาลและการผดุงครรภ์ไทย เป็นวารสารวิชาการทางการพยาบาล ดำเนินการโดยสมาคมผู้ปฏิบัติการพยาบาลขั้นสูง (ประเทศไทย) ร่วมกับวิทยาลัยพยาบาลและผดุงครรภ์ขั้นสูงแห่งประเทศไทย โดยการสนับสนุนของสภาการพยาบาล มีระบบการบริการแบบสากล คือ มีกองบรรณาธิการและผู้ทรงคุณวุฒิภายนอกตามจำนวนที่ สกอ.และ TCI กำหนด มีการประเมินคุณภาพโดยผู้ทรงคุณวุฒิ (Peer Review) ทุกบทความความต้องได้รับการตรวจพิจารณาจากผู้ทรงคุณวุฒิ 3 ท่าน และการพิจารณานั้นจะเป็นแบบ double blind</p> <p>วารสารการปฏิบัติการพยาบาลและการผดุงครรภ์ไทย อยู่ในฐานข้อมูลของ ศูนย์ดัชนีการอ้างอิงวารสารไทย (Thai Journal Citation Index-TCI) กลุ่มที่ 1 โดยศูนย์ดัชนีการอ้างอิงวารสารไทย (Thai-Journal Citation Index (TCI) Centre) ร่วมกับ สำนักงานคณะกรรมการส่งเสริมวิทยาศาสตร์ วิจัยและนวัตกรรม (สกสว.) คณะพลังงานสิ่งแวดล้อมและวัสดุ มหาวิทยาลัยเทคโนโลยีพระจอมเกล้าธนบุรี และศูนย์เทคโนโลยีอิเล็กทรอนิกส์และคอมพิวเตอร์แห่งชาติ (NECTEC) ประกาศผลการประเมินคุณภาพวารสารวิชาการที่อยู่ในฐานข้อมูล TCI รอบที่ 4 ครั้งที่ 3 (พ.ศ. 2565 – 2567)</p> <p><strong>การตีพิมพ์เผยแพร่</strong><strong> </strong>วารสารการปฏิบัติการพยาบาลและการผดุงครรภ์ไทย จัดพิมพ์ 2 ฉบับต่อปี </p> <p>ฉบับที่ 1 มกราคม – มิถุนายน</p> <p>ฉบับที่ 2 กรกฎาคม – ธันวาคม</p> <p><strong>ISSN 2408 - 1280 (Print) <br /></strong><strong>ISSN: 2586 - 9930 (Online) </strong> </p> <p>- ตีพิมพ์วารสารเป็นรูปเล่ม ตั้งแต่ปี พ.ศ. 2557 ถึง ปี พ.ศ. 2565</p> <p>- ตีพิมพ์เป็นวารสารอิเล็กทรอนิกส์ (Electronic Journals) เท่านั้น ตั้งแต่ปี พ.ศ. 2566 เป็นต้นไป</p> <p><strong>อัตราค่าตีพิมพ์</strong> บทความที่ได้รับการตอบรับเพื่อตีพิมพ์ ผู้เขียนจะมีค่าใช้จ่าย ดังนี้</p> <p>1) สมาชิกสมาคมผู้ปฏิบัติการพยาบาลขั้นสูง (ประเทศไทย) ชำระค่าตอบแทนผู้ทรงคุณวุฒิในการอ่านบทความจำนวน 3 ท่าน และค่าตอบแทนการแปล/Edit บทคัดย่อภาษาอังกฤษ เป็นเงิน จำนวน 2,500 บาท </p> <p> 2) ผู้ที่ไม่ใช่สมาชิกสมาคมฯ ตามข้อ 1) ชำระค่าตอบแทนผู้ทรงคุณวุฒิในการอ่านบทความจำนวน 3 ท่าน และค่าตอบแทนการแปล/Edit บทคัดย่อภาษาอังกฤษ เป็นเงิน จำนวน 3,500 บาท</p> <p>ทั้งนี้ <strong>ตั้งแต่วันที่ 1 มกราคม 2567</strong> เป็นต้นไป บทความที่ได้รับการตอบรับเพื่อตีพิมพ์ จะมีอัตราค่าธรรมเนียมใหม่ ดังนี้ </p> <p>1) สมาชิกสมาคมผู้ปฏิบัติการพยาบาลขั้นสูง (ประเทศไทย) ชำระค่าตอบแทนผู้ทรงคุณวุฒิในการอ่านบทความจำนวน 3 ท่าน และค่าตอบแทนการแปล/Edit บทคัดย่อภาษาอังกฤษ <strong>เป็นเงินจำนวน 5,000 บาท/บทความ</strong></p> <p> 2) ผู้ที่ไม่ใช่สมาชิกสมาคมฯ ตามข้อ 1) ชำระค่าตอบแทนผู้ทรงคุณวุฒิในการอ่านบทความจำนวน 3 ท่าน และค่าตอบแทนการแปล/Edit บทคัดย่อภาษาอังกฤษ <strong>เป็นเงินจำนวน 6,000 บาท/บทความ</strong></p> <p><strong>ช่องทางการชำระค่าตีพิมพ์</strong><strong> </strong>ชำระค่าตีพิมพ์โดยการโอนเงินเข้าบัญชีออมทรัพย์</p> <p>ธนาคารกรุงไทย สาขากระทรวงสาธารณสุข</p> <p>บัญชีเลขที่: 142 – 0 – 19768 – 1</p> <p>ชื่อบัญชี: สมาคมผู้ปฏิบัติการพยาบาลขั้นสูง (วารสาร)</p> <p><strong><em>******ให้ชำระเงินค่าธรรมเนียมหลังจากได้รับแจ้งจากทางวารสารแล้วเท่านั้น**********</em></strong></p> <p><strong>ติดต่อกองบรรณาธิการได้ที่</strong> รศ.ดร.ประณีต ส่งวัฒนา (บรรณาธิการ) e-mail: tjnmp.2023@gmail.com</p> สมาคมผู้ปฏิบัติการพยาบาลขั้นสูง (ประเทศไทย) en-US Thai Journal of Nursing and Midwifery Practice 2408-1280 https://he02.tci-thaijo.org/index.php/apnj/article/view/262267 <p>Abstract: Coronavirus disease 2019 (COVID-19) is an emerging disease occurring worldwide and spreading widely. It affects physical and mental health, leading to various complications, especially pressure injury. This retrospective study aimed to identify factors associated with pressure injury among COVID-19 patients admitted to a university hospital. The sample consisted of 310 COVID-19 patients who were hospitalized during August 1–31, 2021, and met inclusion criteria. Data were collected retrospectively from medical records via electronic medical records. The data were analyzed using descriptive statistics and logistic regression analysis. The results revealed that the most important factors associated with pressure injury in COVID-19 patients were having peripheral venous catheter insertion. The patients with peripheral venous catheter insertion were 17.68 times more likely to have pressure injury compared with not having peripheral venous catheter insertion (OR = 17.68, p = .018). Secondly, patients receiving endotracheal intubation were 8.87 times more likely to have a pressure injury compared to patients who were spontaneously breathing (OR = 8.87, p = .000). In addition, each increase of 1 day in hospital length of stay increased 1.05 times for the risk of developing pressure injury (OR = 1.05, p= .002). The results of this study can be used as basic information for planning and developing guidelines for the prevention and care of hospitalized COVID-19 patients at risk of pressure injury in order to increase the quality of effective nursing care.</p> Jittima Nuritanon Sujinda Ladasoontorn Jiraporn Punyoo Copyright (c) 2023 Thai Journal of Nursing and Midwifery Practice http://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-06 2023-12-06 10 2 5 19 https://he02.tci-thaijo.org/index.php/apnj/article/view/263261 <p>Abstract: This quasi-experimental research, two-group pre-test post-test time comparison design aimed to study the effect of fall prevention program with multifactorial intervention on fall prevention behaviors among community-dwelling older adults in Trang province. Research participants were 60 older adults residing in Huay Yod district, Trang province selected into 2 groups equally 30 people for each group. The intervention group received fall prevention program with multifactorial interventions which consisted of knowledge on fall prevention, balance exercises to prevent falls, home environment evaluation to prevent falls at home, and medication review for 12 weeks. Data were collected using questionnaires, including questions on health belief model, fall prevention behavior, and the balance test (Berg balance and Time up and go test). Data were analyzed by paired sample t-test, independent sample t-test, Wilcoxon signed rank test, Mann-Whitney U test and Repeated Measures ANOVA. Results showed that after program completion, intervention group had statistically significant higher score of health belief model and fall prevention behavior compared to before program (p&lt;.05) and higher than control group (p&lt;.05). Although balance score between intervention group comparing to control group was not statistically different, intervention group had statistically significant better score of balance test (p&lt;.05). In conclusion, the fall prevention program with multifactorial intervention is effective on fall prevention behaviors among communitydwelling older adults.</p> Sirima Wangpayom Salee Incharoen Keerati Ponpetch Kanjanachaya Sirijoti Nawaporn Kaewchusen Copyright (c) 2023 Thai Journal of Nursing and Midwifery Practice http://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-06 2023-12-06 10 2 20 37 https://he02.tci-thaijo.org/index.php/apnj/article/view/264155 <p>Abstract: This two-group quasi-experimental research with a pre and posttest aimed to study the effects of a health literacy enhancing program on knee osteoarthritis literacy, self-care behaviors and severity level of knee osteoarthritis in elderly people. The sample consisted of 68 elderly people diagnosed with osteoarthritis in a sub-district health promotion hospital. The sample was selected according to pre-specified inclusion and exclusion criteria and randomly assigned to the experimental group (to receive the program to develop health literacy along with regular nursing care) or the control group (to receive regular nursing care), 34 people per group. General information was collected, and data on knowledge about osteoarthritis, self-care behaviors of elderly people with osteoarthritis, and severity of osteoarthritis recorded on data forms that had been evaluated for validity and reliability using Cronbach’s alpha coefficient, yielding values of 0.84, 0.70, and 0.92, respectively. Data were analyzed using descriptive statistics, pair t-test and independent t-test. The research results revealed that after using the program, the experimental group had a mean knee osteoarthritis knowledge score and total score of self-care behaviors of elderly people with knee osteoarthritis higher than before using the program and significantly higher than the control group at the .05 level, as well as a significantly lower severity of knee osteoarthritis than the control group at the .05 level. Therefore, the health literacy development program should be applied to care for elderly people with knee osteoarthritis by integrating it with regular nursing care to increase knee osteoarthritis knowledge, self-care behaviors, and help reduce the level of severity of knee osteoarthritis.</p> Wachara Sannong Napaphen Jantacumma Pornlert Chumchi Copyright (c) 2023 Thai Journal of Nursing and Midwifery Practice http://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-13 2023-12-13 10 2 38 54 https://he02.tci-thaijo.org/index.php/apnj/article/view/261130 <p>Abstract: This randomized controlled trial aimed to compare the success in inserting a feeding tube from nostril to stomach between the use of Modified Samanta’s technique (intervention group) and the use of classical technique (control group) in patients with abdominal surgery undergoing general anesthesia. 62 patients selected during December 2020 to December 2021, were randomly allocated by computer, with allocation concealment, to one or other of the two groups. Patients and researcher were blinded to the technique used. A form for recording feeding tube insertion success was assessed using content validity devices. Data were analyzed using descriptive and inferential statistics, namely chi-square, independent t-test, repeated measure ANOVA, logistic regression, survival analysis, log-rank test and Cox proportional hazards model. The result showed no significant difference in the success of insertion between the two groups (p-value = .35). However, the time to completion of the procedure in the intervention group was shorter than that in the control group (difference of means = 18.10s; 95% CI: 4.31, 31.89) at p=.001. There was no difference between groups in bleeding (p=0.15, tube kinking (p=.21), or vital sign change (p&gt;.05). In conclusion, the Modified Samanta’s technique is recommended as a method that is quicker and more efficient for extracting air from the stomach, facilitating faster gas removal. In future studies, several factors should be considered, including sample size and the technique of inserting the nasogastric tube to minimize the risk of bleeding and tube kinking.</p> Chutima Kangkarn Thippawan Prasertsang Copyright (c) 2023 Thai Journal of Nursing and Midwifery Practice http://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-07 2023-12-07 10 2 55 67 https://he02.tci-thaijo.org/index.php/apnj/article/view/263178 <p>Abstract: This developmental research study aimed to develop a competency framework for nurse specialists in providing care for persons with heart failure at Maharaj Nakorn Chiang Mai Hospital. It consisted of 2 procedures; 1) developing the competency framework for nurse specialists in providing care for persons with heart failure applying Marrelli et al.’s competency frameworks development, and 2) examining the content validity of nurse - competency in caring for patients with heart failure by 5 experts. The instruments consisted of an expert interview form and the tentative competency framework for nurse specialist competency in providing care for persons with heart failure, which the researcher developed from the expert interview and literature review. The results showed that a competency framework consisted of the following 12 competencies with 138 minor aspects, namely competencies in patient history taking to assess problems; in assessing vital signs, patient’s signs and symptoms; in assessing a patient’s cardiovascular and respiratory system, care and management of problems according to the patient’s symptoms; in assessing psychological, emotional, social and spiritual problems; in managing the patients for the standardized diagnosis; in knowledge of heart failure; in advanced cardiac life support skills; in maintaining appropriate treatment and medication adjustments; in providing health education for patients with heart failure; in caring for patients with cardiac implantable electronic devices; and in caring for patients with heart transplantation and patients with mechanical circulatory support; and in palliative and endof-life care in patients with heart failure. The findings can be used to assess nurses’ competency in providing care for persons with heart failure for further planning of professional development.</p> Sarapee Seesopon Anong Amaritakomol Paleerat Topaiboon Rujirat Pudwan Copyright (c) 2023 Thai Journal of Nursing and Midwifery Practice http://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-07 2023-12-07 10 2 68 86 https://he02.tci-thaijo.org/index.php/apnj/article/view/265232 <p>Abstract: The study aimed to develop and evaluate a clinical nursing practice guideline (CNPG) for children undergoing hematopoietic stem cell transplantation. The sample consisted of 10 children who underwent hematopoietic stem cell transplantation and 20 registered nurses. The tools used were the CNPG and a manual for children undergoing hematopoietic stem cell transplantation. Data were collected including the feasibility of CNPG implementation, nurse satisfaction questionnaire and complications of hematopoietic stem cell transplantation assessment form. Data were analyzed using descriptive statistics. The most frequently encountered complication was mucositis, which was in level 2 (70%). The feasibility of CNPG implementation was high (Mean = 4.57; SD = 0.59) and overall nurses’ satisfaction with the guideline’s implementation was high (Mean = 4.55; SD = 0.60). Implementation of this CNPG in the departments can improve patient clinical outcomes.</p> Sasiprapa Kittithornruengchai Autchareeya Patoomwan Usanarat Anurathapan Jiraporn Punyoo Copyright (c) 2023 Thai Journal of Nursing and Midwifery Practice http://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-07 2023-12-07 10 2 87 103 https://he02.tci-thaijo.org/index.php/apnj/article/view/265231 <p>Abstract: This quasi-experimental research aimed to study the effects of stroke self-care promoting program via mHealth on clinical outcomes and health-related quality of life in ischemic stroke patients. Orem’s self-care theory was used as a conceptual framework for the study. The sample consisted of patients newly diagnosed with ischemic stroke receiving treatment in the ward of a university-affiliated hospital. They were divided into control and experimental groups, with 25 persons in each group. The control group received the usual nursing care. The experimental group received the stroke self-care promotion program via mHealth for 10 weeks. Data were collected using demographic records, health information data, the National Institutes of Health Stroke Scale (NIHSS), and Stroke Impact Scale 3.0. Data were analyzed using inferential statistics: Chi-square test, Friedman test, paired t-test, and analysis of covariance. Results showed that after two weeks of program completion, the experimental group had significantly reached the target systolic blood pressure, had better severity of disease, and had better health-related quality of life than that of the usual care group. The mean lipid levels were slightly decreased, but there was no statistically significant difference between the two groups. The self-care promoting program could help to reduce the severity of disease and improve health-related quality of life. The longtudinal study should be conducted in order to achieve changes in other clinical outcomes, addressing more intensive emotional support, and reducing other stroke risk factors.</p> Patcharaporn Sirintaranont Apinya Siripitayakunkit Jesada Keandoungchun Copyright (c) 2023 Thai Journal of Nursing and Midwifery Practice http://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-08 2023-12-08 10 2 104 122 https://he02.tci-thaijo.org/index.php/apnj/article/view/264872 <p>Abstract: Stress during pregnancy leads to premature births. Therefore, stress reduction in pregnant women with preterm birth is an important role for midwives. The aim of this quasi-experimental study was to investigate the effects of a family meeting on stress and gestational age at delivery in pregnant women with preterm contraction. The sample consisted of pregnant women with preterm labor who were purposefully selected and divided into an experimental and a control group using simple randomization, 25 women per group. The experimental group received the family meeting and usual care, while the control group received only the usual care. The research instruments consisted of a demographic data form, a family meeting manual developed by the researcher, which consisted of 6 steps and took 45-50 minutes to complete the meeting. The content validity of the program was verified by experts. The reliability of the Suanprung Stress Test-20 (SPST-20) was tested using the Cronbach’s alpha coefficient, yielding a value of .81. Data were analyzed using descriptive statistics, chi-square test, paired t-test, and independent t-test. The results showed that the mean stress score after receiving a family meeting was significantly lower in the experimental group than before receiving the family meeting (p &lt; .001), and lower than those of the control group (p &lt; .001). The gestational age at delivery was significantly higher in the experimental group than in the control group (p &lt; .001). The results of this study suggest that using family meetings to care for pregnant women with preterm labor is likely to reduce stress and maintain pregnancy to term.</p> Warunee Sotatawi Sopen Chunuan Copyright (c) 2023 Thai Journal of Nursing and Midwifery Practice http://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-08 2023-12-08 10 2 123 139 https://he02.tci-thaijo.org/index.php/apnj/article/view/264629 <p>The purpose of this quasi-experimental research was to study the effects of a knowledge management program on breastfeeding-counseling behaviors of village health volunteers after the outbreak of coronavirus disease 2019. The participants were 68 village health volunteers, selected by purposive sampling and using simple random sampling assigned to the experimental and comparison groups, with 34 people in each group. The experimental group participated in a knowledge management program for 6 weeks, while the comparison group performed the usual tasks. The research tools were the breastfeeding knowledge management program, a personal characteristics questionnaire, and a questionnaire on breastfeeding-counseling behavior among health volunteers. The content validity index of the questionnaire and the program was equal to 1.00. The Cronbach's alpha coefficient of confidence of the breastfeeding-counseling behavior questionnaire was 0.96. Descriptive statistics, Chi-Square, Fisher's Exact Test, t-test, and repeated measure ANOVA were used for data analysis. The results showed that immediately after the experiment and during the follow-up period, the experimental group had statistically significant higher counseling behavior than before and higher than the comparison group (p &lt;.05). Thus, this knowledge management program can help promote village health volunteers to provide advice about breastfeeding to mothers after giving birth. It should therefore be applied to promote continuous breastfeeding.</p> Punpawee Kittikul Wanpen Waelveerakup Duangporn Pasuwan Copyright (c) 2023 Thai Journal of Nursing and Midwifery Practice http://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-13 2023-12-13 10 2 140 157 https://he02.tci-thaijo.org/index.php/apnj/article/view/264551 <p>Abstract: This quasi-experimental research one-group pre-post test design aimed to compare systolic and diastolic blood pressure and urinary sodium levels in hypertensive patients before and after receiving sodium intake education and self-operating a salt meter. A sample group of 36 people was selected based on certain criteria. The participants were given intensive education on sodium intake and trained to use and monitor their food intake with a salt meter. Follow-up was done every month for three months. Data were analyzed using descriptive statistics and paired t-test. Results showed that the hypertensive patients who participated in the research had a significant decrease of the systolic and diastolic blood pressures and urinary sodium levels (p &lt; 0.05). Therefore, the education on sodium intake and the use of a salt meter can reduce blood pressure and urinary sodium levels in hypertensive patients. However, further study is needed with randomized controlled trials before the program can be widely used.</p> Tidakarn Juntorn Pornsopa Kaewdangdee Copyright (c) 2023 Thai Journal of Nursing and Midwifery Practice http://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-12 2023-12-12 10 2 158 170